1+ YOEHigh school diploma or equivalent, at least 1 year of data entry or similar office experience, Microsoft Office proficiency, accurate typing and 10-key entry, customer service, communication, organization, and data analysis skills.
Phelps Dunbar: Regional law firm providing legal counsel and litigation services.
3+ YOEBA/BS required; JD strongly preferred. Requires 3–5 years of claims experience, strong communication and negotiation skills, litigation management, MS Office proficiency, and limited travel.
Oak Brook or Charlotte or Illinois or North Carolina or Georgia or Alabama or Wisconsin or United States
$31-$46/hrRemoteFull Time
Advocate Health: Provides integrated clinical care through a network of hospitals.
2+ YOEBachelor's degree or equivalent education and experience, adjuster license as required, and 2-5+ years managing progressively difficult workers' compensation lost-time claims.
Electronic claim file, Short- and Long-Term Disability
Springhill Medical Center: Family-owned hospital providing comprehensive medical and surgical services.
5+ YOE5+ years hospital billing experience with UB-04 and 1500 forms; working knowledge of Medicare DDE and WPS Medicare site; familiarity with LCDs, claim appeals, denials resolution, and CMS compliance. HS diploma required; coding certificate preferred; drug screen required.
UB-04, 1500, Medicare Direct Data Entry (DDE), WPS Medicare website, CMS Local Coverage Determinations (LCDs)
Alabama or Arkansas or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Louisiana or Michigan or Minnesota or North Carolina or North Dakota or Ohio or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Wisconsin
RemoteFull Time
Aspirus Health: Integrated nonprofit health system operating hospitals and medical clinics.
2+ YOEEpic claims and remittance expertise, 2+ years healthcare/IT experience, Epic Resolute Billing certification, strong SDLC knowledge, project and training experience, excellent communication and analytical skills.
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or North Dakota or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or New Hampshire or Oklahoma or Vermont or Nebraska or Tennessee or Nevada or New York or Ohio or Oregon or New Mexico or Pennsylvania or Rhode Island or South Dakota or Utah or South Carolina or West Virginia or Virginia or Wyoming
3+ YOERequires 3–5 years of short- or long-term disability claims experience, strong analytical and communication skills, knowledge of ERISA and state requirements, and proficiency with claims and Microsoft Office tools.
Westerkamp Group: Revenue cycle management and accounts receivable for healthcare providers.
1+ YOE1+ years Epic PB experience, Epic Resolute certification preferred, strong knowledge of professional coding (CPT, ICD-10, HCPCS), claim submission and remittance processes, leadership and analytical skills, Microsoft Excel proficiency.
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia
RemoteFull Time
Knowtion Health: Revenue cycle management and medical claims recovery services.
3+ YOEBachelor's degree or equivalent experience; 3+ years in hospital revenue cycle analytics or accounts receivable claims management; experience reviewing insurance cards, EOBs, claims data, and revenue cycle systems.
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
2+ YOEBachelor's degree in a related field and 2+ years of business analysis experience; requires pharmacy benefit management knowledge, requirements documentation, testing, and pharmacy claims expertise.
Microsoft Office, JIRA, Azure DevOps, Visio, NCPDP, Medi-Span, First Databank, MMIS, CMS
Remote - Lead Epic Revenue Application Analyst III - HB Claims & Remittance
Saint Joseph or Alabama or Colorado or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Minnesota or Missouri or Mississippi or Nebraska or North Carolina or Oklahoma or Texas or Utah or Virginia
RemoteFull Time
Mosaic Life Care: Provides comprehensive hospital and clinical healthcare services.
5+ YOEBachelor's in IT/Business or 5 years related experience, 5+ years supporting clinical/ancillary/business environments, application build experience, Epic certification required within hire timeframe, strong communication and problem-solving skills.
Dallas or Indiana or Idaho or Alabama or Iowa or Connecticut or Ohio or Oregon or South Carolina or Louisiana or Montana or North Carolina or Texas or Kentucky or Pennsylvania or Maryland or Washington or Massachusetts or Nevada or Illinois or New Mexico or California or Michigan or Mississippi or Arkansas or New York or Virginia or Colorado or Florida or Minnesota or Georgia or Missouri or Arizona or New Jersey or Tennessee or United States
$75k-$85k/yrHybridFull Time
Sky Zone: Operates indoor active entertainment and trampoline parks for all ages.
3+ YOEBachelor's degree preferred; 3+ years in safety compliance, risk management, claims, insurance litigation support, or related work. Requires investigation, root cause analysis, reporting, communication, and documentation skills.
Risk Management Information System (RMIS), Microsoft Excel, Microsoft PowerPoint, Microsoft Word
Minnesota or Idaho or Arkansas or Texas or Georgia or Montana or Iowa or Oregon or Wisconsin or Washington or Alaska or New York or Hawaii or District of Columbia or Connecticut or Nebraska or Rhode Island or Kentucky or Tennessee or Ohio or West Virginia or Massachusetts or Maryland or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or New Mexico or Michigan or California or Maine or North Dakota or Kansas or New Jersey or Indiana or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Florida or Colorado or Wyoming or Delaware
$19-$35/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
2+ YOE2+ years claims processing or health insurance experience, strong Excel and Microsoft Office skills, analytical and communication abilities, attention to detail, and ability to work independently in a matrixed team.
Microsoft Office, Microsoft Excel, IBM AIX, AS/400
Cardiology Associates of Mobile: Providing comprehensive cardiovascular and vascular medical services in Alabama.
4+ YOERequires 4+ years of physician office billing or insurance collections experience, medical claims and appeals expertise, reimbursement knowledge, communication, analytical skills, and Microsoft Office proficiency.
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
$80k-$134k/yrRemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEBachelor's in analytics/statistics/informatics/business/public health, 3+ years data analysis, advanced Microsoft Excel/SQL/Power BI, dashboard development, data quality, experience with Epic or claims preferred, strong communication.
Microsoft Excel, SQL, Power BI, Epic, Databricks, Azure, ETL, data warehouse
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$79k-$127k/yrOnsiteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOE5+ years designing and delivering clinical and population health analyses using claims, clinical, enrollment and provider data; bachelor's in related field required; strong coding, database and analytic skills; project leadership and consultative experience.
Alabama or Arizona or California or Colorado or Connecticut or District of Columbia or Delaware or Florida or Georgia or Illinois or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Missouri or Nevada or North Carolina or New Jersey or New York or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or South Carolina or Texas or Tennessee or Utah or Virginia or Washington or Wisconsin
$114k-$127k/yrRemoteFull Time
Nava: Consultancy providing digital modernization services to government agencies.
Subject-matter expertise in Medicare claims (Part A/Part B), business analysis or product ownership experience, strong Excel skills, HIPAA/PHI handling, excellent communication and attention to detail, ability to obtain CMS Public Trust.