Claims Testing & Data Integrity Analyst
Global Channel Management, Inc
A leading claims management firm in Ohio is seeking an experienced Claims Testing Analyst. This role requires a strong background in claims or data processing with intermediate knowledge of PCs and analytical skills. The ideal candidate will have experience with Oracle SQL and a proactive problem-solver capable of multitasking and collaborating with various departments. The position involves validating claims data, tracking defects, and ensuring smooth transitions in production systems. #J-18808-Ljbffr Global Channel Management, Inc
- About the job Sr. Configuration Data Analyst Sr. Configuration Data Analyst needs 5+ years experience with health plans or medical claims Sr. Configuration Data Analyst requires: Experience... ...data analysis, prototyping, and testing support for Government client setup requests...Claims
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- ...and Analysis of technical and sensory tests / Samples Preparation / On-Site support... ...across sites Deliverables - # Claims Testing Support - Ideal candidate... ...provide info to managers that will be integrated with other data points and analysis to issue a final recommendation...ClaimsFull timeTemporary workFreelance
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- Claims Testing Analyst needs claims or data processing / testing experience Claims Testing Analyst requires: Experience in Claims or Data processing /... ...ready for testing scenarios to be keyed. Validate the integrity of claims data in the EyeMed claims and payments UAT...Claims
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- Belcan Corporation in Mason, OH is seeking a Cash/Claims Processor to accurately process client self-bill files and incoming payments to customer invoices. The role emphasizes timely payment application, issue resolution, and coordination with internal and external clients...Claims
- ...experienced Healthcare System Analyst with strong expertise... ...of healthcare claims, enrollment, provider,... ...application enhancements and integrations. Create functional... ...Coordinate with QA teams during test planning, defect... ...processes, and healthcare data exchange formats....Claims
- ...custom Salesforce applications, integrations, and extensions using Apex,... ...App exchange products. Data Management: Ensure data integrity... ...code across projects. Testing and Deployment: Plan and execute... ...mails, or even text messages claiming to be a legitimate company....ClaimsLocal area
$20 - $21 per hour
...Insurance Claims Processor Mason, Ohio, United States $ 20.00 - 21.00 (US Dollar)... ...honor high level of confidentiality. Promote integrity. ~ Working knowledge of mainframe... ...resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established...Claims$20 - $21 per hour
...Cash Claims Processor Mason, OH, United States $ 20.00 - 21.00 (US Dollar) Cash Claims... ...high level of confidentiality. Promote integrity. ~ Strong work ethic. ~ High school... ...resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established...Claims- About the job Configuration Analyst/Administrator Configuration Analyst... ...experience Healthcare claim understanding/benefit configuration... ...Administrator duties: Prepare data for analysis by removing duplicates... ..., process flows, and execute testing for enhancements to improve...Claims
$89.17k - $142.68k
...Job Description We are seeking a highly skilled Senior Data Analyst with deep expertise in Affordable Care Act (ACA) Risk Adjustment and... ...will have strong experience with ACA data flows (enrollment, claims, supplemental), HCC modeling, and reconciliation of EDGE outputs...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week$17 - $19.37 per hour
...environment and possess a passion for product innovation and data rigor, this is the perfect opportunity to showcase your skills... ...Education: Bachelors. Responsibilities Conduct visual and sensory claims testing and perform in-lab screening of formula prototypes to detect...ClaimsHourly payContract workTemporary workWork experience placement- ...Business Analyst II Location: Hybrid1: This role requires associates... ...into system design and testing. Acts as liaison with users... ...HCPCS strongly preferred. Claim processing experience strongly... ...job functions, and sensitive data handling instructions. Associates...ClaimsTemporary workWork at officeLocal area2 days per week1 day per week
$30 - $42 per hour
...party rejections and complete any manual claim forms Perform all prescription pick-up... ...limited to point-of-care and/or swab-and-send testing, immunization preparation and/or delivery... ...of collaboration, innovation, caring, integrity and accountability. CVS Health is an...ClaimsFull timeWork experience placementInternshipWork at officeLocal areaNight shift- A leading claims adjusting firm in Ohio is seeking Independent Insurance Claims Adjusters to join its team. This role offers dynamic opportunities to help individuals and businesses recover from unforeseen disasters. The firm provides comprehensive training for new and...ClaimsFlexible hours
$60.9 - $82.3 per hour
...clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management Ensure medication safety... ...A problem-solver – You navigate challenges, from insurance claims to medication management, with ease Apply Today & Build Your...Hourly payFull timeWork at officeFlexible hoursShift work- On Line Design, Inc. in Mason, Ohio is seeking a full-time lab technician. You will conduct laboratory tests involving insects and assist scientists in various analyses. The ideal candidate should have 1-2 years of lab experience, proficiency in Office 365, and a degree...Full timeWork at office
- ...insurance coverage for both medical and pharmacy benefits. This includes loading insurance details, coordinating benefits, and running test claims to confirm coverage and reimbursement outcomes. How you will make an impact: Communicating with insurance providers,...ClaimsWork at officeDay shift2 days per week1 day per week
$30 per hour
...Coordinator - Claims • Job Description(s): ATTACHED • Bill Rate: $30.00 • Mark up 33.05% • Work hours: full-time (8h day / 4... ...Effectively and accurately reviews images and transcribed data in the portal in preparation for auto adjudication. Coordinate...ClaimsPermanent employmentFull timeTemporary workWork experience placementWork at officeRemote work- ...aged accounts receivable, resolving denied and unpaid insurance claims, researching payment discrepancies, and collaborating with internal... .... Proficiency with Microsoft Excel, including V-Lookups and data analysis functions. Excellent analytical, organizational, and problem...ClaimsHourly payImmediate startRemote workMonday to Friday
- ...Solving Skills: Ability to handle billing discrepancies and insurance claim denials. On-the-Job Training or Internship: Practical... ...to management. Develops and delivers reporting and analyzes data to identify trends, provide forecasts, make recommendations, and...ClaimsInternshipImmediate start
$70 - $76 per hour
...for Veterans. Work Setting: Own office required - with audiology testing equipment. per diem opportunities are available Qualifications:... ...diagnosis of audio conditions to support a Veteran’s disability claim. As a certified medical disability examiner, you gather and synthesize...ClaimsHourly payDaily paidFor contractorsWork at office$60k - $80k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications:...ClaimsFor contractorsCasual workWork at officeLocal areaFlexible hours- ...A leading training organization for claims adjusters in Loveland, Ohio, is looking for Independent Insurance Claims Adjusters to join their team. The role involves helping clients recover from disasters while enjoying flexibility and competitive pay. The company offers...ClaimsFlexible hours
- ...Data Scientist We are hiring a Senior Data Scientist with deep expertise in AI agent... ...Model Context Protocols (MCP). This role is integral in building interoperable, context-aware,... ...between specialized AI agents (e.g., Claims Agent, Eligibility Agent, Provider Match...Claims
$147k - $179.6k
...core values match Gilbane's: Integrity, Caring, Teamwork, Toughmindedness... ...Performs the delay claims process, develops delay analysis... ...equity, and alignment with market data. For Albany NY, Buffalo NY, Ohio... ...pre-employment substance abuse test. Gilbane is an Affirmative...ClaimsFor contractorsRelocation- ...autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill... ...reimbursement, as applicable. Assists in problem solving with providers, claims or service issues Minimum Requirements: Requires BA/BS...ClaimsFull timeWork at officeMonday to FridayDay shift
$22 per hour
...engineers better outcomes through adaptive and integrated services—from jet engines, airframe, and... ...reports. Prepare and/or oversee internal claims and quality management / utilization... ...reports, maintain files, and communicate data and information associated with local, state...ClaimsLocal areaFlexible hours
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