- OneMain Financial (Baltimore, MD)
- The Claims Analyst / Investigator has an above average understanding, background and aptitude related to personal loan and credit card claim/chargeback ... Challenge o Ability to discuss feasibility and appropriateness of high dollar Fraud claims with Customers o Ability to differentiate Fraud types and work with… more
- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both administrative and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **_Roles & Responsibilities:_** The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- TIAA (Dallas, TX)
- The Fraud Operations Analyst II supports monitoring of customer financial accounts against various fraud prevention strategies. The role also supports addressing ... + Documents investigation actions and mitigation actions. + Researches customer claims and gathers evidence regarding potential fraud activity. + Provides control… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Data Science Analyst III - Digital and Technology Partners - Remote - Req#3024403** The Data Science Analyst III is a senior role, ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and ... appeals opportunities with payors and networks, and reporting performance on underpaid claims . **Qualifications** + Bachelor's degree or greater in related field or… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA ... denials for issues related to enrollment, and follow-up on claims until resolved. 6. Participates in CBO rebilling efforts...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Geisinger (Danville, PA)
- …solutions, and act as a strategic thought partner. Responsible for supporting investigator driven research from inception to closeout by providing feedback on study ... required. Experience using data from an electronic health record or health care claims in the area of health research or healthcare analytics (preference for Epic's… more