Top 517 Operations/processing analyst Jobs in Remote

Operations Analyst
Claritev —Remote
- $45,000 - $50,000 a year
- Full-time
- HIPAA
- Mid-level
- Office
- Paid parental leave
- Employee stock purchase plan
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Custodial Operations Analyst
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Operations Analyst
Maxor National Pharmacy Services, LLC —Remote
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Real Time Technologies, LLC —Remote
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Services Operations Analyst
Solovis —Remote
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Survey Operations & Data Analyst
YIIU —Remote
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Financial Operations Analyst
OXIO —Remote
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Operations Analyst
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Revenue Operations Analyst
CLARITAS LLC —Remote
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5d
Formulary Operations Analyst
RxSense —Boston, MA
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Capital Operations Analyst
Affirm —Chicago, IL
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Sr. Operations Analyst
Maxor National Pharmacy Services, LLC —Remote
- Full-time
- Microsoft Access
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Cybersecurity Analyst, IT Operations
Fors Marsh —Remote
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- 7 years
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Technical Analyst, Pharmacy Support-Remote [M-F 6a-2:30p CST]
ScriptPro LLC —Remote
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Financial Crime Analyst
Flex —Remote
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Data Engineer
Sun River Health —Remote
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- Full-time
- Remote
- Azure
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Quick Apply

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operations/processing analyst jobs near remote

Operations Analyst

Claritev -
Remote

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Job Details

Full-time
$45,000 - $50,000 a year

Benefits

Paid parental leave
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Flexible schedule
Life insurance

Qualifications

Customer communication
Incident Escalation
High school diploma or GED
Documentation tools
Productivity software
Escalation handling
Technical Proficiency

Full Job Description

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB ROLES AND RESPONSIBILITIES:

1. Review, investigate, and analyze claim appeals, working closely with coders to coordinate review of documentation. Assist customer service, providers, and clients on resolution of issues or inquires.
2. Research and manage claim inventory for inpatient, outpatient, and provider billing using review guidance supplied by our clinical teams.
3. Request and process documentation associated with special projects and clinical review inquiries.
4. Access, research, and retrieve information and documentation from Claritev and one of various external client systems.
5. Data Entry and database maintenance including review, validation, and maintenance of provider data.
6. Perform system claim adjustments based on appeal outcomes or to process corrected claims.
7. Manage manual distribution of workflow when system is unable to assign.
8. Assist with special projects as assigned in conjunction with daily workload; prioritizing and shifting focus as needed
9. Collaborate, coordinate, and communicate across disciplines and departments.
10. Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate Company's Core Competencies and values held within.
12. Please note: due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:

This position works independently under general supervision to complete the outlined job responsibilities by applying knowledge of claims and department processes. Work involves applying advanced skills using systems and tools in support of departmental operations. Duties and tasks are focused internally on high volume processes. The incumbent resolves routine questions and issues while referring more complex issues to higher levels for resolution.

COMPENSATION:

The salary range for this position is $45k-$50k. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Requirements: JOB REQUIREMENTS (Education, Experience, and Training):

* Minimum high school diploma or GED along with two (2) years' of experience in an operations and/or service role such as claims processing, customer service, medical records, collections, data entry, or database management. Associate's degree accepted without prior experience.
* Experience in health care and/or knowledge of commonly used medical coding preferred.
* Required licensures, professional certifications, and/or Board certifications as applicable
* Communication (written, verbal and listening), analytical, organizational, prioritization, technical, etiquette and interpersonal skills
* Ability to use software and hardware peripherals related to job responsibilities including MS Office Suites with preferred proficiency with Word, Excel, and other database software.
* Ability to be flexible in quickly shifting priorities and keeping up with changes across multiple tasks in a fast paced environment while maintaining a positive and cooperative demeanor.
* Ability to demonstrate strong technical skills.
* Ability to identify issues and escalate for course of action for resolution.
* Ability to elicit trust and credibility with all levels of the organization.
* Ability to adjust/alter schedule to meet deadlines.
* Ability to work independently and handle confidential information.
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

Medical, dental and vision coverage (low copay & deductible
Life insurance
Short and long-term disability
401(k) + match
Generous Paid Time Off
Paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, .

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

#LI-AN1

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Refine Your Search

operations/processing analyst jobs in remote

Operations Analyst

Data Operations Analyst

Banking Analyst - Chargeback & Payments Operations

Custodial Operations Analyst

Product Data Analyst - Acquiring Operations

Operations Analyst

Analyst, Financial Operations

Services Operations Analyst

Survey Operations & Data Analyst

Financial Operations Analyst

Operations Analyst

Revenue Operations Analyst

Formulary Operations Analyst

Journeyman Network Operations Center (NOC) Analyst

Capital Operations Analyst

Sr. Operations Analyst

Cybersecurity Analyst, IT Operations

Technical Analyst, Pharmacy Support-Remote [M-F 6a-2:30p CST]

Financial Crime Analyst

Data Engineer

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