Healthcare Claims Analyst: Investigate Rejections & Data Review
$22 - $24 per hourHealthCare Support
A leading healthcare recruiting firm in Austin is seeking an experienced Claims Analyst/Examiner. This position involves investigating rejected claims, analyzing results, and reviewing extensive data spreadsheets. Candidates should possess a Bachelor's degree and have claims experience, with knowledge of Medicaid and Medicare requirements being a strong plus. Benefits include a competitive salary ranging from $22 to $24 per hour and a positive work environment. The ideal candidate will have managed care experience and familiarity with tools such as Viso, Amysis, or Agile. #J-18808-Ljbffr Healthcare Support Staffing
$22 - $24 per hour
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading... ...Description Are you an experienced Claims Analyst/Examiner looking for a new... ...! Daily Responsibilities Investigate rejected claims and analyze results Review large data spreadsheets, analyze...DataPrivate practice$23.16 per hour
...Description: This job reviews, evaluates, and processes... ...Risk and Reinsurance) claims in accordance with... ...involves the Special Investigation Unit as necessary. Identifies... ...in a Stop Loss Claims Analyst role. SKILLS Ability... ..., cardholder data, or other confidential...DataFor contractorsWork at officeLocal area- ...Description: Reports to: Bill Review Director Direct Reports:... ...billing, and prepare comparative data analysis and written reports. The Healthcare Financial Senior Analyst provides leadership and... ...billing; CPT and HCPCS billing and claims processing. Knowledge of payment...DataHourly payContract workWork at office
- ...is a leading force in healthcare administration, on a journey... ...and experienced Claims Processor who acts with... ...Responsibilities: Review and process medical claims... ...standards. Investigate and resolve any discrepancies... ...and accuracy in data entry and documentation...DataFull timeLive outRemote work
$132.8k - $219.1k
...you do it. Job Category Claim Compensation Overview... ...What Is the Opportunity? Investigate, evaluate, reserve, negotiate... ...property damage by obtaining and reviewing appropriate records and damages... ...interpret and convey complex data. ~ Create and manage positive...DataLocal area- ...Senior Claims Adjuster The State Office of Risk Management... ...and experience in investigating, analyzing, filing disputes... ...administration. Work involves reviewing, approving, or rejecting claims as provided in the... ...from claimants Analyzes data and presents ideas effectively...DataFull timeWork at officeRelocationNight shift
$73k
Entry-level Healthcare Analyst Position Overview Cognizant is helping healthcare leaders make the shift—with practical insights, more automation... ...Engineering, Information Systems, Decision Sciences, Data Analytics/Data Science. Internship or academic experience with...DataTemporary workSummer workInternshipWork at officeRemote workRelocationShift work2 days per week- Overview As the Health Plan Claims Adjudicator for a Health Maintenance... ...you will be responsible for reviewing, assessing, and processing... ...ability to interpret complex data, identify trends, and... ...required. Bachelor's Degree in Healthcare Administration, Business Management...Data
$73k
A global technology leader is seeking an Entry-level Healthcare Analyst. This role involves designing software products aligned with healthcare... ...bachelor's degree and skills in programming languages and data analytics. The position combines both remote and office work...DataWork at officeRemote work$3,100 - $4,500 per month
...The Interstate Unemployment Insurance (UI) Claims Examiner II - III performs complex to... ...overpayment collection work. Work involves reviewing unemployment insurance benefit overpayments... ...of that action. -Receive overpayment data from Unemployment Agencies in other states...DataFull timeWork experience placementH1bWork at officeRelocationWork visa- CGS Federal (Contact Government Services) is looking for a Healthcare Fraud Investigator to provide legal support for a large government project. The role involves analyzing data, reviewing financial records, and advising attorneys on cases. Candidates should have a four...DataWork at office
$100k
...environment. Who We Want The Associate Claims Examiner is an entry-level position... ...meeting time standards. This includes reviewing documents for accuracy and collaborating... ...conduct basic risk analysis and general data reporting. Superior written and verbal...DataWork experience placementCasual workWork at officeLocal areaRelocationRelocation packageDay shift- ...The Principal Investigator (PI) will lead the execution of clinical trials in Alzheimers Disease... ...safety of participants, integrity of data collected, and compliance with study protocols... ...and regulatory requirements (FDA, GCP). Reviews and approves study protocols, informed...DataPermanent employmentLocum
$62.4k - $93.6k
...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud... ..., recommending, and executing the investigation of workers’ compensation claims. Our dynamic... ...critical thinking skills to gather and analyze data information to inform critical claim...DataTemporary workRemote workMonday to Friday3 days per week- ...financial, and tax databases and compiles that data into written reports that assess case... ...Sources of information include complex investigative reports, information available from or... ...activities on CI's operations. Reviews data from domestic/international information...DataLocal area
- ...Description: SUMMARY: The Clinical Sub-Investigator (Sub-I) plays a vital role in the... ...collecting and recording accurate clinical data, performing delegated medical procedures... ...timelines Support study feasibility reviews and protocol feedback Participate in...DataLocal area
- Claims Integrity & Loss Control Specialist Title: Claims Integrity & Loss Control Specialist... ...derive novel approaches to leveraging data to monitor fraudulent activity Analyze... ...handling, auditing, risk management, or investigative experience. Strong understanding of...DataFull timeContract workWork at officeMonday to Friday
- ...processing follow up actions on claims denied for eligibility‑... ...authorization to edit claim data and other assistance with follow... ...follow up and/or appeal actions. Reviews procedure and diagnosis codes... ...of experience working in a healthcare setting (medical office,...DataWork at officeMonday to FridayFlexible hours
- ...Management (SORM) is currently seeking a Claims Adjuster who will review and determine compensability on... ...This person will review, approve or reject claims in accordance with the Texas Workers... ...from claimants Analyzes data and present ideas effectively both orally...DataFull timeWork at officeRelocationNight shift
- SDS Fraud Investigator, Apple Store Online Austin, Texas, United States Support and Service... ...better than we found it. The Strategic Data Solutions (SDS) team is seeking a Fraud... ...phone queue. Responsibilities Analyze and review customer orders to identify and prevent...DataFlexible hours
- ...team focused on Discovery analytics and review, you'll help shape the foundation of a new... ...discovery in litigation and regulatory investigations in a corporate setting Demonstrated... ...quality, cost, and risk Experience using data analysis to identify trends, surface insights...Data
- ...looking for Automotive Product Investigators to support vehicle... ...the vehicle history, insurance claims, and / or repairs, etc. The ideal... ..., obtaining specific vehicle data, completing detailed inspection... ...further information, please review the Know Your Rights ( notice...DataPart timeCasual workWork at officeLocal areaNight shift
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation... ...opportunities. Responsibilities will Include: - Review, sort, and analyze data using computer software programs such as Microsoft Excel...DataFull timeWork experience placementWork at officeLocal area
$28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...agencies, and consumers solve complex data challenges. With offices in 40+... ...litigation, regulatory compliance, internal investigation and data recovery and management needs of...DataHourly payTemporary workRemote workWork from homeHome officeMonday to ThursdayFlexible hours$52k
...assessment of digital content. Coordinates the review and negotiation process for licenses and... ...holdings. Contributes to a variety of data analysis projects by collecting and... ...quality support to library staff and users by investigating and resolving issues arising from the...DataLocal areaRemote workMonday to FridayFlexible hoursShift work2 days per week- Role CAPPS Security Analyst (PeopleSoft FSCM or HCM 9.2) Location... ...de provisioning, and access reviews. Manage and enforce role based... ...impact. Respond to and investigate identity related security incidents... .... Ensuring contract data security, user permissions, audit...DataContract workWork at office
- Overview Digital Forensic Investigator job at Apple Inc.. Austin, TX. As... ...attorneys, investigators and analysts playing a vital role in... ...investigate cases of insider threat, data theft, leaks, cybercrime,... ...technologies for the collection, review, analysis, and management of...Data
- ...Integrity Auditor based in Texas who will be responsible for reviewing medical records and ensuring coding accuracy. This position involves... .... The ideal candidate will have 3-5 years of experience with claims data, hold a CPC, CCS, or CPMA certification, and be willing to...DataFull time
$53.28k - $218.48k
...test and implement hardware, software, data, network, or security solutions that support... ...procedures, troubleshoot issues, investigate problems, and develop appropriate solutions... ...requirements. Conduct Post Implementation Reviews (PIR) following system deployment,...DataPermanent employmentTemporary workLocal areaRemote work- ...Director functions as a Principal Investigator (PI) for clinical trials... ...attention to patient safety and data integrity. Provide... ...areas. Provides thorough review of protocol and other study materials... ...and experience ~3-5 years healthcare experience in a US community...DataLong term contractFull timePart timeCasual workLocal areaRemote workAfternoon shift
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