Claims Analyst
EmergencyMD
Job Title: EDI Claims Analyst Job Location: Remote Job Type: Contract Job Description: The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing. Requirements: Strong understanding of EDI transactions and claims processing Proficiency in SQL and data analysis Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee Familiarity with CBH systems, including Connects and Flexicare Excellent problem-solving and analytical skills Ability to mentor and train team members Executive leadership client facing Interested candidates can send their updated resumes at View email address on click.appcast.io #J-18808-Ljbffr
- A healthcare services company is seeking an EDI Claims Analyst to analyze and process electronic data interchange (EDI) transactions. This remote role involves reviewing claims rejections and ensuring accurate data submission for efficient claims processing. The ideal...SuggestedRemote job
- ...Epic Application Analyst We are seeking an Epic Application Analyst to join our Resolute Revenue Cycle Billing team. This role is... ...Bachelor's Degree or equivalent Epic Hospital Billing and Claims Certification Familiarity with SQL, reporting tools, or analytics...SuggestedFull timeMonday to FridayShift workWeekend work
$77k - $154k
DescriptionSummary:The Business Banking Underwriter III is responsible for underwriting Business Banking loans to determine credit worthiness and compliance with Bank lending policy.Duties & Responsibilities:Supports Business Banking production by maintaining an individual...SuggestedWork at officeRemote workWork from homeFlexible hours- Sedgwick is looking for an Underwriting Analyst in Southfield, MI, to provide property, liability, and workers’ compensation underwriting services. The ideal candidate will have a Bachelor’s degree and four years of relevant underwriting experience. Responsibilities include...Suggested
- Liberty Mutual Insurance is seeking a skilled underwriter to manage middle market commercial accounts. You will assess submissions, make independent pricing decisions, and maintain relationships with brokers and clients. The ideal candidate will have at least 2.5 years ...Suggested
- ...specialty exposures, large single-location risks, multi-location schedules, or industry-specific hazards). Engage internal partners (Claims, Actuarial, Risk Control, Legal) to structure appropriate terms and risk mitigation plans. Mentor and coach junior underwriters and...
- ...caused by a covered peril. DealerGuard’s staff of subject matter experts, are organized into three separate departments: underwriting, claims, and insurance tracking. While separate and distinct, these departments work as a cohesive unit to deliver on DealerGuard’s core...Full timeSeasonal workWork at officeRemote work
- Sedgwick Claims Management Services Ltd is seeking a Disability Representative Sr to provide disability case management and determine complex claims. The position requires reviewing medical documentation and making timely payment decisions while ensuring compliance with...
- ...A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters in Southfield, Michigan. This role offers a dynamic career path with opportunities for growth, flexibility, and competitive compensation. Successful candidates will assist individuals and...Flexible hours
$48k - $75k
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer‑focused, needs‑based review process to educate customers about insurance...Full timeFor contractorsWork at office- ...A leading insurance adjusting firm is seeking Licensed Claims Adjusters to join their team in Michigan. This role offers a chance to help clients rebuild their lives after disasters. Candidates are encouraged regardless of experience level, as comprehensive training programs...
- ...A leading claims adjusting organization in Oak Park, Michigan, is seeking dedicated Independent Insurance Claims Adjusters. This role offers a flexible career path with opportunities for professional development and training. As a licensed claims adjuster, you’ll play...Flexible hours
- Integra Partners is looking for a Claims Quality Assurance Analyst based in Troy, Michigan. You will monitor and document production quality, focusing on claims auditing within revenue cycle management. The ideal candidate should have at least one year of claims auditing...
- A leading insurance organization is seeking an Associate Underwriter to support new and renewal business by evaluating risk and managing small accounts. The ideal candidate will have 2-3 years of insurance experience and strong analytical and communication skills. This ...Full timeRemote work
- A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters in Southfield, Michigan. This role offers a dynamic career path with opportunities for growth, flexibility, and competitive compensation. Successful candidates will assist individuals and...Flexible hours
- ...innovative solutions and services that help our clients optimize their operations and captivate their customers. Job Description The Claims Specialist provides program claim review, claim entry assistance to both dealers and field personnel as needed. The Claims...
- Description School Summary Lighthouse Connections Academy (LCA) is a tuition-free K–12 online public school that students attend from home. Authorized by Oxford Community Schools, Lighthouse Connections Academy is state certified and open to students located throughout...Work at officeNight shiftAfternoon shift
- The part time, Bilingual Administrative Assistant provides day-to-day office and administrative support while serving as a primary point of contact for inbound phone calls in both Spanish and English. The ideal candidate brings 1-2 years of experience in an office administration...Part timeWork at officeLocal area
$22.82 - $37.21 per hour
Join Us Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us. Your ...Work at officeFlexible hours- Why You Should Work With Us: Arizona College of Nursing is a rapidly growing, nursing school that transforms people's lives by preparing them for careers in nursing and improving communities through the care its graduates provide. As a leading nurse educator, Arizona...Full timeWork at office
- Administrative Assistant II This position is responsible for performing administrative tasks such as entering data, compiling reports, assembling binders, building spreadsheets, distributing correspondence, recording and dispensing meeting minutes, and making copies...Work at office
- ...collecting premiums on a pre-arranged schedule that you determine Responding promptly to service requests such as beneficiary changes, claims, and loans Record keeping, accounting for money collected, and processing policy paperwork Agent Expectations: Grow the...Full timeTemporary workFor contractorsTraineeshipCasual work
$45 - $50 per hour
...project, significantly reducing and/or eliminating the demands to travel. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder...Hourly payLive inWork at officeLocal areaFlexible hours$67.3k - $75k
...Claim Specialist - Michigan Pip Join the team committed to driving your career forward. Job Type: Full time Exempt/Non Exempt: Salary Reports to: Claim Manager as appropriate What you will do: The Auto Club Group is seeking prospective Claim Specialist...Full timeWork experience placementRemote workWork from homeHome officeFlexible hours$100k
...but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours COMPANY OVERVIEW Phoenix...Full timeContract workLive inWork at officeRemote workMonday to FridayFlexible hours$22.21 - $27.74 per hour
Sales Group Administrator The Sales Group Administrator plays a crucial role in supporting the Sales department's daily operations. They are responsible for managing user access, maintaining accurate sales data, and providing administrative assistance to Sales Managers...Hourly payWork at office$21 - $23 per hour
Administrative Assistant Interviewing ASAP!! Hours: Hiring for first shift! Must be flexible to work Monday-Friday Onsite position- must be willing to commute to Southfield, MI Must haves: ~2+ year of administrative, clerical, or customer service experience...Contract workTemporary workWork at officeImmediate startMonday to FridayFlexible hoursDay shift$45 - $50 per hour
Job Description Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day‑to‑day operations, client stakeholder relationships, and collaboration with offshore teams. This role demands both technical...Hourly payLive inWork at officeLocal areaFlexible hours$23 per hour
Call Center Rep? Earn Up to $23/hr (Tips) On Camera No Headset, No Queue Southfield No more queues. No more tickets. No more "your call is very important to us." Your communication skills and ability to stay calm and professional under pressure are exactly what Evolution...Hourly payFull timeShift workNight shiftDay shiftAfternoon shift- ...achieve our collective goals, this requires collaborating with your peers on our team and within other aligned business units including Claims, Product Development, Accounting and Operations. Underwriting Expertise We want you to continually develop your underwriting...Local area
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