Provider Data Analyst, Healthcare Claims & Records
Molina Healthcare of Illinois
Molina Healthcare is seeking a Provider Information Specialist in Arizona to ensure accurate maintenance of provider data across claims and databases, aligning with contracting, network management and credentialing requirements. You will load, validate, and audit provider records, coordinate updates from external sources, and support timely claims processing and directory accuracy. Strong attention to detail and Excel skills are essential. #J-18808-Ljbffr Molina Healthcare
$115.2k - $230.4k
...Senior Government Data Consultant II to join... ..., and data analysts, clinicians, and health... ...against large claims datasets, and review... ...processing activities and provide on-going review... ...working with healthcare claims data Hands... ...findings Proven track record of managing large,...ClaimsMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Medicare Advantage Plans. Full training is provided. This is a full-time, Monday-Friday, in-... ...position. Job Description: Create claims for billable services according to Medicare... ...: Experience reviewing medical records Minimum keyboarding 50 WPM, 10-key 10,...ClaimsFull timeWork at officeMonday to Friday
$68.5k - $137k
...health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting... ...team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency,...ClaimsMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...seeking an exciting opportunity in healthcare? West Coast Ambulance is... ...Coast Ambulance is a leading provider of emergency medical services... ...and managing medical billing claims, ensuring timely... ...discrepancies Maintain billing records and compliance with regulations...ClaimsFull time
$99k - $232k
...consulting specialise in providing consulting services on... ...will apply advanced data science and machine... ...techniques to large-scale claims, clinical, and member... ...significant impact in healthcare.Responsibilities-... ...arrest or conviction records will be considered for...ClaimsFull timeH1b- TriWest Healthcare Alliance is seeking a Supervisor, Provider Network Management to lead the CSS team across Phoenix and remote sites. You will supervise provider... ...monitoring, and cross-functional collaboration with Claims, Credentialing, and Customer Service to meet...ClaimsRemote jobContract work
- ...construction, manufacturing and healthcare. Ranked as one of the top 1... .... Amerisure is hiring a Claims Adjuster Associate to help... ...The Claims Associate provides quality assistance to adjusters... ...requirements. Maintain accurate claim records by entering data into the claims management...ClaimsFor contractorsWork at officeLocal areaFlexible hours
- ...based in Arizona that helps healthcare businesses across the United... ...individuals from around the world, providing meaningful remote career... ...the complete billing cycle: claim submission, payment posting,... ...maintain accurate, up-to-date A/R records Follow up on outstanding...ClaimsFull timeWork at officeRemote workHome office
- ...Customer Service Representative – Remote (Healthcare) to handle inbound/outbound calls and online... ...You will support customers with benefits, claims, billing questions, and provider searches while maintaining accurate records and offering additional products or services...ClaimsRemote work
$85k - $110k
...BenefitsA rapidly growing multi-specialty healthcare organization is seeking a Physician Liaison to support referral growth and provider relationships throughout the Northern California... ...injury case management Insurance claims adjusting Legal or plaintiff-side injury...ClaimsLocal areaRemote work- Provider Network File Technician page is loaded Provider Network File Technician... ...and resolving provider file claims edits. Analyze reports for any data corrections and processes for the Association... ..., gather, input and maintain data records in multiple system applications...ClaimsFull timeContract workWork experience placementWork at officeRemote work1 day per week
$110 per hour
...diverse network of contracted providers. Contracting with Rula is... ...'s mission is to make mental healthcare work for everyone. Minimum... ...no need to worry about unpaid claims No-show protection: Rula... ...with HIPAA and have a Medical Records team to handle all releases,...ClaimsBi-weekly payFor contractorsPrivate practiceRemote work- ...Health in Phoenix, AZ is seeking a Claims Support Specialist to provide essential administrative support for... ...and maintain participant insurance records, coordinating with clinical staff... ...role requires a high school diploma, healthcare administrative experience, and...Claims
- ...) to review and investigate member and provider grievances and appeals for Medicare Part... ...and Part D. The nurse reviews medical records, claims, authorizations, and plan benefits to make... ...Arizona nursing license (RN or LPN), a healthcare degree, and at least 5 years in...ClaimsRemote job
- CareMore Health Management Services, LLC is seeking a Provider Relationship Specialist I to support contracted providers by answering routine inquiries about eligibility, referrals, claims, and credentialing status. You will follow established workflows, document interactions...Claims
- A healthcare organization in Phoenix, AZ, is seeking a Senior Analyst in Revenue Cycle to support business intelligence initiatives... ...and reporting on healthcare claims performance, supporting the billing... ...Candidates should have strong data analysis skills and a...Claims
- ...Officer About the Company Dynamic healthcare technology (HealthTech) company... ...Computing Healthcare Healthcare Claims Clearinghouse Provider Portal Revenue Cycle Management... ...visionary leader with a proven track record in influencing executive leaders, a...Claims
- A healthcare organization in Phoenix, AZ is seeking a Sr. Analyst for Revenue Cycle. This full-time role involves supporting operational analytics through data reporting from EHR systems. The successful candidate... ...include analyzing claims performance and generating...ClaimsFull time
- ...Data Risk Analyst Location : Phoenix , AZ JD: The Risk Adjustment... ...and consolidate financial claims pharmacy enrollment and... ...gaps Audit Support Provide backend reporting and data... ...Nice to Have Healthcare experience Soft Skills...Claims
$20 - $36 per hour
...Provider Advocate This position is remote in Eastern, Central and... ...play a crucial role in the healthcare industry by serving as the primary... ...prior authorization and claim issues and take appropriate steps... ...skills Proven track record of consistently achieving quality...ClaimsHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayShift work- ...Company Large integrated healthcare system Industry Hospital... ...compliance, internal audit, risk, and claims and litigation. The... ...the senior leadership team, providing clear and concise guidance to... ...candidate will have a proven track record in strategic and performance...Claims
- ...reimbursement primarily for Medicare and Medicare Advantage Plans. Full training is provided. This is a full-time, Monday-Friday, in-office position. Job duties include creating claims for billable services per Medicare guidelines, reviewing submissions for completeness...ClaimsFull timeWork at officeMonday to Friday
- ...Job Title PRN and Part Time Healthcare Position Benefits... ...Program that is available 24/7 to provide support Employee Appreciation... ...to allow processing of claims to insurance plans Completes... ...providers that do not require any records to be sent. Be able to...ClaimsFull timePart timeReliefWork at office
- Entry Level Data Science Analyst (Remote) About the job Entry Level Data Science Analyst (Remote) The... ..., customer experience, and Claims/Billing Collect, analyze, and evaluate... ...statistical methods. Assess trends and provide data interpretation to identify important...ClaimsRemote jobPermanent employmentWork at officeWork from homeHome office
- ...About the Company Acclaimed provider of employer-based health... ...Ambulance Health & Wellness Healthcare Hospitals & Clinics... ...to translating clinical and claims data into actionable insights. The... ...skills, and a proven track record of collaboration across clinical...Claims
$21.16 - $38.37 per hour
...(PST Hours) role at Molina Healthcare . This position is remote... ...complaints from Molina members, providers, and related outside agencies... ...are met. Researches claims appeals and grievances using... ...Requests and reviews medical records, notes, and/or detailed bills...ClaimsHourly payFull timeContract workWork experience placementWork at officeRemote work$20 - $23 per hour
...Responsibilities Submit accurate billing data and medical claims to insurance companies Review and... ...Communicate with patients and insurance providers regarding claims and inquiries... ...billing expertise to a dynamic, fast-paced healthcare team? We're hiring a skilled Medical...ClaimsHourly payPermanent employmentFull timeWork at officeMonday to FridayShift workDay shift$19.26 - $24.99 per hour
...No Cost Healthcare Healthcare shouldn't be something you worry about... ...About This Role Medical Claims Processor helps ensure claims... ...: Serve members, clients, providers, and internal operations teams... ..., and Electronic Medical Record (EMR) systems, Required. ~...ClaimsHourly payContract workWork at office- ...The role requires reviewing claims, performing focused assessments... ...injuries, reviewing medical records, and potentially rendering a... ...Coordinate and collaborate with other healthcare professionals, specialists,... ...We are committed to providing equal employment opportunities...ClaimsFor contractorsMonday to Friday
$22.48 per hour
...would be working for a leading healthcare organization and has career... ...Responsibilities Review and submit medical claims to insurance carriers in a... ..., patients, and healthcare providers regarding billing questions.... ...with electronic medical records (EMR) and billing software....ClaimsHourly payFull timeContract workImmediate start
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