Top 28 Medical claims analyst Jobs in Orange, Ct

Coding and Billing Analyst
Yale University —New Haven, CT
- $68,000 - $120,500 a year
- Full-time
- Remote
- Microsoft Word
- Background check
- Microsoft Outlook
Supply Chain Analyst
Bio-Techne —Wallingford, CT
- $97,200 - $100,200 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- Paid parental leave
- Health savings account
Senior RWE/RWA Programmer - Remote
Penfield Search Partners —Fairfield, CT
- Contract
- Remote
- 7 years
- Analysis skills
- Senior level
Quick Apply
Health Economics and Outcomes Research Specialist
CooperSurgical —Trumbull, CT
- $104,513 - $139,351 a year
- Full-time
- Mid-level
- Office
- Finance
- Health insurance
- Paid time off
Data Analyst II
Fair Haven Community Health Care —New Haven, CT
- Full-time
- Computer Science
- 5 years
- Mid-level
Quick Apply
9d
Analyst, T&E and Insurance
Richemont —Shelton, CT
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
9d
Employee Benefits Client Relationship Manager
LAWLEY AGENCY, LLC —Shelton, CT
- $71,706.08 - $119,510.13 a year
- Bachelor's degree
- Senior level
- Leadership
- Health insurance
- Dental insurance
Quick Apply
Senior Claims Advocate - Property & Casualty Claims
HUB International —Fairfield, CT
- $100,000 - $120,000 a year
- Full-time
- Hybrid work
- Writing skills
- Office
- 3 years
- Wellness program
- Health savings account
13d
Head of Supplier Quality & Compliance
FCP Euro —Milford, CT
- $160,000 - $200,000 a year
- Full-time
- Mentoring
- Manufacturing
- Senior level
- Health savings account
- Paid holidays
Quick Apply
Total Rewards Manager
R.C Bigelow —Fairfield, CT
- HIPAA
- Office
- 3 years
- Dental insurance
- Paid time off
Quick Apply
13d
Sr. IAM Engineer
Subway —Shelton, CT
- Full-time
- Computer Science
- DevOps
- Windows
- 401(k)
- Tuition reimbursement
9d
Snowflake Architect
LTM —Danbury, CT
- $110,000 - $145,000 a year
- Mentoring
- Senior level
- Leadership
- Paid parental leave
- Paid holidays
Quick Apply
13d
Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
Quick Apply

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medical claims analyst jobs near orange, ct

Coding and Billing Analyst

Yale University -
New Haven, CT

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Job Details

Full-time
$68,000 - $120,500 a year

Qualifications

Microsoft Word
Microsoft Outlook
Presentation software
Regulatory compliance in claims processing
Patient management software
Performance Reporting
Data summary reports
Certified Professional Coder
EMR/EHR
Health insurance knowledge
Data entry
Managing projects
Clinical documentation standards
Cross-functional collaboration
Medical terminology
Cross-functional communication
Excel data analysis

Full Job Description

Department: Clinical Affairs - YMA Coding and Billing

221 Whitney Ave, New Haven, Connecticut

Job ID: 131060WD

$68,000.00 - $120,500.00

Description

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!

Salary Range

$68,000.00 - $120,500.00

Overview

Under the direction and supervision of the Manager of YM Coding and Billing services or his/her designee, this position is responsible for processes to monitor the efficiency and accuracy of capturing, coding and processing all billable services for YM. Document, implement and monitor policies and operational workflows to streamline and optimize charge capture, ensuring accuracy and timeliness. Develop and monitor reports to assure compliance with established YM guidelines. Serves as a liaison and fosters collaboration among the clinical departments, revenue cycle services and compliance departments on all aspects of coding and billing, education and charge follow-up. Serves as expert resource for coders.

Required Skills and Abilities
1. Current CPC certification required. Knowledge of CPT, ICD-10, HCPCS codes, medical terminology, and HIPPA regulations. Experience with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Expert proficiency with MS Word, Excel, PowerPoint, and Outlook (emails and calendars).
2. Knowledge of medical insurance billing procedures, third-party reimbursement methodologies and documentation/compliance requirements, government and commercial insurance rules and regulations pertaining to correct coding initiatives.
3. Well-developed problem-solving skills with the ability to be innovative, ability to compile comprehensive analysis of data with complex and professional reporting of results, analyze and interpret detailed reports, develop clear conclusions and summarize findings.
4. Demonstrated ability to work independently as well as part of a cross-functional team to plan, research and conduct projects as well as manage timelines and work to achieve common goals.
5. Well-developed interpersonal, and oral and written communication skills demonstrating a high degree of professionalism, diplomacy and accountability.

Preferred Skills and Abilities

Epic experience strongly preferred.

Principal Responsibilities

1. Regularly reviews billing activity or specific clinical departments or sections. Provides comprehensive, detailed summary of findings (payment history, rejection analysis, frequency and status of unpaid claims, etc.). Communicates and provides regular updates to administration, physicians and coders. 2. Provides advice on operational improvement to enhance efficiency of payment and overall reimbursement of clinical services. 3. Develops, implements, and monitors policies and procedures to optimize provider reimbursement. Functions as a resource and educator for clinical department physicians and all appropriate staff on billing and coding issues by department. 4. Develops training or educational programs and working manuals on procedural guidelines and implementation of new regulatory standards and initiates changes as contracts and regulations change. 5. Collaboratively establishes policies and procedures to resolve issues around claims that are rejected, nor responded to, underpaid, etc. Provides recommendations on how to reduce rejections to improve collections. 6. Researches policies of payers and communicates changes as appropriate. Maintains regular interactions and communication with third party payers. 7. Leads and/or assists with the management and/or performance of ongoing reimbursement projects, including but not limited to in depth analysis of variances and tracking/managing issues with carriers. 8. Performs coding audits, assesses risk and communicates findings. 9. Ensures compliance with University, governmental and all third party regulations, including claim submission, coding accuracy and documentation to support billing. Performs quality assurance processing and assesses degree of risk for non-compliance with internal audit findings. 10. Manages and coordinates decisions on optimizing output of subordinates and colleagues in producing information. 11. May manage staff of both exempt and non-exempt employees. 12. May perform other duties as assigned. Required Education and Experience Bachelor’s Degree in Health Care Administration or RN and five years of related work experience or an equivalent combination of education and experience.

Job Posting Date

01/22/2026

Job Category

Manager

Bargaining Unit

NON

Compensation Grade

Administration & Operations

Compensation Grade Profile

Supervisor; Senior Associate (24)

Time Type

Full time

Duration Type

Staff

Work Model

Remote

Location

221 Whitney Ave, New Haven, Connecticut

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.

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Refine Your Search

medical claims analyst jobs in orange, ct

Coding and Billing Analyst

Supply Chain Analyst

Senior RWE/RWA Programmer - Remote

Health Economics and Outcomes Research Specialist

Data Analyst II

Analyst, T&E and Insurance

Employee Benefits Client Relationship Manager

Senior Claims Advocate - Property & Casualty Claims

Head of Supplier Quality & Compliance

Total Rewards Manager

Sr. IAM Engineer

Snowflake Architect

Epic Tapestry UM Analyst

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