Ohio Licensed Pre-Payment Claims AnalystVirtualVocations • Huntsville, Alabama, United States
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Huntsville, Alabama, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.
Key Responsibilities
Research and analyze pre-payment pharmacy claim data to identify overpayments and errors
Develop and update educational materials, workflows, and operational reports
Review and audit pharmacy claims for accuracy and compliance, and resolve related concerns
Required Qualifications, Training, and Education
National Pharmacy Technician Certification (CPhT) required
Bachelor's or Master's degree in a related field preferred, or equivalent work experience
Minimum of 2 years of experience in claim analytics or related healthcare fields
Proficient in Microsoft Office, especially Excel and Access
Working knowledge of pharmacy claims payment processes and systems
serp_jobs.job_alerts.create_a_job
Claim • Huntsville, Alabama, United States
Job_description.internal_linking.related_jobs
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more A company is looking for a Senior Claims Data Analyst to enhance the efficiency and scalability of claims operations through advanced analytics and reporting.
Key Responsibilities Collaborate with...serp_jobs.internal_linking.show_more A company is looking for an Insurance Specialist to manage patient insurance information and ensure compliance with established policies.
Key Responsibilities Verify and ensure the accuracy of fin...serp_jobs.internal_linking.show_more A company is looking for a Claims Adjuster Workers Compensation.Key Responsibilities Execute claims management decisions to analyze and resolve claims effectively Interact with various parties i...serp_jobs.internal_linking.show_more A company is looking for an Examiner, Default Preliminary Judicial Report Title Examination.Key Responsibilities Review Ohio-based and multi-state real estate title reports for approval or reject...serp_jobs.internal_linking.show_more We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Analyst to combine clinical data expertise with relationship management to ensure accurate claims processing and optimize carrier performance.Key Responsi...serp_jobs.internal_linking.show_more A company is looking for an Insurance Agent - Sales who will report to the Supervisor, Sales.Key Responsibilities Guide customers through products and services, answering questions and resolving ...serp_jobs.internal_linking.show_more A company is looking for an Analyst III - Actuarial Services.Key Responsibilities Provide actuarial analytic support to various departments and key initiatives Serve as a technical consultant an...serp_jobs.internal_linking.show_more A company is looking for a Senior Claims Specialist to adjust complex construction defect claims.Key Responsibilities Adjust complex or high exposure construction defect claims Build and maintai...serp_jobs.internal_linking.show_more A company is looking for a Mortgage Loan Processor to manage mortgage loan files from application to closing.Key Responsibilities : Compile and review financial documentation to ensure complete lo...serp_jobs.internal_linking.show_more A company is looking for a Claims Specialist to serve Medicare insurance customers by determining coverage and resolving medical claims.
Key Responsibilities Process claims according to production...serp_jobs.internal_linking.show_more A company is looking for a Claims Resolution Specialist responsible for negotiating healthcare claims to achieve maximum discounts and savings.
Key Responsibilities Manage a high volume of healthc...serp_jobs.internal_linking.show_more A company is looking for a Compliance Analyst - Medicare Claims.Key Responsibilities Assist in maintaining the Compliance Program and guide special projects Respond to inquiries from regulatory ...serp_jobs.internal_linking.show_more A company is looking for a Claims Supervisor - Commercial Property.Key Responsibilities Supervise and lead a liability claims team to ensure high-quality service Promote best practices and guide...serp_jobs.internal_linking.show_more A company is looking for a Temporary Insurance Billing Representative who must reside in AZ.Key Responsibilities Manage billing processes including claim submissions, corrections, and follow-ups ...serp_jobs.internal_linking.show_more A company is looking for a Senior Auto and General Liability Claims Adjuster.Key Responsibilities Manage and resolve complex Bodily Injury and General Liability claims while ensuring compliance w...serp_jobs.internal_linking.show_more A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with ...serp_jobs.internal_linking.show_more
Remote Senior Financial Analyst ($50-$60 / hour)
Data Annotation • Decatur, Alabama
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Senior Claims Data Analyst
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Michigan Licensed Insurance Specialist
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Claims Adjuster
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Ohio Licensed Title Examiner
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)
Data Annotation • Decatur, Alabama
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
State Licensed Clinical Analyst
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Illinois Licensed Insurance Agent
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
California Licensed Actuarial Analyst
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
State Licensed Senior Claims Specialist
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Ohio Licensed Loan Processor
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Claims Specialist
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
New York Licensed Claims Specialist
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medicare Compliance Analyst
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Claims Supervisor
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Arizona Licensed Insurance Billing Representative
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Missouri Licensed Claims Adjuster
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Connecticut Licensed Claims Adjuster
VirtualVocations • Huntsville, Alabama, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted