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
- Austin, TXFinance - Claims and Credit /Full-... ...-oriented Claims Analyst to join our growing... ...timely outcomes.Investigate and resolve temperature... ....Track claims data and trends to flag... ...risk workflows for rejected, stranded, or high... ...deviation reviews, offsite restacks,...DataFull timeWork experience placementCasual work
$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- THE GLOBAL LEADER IN DATA & ANALYTICS RECRUITMENTHarnham Search and Selection Company Number: 05723485Harnham Search and Selection is a registered company in England and Wales. Reg no. 05723485Harnham Europe Limited Company Number: 09956940Harnham GmbH HRB: 196954Harnham...DataWork at office
$85k - $120k
...Jersey, United States Job Title : Claims Examiner - Partner Programs... ...for the timely and accurate review and approval of claims... ...guidance to TPAs to ensure proper investigation and timely, equitable disposition... ...internal guidelines Support data calls, audits, and reporting...DataTemporary workWork at officeFlexible hours- As a Business Analyst, you will work across the full product lifecycle, from discovery and... ...closely with product managers, UX designers, data engineers, and QA testers to define... ...optimize outcomes. A strong understanding of healthcare-specific workflows and terminology is...Data
$106.52k - $157.27k
...Shift First (Days) Overview: Sentara is hiring a Senior Healthcare Data Analyst! This position is fully remote. Overview The... ...activities. ~ Experience working with healthcare, payer, claims, enrollment, provider, or other regulated data domains....DataFull timeTemporary workRemote workShift work- Datavant seeks a Customer Insights Analyst to transform customer and operational data into actionable insights for our Payer Retrieval business. You will collect, analyze, and visualize data to identify trends and performance, helping teams understand customer needs and...Data
- Triunity Software, Inc. is seeking a seasoned Business Analyst to drive requirements across the product lifecycle in healthcare tech. You will collaborate with product managers, UX designers, data engineers, and QA to define requirements, improve workflows, and validate...Data
$111k - $159k
Review, process, and respond to legal requests related to real-world investigations on Google users.Apply standard tools, resources, and processes to respond to complex inquiries... .... The LIS team manages requests for user data received from government agencies, courts, and...Data- ...Job DescriptionThe Regional Lead of AML Investigations is a leadership role responsible for the... ...officers and Business Operations, providing data-driven insights into regional risk... ...governance framework is always transparent and review-ready.Global & Matrix Alignment: Provide...Data
- ...Sales Operations Analyst IThis role owns the day-to-day data inputs, tracking, reporting, and transactional execution... ...misstate a number in a leadership review, or fail a finance control. The... ...and aging.Diagnose and resolve rejections and exceptions at root cause, resubmit...DataContract work
- ...Principal Investigator Round Rock, Texas, United States Position Summary Principal... ...presence of archaeological sites Collects data and field samples during archaeological... ...and archaeological investigations Reviews and writes portions of archaeological reports...DataWork at office
$95.6k - $188.4k
...Join our team and use advanced data, AI, and emerging... ...Senior Consultant, Forensics and Investigations, you will support the client... ...analytic products. You will reviews policy guidance, open-source... ...detection criteriaExperience in healthcare policy, program integrity,...DataLocal area- ...seeking a highly motivated and collaborative investigator to join a global team of investigators... ...will use approved technology, data-analysis, and AI-assisted tools to improve... ...recommendations. Collect, preserve, review, analyze, and document information in accordance...Data
- Position Summary The Investigations Specialist will review and approve nonconformance events as directed by the... ..., status reports, etc.). Organize data, extract key information, and write... ...your work directly strengthens the healthcare supply chain and impacts patients nationwide...DataWork at office
- ...vision for how content is planned, created, reviewed, approved, and activated at scale using... ...in technology and leadership in cloud, data and AI with unmatched industry... ...complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including...DataFull timeWork experience placementLive inWork at officeLocal area
$46.99k - $112.2k
...effectively pursue the prevention, investigation and prosecution of Fraud,... ..., legal and leadership review.Documents all appropriate case... ...Required Qualifications3-5 years of healthcare fraud investigations... ...legal proceedingsProficient in data analysis and researchKnowledge...DataHourly payFull timeTemporary workLocal area- ...inspections utilizing Xactimate software · Investigate claims by obtaining recorded statements from... ...and interpret official reports · Review applicable coverage forms and endorsements... ...applications at the phone number provided. MSG & Data rates may apply. MSG frequency varies....Data
- ...partners, and communities.You Are:A senior data architecture leader with deep experience... ..., governance models, and architecture review practices for major ALIP data... ...complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including...DataFull timeWork experience placementLive inWork at officeLocal area
$1,000 per month
.... is looking for someone who can review proofs of loss quickly, ensure claims are administered in accordance with... ...times. We look for our claim analysts to be analytical and provide prompt... ...course of action (payment, further investigation, or denial). Assess, research,...Full timeTemporary workWork experience placementWork at officeLocal area- Staffing Now in North Austin, TX is seeking a Mechanical Claims Examiner with strong automotive knowledge to investigate mechanical vehicle claims, determine coverage, evaluate repair needs, and negotiate fair repair costs for our client. The role includes 5-6 weeks of...Remote work
- CVS Health Corporation is seeking a claims support professional to inspect and provide accurate claim information that supports savings and efficient processing for medical cost management. The role emphasizes adherence to customer service standards and regulatory guidelines...Full time
- ...Summary The Clinical Research Physician Investigator or PI is responsible for administering... ...security, and integrity of the research data and the subsequent analysis of that data... ...Duties and Responsibilities Review and hold expert knowledge of study-related...DataTemporary workWork at officeLocal areaFlexible hoursWeekend 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$96.8k
...REQUISITIONLegal, Risk & Compliance - Investigations & Forensic Senior... ...electronic evidence, transactional data, and complex documentation.... ..., and financial transaction review to identify potentially irregular... ...coverages, FSA and HSA healthcare accounts, life and accident insurance...DataFull timeTemporary workLocal areaRemote workFlexible hours- ...Civil Enforcement (ACE) Investigator Employment Type:... ...fraud in areas such as healthcare, contracting, and grants... ..., computer data, and other records pertaining... ..., such as health care claims data, financial transaction... ...working on document review/management platforms...DataFull timeWork at officeLocal areaRemote workFlexible hours
- ...SearchCollaborating with product, marketing, and data/ML partners to experiment, measure, and... ...quality software that is unit tested, reviewed, and checked in regularly for continuous... ...drive technical decisions and tradeoffs.Investigate and resolve performance bottlenecks...DataFull timeH1bLocal areaWork from home3 days per week
$25k
...will be used to fill multiple Criminal Investigator (Special Agent) vacancies for the Homeland... ...Questionnaire SME Resume Review Structured Interview SABT Law Enforcement... ...Obtaining investigative leads and factual data; participating in operational planning,...DataPermanent employmentFull timeTemporary workPart timeWork at officeLocal areaRelocation package$6,083.33 - $6,666.67 per month
...General Description Join Criminal Investigation as an Investigator. This position under... ...obtained from alternative and open source data. This work includes evaluating personal... ...financial reports. Experience preparing and reviewing complex reconciliations. Experience...DataFull timeWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift$85.39k - $116.98k
...seeking a talented Data Platform Engineer... ...are still under review. Military Veterans... ...next phase of the healthcare data platform... ...stakeholders and analysts to run performant... ....12 (EDI) Medical Claims ~ X.12 Medical Claims... ...government security investigation and must meet...DataFull timeRemote work
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