Healthcare Eligibility Analyst Ii
By Performant Corp At Sunrise, FL, United States
May contribute to quality review activity upon management request.
Correct areas of deficiency and oversight received from quality reviews and/or management.
High School diploma or GED; some college preferred: equivalent combination of education and related experience.
Demonstrated experience gathering, researching, and documenting data and requirements for projects and/or complex problem solving.
Educate Healthcare Insurance carriers, employers, and/or providers on the Coordination of Benefits Rules, and demonstrates ability to respond to complex questions.
Analyze and understand written communication from insurance companies including explanation of benefits (EOBs).
Healthcare Eligibility Analyst I
By Performant Corp At Sunrise, FL, United States
Efficiently and diligently work through assigned inventories to meet productivity metrics assigned by management.
Correct areas of deficiency and oversight received from quality reviews and/or management.
Knowledge and experience with Healthcare, medical terminology, and medical coding, preferably in a role generating, auditing, recovery and/or researching the same.
Experience with Coordination of Benefits, Third Party Liability, and/or Medicare Secondary Payer
Minimum 6 months of relevant experience, including Healthcare, demonstrating depth of knowledge and capability required for the position.
Minimum 2 years of experience in customer service, billing reclamation or recovery, or call center role demonstrating application of similar skills.
Healthcare Eligibility Analyst, Sr.
By Performant Corp At Sunrise, FL, United States
Supports management with inventory assessment and distribution to team members.
Provide ongoing feedback to Management and Analytics Teams to further the enhancement of our products and services, workflows, and documentation.
Conducts quality reviews on work performed by team representatives and analysts on the team as requested by management.
Correct areas of deficiency and oversight received from quality reviews and/or management.
Experience with Coordination of Benefits, Third Party Liability, and/or Medicare Secondary Payer
High School diploma or GED; some college preferred: equivalent combination of education and related experience.
Healthcare Enrollment Analyst Jobs
By Vaco At Miramar, FL, United States
Perform enrollment updates relating to eligibility, plan selection and benefit selection.
Minimum of 1 year health care claim adjudication experience
Minimum of 1-2 years health plan eligibility experience
Review and confirm health care enrollment utilizing Availity and/or health plan portal.
Review authorization rejection files and make necessary eligibility updates in the claims processing system.
Ability to analyze and trend rejections by health plan and type.
Healthcare Economics Analyst I
By Capital Health Plan At Tallahassee, FL, United States

Location: Raymond Diehl Area/Department: Finance - Decision Support F/T or P/T status: Full-time Job Summary Develops and implements medical economics analysis for operational and ...

Are you looking for a rewarding career in healthcare analytics? We are looking for an experienced Healthcare Analyst to join our team and help us make a difference in the healthcare industry. You will be responsible for analyzing data, developing insights, and providing recommendations to help improve patient care. If you have a passion for healthcare and data analysis, this is the job for you!

Overview:

A Healthcare Analyst is a professional who works in the healthcare industry to analyze data and provide insights to help improve patient care, operational efficiency, and financial performance. They use data from various sources to identify trends, develop strategies, and make recommendations to healthcare organizations.

Detailed Job Description:

A Healthcare Analyst is responsible for collecting, analyzing, and interpreting data from various sources to identify trends, develop strategies, and make recommendations to healthcare organizations. They must be able to interpret data from multiple sources, including patient records, financial reports, and operational data. They must be able to identify areas of improvement and develop strategies to address them. They must also be able to communicate their findings and recommendations to stakeholders.

What is Healthcare Analyst Job Skills Required?

• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Knowledge of healthcare industry and data analysis
• Proficiency in Microsoft Office Suite and other data analysis software
• Ability to work independently and in a team environment

What is Healthcare Analyst Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• Experience in healthcare data analysis
• Knowledge of healthcare industry and data analysis
• Proficiency in Microsoft Office Suite and other data analysis software

What is Healthcare Analyst Job Knowledge?

• Knowledge of healthcare industry and data analysis
• Understanding of healthcare regulations and compliance
• Knowledge of healthcare finance and reimbursement
• Knowledge of healthcare operations and processes

What is Healthcare Analyst Job Experience?

• Previous experience in healthcare data analysis
• Experience in healthcare operations and processes
• Experience in healthcare finance and reimbursement

What is Healthcare Analyst Job Responsibilities?

• Collect, analyze, and interpret data from various sources
• Identify trends and develop strategies to address them
• Develop reports and presentations to communicate findings and recommendations
• Monitor and evaluate the effectiveness of strategies
• Provide support to stakeholders in the implementation of strategies