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Healthcare Eligibility Analyst Ii Jobs

Data Analyst (Eligibility) Jobs
By Performant Corp At United States
Assist technical and business leads with requirements gathering, documentation, and project management for new implementations and existing program changes.
Knowledge and experience with Healthcare, Coordination of Benefits, Third Party Liability, and/or Medicare Secondary Payer
Correct areas of deficiency and oversight received from quality reviews and/or management.
Knowledge of requirements gathering, ETL processing and data matching
Bachelor’s degree in relevant field or equivalent combination of education and experience.
Leverage knowledge and expertise in COB/TPL/MSP to review eligibility and client data.
Healthcare Data Analyst Ii (Remote Capable)
By Geisinger At , Danville, Pa
Oversees all phases of SAS/SQL/analytical programming, data management, quality control, and reporting.
Demonstrates strong knowledge of research methodology and research data collection methodologies.
Fully able to identify and resolve problems using knowledge, background and interactive problem solving and troubleshooting techniques.
Relevant experience may be a combination of related work experience and/or Master's degree obtained (Master's Degree = 2 years relevant experience).
Participates in the design, testing, validation, analysis and merging of complicated data structures from a wide variety of source systems.
Actively contributes and engaged in written and oral communication of analytical content/results and recommendations to research project team.
Remote - Healthcare Analyst Ii - R6302
By CareSource At United States
Managed care experience is strongly preferred
Perform any other job duties as requested
Bachelor’s Degree or equivalent years of relevant work experience is required
Minimum of two (2) years of experience in healthcare analytics is required
Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
Eligibility Specialist Ii (Non-Magi) / 61061959
By State of South Carolina At Charleston, SC, United States
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time.
Healthcare Analyst Ii Jobs
By Health New England At Springfield, Massachusetts Metropolitan Area, United States
Strong project management skills required
Solves business problems through analysis and communicate the outcomes to internal and external stakeholders, business owners and senior management.
Excellent verbal and written communication skills with an ability to interact with diverse groups, executives, manager, and subject matter expertise
Consults with internal and external stakeholders to develop business requirements for report development.
Continually develops analytical and technical skills in order to support advancing and evolving functions.
SAS (preferred), R, and/or Python advanced coding experience required
Eligibility Specialist Trainee/I/Ii
By County of Riverside At , Riverside, Ca

Qualifying experience must be detailed on your resume and/or application.

Schedule: Evening shift 3:00 pm-11:30 pm Monday-Friday

Eligibility Specialist Ii (Sr-Magi) / 60015661
By State of South Carolina At Lexington, SC, United States
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time.
Eligibility Specialist Ii (Non-Magi) / Tg61088148
By State of South Carolina At Columbia, SC, United States
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time.
Eligibility Specialist Ii (Magi) / 60017139Rp
By State of South Carolina At Clarendon County, SC, United States
This position is a repost. Previous applicants do not need to reapply. *
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Eligibility Specialist Ii (Magi) / 61100189
By State of South Carolina At Spartanburg County, SC, United States
This is a Temporary Grant position.*
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Data Analyst Ii (Healthcare Analytics)
By Centene Corporation At Los Angeles, CA, United States

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Eligibility Analyst Jobs
By Trustmark At United States
Exceptional data entry skills with high attention to detail
Maintain assigned eligibility work queues according to Health Benefits procedure and turnaround time expectations.
Treat all inquiries professionally and respectfully following Health Benefits guidelines.
Thoroughly and accurately document all inquiries following Health Benefits guidelines.
Effective verbal and written communication skills
Review and resolve eligibility error and audit reports.
Eligibility Specialist Ii (Ltcw) / Tg61100340
By State of South Carolina At Columbia, SC, United States
This is a Temporary Grant Position.*
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Eligibility Specialist Ii (Magi) / 60017512
By State of South Carolina At Dorchester, SC, United States
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time.
Data Analyst Ii (Healthcare Analytics)
By Centene Corporation At Montana, United States

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Healthcare Billing & Setup Analyst Ii - Bank Operations
By Commerce Bank At , Kansas City, 64105, Mo
Solid project management, analytical, research and problem solving skills
Knowledge, Skills & Abilities Required
Bachelor’s degree in related field or equivalent combination of education and experience required
Own the setup process and project manage the strategy, rollout and timing of each step
Intermediate bank operations and healthcare processing knowledge
Strong relationship building skills with ability to collaborate effectively and indirectly lead team members at all levels throughout the bank
Eligibility Specialist Ii Jobs
By The State of Florida At , Daytona Beach, 32114, Fl
EXAMPLES OF KNOWLEDGE, SKILLS, AND ABILITIES
Providing consultation and expert advice to management or other groups on technical, systems-related, or process-related topics.
1-year experience determining eligibility for food stamps, Medicaid, and cash assistance is
Weighing the relative costs and benefits of a potential action
Knowledge of methods of compiling, organizing, and analyzing data for monitoring and evaluating
State of Florida Employment applications must reflect the most current and previous employment history to receive full consideration.
Eligibility And Employment Specialist I/Ii
By Butte County, CA At , Chico, Ca $39,499 - $55,619 a year
Methods, practices, and procedures of case management.
Demonstrate effective customer service skills.
Environmental Factors and Conditions/Physical Requirements
Organizes caseload ensuring case records and documents are processed and updated within specific time limits established by regulation and local policy.
Approves and provides supportive services and ancillary payments.
Inputs client application information and client statements into statewide automated data system; reads and interprets computer-generated reports.
Eligibility Specialist Ii (Magi) / 61100319
By State of South Carolina At , , Sc $29,061 a year
A bachelor's degree may be substituted for the required program experience.
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
State Retirement Plan and Deferred Compensation Programs.
Overtime and/or weekend work with Deputy approval.
Eligibility Specialist – Lead Worker – Mets Healthcare
By Scott County, Minnesota At Shakopee, MN, United States
High school diploma/GED plus one or more years post-secondary education and three years of related work experience**
high school diploma/GED plus one or more years post-secondary education and three years of related work experience**
High school diploma/GED and five years of related work experience** OR
high school diploma/GED and five years of related work experience** OR

Are you looking for an exciting opportunity to use your healthcare eligibility expertise to make a difference? We are looking for a Healthcare Eligibility Analyst II to join our team and help ensure that our clients receive the best possible care. In this role, you will be responsible for verifying and processing healthcare eligibility information, resolving discrepancies, and providing customer service to our clients. If you have a passion for healthcare and are looking for a rewarding career, this could be the perfect job for you!

Overview:

A Healthcare Eligibility Analyst II is responsible for verifying and processing patient eligibility for healthcare services. This includes verifying insurance coverage, determining eligibility for services, and ensuring that all necessary paperwork is completed. The analyst must also maintain accurate records and provide customer service to patients and healthcare providers.

Detailed Job Description:

The Healthcare Eligibility Analyst II is responsible for verifying and processing patient eligibility for healthcare services. This includes verifying insurance coverage, determining eligibility for services, and ensuring that all necessary paperwork is completed. The analyst must also maintain accurate records and provide customer service to patients and healthcare providers. The analyst must be knowledgeable of insurance policies and procedures, and must be able to interpret and explain them to patients. The analyst must also be able to analyze and interpret medical records and other documents.

What is Healthcare Eligibility Analyst Ii Job Skills Required?

• Knowledge of insurance policies and procedures
• Ability to interpret and explain insurance policies and procedures
• Ability to analyze and interpret medical records and other documents
• Excellent customer service skills
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite

What is Healthcare Eligibility Analyst Ii Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• At least two years of experience in healthcare eligibility or related field
• Knowledge of insurance policies and procedures
• Ability to interpret and explain insurance policies and procedures
• Ability to analyze and interpret medical records and other documents
• Excellent customer service skills

What is Healthcare Eligibility Analyst Ii Job Knowledge?

• Knowledge of insurance policies and procedures
• Knowledge of medical terminology
• Knowledge of healthcare regulations and laws
• Knowledge of customer service principles
• Knowledge of data entry and record keeping

What is Healthcare Eligibility Analyst Ii Job Experience?

• At least two years of experience in healthcare eligibility or related field
• Experience in customer service
• Experience in data entry and record keeping

What is Healthcare Eligibility Analyst Ii Job Responsibilities?

• Verify patient eligibility for healthcare services
• Determine eligibility for services based on insurance coverage
• Ensure that all necessary paperwork is completed
• Maintain accurate records
• Provide customer service to patients and healthcare providers
• Interpret and explain insurance policies and procedures
• Analyze and interpret medical records and other documents
• Assist with other duties as needed