Top 4489 Claim Process Analyst Jobs

IT Business Analyst - RPG Programmer (Hybrid)
Capital Health —Pennington, NJ
- $86,964.80 - $113,672.00 a year
- 8 hour shift
- Hybrid work
- HIPAA
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
Associate Analyst
Truveris —Wilmington, DE
- $65,000 - $70,000 a year
- Remote
- Mid-level
- Finance
- SQL
Quick Apply
Business Analyst I
CorVel Corporation —Downers Grove, IL
- $60,932 - $91,106 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
Data Analyst
NCD —Dallas, TX
- Full-time
- Remote
- Mid-level
- SQL
- Continuous improvement
- Disability insurance
- Health insurance
Quick Apply
Business Analyst - Remote
K2 Insurance Services, LLC —Harrisburg, PA
- $100,000 - $140,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
Quick Apply
Regulatory Analyst (Remote)
Prime Label Consultants —Washington, DC
- $50,000 - $60,000 a year
- 8 hour shift
- Remote
- Research
- Communication skills
- Entry level
- Retirement plan
Healthcare Analyst II
Cohere Health —Remote
- $85,000 - $92,000 a year
- Remote
- Mid-level
- SQL
- Bachelor's degree
- Paid parental leave
- Health savings account
Quick Apply
Healthcare Data Analyst
Scalepex —Dallas, TX
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- SQL
Quick Apply
Payment Policy Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $58,320 - $115,830 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Mid-level
- 401(k)
Quick Apply
Revenue Cycle Analyst
Omada Health —Remote
- $79,200 - $103,500 a year
- Remote
- HIPAA
- Mid-level
- SQL
- Dental insurance
- 401(k)
Quick Apply
Business Analyst
Fractal Analytics —New York, NY
- Up to $195,000 a year
- Full-time
- 6 years
- Mid-level
- SQL
- Paid holidays
- Dental insurance
Revenue Cycle Analyst (Remote)
Cedars-Sinai —Los Angeles, CA
- $77,022.40 - $119,392.00 a year
- 8 hour shift
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Paid time off
- 403(b)
Senior SQL Analyst
Health Business Solutions LLC —Remote
- Remote
- 5 years
- Writing skills
- Research
Strategic Finance Analyst (Remote)
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $80,000 - $138,000 a year
- Full-time
- Remote
- Contracts
- Senior level
- Paid holidays
- Health insurance
Quick Apply
Healthcare Medical Economics Analyst
Vheda Health —Remote
- $100,000 - $120,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
Senior Analyst, Reporting & Analytics
Evergreen Nephrology —Nashville, TN
- $75,000 - $95,000 a year
- Remote
- Microsoft Outlook
- Engineering
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Data Migration Analyst
NikoHealth —Remote
- Full-time
- Remote
- Mid-level
- SQL
- APIs
Quick Apply
Healthcare System Analyst
ClinDCast LLC —Mason, OH
- Full-time
- Azure
- 5 years
- Java
Quick Apply
Claim Negotiator - Non‑Par Reimbursement - Remote
The Cigna Group —Remote
- $58,100 - $96,900 a year
- Online Application
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Health insurance
2d
Credit Balance Analyst- Remote
TOC —Florida
- Full-time
- Remote
- Medical office experience
- Pass drug screening
- Mid-level
Quick Apply

I want to receive the latest job alert for Claim Process Analyst

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Claim Process Analyst jobs near

IT Business Analyst - RPG Programmer (Hybrid)

Capital Health -
Pennington, NJ

Apply Now

Job Details

Full-time
$86,964.80 - $113,672.00 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance
Prescription drug insurance
Pet insurance

Qualifications

Data analysis reporting
EDI
Application systems
Technical report writing
Medical claims processing software
SQL
IT experience within healthcare
Electronic health record (EHR) management for billing and coding
Software documentation
Systems & applications support
Analysis (software development lifecycle)
Project stakeholder communication
Stakeholder relationship building
Data extraction
Stakeholder management
Database software proficiency

Full Job Description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$86,964.80 - $113,672.00

Scheduled Weekly Hours:

Position Overview

Hybrid after 90-day Probation Period

The position requires technical and programming expertise with IBM I-Series/AS400, to support and enhance billing and integration operations. Responsible for owning, managing, and optimizing the professional billing functionality within Capital Health's electronic medical record (EMR) system. This role serves as a liaison between clinical, revenue cycle, IT, and operational teams to ensure accurate billing, compliance, and workflow efficiency.

MINIMUM REQUIREMENTS

Education:

Bachelor's degree in healthcare administration, business, information systems, or related field (or equivalent experience).

Experience:

Working with IBM i-Series/AS400 providing technical and application support.

Three years of experience in healthcare revenue cycle, billing, or EMR system support. Hands-on experience with EMR professional billing modules (Epic PB, Cerner, Athena, Allscripts, etc.).

Other Credentials:

Knowledge and Skills:

Strong analytical, problem-solving, and documentation skills. Ability to translate business requirements into technical solutions. Experience with SQL, report writing tools, and data extracts. Knowledge of RPG, RPGILE, CLP, SDA, SQL, and EDI. Familiarity with OpenText EDI and Rocket Software GUI for screen design. Excellent communication and stakeholder management skills.

Special Training:

Experience with healthcare billing compliance requirements (CMS, HIPAA, payer rules). Preferred

Usual Work Day:

8 Hours

ESSENTIAL FUNCTIONS:

Utilize RPG, RPGILE, CLP, SDA, SQL, and EDI for billing and reporting.

Serve as the subject matter expert (SME) for professional billing modules within the EMR.

Analyze, configure, and maintain billing workflows, charge capture, claim generation, and posting processes.

Collaborate with clinicians, coding teams, and revenue cycle staff to ensure accurate charge entry and reconciliation.

Partner with IT and EMR vendors to manage upgrades, enhancements, and system fixes related to billing.

Conduct requirements gathering, process mapping, and gap analysis for billing workflows.

Document functional specifications for system enhancements and lead testing/validation.

Provide end-user training, support, and job aids for billing system users.

Troubleshoot billing-related issues, escalate to vendors when required, and ensure timely resolution.

Support audits, compliance reviews, and remediation for billing discrepancies.

Provide reporting and analytics on billing performance, denials, and revenue cycle KPIs.

Support programming and technical functions including database operations, report writing, and screen design.

Manage system integrations using OpenText EDI and Rocket Software GUI design.

Perform other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include:

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities

Continuous physical demands include: Sitting , Keyboard use/repetitive motion

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Uneven Surfaces or Elevations

IND123

This position is eligible for the following benefits:

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)

Healthcare FSA

Dependent Care FSA

Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance

Voluntary Life Spouse

Voluntary Life Employee

Voluntary Life Child

Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Apply Now

Refine Your Search

Claim Process Analyst jobs

IT Business Analyst - RPG Programmer (Hybrid)

Associate Analyst

Business Analyst I

Data Analyst

Business Analyst - Remote

Regulatory Analyst (Remote)

Healthcare Analyst II

Healthcare Data Analyst

Payment Policy Analyst (Remote)

Revenue Cycle Analyst

Business Analyst

Revenue Cycle Analyst (Remote)

Senior SQL Analyst

Strategic Finance Analyst (Remote)

Healthcare Medical Economics Analyst

Senior Analyst, Reporting & Analytics

Data Migration Analyst

Healthcare System Analyst

Claim Negotiator - Non‑Par Reimbursement - Remote

Credit Balance Analyst- Remote

I want to receive the latest job alert for Claim Process Analyst

Related Searches

Explore jobs in more locations

MINIMUM REQUIREMENTS

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Job Seeker Tools

Employer Tools

Browse

Stay Connected