11 claims analyst jobs at 10 companies in Miramar, FL

3mo
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Claims & Billing Analyst
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
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
2mo
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Analyst, Claims Research
Miami, Florida, United States
OnsiteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
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
4d
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Ability Analyst Paid Family Medical Leave
Lake Mary or Sunrise or Hartford or Alpharetta
$48k-$76k/yr HybridFull Time
The Hartford
The HartfordNYSE: HIG: Provides business and personal insurance, group benefits, and investments.
Bachelor’s degree or equivalent experience preferred; requires claims adjudication, medical terminology, regulatory compliance, analytical, organizational, communication, and claims management system skills.
claims management systems, HIPAA
3w
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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
ICE
ICE: Enforces immigration laws and provides medical care to detainees.
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
Accenture
AccentureNYSE: ACN: Global provider of management consulting and technology services.
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
2w
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Senior Application Analyst - Epic Hospital Claims & Remittance - FT - Days - DIO
Miramar, Florida, United States
OnsiteFull Time
Memorial Healthcare System
Memorial Healthcare System: Providing specialized medical services and comprehensive hospital care.
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
4d
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Ability Analyst Paid Family Medical Leave
Alpharetta or Hartford or Sunrise or United States
$48k-$76k/yr HybridFull Time
The Hartford
The HartfordNYSE: HIG: Provides property and casualty insurance and financial products.
Bachelor’s degree or equivalent experience preferred; claims adjudication, healthcare, or related experience preferred. Requires regulatory, medical terminology, analytical, organizational, communication, and claims-system skills.
claims management systems
3w
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EDI Business Analyst
Miami, Florida, United States
OnsiteFull Time
Pediatrica Health Group
Pediatrica Health Group: Providing comprehensive pediatric primary care for children and families.
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
1mo
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Risk Adjustment Analyst
Doral, Florida, United States
OnsiteFull Time
Centrum Health
Centrum Health: A primary care network providing value-based healthcare services.
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
2mo
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Grievance and Appeals Analyst I
Doral, Florida, United States
$22-$24/hr FieldFull Time
Solis Health Plans
Solis Health Plans: Provides personalized Medicare Advantage health insurance plans and services
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
2w
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Financial Analyst - Fraud, Waste and Abuse (FWA)
Coral Gables, Florida, United States
OnsiteFull Time
Doctors HealthCare Plans
Doctors HealthCare Plans: Provides Medicare Advantage health insurance and managed care services.
3+ YOEBachelor's degree and 3+ years healthcare or Medicare Advantage experience; claims analytics, Excel and SQL proficiency; PowerBI and dashboard experience; strong communication and investigative skills.
Microsoft Excel, SQL, PowerBI