Benefits Coordination Analyst: COB & Claims Analysis
Triple-S Management Corp.
Triple-S Management Corp. is seeking a detail-oriented COB claims analyst to support coordination of benefits across Medicare, Medicaid, and commercial lines. The role focuses on analyzing claims, identifying overpayments, and assembling documentation to support denials. You will generate COB and medical claims reports, prepare defenses for Medicare Center responses, evaluate payments, and collaborate with Sales, Marketing, and Finance to ensure accurate, compliant processing. #J-18808-Ljbffr Triple-S Management Corp.
- ...Property & Casualty Businesses. JOB SUMMARY Responsible for the benefits coordination claims in cases where the insured maintains benefits through other... .... ESSENTIAL FUNCTIONS Generate and analyze data through COB and medical claims reports to identify Commercial, Medicare...Claims
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$20.99 per hour
...accurate healthcare provider directories and claims payment systems. Working effectively and... ...preferred). 2+ years of data entry, analysis, and customer service experience,... ...addition, Randstad offers a comprehensive benefits package, including: medical, prescription...ClaimsHourly payPermanent employmentContract workTemporary workWork experience placementRemote workShift work- Sr IT Governance Analyst Anywhere Contract-to-Hire Advisory Insurance Remote Open... ...software development lifecycle. The position coordinates audits with internal stakeholders and... ...For our w2 consultants, we offer a great benefits package that includes Medical, Dental,...Hourly payContract workLocal areaRemote work
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$80k
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$60.94k - $103.6k
...motivated and skilled Business Analyst to join our team.... ...unprecedented challenges to benefit people, businesses, and governments... ...operational efficiency. Data Analysis: Analyze business data to provide... ...Stakeholder Communication: Support coordination between government partners...Remote jobPermanent employmentContract workWork experience placementWork at officeRelocation package$75k - $90k
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- ...and/or life insurance claims to seek efficiency in... ...processes of each of the analysts, according to the... ...reviewing the policyholders' benefits, business rules,... ...Coverage of Benefits (COB), sampling, Uinet States... ...procedures and policies. Coordinates with other departments...ClaimsLocal area
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- ...client’s expectations. A Brief Overview The Analyst in the Auto Adm Services Department... ...the Auto Lending Division through data analysis, reporting, process optimization, audit... ...support, compliance monitoring, and project coordination. The role works closely with Sales,...Work experience placement
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- The Analyst, Retail Channels (Testing & Improvement) Accountable for the development and completion of projects that contributes to... ...create a written project plan with milestones and deliverables. Coordinate assigned projects, working closely with the client and other...Permanent employmentWork experience placementInternship
$47.2k
...Team is now accepting applications for an Analyst - Finance and Accounting opening. In... ...work from home Medical, Dental, Vision benefits Unlimited Time Off Employee Assistance... ...control staff with ad hoc financial and cost analysis as requested by program management and...Full timeContract workRemote workWork from homeFlexible hours$41.2 - $62.17 per hour
...as it relates to audits by research and analysis of regulatory information. Provide guidance... ...in depth knowledge of the healthcare claim denial process. Demonstrates clear understanding... ...why we provide our caregivers a generous benefits package that covers a wide range of...ClaimsHourly payFull timeWork at officeRemote workFlexible hours- ...Puerto Rico in San Juan seeks an experienced claims adjudicator to analyze and process CMS‑15... ...handling adjustments, reimbursements, COB, and life insurance claims, with emphasis... ...claims from prior authorization levels, coordinating across departments, and maintaining productivity...Claims
$70k - $80k
...documents additional information and coordinates with client designees.... ...including 5 years of claims management experience or equivalent... ...A diverse and comprehensive benefits offering including medical, dental... ..., problem solving, analysis, and discretion; ability to handle...ClaimsLocal areaRemote workFlexible hours- ...at time of service. Ability to audit chart notes and create claims Ability to run end of day reports Assist with open and close... ...and standing as needed Ability to lift up to 15lbs Benefits ~ Competitive pay ~ Growth and advancement opportunities...ClaimsTemporary workWork at office
- ...integrating updates into business processes. Identifies basic data analysis needs to support understanding of business problems and... ...skills with the ability to break down issues and assess risks, benefits, and impacts. Strong initiative with the ability to act proactively...Local area
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