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Healthcare Eligibility Analyst Ii Jobs

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).
Eligibility Specialist Trainee/I/Ii - South Lake Tahoe
By County of El Dorado At South Lake Tahoe, CA, United States
OR- Two (2) years of full-time experience determining eligibility for health programs, loans, financial assistance, unemployment, or other benefits;
Enter and retrieve numerical and narrative data and issue benefits from an automated computer system.
Analyze financial and eligibility information to determine initial or continuing eligibility for multiple aid programs.
Ensure accuracy and completion of application and declaration forms.
Resolve discrepancies by securing documentation, medical records, and confirmation from other agencies.
Evaluate clients for and answer questions on Advanced Payment Tax Credits related to health care reform.
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.
Eligibility Policy Analyst Jobs
By Empower AI Inc. At , Remote
Collaborate closely with the Project Director and Eligibility Manager to align policy efforts with project goals.
Utilize your program knowledge to identify and address eligibility policy issues, promoting efficient and accurate processes.
Assist in identifying additional Eligibility Policy Analysts who possess the necessary criteria and experience.
Attend departmental meetings and required education and training programs.
A minimum of three (3) years of experience conducting Medicaid/CHIP eligibility reviews;
A minimum of five (5) related experience;
Healthcare Data Analyst Ii-Masshealth
By Boston Childrens Hospital At , Boston, 02115
Work Experience Required: 2 years experience using Data Analytics tools
Work Experience Preferred: 2 years experience using Data Analytics tools in a clinical setting
Researches, designs, develops, implements, and maintains reporting and analytical facilities in the context of the hospital's clinical and/or financial systems.
Collaborates with clinical and administrative staff to ensure that reports are timely, accurate, meaningful, and interpretable.
Generates reports from a variety of internal and external sources including benchmarking databases e.g. PHIS, PACT, specialty specific registries.
Performs standardized data validation activities to ensure the highest quality information for decision-making.
Healthcare Data Analyst Ii
By Boston Childrens Hospital At , Boston, 02115, Ma
Work Experience Required: 2 years experience using Data Analytics tools
Work Experience Preferred: 2 years experience using Data Analytics tools in a clinical setting
Researches, designs, develops, implements, and maintains reporting and analytical facilities in the context of the hospital's clinical and/or financial systems.
Collaborates with clinical and administrative staff to ensure that reports are timely, accurate, meaningful, and interpretable.
Generates reports from a variety of internal and external sources including benchmarking databases e.g. PHIS, PACT, specialty specific registries.
Performs standardized data validation activities to ensure the highest quality information for decision-making.
Healthcare Analyst I-Ii Remote
By Health Services Advisory Group, Inc. At , Phoenix, Az $75,000 - $85,000 a year
Experience in manipulating databases and in developing and interpreting data analyses.
Experience in SAS and Microsoft office.
Prefer experience in computer software applications such as Stata, UNIX, and Visual Basic.
ESSENTIAL COMPETENCIES, DUTIES AND RESPONSIBILITIES
Responsible for clearly written and complete project documentation and technical reports supported by tables and charts.
Stay abreast of changes in database structure, variable definitions, processes of health care delivery, and current analytic methodologies.
Associate Healthcare Analyst Ii (Remote) ($62700.00 - $80000.00 / Year)
By Talentify.io At United States
Collaborate with internal customers to identify requirements and conduct interviews to determine project scope
Bachelor's degree or equivalent experience
Five or more years of experience in analytics
Excellent written and oral communication skills
Proficiency in Microsoft Excel and intermediate computer skills
Knowledge of databases, report and data query writing software (e.g., Access, SQL, SAS), and visualization software (e.g., Tableau, Power BI)
Eligibility Analyst Jobs
By North Highland At Columbia, SC, United States
Experience using a Medicaid Eligibility System(s);
Experience reviewing/analyzing applications in a high volume/high productivity environment;
High attention to detail including precise and effective customer communications and proven ability to manage multiple, competing priorities simultaneously;
Analyst with an understanding of Medicaid Eligibility Rules;
Healthcare Data Analyst Ii
By Physician Health Partners At Denver, CO, United States
Working knowledge of relational databases and database theories and concepts
Skilled at creating reports and visualizations that meet business needs and tell a story with the data that helps drive decision-making
Able to apply knowledge as appropriate to develop reports and analyses
Solid verbal and written communication skills
Bachelor’s Degree in health administration, business administration, statistics, finance, business analytics or related field preferred or equivalent
2+ years’ experience performing data analysis in a health care claims setting
Eligibility Analyst (Remote) Jobs
By Prime Therapeutics At Minneapolis, MN, United States
Strong organizational and time management skills
2 years experience in healthcare, PBM, Eligibility or claims processing
Strong oral and written communication skills
Problem solving skills with strong attention to detail
Experience working in eligibility or enrollment
Reports to a Supervisor or Manager in the PBM Operations department
Eligibility Technician I/Ii
By County of Riverside At Riverside, CA, United States
Western: La Sierra Riverside, Jurupa, Norco
Mid-County: Perris, Lake Elsinore, Temecula, Hemet, Moreno Valley
Southern Region (Elsinore, Temecula, Murrieta, Menifee) of Riverside County.
Determine eligibility in accordance with established procedures; dictate or record information for case records.
Interpret program regulations and other pertinent material to applicants, recipients, and the general public.
Compute amount of grant authorized and perform other similar required computations.
Analyst Ii (Healthcare & Technology)
By Avant Search At New York, NY, United States
Bachelor's degree in Finance, Economics, Business Administration, or a related field. MBA or relevant postgraduate degree is a plus.
2-4 years of experience in investment banking or a related field, with a specific focus on the healthcare or technology sectors.
Strong financial modeling and analytical skills, with proficiency in financial statement analysis, valuation techniques, and financial projections.
Comp: $85k-120k base plus 50%-100% bonus
Eligibility Specialist Ii (Sr-Non-Magi) / 60017385
By State of South Carolina At Horry County, 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.
Health Care Enrollment & Eligibility Analyst
By ektello At Detroit, MI, United States
Ensure proper change management plan is in place and executed by respective parties
Host internal stakeholder meetings to define requirements and ensure teams are adhering to project deliverables
Strong organizational skills and adept ability to navigate organizational structures
Strong analytical and multitasking skills
Strong oral and written communication skills
Strong interpersonal skills and demonstrated commitment to teamwork and partnerships
Eligibility Specialist Ii (Ltcw) / 61100336Tg
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 (Non-Magi) / 61062018
By State of South Carolina At Lexington County, 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 Eligibility Analyst Jobs
By Akkodis At United States
•Experience in a call center role is preferred, or demonstrating application of similar skills.
Job Title: Healthcare Eligibility Analyst
Pay Rate: $14-16/hr. on W2
•High School diploma or GED is required
•Must submit to and pass a 10-panel drug screen pre-employment (and throughout employment if required).
If you are available for this Amazing opportunity please share your updated resume.
Insurance Eligibility Specialist Ii
By Brightside Health At United States
Have good organizational, multi-tasking, and time management skills, with excellent attention to detail.
Have advanced Excel skills, with the demonstrated ability to write formulas, perform VLOOKUP, pivot tables, etc.
Have knowledge of EDI 270/271 transactions and insurance eligibility verification Have strong work ethic, resourcefulness, and the motivation to succeed
Have experience working with insurance companies in the healthcare provider industry
3-5 years previous experience in medical billing, current A/R & experience in patient services a plus.
Maintain knowledge of industry standards for insurance verification Understand and adhere to HIPAA policies, procedures, and regulations, maintaining strict confidentiality

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