17 claims analyst jobs at 15 companies in Kentucky
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Specialty Claims Analyst (Troy, MI)
Illinois or Indiana or Iowa or Kentucky or Michigan or Missouri or Ohio or Oregon or Pennsylvania or Wisconsin or Troy
$21-$24/hrRemoteFull Time
BeneSys: BeneSys is a private U.S. third-party administrator serving Taft-Hartley trust funds with benefits administration and IT services.
2+ YOETwo years of related experience, medical claims processing and terminology knowledge, Microsoft Office proficiency, high school diploma or GED, and strong reasoning, mathematical, communication, and phone skills.
3+ YOEHigh school required (Associate preferred); 3+ years computerized medical billing experience; working knowledge of Medicare/Medicaid and UB04; proficiency in medical billing systems; strong analytical and communication skills.
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: Non-profit health system serving Wisconsin, Michigan, and Minnesota.
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
$67k-$110k/yrRemoteFull Time
Prudential FinancialNYSE: PRU: Global leader in financial services, insurance, and investment management.
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.
Blue & Co., LLC: Independent U.S. accounting and advisory firm serving businesses and organizations with audit, tax, consulting, and valuation services.
3+ YOEBachelor's or equivalent, 3+ years in data analytics/BI or healthcare consulting, Power BI and dimensional modeling experience, familiarity with healthcare claims/EHR data and Microsoft Fabric, strong communication and AI tool usage.
Power BI, DAX, Power Query (M), Microsoft Fabric, Snowflake, EMR, EHR, Copilot, ChatGPT, Claude, LLMs
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Wyoming or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or North Dakota or New Hampshire or Oklahoma or Vermont or Nebraska or New Jersey 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
$67k-$110k/yrHybridFull Time
Prudential FinancialNYSE: PRU: Global leader in financial services, insurance, and investment management.
3+ YOERequires 3–5 years of standalone long-term disability claims experience, knowledge of ERISA and state requirements, strong analytical, communication, customer service, collaboration, and documentation skills.
United States or Alaska or Connecticut or Delaware or Hawaii or Idaho or Kansas or Kentucky or Maine or Massachusetts or Mississippi or Montana or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or Vermont or District of Columbia or West Virginia or Wyoming
$60k-$73k/yrRemoteFull Time
Lumicera Health Services: U.S. specialty pharmacy delivering complex medications, clinical guidance, adherence support, and cost-plus services to patients and health systems.
3+ YOEBachelor’s degree, 3+ years managed care/pharmacy benefits or pharmaceutical experience, pharmacy technician license preferred, ability to analyze claims and contracts, RFP and audit support experience.
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: The world's first indoor trampoline park franchise system.
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
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: Nonprofit healthcare system providing patient-centered care in the Midwest.
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.
0+ YOEInvestigate and validate check fraud claims, apply UCC/Reg CC knowledge, manage case documentation, interact with customers and law enforcement, and use COR/CIF or Service Browser and Excel.
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
2+ YOEHigh school diploma required; associate degree preferred. Requires 2+ years of healthcare billing experience, claims and aging research, communication, computer skills, and Microsoft Excel proficiency.
Waystar, Microsoft Excel, HCHB (Home Care Home Base)
Durham or Mississippi or Louisiana or South Carolina or Kentucky or Kansas or Iowa or Indiana or Arkansas or Texas or North Carolina or Georgia or Virginia or Tennessee or Pennsylvania or Michigan or Wyoming or Wisconsin or Idaho or Utah or Florida or South Dakota or Oklahoma or Ohio or Arizona or Missouri or Alabama or Colorado or Maryland
$119k-$190k/yrHybridFull Time
Blue Cross and Blue Shield of North Carolina: Not-for-profit North Carolina health insurer providing health plans to members, employers, and government programs.
8+ YOEBachelor's or advanced degree and 8+ years of related experience, or 10+ years without a degree. Trizetto Facets enrollment, billing, or claims experience required; payer systems expertise required.
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
2+ YOERequires a high school diploma or equivalent and at least 2 years of healthcare billing experience. Strong communication and Microsoft Excel skills required; claims, appeals, billing portals, and HCHB experience preferred.
Microsoft Excel, HCHB (Home Care Home Base), Waystar
Atlanta or Chicago or Dallas or Louisville or Minneapolis or Philadelphia or Salt Lake City
$65k-$85k/yrRemoteFull Time
Oscar HealthNYSE: OSCR: Technology-driven health insurance and managed care provider.
4+ YOERequires 4+ years in claims processing, coding, auditing, or healthcare operations; 3+ years medical coding; approved coding certification; data analysis, workflow improvement, and stakeholder collaboration experience.
Baptist Health: Non-profit health system serving Kentucky and Southern Indiana.
3+ YOEBachelor's degree and 3 years of related experience, or 4 additional years substituted for a degree. Requires pharmacy revenue-cycle, billing, coding, claims, payment auditing, and denial-management expertise.
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: To create a remarkable health experience, freeing people to be their best.
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.
Ohio or Arizona or Florida or Georgia or Illinois or Indiana or Iowa or Kansas or Kentucky or Maryland or Michigan or Missouri or Nevada or North Carolina or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Wisconsin or Columbus or Columbia or Concordia or Forreston
$64k-$91k/yrRemoteFull Time
Branch Financial: Private Columbus-based insurtech and insurance agency providing home, auto, renters, and umbrella coverage to consumers.
5+ YOETypically 5+ years in personal lines P&C insurance contract/forms, claims, or insurance systems QA. Requires policy interpretation, filings, QA testing, cross-functional collaboration, and a bachelor's degree or equivalent experience.