- Apex Health Solutions (Houston, TX)
- Summary: Position is responsible for developing and conducting monthly Quality Assurance (QA) Audits to determine claim processing/payment accuracy in accordance ... and areas for improvement. Conducts weekly QA audits of 10 to 15 claims per Claims Analyst to evaluate accuracy. Provides direct feedback to claims… more
- State of Colorado (CO)
- …professional experience in Business Analysis, Project Management, Product Management, Health Care Claims Analysis, and/or System Quality Assurance Testing. ... Fee-for-Service Claims & Payment Models Business Analyst ...in Business Analysis, Project Management, Product Management, Health Care Claims Analysis, and/or System Quality Assurance… more
- Guardian Life (Bethlehem, PA)
- …and function with various business and IT stakeholders. + Issue Management and Quality Assurance + Good Communication skills **Location:** + Three days a ... **Overview** As Claims Technical Analyst in Individual Markets Claims , you will play a key role in supporting the Life Insurance claims processing,… more
- Zurich NA (Stevens Point, WI)
- Quality Assurance Analyst 119466 Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel ... hear from you! Zurich North America is seeking a ** Quality Assurance Analyst ** tojoin our...of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with… more
- Healthfirst (NY)
- …methodology and core claims system changes. + Perform training and quality assurance on mass claim adjudications and automated data load processes. ... of functional specifications and ensure proper system functionality and quality outcomes including claims configuration, provider set...and quality outcomes including claims configuration, provider set up, reimbursement… more
- Healthfirst (NY)
- …insurance policies, and industry regulations + Support audits, compliance checks, and quality assurance initiatives to ensure coding accuracy + Provide coding ... and prevent claim denials and accurate claim adjudication + Collaborate with clinical, claims and benefits teams to clarify appropriate claim coverage and denials as… more
- Kemper (Mcallen, TX)
- …We deliver meaningful experiences in various internship areas like Product Development, Claims , Operations, Finance, IT, Data Analytics, and much more. Are you ready ... followed within the individual's knowledge base + Create, revise, and approve quality -related documents + Provides feedback to the training team when additional… more
- Henry Ford Health System (Troy, MI)
- …as the secondary contact for ClaimsXten including providing medical coding expertise, quality assurance , education and training initiatives for the Claim ... GENERAL SUMMARY: Under minimal supervision provide assistance to the Claims Project Analyst to support medical coding (ICD-9, ICD-10, HCPCS, CPT, DRG, and DSM)… more
- LA Care Health Plan (Los Angeles, CA)
- …are used for internal and external reporting, the tasks including data quality assurance , process programming, specification documentation and report developing. ... to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on key...+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / ... within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will be responsible for handling all aspects of multi-line,… more