Claims Analyst Salary at Arkansas Blue Cross BETA

HEALTH CARE ANALYST Date: Oct 28, 2024 Req ID: 44441 Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: $32,405.00 Position Number: 22099403 County: Pulaski Posting End Date: 11/11/2024 Anticipated Starting Salary: $32,405.00 DMS Hiring Official: Jamie Ward Must have skills: Knowledge of state and federal laws and regulations and agency policy governing health care. Knowledge of medical insurance claims procedures. Knowledge of medical terminology and records. Ability to analyze medical claims and reports in accordance with established criteria. Ability to interpret and apply state and federal laws and agency policy governing health care. Ability to prepare and present verbal and written information, correspondence, and reports. Experience working with Microsoft Excel, analyzing data, and working with Medicaid or other insurance programs. Receive and review various types of Beneficiary appeals Serve as clerical support to Appeals and H

Our company is one of the largest providers of supplemental coverage to labor unions, credit unions, and associations. We are licensed in 49 states, the District of Columbia, Canada, and New Zealand. We are a wholly-owned subsidiary of Globe Life, an S&P 500 company traded on the New York Stock Exchange under the symbol GL. Incentives include, but are not limited to: No cold calling Qualified lead program (no cost to you) - We have relationships with 30,000+ Groups nationwide with millions of members needing our services Conventions and incentive trips Production awards Advancement based on performance Weekly advance and bonuses Lifetime renewals Benefits (Health Insurance, Life Insurance) Union backed contract Mentorship and complete training Industry leading tools and technology access Work from home (web conference-based presentations) Looking for candidates who hold the below characteristics: Passionate Competitive Motivated Dependable Hardworking Adaptable Flexible Trainable Our t

**Work Shift:** Day Shift **Time Type:** Full time **Department:** CC017691 Regional Care Center **Summary:** Monday - Friday, 8:00 a.m. - 5:00 p.m. **On-Premises** Responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage, resolves any issues with coverage and escalates complicated issues. Verifies, interprets, coordinates, disseminates insurance information; establishes and counsels patient on co-payments, maintains charge capture information. **Additional Information:** **Monday - Friday, 8:00 a.m. - 5:00 p.m. **On-Premises**** **#ACH2024** **Required Education:** High school diploma or general education degree (GED) **Recommended Education:** Associate Degree **Required Work Experience:** Related Field - 1 year of experience **Recommended Work Experience:** Administrative Support - Direct_Epic experience **Required Certifications:** **Recommended Certifications:** **Description** 1. Obtains pre-authorization

Manager SC&E Compliance Reporting Do you love a challenge? Are you passionate about adding value through process improvement? We are looking for an energetic accounting professional with outstanding analytical capabilities to join our US Financial Reporting organization; a self-starter and enthusiastic team member who is highly organized with excellent attention to detail. Recruiting for this role ends on 15 November,2024 Work you will do As a Manager in Social, Climate and Equity (SC&E) Compliance Reporting, you will play a critical role in ensuring our firm meets its environmental, social, and governance (ESG) regulatory reporting obligations. You will be responsible for the development, implementation, and management of our ESG compliance reporting framework, working closely with various stakeholders to drive our sustainability agenda. Your specific responsibilities include: + Lead the development and execution of the ESG compliance reporting strategy, ensuring alignment with regula

**JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst) is responsible for monitoring and oversight of the end-to-end encounter management workflow. Supports program management activities around risk adjustment data management and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS). **SALARY (BASED OFF OF RELEVANT EXPERIENCE)** The pay range for this position is $36.80 (entry-level qualifications) - $57.03 (highly experienced) The rate will depend upon the successful candidates qualifications and prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** + Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk gaps, or sources of incorrect and incomplete diagnostic data. + Performs analysis and reporting activities related to risk score calculation, encounter data submission, chart review programs and

Save Apply 100% Remote. Incredible Growth Opportunities. World Class Mentors and Leaderships Teams. AO wants YOU to join the team. AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers. Company Incentives: • Incentive Trips with Top Leaders to destinations like Cabo, Tulum, Vegas, and Cancun Incredible Prizes - Jeep Wranglers, Macbook Pros, and Airbnb Getaways 100% Remote •Work From Anywhere (no, really!) Weekly Training Calls Preferred Qualifications: • Excellent communication skills, including active listening and problem-solving Ability to learn, adapt, and adjust on the go Works well with others and individually • Possesses a strong work ethic and drive to succeed To be considered, please submit your contact information and an updated copy of your resume for review. *In the interest of community wellness, AO has adjusted our business operations

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Job Purpose and Summary:** The Care Manager is a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited health conditions. These members are usually stratified as low risk. The Care Manager will wo

BENEFITS ANALYST Date: Oct 30, 2024 Req ID: 39943 Location: Little Rock, AR, US, 72201 Category: STATEWIDE SHARED SERVICES Anticipated Starting Salary: 32404.94 -46986.99 Position Information Class Code: R033C Grade: GS05 FLSA Status: NON-EXEMPT Salary Range: $32,405.00 - $46,987.00 Summary The Benefits Analyst is responsible for developing, implementing, and analyzing employment benefits. This position is governed by state and federal laws and agency/institution policy. Functions Interprets laws, rules, and policies concerning benefits and retirement systems; provides advice based on interpretations. Provides a variety of technical information from which employees and members may make responsible decisions concerning their benefits and retirement plans. Researches data system to provide information to employees and members on the status of their account. Presents benefits open enrollment meetings and retirement workshops. Computes annuity benefits utilizing years of service and compen