Computer system analyst serp_jobs.h1.location_city
serp_jobs.job_alerts.create_a_job
Computer system analyst • springfield ma
serp_jobs.last_updated.last_updated_variable_days
We are seeking a Claims Compliance Analyst to join our client’s team! This is a fully remote position with a great company offering fantastic benefits.
The Claims Compliance Analyst is respons...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
MPS Baltic client OP Corporate Bank is part of OP Finance Group, the leading financial services group in Finland.OP Corporate Bank has been operating in Lithuania for 12 years, offers services to b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Serves meals to students and staff.Performs cleaning duties, cleaning of equipment and work areas, dishwashing and pot washing.
Light cooking, fills beverage coolers, sets up hot and / or cold food ar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Holyoke College Computer Science Tutor Jobs • The Varsity Tutors platform has thousands of students looking for online College Computer Science tutors nationally and in Holyoke.As a tutor who uses ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Accounts Payable Analyst is a vital part of our accounting team, responsible for managing a high volume of accounts payable transactions.
This role ensures the accurate and timely processing of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AMP Agency is looking for curious, thoughtful, technology-driven storytellers to join its Performance Analytics team.Our team is inspired by the idea of continuous improvement, and is working to bu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Administer health, dental, vision, retirement, life, COBRA, and voluntary benefit programs.Collaborate with vendors, consultants, and internal teams on benefits delivery and compliance.Analyze bene...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Position : System Administrator (Senior Systems Administrator #1897)Inventory# : 1897Location : Springfield or ChicagoUnion : ExemptDepartment : Technology Support & InfrastructureAnticipated Starting Salary...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Parts Authority, founded in 1973, is a leading national distributor of automotive replacement parts, tools / equipment and transmissions.
Headquartered in Long Island, New York, Parts Authority is rap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable and more connected world.
TE Connectivity's Financial Planning & Ana...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Ability to diagnose, troubleshoot, and repair devices within an allotted time frame.Have dexterity to be able to use your hands with small tools and parts.
Clear vision and the ability to follow ins...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Resume reviews and interviews for this pool position will occur on a quarterly basis.Successful candidates will be placed into the active candidate pool and will be notified when there is an Adjunc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Tech Ukrainian hybrid IT company, resident of Diya.We are a subsidiary of Kyivstar, one of the largest Ukrainian telecom operators.
Our mission is to change lives in Ukraine and the world by creati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Compensation : $ 500000 Job ID : 30855.Mix of inpatient and outpatient - Mornings for procedures, afternoons for outpatient clinic.
Need for general GI but can do ERCP and EUS if desired.Endo suite ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A company is looking for an Encounters System Analyst.Key Responsibilities Manage State and Federal Encounters SLAs and KPIs Resolve internal and State / CMS encounter rejections Collaborate with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
This mastery-level role offers the opportunity to lead high-impact analytics initiatives supporting strategic transformation efforts within Financial's Corporate Functions Program Management Office...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The TSUBAKI name is synonymous with excellence in quality, dependability and customer service.Tsubaki Automotive, LLC is an international tier-one supplier of high-speed chain drive systems to the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
This role will focus on ensuring seamless data flow between PAS and upstream / downstream systems using .The ideal candidate will have a strong background in .
This role requires a deep understanding ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Maroc et en France, depuis la réflexion stratégique jusqu'à l’exécution technologique et opérationnelle, en faisant appel aux expertises de tous ses experts.
Un Investissement dans le bien être.La g...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Claims Compliance Analyst
The MH GroupEast Longmeadow, MA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
OP Corporate Bank - Credit Analyst / Senior Credit Analyst
MPS BalticSpringfield, MA, USserp_jobs.job_card.full_time
Food Service Worker- CREC Academy of Computer Science
Whitsons Culinary GroupEnfield, CTserp_jobs.job_card.full_time
Holyoke College Computer Science Tutor
Varsity TutorsHolyoke, MA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Accounts Payable Analyst
Notch MechanicalChicopee, MA, USserp_jobs.job_card.full_time +1
Marketing Analyst
AMP AgencyUS, MA, USserp_jobs.job_card.full_time
Benefits Analyst
J. MorrisseyWest Springfield, MA, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
System Administrator
Illinois State Board of EducationSpringfieldserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Accounts Receivable Analyst
Parts AuthorityWest Springfield, MA, USserp_jobs.job_card.full_time
OPEX ANALYST
TE ConnectivityTANGIER FREE ZONE, TNG, MA90000serp_jobs.job_card.full_time
Computer Repair Technician
CellairisSpringfield, Massachusettsserp_jobs.job_card.full_time
CANDIDATE POOL - Adjunct Instructor, Computer Science
Springfield Technical Community CollegeSpringfield, Massachusettsserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Business / System Analyst
KyivstarAgawam, MA, USserp_jobs.job_card.full_time
Gastroenterologist - Hospital System
Wcs Healthcare Partnerswestfield, massachusettsserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
TEST ANALYST
E-SolutionsSpringfield, MA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Encounters System Analyst
VirtualVocationsSpringfield, Massachusetts, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Business Analyst -
StaffingSpringfield, MA, USserp_jobs.job_card.full_time
Operations Analyst Lead
US Tsubaki Automotive, LLCChicopee, MA, United Statesserp_jobs.job_card.full_time
Developer - Policy Administration System Integrations
MassMutualSpringfield, Massachusetts, USserp_jobs.job_card.full_time
Data Analyst
Altados TousAutre ville, MAserp_jobs.job_card.full_time
Claims Compliance Analyst
The MH GroupEast Longmeadow, MA, USjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionA minimum of 5 years of experience in health insurance claim processing is required . Capacity to plan, carry out, and document compliance self-monitoring initiatives. Ability to comprehend complex laws / regulations. Ability to assess, prioritize, and communicate claims risk. Ability to understand complex problems, identify root causes, and remain goal-oriented. Strong analytical skills, with the ability to effectively identify, communicate, and address potential issues. Strong written / verbal communication, interpersonal, and presentation skills. Ability to work in a fast-paced environment, prioritize multiple assignments simultaneously, think quickly, meet deadlines, and adapt to various situations. Ability to work independently, with peers, and with departments in business areas at all levels of the organization.
Job Description
Job Description
Description :
We are seeking a Claims Compliance Analyst to join our client’s team! This is a fully remote position with a great company offering fantastic benefits. The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ideal candidate is responsible for the entire claims process from beginning to end and the implementation, auditing, and execution of compliance activities regarding claims. The Claims Compliance Analyst will work collaboratively with different departments to assess compliance risks, controls, and implement new regulations that affect the claims team. In this role, you will…
- Navigate different claims systems.
- Work within systems like RegEd to review assigned tasks and implement new laws, rules, and regulations.
- Work cross-departmentally to understand and implement new and / or existing regulations utilizing systems such as RegEd.
- Maintain an in-depth understanding of the claim adjudication process.
- Process claims by all regulations in a timely and accurate manner, including analyzing the submitted medical treatment and investigating the coverage terms.
- Maintain a strong understanding of state and federal health insurance regulations and mandates.
- Strong knowledge of products / systems, and a subject matter expert (SME).
- Create, carry out, and audit compliance items linked to claims, including risk assessment, testing, and monitoring of important laws & regulations, rules & processes, help with exam preparation, issue reporting & escalation, training materials, and remedial measures.
- Assist in market conduct exams by reviewing claim-related tasks.
- Create and implement procedures for regulatory items impacting claims that require special handling.
- Regularly partake in compliance-related meetings.
- Review all claim-related compliance reports to ensure accuracy.
- Scrub pay-related reports to accurately determine the clean claim date and proper penalties / interest.
- Handle claim adjustments related to regulatory requirements.
- Perform other duties as assigned.
Requirements :
Our ideal candidate will have…