Healthcare Claims Review & Process Improvement Analyst
$48.6k - $83.16kEmblemHealth
EmblemHealth in New York is seeking a Claims Analyst to support contract performance management for a large health system. Responsibilities include reviewing and analyzing claims, providing recommendations to improve workflow, and maintaining detailed information on claims disputes. The ideal candidate has a Bachelor’s Degree, 2-3 years of related experience, and a strong knowledge of claim processing policies. EmblemHealth values diverse perspectives and offers competitive hiring ranges from $48,600 to $83,160. #J-18808-Ljbffr EmblemHealth
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Healthcare Claims Review & Process Improvement Analyst in New York, NY vacancy
- ...Manager, US Medical Promotional Review Scientist (Immunology) plays... ...; drive best practices and process improvements. Participate in internal/... ...evidence supporting promotional claims; advise on appropriate... ...practice or direct pharmaceutical/healthcare industry experience in...Process improvementClaimsFlexible hours
- Loan Documentation & Processing Intermediate Analyst Job Overview Are you looking for... ...will manage preparing and reviewing loan documentation while... ...and outstanding balances/claims Supports an expansive and... ...management to support process improvement. Resolves problems by...Process improvementClaimsCasual workWork from home
- Loan Documentation and Processing Associate Analyst Location: Irving, Texas, United... ...the preparation and review of loan documentation while... ...outstanding balances, and claims. Support an expansive and... ...management to support process improvement. Resolve problems by...Process improvementClaims
- Claim Specialist needed to combat rising healthcare costs and empower health plans! The Phia Group... ...Surprises Act, including reviewing medical claims, keeping... ...claims based on processing criteria, timelines, client... ...Participate in on-going process improvement to develop efficiencies...Process improvementClaimsWork at office
$105k - $125k
...to population health. Improving the health of our patients... ...and compliance reviews to identify potential... ...Triage complaints and claims related to professional... ...Certified Professional in Healthcare Risk Management (CPHRM... ...and suggest process improvements to diverse...Process improvementClaimsWork experience placementWork at office$130k - $170k
...is a nationally recognized healthcare management consulting firm.... ...environment, leading initiatives that improve healthcare outcomes.... ...optimize and support their claims processing operations by configuring, analyzing... ...staff, and serving as final reviewer for deliverables. Strategy...Process improvementClaims$23 - $31 per hour
...Denials & Appeals Analyst Full-Time | Remote... ...location restrictions) Healthcare Revenue Cycle |... ...for investigating claim denials,... ...Root Cause Analysis Review and analyze claim... ...Identify internal process issues and trends... ...analysis and process improvement Communicates confidently...Process improvementClaimsRemote jobHourly payFull timeWeekday work$100k - $125k
...leader in multifamily and healthcare finance, with $13... ...driven by our purpose of improving others’ lives. As we... ...audits* Flowchart business processes and document key... ...facilitate supervisory review* Corroborate audit evidence... ...contacted by someone claiming to represent Greystone...Process improvementClaimsWork at officeFlexible hoursGreystone
New York, NY4 days ago- Antidote Health believes healthcare is a basic human right... ...healthcare costs, and improving health and financial... ...Plan Operations, Claims is responsible for the... ...overall administration and processing of medical claims,... ...providers and legal entities. Review denied claims and make...Process improvementClaimsWork at officeLocal areaFlexible hoursShift work
- ...resolves denied insurance claims to help the hospital... ...the appeals process, collaborating with departments... ...Analyze Denials: Review and investigate denied... ...underpayments. Process Improvement: Work with various hospital... ...within hospital healthcare revenue cycle, performing...Process improvementClaimsFull timeTraineeshipLocal areaShift work
$65.89k - $108.71k
A leading healthcare provider in New York seeks a Process Improvement Analyst II to support improvement initiatives. The successful candidate will analyze data, collaborate with various stakeholders, and utilize improvement methodologies to enhance operations. Candidates...Process improvement$91k - $210k
...is a nationally recognized healthcare management consulting firm delivering... ...Integrity workflows. Improve charge capture accuracy... ...assessments, coordinating coding reviews, process improvements, and report... ...application to increase clean claim rate, reduce denial rates and...Process improvementClaims- ...Health Plan Claims Analyst I The Health Plan Claims Analyst... ...for quality improvement. The position will also... ...providers on the enrollment process for specific health... ...and clinical center review process.... ...together to transform healthcare. We encourage all team...Process improvementClaimsFull timeTraineeshipLocal areaShift work
- ...EHP), which consolidates all claim administration-related... ..., we’re rebuilding trust in healthcare in the U.S. and deploying the... ...renewals, and contribute to process improvements. If you’re passionate about... ...to discuss clinical trends, review relevant pharmacy data, and...Process improvementClaimsContract workWork at officeLocal areaFlexible hoursShift work
Transformcap
Jersey City, NJ4 days ago $160k - $180k
...leader in multifamily and healthcare finance, with $13... ...driven by our purpose of improving others' lives. As we... ...compliant, and timely processing of payroll for approximately... ...work performance reviewed during the annual... ...contacted by someone claiming to represent Greystone...Process improvementClaimsCurrently hiringLocal areaRemote workGreystone
New York, NY1 day ago$66.3k
...excellence in staff engagement, process improvement and service to our patients.... ...evaluate staff performance (reviews, rewards, recognition, and... ...No Fault and Workers Comp claims Able to facilitate surgical... ...public. Skill in using healthcare software and computer...Process improvementClaimsFull timePart timeFor contractorsWork at officeLocal areaMonday to FridayHealth Plus Management
New York, NY4 days ago- ...heights with a leader in healthcare? SUNY Downstate Health... ...call activity. Process prescription refills and... ...when appropriate, review pending refills with the... ...and process third party claim adjudication.... ...organization's overall process improvement activities;...Process improvementClaimsFull timeWork at officeLocal areaShift work
SUNY Downstate Health Sciences University
New York, NY3 days ago - ...A leading healthcare intelligence company is seeking a Nurse Itemized Bill Reviewer to analyze medical claims and ensure compliance with industry standards. This remote position allows candidates to work from anywhere in the United States. Qualified candidates should possess...ClaimsRemote work
The Rawlings Group
New York, NY2 days ago $47k - $67.2k
...time Pharmacy Post-Payment Claims Analyst to join its remote team across... ..., and passionate about improving healthcare operations, this opportunity... ...and implementation of new processes and systems to enhance claims... ...revenue cycle efficiency Review payer contracts and reimbursement...Process improvementClaimsRemote jobPermanent employmentFull timeContract workFlexible hours- ...operations, supervising staff, ensuring timely claims submission, monitoring collections, maintaining compliance, and driving process improvements. Responsibilities Manage daily... ...cycle performance Qualifications Healthcare billing management experience required...Process improvementClaims
- ...and insurers. Resolve claim rejections and provide... ...as necessary. Process and document applications... ...messaging with patients and healthcare teams. Maintain... ...high-cost medications. Review outpatient prescriptions... ...projects and process improvement initiatives. Perform...Process improvementClaimsFull timeTraineeship
$28.72 - $36.92 per hour
...Top Healthcare Provider Network The 61st Street Service Corporation... ...successfully appeal denied claims and ensure compliance with... ...identifies denial trends to inform process improvements. Professionalism and... ...cases requiring advanced coding review to appropriate CPCs or...Process improvementClaimsRemote jobHourly payFull timeWork at officeLocal area$65.89k - $108.71k
Description The Process Improvement Analyst II provides planning and analytical support for improvement initiatives coordinated by the Office... ...professional experience and/or graduate-level education relevant to healthcare operations, data analysis, strategic planning and process...Process improvementFull timeTraineeshipWork at officeLocal area- ...Everlywell, a leading remote-based healthcare company. At PWN our mission... ...that empowers individuals to improve their health. Our suite of... ...medical necessity review following a completed genetic... ...under this role will support claims submitted to federal payers....ClaimsContract workRemote workFlexible hours
Everly Health, Inc.
New York, NY14 days ago - ...experienced DRG Clinical Physician Reviewer to join our growing clinical... ...that directly impact healthcare quality and reimbursement integrity... ...Identify opportunities for improved documentation, coding... ...with DRG Validation, CDI, or claims review strongly preferred ~...ClaimsRemote work
Med Review Inc
New York, NY6 days ago - ...and coding. Analyzes and reviews provider documentation, claims and clinical data to ensure... ...and efficient claims processing, data collection and quality... ...for better outcomes and improved patient experience. Essential... ...requirements in various healthcare settings, reimbursement...Process improvementClaimsWork from home
$100k - $150k
...A healthcare company is seeking an experienced Medical Billing Manager... ...in medical billing processes. Responsibilities Include... ...and compliance Monitoring claims submissions, denials, and reimbursements... ...Implementing process improvements to increase efficiency...Process improvementClaimsBHIRED
New York, NY4 hours ago- A healthcare improvement organization is seeking a Process Improvement Analyst to enhance operational efficiency and quality outcomes. This fully remote position requires expertise in process improvement methodologies, strong data analysis skills, and collaboration with...Process improvementRemote job
$45.67 per hour
...6-18743 Category Audit - Healthcare Position Type Full-Time... ...auditing outpatient/specialty claims and documenting the results... .... with a focus on clinical review, coding accuracy, medical... ...high value concepts and/or processes improvement, tools, etc. Recommends New...Process improvementClaimsHourly payFull timeContract workWork at officeImmediate startRemote work- ...About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited... ...Clinical Staff. Contribute ideas for process improvement and quality enhancement.... ...based determinations that support quality healthcare decisions. Join MMRO’s network of expert...Process improvementFull timeContract workRemote workFlexible hours
Managed Medical Review Organization, Inc.
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Claims Review & Process Improvement Analyst. Be the first to apply!
Related searches
- claims specialist remote New York, NY
- claims consultant New York, NY
- insurance claims processor New York, NY
- life insurance claim analyst New York, NY
- medical claims analyst New York, NY
- claim specialist New York, NY
- remote medical claims processor New York, NY
- claims analyst New York, NY
- claims resolution specialist New York, NY
- claim representative (remote) New York, NY