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Medical Claims AnalystKforce Finance & Accounting Staffing - Springfield, MASpecific functions of the Medical Claims Analyst include: * Review third party payment for compliance with negotiated contracts * Determine the correct payments from following contract standards and procedures * Advise the Billing Department on third party contracts and anticipated payments * Initiate action to recover any underpayment discrepancies with the appropriate internal or external authority for re-billing or additional payments collection, including resolving operational issues between managed care, Payors, and hospital operational departments * Utilize stand-alone contract compliance software systems, where applicable, or other methodologies to determine the correct payment * Document internal system changes necessary to correct any future underpayment discrepancies * Prepare... See job listing >19 days ago from Kforce Finance & Accounting Staffing - Save - Block - Flag - More Tools...
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Medical Claims Analyst jobs in Springfield, MA
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Part Time Business Analyst/Data Analyst - Telecommute - U.S.UnitedHealth Group - Hartford, CTas a Business Analyst and/or Data Analyst * 5 + years healthcare experience * 3 + years experience with Medicaid claims * 5 + years ... Medical background (nurse, physician...16 days ago from UnitedHealth Group - Save - Block - Flag - More Tools...
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Life Claim Analyst TraineeAetna - Hartford, CTproducts and related services, including medical, pharmacy, dental, behavioral ... WORK EXPERIENCE * Claims: Adjudication * Claims: Claim processing Group Insurance...12 days ago from Aetna - Save - Block - Flag - More Tools...
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Healthcare Data Analyst- SAS Prog Analyst (Flexible Location)Aetna - Hartford, CTplans.Visit our Website Healthcare Data Analyst- SAS Prog Analyst (Flexible ... and how they help control medical claims costs and provide quality...13 days ago from Aetna - Save - Block - Flag - More Tools...
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Financial Analysis Specialist / Health Data AnalystCIGNA - Hartford, CTinitiatives. -Understanding and presenting medical cost results to key matrix partners ... data, systems, and applications for claims payment, enrollment, benefit design,...30+ days ago from Cigna Corporation - Save - Block - Flag - More Tools...
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Kforce Finance & Accounting Staffing jobs
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Revenue Recognition SpecialistKforce Finance & Accounting Staffing - Plano, TXOur Plano based client is seeding an expert (or highly trained) Accountant in the field of Revenue Recognition, specifically SOP 97-2, 98-1. This position will be responsible for...21 days ago from Kforce Finance & Accounting Staffing - Save - Block - Flag - More Tools...
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Senior Financial AnalystKforce Finance & Accounting Staffing - Fort Worth, TXKforce has partnered with a financial services firm located in Fort Worth searching for a ... reporting * Special Projects A BBA in Finance or related discipline and 3+ years...6 days ago from Kforce Finance & Accounting Staffing - Save - Block - Flag - More Tools...
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Sales Tax StaffKforce Finance & Accounting Staffing - Fort Worth, TXEducation: * Bachelor Degree in Finance and Accounting or equivalent experience. IPT CMI designation is preferred Position Requirements: 4 - 6 years to include: * Sales and...10 days ago from Kforce Finance & Accounting Staffing - Save - Block - Flag - More Tools...
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Financial AnalystKforce Finance & Accounting Staffing - Fort Worth, TXrequirements: * Business degree in Accounting or Finance * 2+ years of ... in general business setting * Public accounting is a plus * Excel spreadsheet...19 days ago from Kforce Finance & Accounting Staffing - Save - Block - Flag - More Tools...
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