Healthcare Claims Analyst: Investigate Rejections & Data Review
$22 - $24 per hourHealthcare Support Staffing
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: None FLSA... ..., and prepare comparative data analysis and written reports. The Healthcare Financial Senior Analyst provides leadership and support... ...billing; CPT and HCPCS billing and claims processing. Knowledge of...DataHourly payContract workWork at office
- Primary Purpose of the Role Investigates, negotiates, and resolves personal... ...medical payments (Med Pay) claims in accordance with policy... ...Responsible for the input of claim data and guiding insureds and... ...confidentiality, and customer service. Reviews assigned files and claim...DataFlexible hours
$100k
...collaborative environment. Who We Want As a Claims Analyst, you will serve as a subject matter... ...knowledge to navigate intricate investigations and apply a comprehensive understanding... ...conduct basic risk analysis and general data reporting. Superior written and verbal...DataWork experience placementCasual workWork at officeLocal areaRelocationRelocation packageDay 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- ...Investigative Analyst Help As an Investigative Analyst at the GS-1805-9 level, some of your... ...researching, and analyzing various types of data from federal, state, local and public... ...for their assigned warrant cases. Reviewing, coordinating, maintaining, and...DataLocal area
- ...Commitment and the VA NOV’s when applicable Review and make decisions on bond loans and... ...and be proficient with all guidelines Upon rejection of a loan, notify the branch of the recommendation... ...process and record a large volume of data Benefits Medical, Dental and Vision...Data
- US staffing Inc is seeking a Healthcare Business Data Analyst based in Austin, TX. The role is hybrid, requiring on-site presence in Austin three days a week. Candidates should possess over 13 years of experience in IT, particularly in data analysis, and have strong skills...Data3 days per week
- US staffing Inc is looking for a Healthcare Business Data Analyst in Austin, Texas. This hybrid role requires a minimum of 13 years of experience in the IT industry, focusing on data analysis and optimization. The candidate will work closely with various teams to manage...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- Forvis Mazars, LLP is looking for a Healthcare Planner II based in Austin, Texas. This role involves supporting regional service delivery... ...and facility master planning, with responsibilities that include data analysis and the development of detailed healthcare planning...Data
- Intermountain Health in Murray, Utah, is seeking a Business Analyst to sustain business processes and lead data-driven improvements in health care settings. You will model processes (BPMN), map requirements, and guide projects through SDLC with internal teams and external...Data
- Healthcare Business Data Analyst Internal job ID: TWK_3021 - State of Texas, Austin, TX - Hybrid (On Site Mon, Tue, Thu; Remote Wed & Fri). Interview mode: In Person. Candidates must already reside in Texas, local to the Austin area. Total Experience: 13+ years. Required...DataLocal areaRemote work
- Position Healthcare Business Data Analyst Job ID TWK_3021 Location & Work Arrangement Austin, TX - Hybrid: onsite Monday, Tuesday, Thursday; remote Wednesday and Friday. Candidates must be local to the Austin area and currently reside in Texas. Experience 13+ years...DataLocal areaRemote work
$90 per hour
...Matterport Pro3 to capture high-fidelity 3D and LiDAR spatial data. Editing the model: Reviewing the captured data to ensure accuracy and completeness.... ...Pro3, sign an NDA, pass a criminal background investigation, provide accurate availability, and submit a resume URL...DataHourly pay- 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
- ...AFISS 2 JOB DESCRIPTION Senior Financial Investigator (SFI) and Financial Investigator (FI):... ...Agencies through internal and external data bases and submit reports documenting the... ...requested. Specifically, the contractor will review bank statements; deposits; and debit...DataTemporary workFor contractorsSecond jobLocal area
- ...Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities... ...care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical...Data
- D.R. Horton, Inc. is seeking a Collateral Underwriter to review collateral documentation daily, ensuring it meets investor and program criteria and aligns with Fannie Mae/Freddie Mac standards. You will coordinate with the Underwriting Manager, review UCDP findings, and...
- ...Ethos Risk Services is a leading insurance claims investigation and medical management company,... ...At the forefront, we provide accurate data and actionable insights that translate... ...Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information...DataLocal areaNight shiftWeekend work
$100k
...environment. Who We Want The Associate Claims Examiner is an entry-level position focused... ...meeting time standards. This includes reviewing documents for accuracy and collaborating... ...conduct basic risk analysis and general data reporting. Superior written and verbal communication...DataWork experience placementCasual workWork at officeLocal areaRelocationRelocation packageDay shift- ...de provisioning, and access reviews. Manage and enforce role based... ...compliance impact. Respond to and investigate identity related security... .... Ensuring contract data security, user permissions, audit... ...Experience serving in a security analyst role with responsibility overseeing...DataContract workWork at officeLocal area
- ...Services Commission (HHSC) is hiring a Nurse Reviewer (Nurse III) to work under the... ...policies, procedures, and guidance. Support investigations and other OIG divisions on alleged violations... ...preferred. Experience with Minimum Data Set (MDS) 3.0 Resident Assessment Instrument...DataFull timeWork at officeRemote workNight shift
- ...employees worldwide. As a Dispute Investigator, you will take ownership of customer claims regarding unauthorized activity,... ...issues. This isn't just about data entry; you will dive deep into transaction... ...End-to-End Investigations: Review and analyze complex, high-risk,...DataWorldwide
$144k - $211.2k
...platform. As a Backend Engineer on our Data Team, you will build scalable, cutting‑edge... ...efforts, set coding standards, review code, and mentor junior engineers. Collaborate... ...Will successfully complete a background investigation and drug screen as a condition of employment...DataRemote workFlexible hours- ...eDiscovery CGS is seeking an experienced Senior Data Specialist with extensive knowledge of... ...exported data Support client attorneys, investigators, and paralegals by tracking and... ...creating, loading, and managing document review databases; producing documents to opposing...DataFull timeFor contractorsFlexible hours
- ...Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government... ...litigation support to the client. Responsibilities Review, sort, and analyze data using computer software programs such as Microsoft Excel...DataFull timeWork experience placementWork at officeLocal area
$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- ...As a Assistant Investigator, you will be responsible for assisting investigative teams and supporting case work, including: assist lead investigator... ...in gathering information. conduct research and analyze data. prepare reports and documentation. respond to client inquiries...Data
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