Lighthouse Point • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Lighthouse Point • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Lighthouse Point • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Lighthouse Point • 50 milesRemote · Hybrid · Onsite · Field · All Environments
14 claims analyst jobs at 10 companies in Lighthouse Point, FL
3d
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Claims Analyst
Sunrise, Florida, United States
$20-$25/hr HybridFull Time
5+ YOEHigh school diploma or GED and 5–7 years of related claims experience required; associate degree and CPC or equivalent preferred. Requires medical claims, coding, reimbursement, audit, and analytical expertise.
ICD-10-CM, HCPCS Level II, HCPCS Level III, CPT, Diagnosis-Related Group (DRG), UB-04, CMS-1500, Standard Operating Procedures (SOPs)
3mo
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Claims & Billing Analyst
Miami, Florida, United States
OnsiteFull Time
2+ YOEBachelor’s degree in Healthcare Administration, Business, Finance, or related field; 2+ years in medical billing/claims; knowledge of billing codes, payer guidelines; proficient with billing software and EHR; strong analytical and communication skills; relevant experience may substitute for education.
Billing software, EHR, Healthcare payer systems
5d
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Claims Quality Business Analyst
Coral Gables, Florida, United States
OnsiteFull Time
3+ YOEBachelor's degree required with 3–5 years of health plan claims, business analysis, or healthcare analytics experience; requires managed care knowledge, strong reporting, data analysis, communication, and advanced Excel skills.
Microsoft Excel, Facets, QNXT, HealthRules
2mo
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Analyst, Claims Research
Miami, Florida, United States
OnsiteFull Time
3+ YOEAt least 3 years of medical claims processing experience; multi-state exposure; data analysis; strong communication and organizational skills.
Microsoft Excel, Office Suite, Data analysis tools
2d
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Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York City or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
3+ YOERequires 3+ years of relevant professional experience, including 2+ years in program management, administration, healthcare management, finance, or medical claims; healthcare management, claims, coding, EHR, and Microsoft Office knowledge required.
International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), Current Procedural Terminology (CPT), Diagnosis-Related Group (DRG), Centers for Medicare and Medicaid Services (CMS), electronic health records, Microsoft Office, Microsoft SharePoint
1mo
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Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
1w
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Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
Epic Systems, Epic Revenue Cycle
1d
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Claims Management Program Analyst (O-5 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York City or Oklahoma City or Portland or Austin
$1-$150k/yr OnsiteFull Time
5+ YOEBachelor's degree in a healthcare-related field, 5+ years relevant professional experience, including 2+ years managing, administering, or evaluating public health programs; Level II COR certification required.
Defense Acquisition University (DAU), Federal Acquisition (FAI) Cornerstone OnDemand (CSOD), International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), CPT, DRG, Centers for Medicare and Medicaid Services (CMS), electronic health records, MS Office, Adobe
3w
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Senior Application Analyst - Epic Hospital Claims & Remittance - FT - Days - DIO
Miramar, Florida, United States
OnsiteFull Time
5+ YOEAssociates in IT or related field, minimum 5 years relevant experience, subject-matter expertise in clinical applications, strong analytical and project management skills, ability to mentor junior staff.
Epic
1mo
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EDI Business Analyst
Miami, Florida, United States
OnsiteFull Time
5+ YOEDesign and support clearinghouse constructs, monitor EDI feeds, analyze data trends, perform gap/root-cause analysis, and implement process optimizations. Requires deep claims/RCM knowledge and strong communication.
eClinicalWorks, Microsoft Word, Microsoft Excel, Microsoft Outlook, SQL
2mo
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Grievance and Appeals Analyst I
Doral, Florida, United States
$22-$24/hr FieldFull Time
2+ YOEMinimum 2 years managed care/appeals or equivalent; working knowledge of Medicare/Medicaid/CMS and NCQA; experience with claims/denial management; strong analytical, written and verbal communication; proficiency with Microsoft Office and case/claims systems.
Microsoft Office
1mo
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Risk Adjustment Analyst
Doral, Florida, United States
OnsiteFull Time
5+ YOEBachelor's degree required; 5+ years SQL development, 3+ years healthcare claims/risk adjustment and analytics, 2+ years Power BI, experience with Python/Scala and Databricks preferred; familiarity with CMS-HCC, HHS-HCC, HEDIS, MSSP.
SQL, Scala, Python, Microsoft Power BI, Databricks, Microsoft Excel
4d
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Sr Payment Integrity Analyst
Sunrise, Florida, United States
HybridFull Time
5+ YOEBachelor's degree in healthcare, finance, or related field, or 5+ years relevant experience; 5+ years in health-plan data roles with claims and encounter data; SQL and Power BI proficiency required.
SQL, Microsoft Power BI
3d
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Financial Analyst - Fraud, Waste and Abuse (FWA) (Onsite)
Coral Gables, Florida, United States
OnsiteFull Time
3+ YOEBachelor's degree and 3 years of healthcare or Medicare Advantage experience required. Requires claims analysis, advanced Excel and SQL, Power BI, dashboard development, communication, and investigative skills.
Microsoft Office, Microsoft Excel, SQL, Power BI