Remote Healthcare Claims Rules & Edits Analyst
Waystar, Inc
- Remote job
A leading healthcare technology company located in Louisville, KY is looking for an Enterprise Rules & Edits Analyst to enhance their revenue cycle services. The role involves configuring claims billing rules, analyzing transaction data, and consulting with clients to ensure compliance and optimization in claim edit processes. Candidates should have a Bachelor's degree or relevant experience, along with strong analytical and communication skills. The position offers various benefits including a flexible time off policy. #J-18808-Ljbffr Waystar, Inc
$83.25k - $155.51k
...Provides lead level analyst support for health plan... ...integrity (PI) and provider claims accuracy. Makes... ...requirements are met for pre-pay edits, post-payment... ...Classification of Diseases (ICD), Healthcare Common Procedure Coding... ...state Medicaid payment rules. • Strong data...Remote workClaimsTemporary workWork experience placementWork at office- ...world-class academic healthcare system, Uchicago Medicine... ...a Revenue Integrity Analyst in the Revenue Cycle... ...to create workqueue rules/system edits and working with IT/... ...designed to prevent claims delays & denials and... ...organization, including remote teams Excellent...Remote workClaimsFull timeWork experience placementWork from homeMonday to FridayFlexible hoursShift work
$104k - $143k
...Value Based Programs Analyst to support its... ...translate complex healthcare data into actionable... ...ACO datasets and claims files to identify... ...working with data editing environment, Snowflake... ..., follows safety rules - including... ...: While this is a remote position, occasional...Remote workClaimsWeekly payFull timeTemporary workApprenticeship$78.91k - $98.64k
...building a better future for healthcare. That starts by offering... ...The Operations Data Analyst II supports the Claims department by analyzing medical... ...teams, supporting clinical editing operations, and providing... ...connection required to support remote or hybrid work. Must be...Remote workClaimsHourly payDaily paidContract workWork from homeShift workAfternoon shift$300 per month
...their outstanding student loans. SENIOR RULES ANALYST Job Location Address: 150 N 18th Ave,... ...Posting Details Salary: $70,756 Grade: 22 Remote Options: This position may be eligible... ...agency and developing, drafting, reviewing, editing, filing, finalizing, and maintaining the...Remote workTemporary workWork experience placementFlexible hours2 days per week3 days per week- ...Billing (PB) Certified Build Analyst is responsible for the... ...workflows. The position is fully remote and supports a large, multi... ...schedules, charge routing, claim configuration, edits, and billing workflows.... ..., claims processing, payer rules, and revenue cycle operations...Remote workClaimsPermanent employmentFull time
- - QNXT Configuration Analyst (100% remote) - Apex Systems has an immediate... ...one of our largest healthcare clients! Please see below for... ...one of the following areas: Claims / Encounters, Provider/Network... ...they will not work and will be ruled out) ~ Must have design experience...Remote workClaimsLong term contractContract workLocal areaImmediate start
- Coding Fee Analyst page is loaded## Coding Fee... ...from Home - Fully Remote - Ohiotime type:... ...professional billing claims for reimbursement.... .../Medicaid billing rules and regulations.... ...Review, Claim Edit, and Follow Up. The... ...financial services or healthcare coding or billing...Remote workClaimsFull timeWork from home
- ...About the job Data Analyst Population Health - Remote Summary The position supports required data... ...with analyzing, monitoring healthcare plan data focusing on medical claim and financial processing member... ...HIPAA code sets and business rules 2+ years experience with state...Remote workClaimsContract work
- ...IT Healthcare Consultant – Business Analyst – Advanced (Clinical Analyst & Coding Specialist) The State of South Carolina is... ...in healthcare insurance/payer environments, claims processing, medical review, and business rules analysis. Key Responsibilities:...Remote workClaimsWork at office
- ...is more than a job REMOTE REQUIREMENT Must be... ...Charge Description Master) Analyst is responsible for... ...years of experience in healthcare auditing, revenue integrity... ...structures, UB-04 claim and payment remittance... ...and third-party billing rules and coverage determinations...Remote workClaimsWork experience placementWork at officeLocal areaShift work
- ...Business Analyst, Optum CES Location: Remote Employment Type: 1 month contract with possibility... ...deep expertise in Optum Claims Editing System (CES)and... ...related to claims editing rules, benefit configuration, and... ...as a Business Analystin healthcare IT, with hands‑on implementation...Remote workClaimsContract workLocal area
- ...Epic Sr. Analyst, Quality and Population Health The University... ...support, health maintenance, rules development, data integration... ...of experience, preferably in healthcare or healthcare-related organization... ...~ Familiarity with outside claims data ingestion. ~ Ability...Remote workClaimsFull timeWork at officeNight shiftWeekend workAfternoon shift
$72.8k - $130k
...Management systems and/or Claims Payment systems... ...The EDI Solutions Analyst ensures that the... ...to work remotely * from anywhere within... ...Experience within the healthcare data environment -... ...including editing and correcting X12... ...or federal laws, rules, or regulations....Remote workClaimsMinimum wageFull timeWork experience placementLive inWork at officeLocal area$23.89 - $42.69 per hour
...This position is National Remote. You'll enjoy the flexibility to... ...work experience ~ Knowledge of claims processing systems, guidelines... ...(formulas, pivot tables, edit / create spreadsheet) ~ Computer... ...local, state, or federal laws, rules, or regulations....Remote workClaimsHourly payMinimum wageFull timeContract workWork experience placementCasual workLive inWork at officeLocal areaWork from homeShift workNight shift$24.2 - $36.3 per hour
...-first, platform-based healthcare technology company, committed... ...35 years of pre-pay editing expertise, dedicated... ...The Payment Integrity Analyst (Data Mining) supports... ...prevent and recover improper claim payments. This role... ...client specific business rules. Assist in compiling...ClaimsFull timeContract workVisa sponsorship- ...Join our elite team of healthcare professionals, providing... ...Job Description: REMOTE POSITION!!! MUST HAVE... ...The Appeals Analyst performs medical record... ...incumbent analyzes submitted claims and/or claims to be submitted... ...to HIPAA Privacy Final Rule. ~ Performs other...Remote workClaimsWork experience placementWork at office
$91.7k - $163.7k
...seeking a Senior Data Analyst to support an... ...solutions, analyzing claims and operational... ...flexibility to work remotely* from anywhere... ...Experience working with healthcare payer data such as... ...adjudication, edits, adjustments, and... ...or federal laws, rules, or regulations....Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...Functional Title: Management Analyst III Job Title:... ...Occupational Category: Healthcare Support Salary Range:... ...changes in the contractor's claims adjudication system and... ...department policies, rules, and regulations. This... ...in the testing and editing of claims administrator...Remote workClaimsFull timeTemporary workPart timeFor contractorsWork experience placementWork at officeLocal areaOverseasShift workDay shift
- ...About Avalon Healthcare Solutions: Avalon Healthcare... ...the Technical Business Analyst Position: The Technical... ...application: a rules engine that enables automated... ...of health care claims. The TBA plays a crucial... ...position is eligible for remote work, but quarterly travel...Remote workClaimsWork at officeFlexible hours
$28 - $32 per hour
...Full Risk Claims Specialist - Remote 26-45 page is loaded## Full Risk Claims Specialist... ...Group, we’re shaping the healthcare of the future: actively... ...Supervisor, the Full Risk Claims Analyst is responsible for ensuring... ...and decipher pricing rules using Optum Prospective Pricing...Remote workClaimsHourly pay$64.83k - $85.09k
Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a... ...resolution in the Oscar claim environment for... ...claims processing edits and external vendor... ...industry standard coding rules, summarize and... ...in a professional healthcare claims organization...Remote workClaimsFull timeContract workWork at office$72.8k - $130k
...Quality Assurance Analyst Optum is a global... ...systems and/or Claims Payment systems and... ...flexibility to work remotely from anywhere... ...Experience within the healthcare data environment -... ...(creating and editing documents), Microsoft... ...or federal laws, rules, or regulations....Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ..., technical, and solutions‑oriented Enterprise Rules & Edits Analyst who’s eager to deepen their expertise in claim billing, coding, and authorization rules. In this... ...& Compliance Expertise Stay current on healthcare billing, coding, and authorization requirements...ClaimsFull timeLive outLocal areaFlexible hours
- ...Marketing Analyst/Specialist II / Veeva Specialist Fully remote; must work EST hours 9am-5pm EST/ Morristown... ..., and linking. Edit Processing & Copy Development... ...verifying reference-to-claim alignment, scientific... ...of FDA regulations and rules for promotional and advertising...Remote workClaims
$83.6k - $114.95k
...Solventum. Solventum is a new healthcare company with a long... ...:****Classification Analyst (Solventum)****3M Health... ...tariff classification rules and maintenance of existing... ...Duties allow for some remote work but require travel... ...schemes that falsely claim to represent Solventum...Remote workClaimsH1bLocal areaRelocation packageFlexible hours$112.7k - $193.2k
...enjoy the flexibility to work remotely * from anywhere within the U.... ...from administrative or claims data, health records, electronic... ...Services (CMS), the Agency for Healthcare Research and Quality, and the... ...local, state, or federal laws, rules, or regulations. OptumCare...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$87.65k - $98.6k
...as a Senior Financial Data Analyst in the dynamic healthcare sector. This exciting opportunity... ...Enjoy the flexibility of a remote work environment, allowing... ...CMS, leading the medical claims reinsurance reporting and... ...documenting reporting rules in partnership with the provider...Remote workClaimsWork experience placementLive in$114.08k - $218.03k
...military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military... ...As a dedicated Business Rules Analyst Lead, you will lead in facilitating business... ...legal workflow management, knowledge in claims litigation and enterprise litigation....Remote workClaimsH1bWork at officeRelocation packageFlexible hours- ...seeking a smart, technical, and creative Enterprise Rules & Edits Analyst to grow their career working with claim billing, coding, and authorization rules. The... ...claim edit/authorization rule configurations. Study healthcare industry standards and stay up‑to‑date on...ClaimsFull timeLocal areaFlexible hours
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