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Remote Payment Policy Analyst Jobs

Cpp Payment Specialist Remote
By AdventHealth Corporate At , Altamonte Springs, Fl
Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party
Perform effectively in fast-paced environment and demonstrate strong problem-solving skills
Achieve and maintain performance consistent with requirements for productivity, quality, and service levels
Experience in posting insurance and patient payments, cash applications, cash posting for physician, home
Knowledge of HCFA 1500 and UB04
Experience in reconciliation of payments to physician claims and hospital service
Health Policy And Payment Economist
By Reli Group At , Remote
Leading assigned funded projects, defining staffing needs, roles, and responsibilities.
Contributing knowledge and expertise in the social sciences (e.g., experimental social psychology, sociology) for various research efforts.
5+ years of experience in healthcare-related economics, analytics and statistical research.
Demonstrated experience leading research, development and implementation of value-based care (or related) evaluation and cost-modelling approaches.
Experience writing and leading technical proposals for government clients.
Experience in mixed-mode analytics using standard software packages (e.g., SAS, SPSS, R, NVivo, PowerBI, Tableau)
Policy Analyst - Data Science, Ai/Ml (Remote)
By National Association of Mutual Insurance Companies (NAMIC) At United States
Experience in issue management pertaining to insurance underwriting required.
Sources and hosts speakers for compliance webinars and presentation of any in-person compliance-related educational programs for NAMIC members.
Property/casualty compliance procedure experience preferred.
Prior experience in advocacy before government organizations preferred.
Acts as a Subject Matter Expert and thought leader on legislative and regulatory developments at all levels of government.
Leverages expertise in data science and data governance to participate and augment NAMIC objectives for member data centers and benchmarking.
Business Analyst (Payment Integrity) - 100% Remote
By Curate Partners At Boston, MA, United States
Experience documenting data exchange requirements for health plans and vendor integrations
Develop requirements (BRD) for common payment integrity data sets (including eligibility, provider, and claims)
Work with multiple Vendors to identify requirements for data, files, frequency, integration, testing and implementation
Collaborate with internal IT Teams to review requirements, answer questions, and resolve any open issues
Create and update business requirements matrix documentation
2-3 years Healthcare Payer industry experience
Payment Research Rep - Unpostables (Remote)
By PPSI At , Antioch, Tn $249,826 a year
Posts payments to practice management system
Payment Research Rep - Unpostables (REMOTE)
Analytical - Collects and researches data; Uses intuition and experience to complement data
Interpersonal Skills - Maintains confidentiality of all patient information and company documents
Location ANTIOCH, TN (PPSI)Full Time
Monitors and matches unpostables to the appropriate charge, initiate refunds or determines payment allocation.
Clinical Site Payment, Manager (Remote)
By Vertex Pharmaceuticals At , Boston, 02110, Ma $120,080 - $180,120 a year
Functional management and oversight of resources and assignments within the Site Payment group
Providing knowledge related to global requirements for payments
Collaborate with Site Contracting and Data Management counterparts to ensure study budgets are setup and configured appropriately for payments
Typically requires 4 years of experience or the equivalent combination of education and experience
Previous experience with site payments and clinical site budgets
Ability to effectively manage multiple priorities
Sr Finance Analyst, Accounting Policy (Remote Eligible, Minneapolis Preferred)
By General Mills At , Minneapolis, 55426, Mn

: xx Company Overview: We exist to make food the world loves. But we do more than that. Our company is a place that prioritizes being a force for good, a place to expand learning, explore new ...

Payment Processor - Remote
By Safe-Guard Products International LLC At , Atlanta, 30328, Ga
High School Diploma or equivalent combination of education and experience required
Strong knowledge & understanding of forms manager and ability to review terms & conditions on all contracts.
Must have strong computer skills and the ability to troubleshoot and service policy issues.
Strong analytical and problem solving skills. Superior verbal/written skills and communications skills.
Strong interpersonal skills essential, Ability to handle complex situations. Exercises sound judgment when interacting with customers.
Examines process, calculates and pays claims
Payment Posting Representative-Pfs Ii (I) Remote
By Trinity Health At Farmington Hills, MI, United States

Employment Type Full time Shift Description: Hourly pay range: $16.1738 - $24.1614 POSITION PURPOSE Performs day-to-day payment posting reconciliation activities within the hospital ...

Payment Posting Representative-Pfs (I) Remote
By Trinity Health At Farmington Hills, MI, United States

Employment Type Full time Shift Description: POSITION PURPOSE Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an ...

Payment Representative - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $16.00 - $27.31 an hour
Previous experience in a posting position
Previous experience with Imagine software
Receive payments and prepare payments for deposit and forward to appropriate financial institution
Posting payments, rejections and LOA's to accounts and making corrections to misapplied payments
High School Diploma / GED (or higher)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Payment Poster- Remote Jobs
By SonicJobs At Charlotte, NC, United States
Knowledge on cash posting, EOBs, and ALL Payers
Fully Remote- Equipment pick up onsite
EPIC- Undistributed process- not automated
Payment And Research Representative - Remote
By Tenet Healthcare At Frisco, TX, United States
Computer skills: MS Word, Excel, and Outlook; knowledge of patient accounting systems a plus
Maintains knowledge of insurance rejection/denial processing and appropriately posts information for collection and follow-up activity.
Good math, analytical and problem solving skills
Data entry and 10-key by touch
2-3 years of related experience; payment posting a plus
Post payment corrections, payment transfers, NSF’s, inter-facility transfers,
Payment Representative - Remote
By Tenet Healthcare At Frisco, TX, United States
Computer skills: MS Word, Excel, and Outlook; knowledge of Tenet systems a plus
Maintains knowledge of insurance rejection/denial processing and appropriately posts information for collection and follow-up activity.
Good math, analytical and problem-solving skills
Data entry and 10-key by touch
2-3 years of related experience; payment posting a plus
Maintains daily cash log within excel tracking payment posting completion level