Top 112 Claims analyst Jobs in New Jersey

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel
Virtua Health —Mount Laurel, NJ
- $70,935 - $110,268 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
Claims Analyst
Berkley —Township of Hamilton, NJ
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Analysis skills
- Profit sharing
- Paid parental leave
Claims Analyst - REMOTE
Ryder System —Trenton, NJ
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
6d
Claims Data Quality Analyst
Arch Capital Group Ltd. —New Jersey
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- SQL
- Paid parental leave
- AD&D insurance
Senior Claims Analyst
Primma, LLC —Township of Hamilton, NJ
- $85,000 - $98,000 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
Quick Apply
Analyst, Accounts Receivable Claims
Hikma Pharmaceuticals PLC —Berkeley Heights, NJ
- $56,950 - $95,000 a year
- Full-time
- Research
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Workers Compensation Claims EDI Analyst
Berkley —Jersey City, NJ
- $90,000 - $115,000 a year
- Full-time
- Customer service
- Office
- Analysis skills
- Profit sharing
- Health insurance
Claims Analyst IV-Auto and GL
AIG Claims, Inc. —Jersey City, NJ
- $72,500 - $102,500 a year
- Email
- Office
- Bachelor's degree
- Organizational skills
- Health insurance
Quick Apply
Senior Claims Analyst
Enlyte —Egg Harbor Township, NJ
- $53,000 - $77,000 a year
- Full-time
- Microsoft Word
- High school diploma or GED
- Organizational skills
- Health savings account
- AD&D insurance
Revenue Integrity Analyst II
Thomas Jefferson University and Hospitals —Cherry Hill, NJ
- $65,054.10 - $92,701.13 a year
- Full-time
- Customer service
- Research
- Project management
- AD&D insurance
- Disability insurance
LOGISTICS ANALYST
Formosa Plastics Corporation, USA —Livingston, NJ
- $82,706 - $107,462 a year
- Full-time
- Mid-level
- Microsoft Office
- Analysis skills
- Paid holidays
- Disability insurance
Compliance Analyst - Remote
Crum & Forster —Eatontown, NJ
- $53,200 - $100,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Employee stock purchase plan
- Health insurance
Sr Charge Master Analyst - Remote
Cooper University Hospital —Camden, NJ
- $37 - $61 an hour
- Full-time
- Remote
- 5 years
- Senior level
- Hospital experience
- Health insurance
- Dental insurance
Senior Hospital Applications Analyst (Epic Resolute Claims and Remittance)
University Hospital, Newark NJ —Newark, NJ
- $89,754 - $129,432 a year
- Full-time
- Nursing
- Computer Science
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Functional Analyst, Senior
NJM Insurance Group —Trenton, NJ
- $100,402 - $126,558 a year
- Full-time
- 6 years
- High school diploma or GED
- Analysis skills
- Paid parental leave
- Disability insurance
Compliance Analyst
Verisk —Jersey City, NJ
- Full-time
- Hybrid work
- 18 years or older
- Microsoft Excel
- Mid-level
- Health insurance
- Paid time off
Associate Claims Analyst - MNA Claims Triage
Markel Service Inc. —Red Bank, NJ
- $25.11 - $34.52 an hour
- Weekends as needed
- Hybrid work
- Microsoft Outlook
- Customer service
- Word processing
- AD&D insurance
- Employee stock purchase plan
Quick Apply
3d
Finance Reporting Analyst Manager
Madison Medical Sports & Rehabilitation Center —Madison, NJ
- $70,742.84 - $80,195.67 a year
- Full-time
- 5 years
- Mid-level
- Finance
- Health insurance
- Dental insurance
Quick Apply
7d
Senior Staff Sourcing Analyst
Kelly Services —Mahwah, NJ
- $56 an hour
- Full-time
- 6 years
- Office
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
6d
Sr Sourcing Analyst
Ledgent Technology —Mahwah, NJ
- $55.00 - $58.62 an hour
- Contract
- Office
- 3 years
- Bachelor's degree
Quick Apply
7d

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claims analyst jobs near new jersey

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel

Virtua Health -
Mount Laurel, NJ

Apply Now

Job Details

Full-time
$70,935 - $110,268 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
403(b)
Life insurance
Paid sick time

Qualifications

Presentations for conferences or internal meetings
Bachelor's degree
Cross-functional collaboration
Hospital experience

Full Job Description

Job ID: R1057037 Type: Full Time Location: Mount Laurel, New Jersey Standard Hours: 40 Shift: 1st Shift

The following experience is strongly preferred:

EPIC
Hospital charge description master experience
Charge audits
Coding & billing guidelines

Schedule:

Monday-Friday 8:30am - 5:00pm

First 90 days, Monday through Thursday onsite, and Friday remote.

Upon successful training, hybrid 2 days onsite and 3 days remote.

Local onsite meeting requirements.

Job Summary:

The position is responsible for root cause analytics along with audits to help identify opportunities, issues, and process improvement within the Revenue Cycle. This role supports the revenue cycle workflows, charge capture, work queue and denial review processes within an Epic based EMR.

This position will help optimize Revenue Cycle by evaluating, validating and trending data for presentation to all levels of the organization. Will support the Virtua Hospitals, Physician Groups and Home Health.

Position Responsibilities:

Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.

Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs. Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set. Works with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes. Conduct analytical reviews determine net revenue effect of proposed charge master and fee schedule changes. Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.

Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps. Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the Revenue Integrity Team. Revenue Cycle will include areas from Hospital, Physician and Home Health.

Monitor and assists with review of revenue cycle work queues in Epic. Perform analysis to identify issues, trending, root cause, and action plan development with work queue issues.

Assist in strategic pricing process to optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and resolving issues related to the patient revenue cycle and assists in development and recommendations.

Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure work queue rules are accurate and updated based on annual and quarterly coding changes.

Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports. Work queue and reporting will include areas from Hospital, Physician and Home Health.

Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide guidance and recommend solution to account representative.

Analyze billing errors and denial data to identify root cause of issues. Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement. Claim issues and denials will include areas from Hospital, Physician and Home Health.

Lead and participate in projects related to Revenue Cycle initiatives. Participate in ongoing coordination and resolution of revenue issues as they arise. Provide input to Director and Manager for annual Revenue Integrity planning process. Assist with additional projects as needed for Hospital, Physician and Home Health.

Position Qualifications Required:

Required Experience:

3 to 5 years' experience within a large hospital or integrated healthcare delivery system.

Ability to work collaboratively across disciplines and business lines.
Exceptional oral/written communication skills and highly customer focused.
Excellent interpersonal and presentation skills.
Able to communicate with many, various customers.
Ability to prioritize, plan and execute.
Excellent critical thinking, analytical skills.

Required Education:

Bachelor's degree, in Accounting, Finance, Healthcare preferred

Training / Certification / Licensure:

EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification, preferred #RD_P1

Annual Salary: $70,935 - $110,268 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

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Refine Your Search

claims analyst jobs in new jersey

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel

Claims Analyst

Claims Analyst - REMOTE

Claims Data Quality Analyst

Senior Claims Analyst

Analyst, Accounts Receivable Claims

Workers Compensation Claims EDI Analyst

Claims Analyst IV-Auto and GL

Senior Claims Analyst

Revenue Integrity Analyst II

LOGISTICS ANALYST

Compliance Analyst - Remote

Sr Charge Master Analyst - Remote

Senior Hospital Applications Analyst (Epic Resolute Claims and Remittance)

Functional Analyst, Senior

Compliance Analyst

Associate Claims Analyst - MNA Claims Triage

Finance Reporting Analyst Manager

Senior Staff Sourcing Analyst

Sr Sourcing Analyst

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