Top 513 Claims analyst Jobs in Usa. Remote

Accounts Receivable Analyst - Cigna Healthcare - Remote
The Cigna Group —Remote
- $24 - $36 an hour
- Online Application
- Remote
- Research
- Mid-level
- 3 years
- Paid holidays
- Health insurance
2d
Healthcare Claims Quality Analyst
Integra Partners —Remote
- $24 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Claims Analyst - REMOTE
Ryder System —Helena, MT
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Risk Analyst
Parsons —Remote
- $74,800 - $130,900 a year
- Overtime
- Remote
- Mid-level
- 3 years
- Finance
- Wellness program
- Paid holidays
Healthcare Claims Data Analyst
General Dynamics Information Technology —Remote
- $76,500 - $103,500 a year
- Remote
- Writing skills
- Mid-level
- SQL
- Flexible schedule
7d
Business Analyst - Claims
Continental General —Remote
- $74,250 - $111,375 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Health savings account
- Paid holidays
Crash Review Analyst
Savvee Inc. —Remote
- $70,000 - $90,000 a year
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Commuter assistance
- Disability insurance
Claims Analyst
SOUTHWEST SERVICE ADMINISTRATORS INC —Phoenix, AZ
- $19.00 - $25.50 an hour
- Remote
- Microsoft Word
- Computer literacy
- Writing skills
- AD&D insurance
- Disability insurance
Quick Apply
Data Operations Analyst
Revecore —Remote
- Remote
- Azure
- HIPAA
- Mid-level
- Paid training
- Paid holidays
Payer Contract Analyst - CarepathRx - Remote
The Cigna Group —Remote
- $24 - $40 an hour
- Online Application
- Remote
- HIPAA
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Government Provider Operations Analyst
Teladoc Health —Remote
- $65,000 - $75,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Office
Actuarial Analyst - Insurance
WAHVE —Des Moines, IA
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Actuarial Analyst - Insurance
WAHVE —Jacksonville, FL
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Actuarial Analyst - Insurance
WAHVE —Princeton, NJ
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Actuarial Analyst - Insurance
WAHVE —San Diego, CA
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
Senior Construction Scheduling Consultant / Delay Analyst
Viewpoint Consulting —Remote
- $75,000 - $125,000 a year
- Full-time
- Remote
- 5 years
- No background check
- Analysis skills
Quick Apply
1d
LEAD EPIC ANALYST, PROFESSIONAL BILLING
Boston Children's Hospital —Boston, MA
- $111,405 - $178,246 a year
- Remote
- 7 years
- System design
- SQL
- Health insurance
- Dental insurance
Pricing Analyst II (Salesforce CPQ)
Leoforce —Irvine, CA
- $90,000 - $105,000 a year
- Remote
- Finance
- SQL
- Analysis skills
- Health insurance
- 401(k) matching
Quick Apply
Claims Module Senior Business Analyst
Conduent State Healthcare, LLC —Remote
- $85,470 - $111,000 a year
- Email
- Remote
- Customer service
- Mid-level
- 8 years
- Paid holidays
- Disability insurance
Resolution Analyst, Denials (REMOTE)
EnableComp —Remote
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- Computer literacy
Quick Apply

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Accounts Receivable Analyst - Cigna Healthcare - Remote

The Cigna Group -
Remote

Apply Now

Job Details

Full-time
$24 - $36 an hour
2 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

VLOOKUP function
Customer communication
Medical claims processing software
Medical billing data analysis
Excel data analysis

Full Job Description

Summary:

As a member of the Provider Solutions and Operations team, the Accounts Receivable Analyst / Provider Relations Analyst role supports the Service Model through claim problem analysis, root cause identification, and resolution. This is an internally facing role supporting the Accounts Receivable Management team and the dedicated Gold-tier and Silver-tier participating providers.

Duties and Responsibilities:

Collaborates with matrix partners to identify, resolve and improve Accounts Receivable issues by utilizing claim knowledge, research and critical thinking skills
Routinely engages, consults and influences matrix partners to achieve service improvements and minimize contract interpretation
Drives root cause analysis trending related to accounts receivable resolution
Leads efforts to research system issues and identify appropriate solutions for the business operations
Manages escalated issues received through appropriate workflow tools
Communicates recommendations for changes to improve service as identified through root cause analysis
Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy
Understands how contract set up and current business policies and technology will affect claim payment
Participates in meetings as needed to act as a Claim Subject Matter Expert
Provides education on AR processes to internal partners
May participate in or lead special project initiatives
Achieves and or exceeds Service Level Agreements

Qualifications:

Associate's Degree or higher strongly preferred or equivalent work experience required.
3+ years of experience in claims administration highly preferred.
3+ years of experience in claims processing required.
Advanced knowledge of Proclaim and Facets required.
Advanced knowledge of other Cigna claim processing systems preferred.
Skills critical to this role include an intricate knowledge of current claim business practices, policies and procedures, the ability to link that knowledge to the multiple aspects of technology and the output of claim payment with the ability to navigate across business units to identify root cause
Solid proficiency in Excel (basic formulas, V lookups, filtering and formatting are all required).
Skills to include time management, task analysis and breakdown and resource utilization
Understanding of the affect that the end result has on Provider satisfaction
Demonstrated ability to successfully interact with both internal and external customers at all levels
Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes
Demonstrated ability to see the "big picture" and understand how each phase of the claims payment process affects the end result and provider satisfaction

CORE COMPETENCIES

Plans and Aligns, Collaborates, Instill Trust, Communicates Effectively,

Self-Development, Situational Adaptability, Being Resilient, Action Oriented,

Optimize Work Processes, Customer Focus

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 24 - 36 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

claims analyst jobs in usa. remote

Accounts Receivable Analyst - Cigna Healthcare - Remote

Healthcare Claims Quality Analyst

Claims Analyst - REMOTE

Risk Analyst

Healthcare Claims Data Analyst

Business Analyst - Claims

Crash Review Analyst

Claims Analyst

Data Operations Analyst

Payer Contract Analyst - CarepathRx - Remote

Government Provider Operations Analyst

Actuarial Analyst - Insurance

Actuarial Analyst - Insurance

Actuarial Analyst - Insurance

Actuarial Analyst - Insurance

Senior Construction Scheduling Consultant / Delay Analyst

LEAD EPIC ANALYST, PROFESSIONAL BILLING

Pricing Analyst II (Salesforce CPQ)

Claims Module Senior Business Analyst

Resolution Analyst, Denials (REMOTE)

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