Claims Analyst Salary at Citibank, Na BETA

We are Lennar Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Lennar has been recognized as a Fortune 500® company and consistently ranked among the top homebuilders in the United States. Join a Company that Empowers you to Build your Future This position supports the Director of Risk Management and Risk Manager in all aspects of the Corporate Risk Management program whose goal is to protect the financial assets of the Company. Primary emphasis is on analyzing, advising on and managing Workers’ Compensation, General Liability, Property, Builders Risk and Auto claims. A career with purpose. A career built on making dreams come true. A career b

Job Description Job Description Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of billing, as necessary. Provides second review of bills on which providers question the appropriateness of payments authorized. Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary. Trains and assists claims staff on quality health care cost containment and utilization reviews. Company Description Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substant

Overview: We're seeking an Epic Resolute Professional Billing & Claims Analyst to join our team! In this role, you'll be responsible for the implementation, maintenance, optimization, and support of assigned applications. This involves partnerships with customers to complete workflow analysis and determining application capabilities and design. In addition, this role is responsible for building the application, developing, and executing test plans, and contributing to training and implementation plans. Additionally, the Epic Resolute Professional Billing & Claims Analyst proactively applies troubleshooting and critical thinking skills to fulfill customer needs. Finally, the role is responsible for effective and timely communications to team members and customers alike on status of their assigned work. Location: Remote, must reside within our geographical footprint of Iowa, Illinois, or Wisconsin. Why UnityPoint Health? Commitment to our Team For the third consecutive year, we're proud

This position is directly responsible for researching and maintaining coordination of benefits of all contracted and non-contracted health plan entities as reported by any health plan, provider, Medicare, TPL, Workers Comp or internal departments. They are to ensure that all EZ-Cap system eligibility data is current and accurate. Researches and maintains systems and changes to existing eligibility in a timely manner. Education and/or Experience: A bachelor’s degree from a four-year college or appropriate industry experience and/or Certification. 3 years office experience in Managed Health Care. Proficient in SQL, Access, and EZ-Cap. Must have knowledge of HMO, PPO, EPO, POS, Government Funded, Medicare and Medicaid plans Must have knowledge of the Department of Managed Healthcare COB guidelines Experience with Windows, Microsoft Office programs, and Outlook. Experience in Customer Service, multi-tasking, and organization. Good verbal and written communication skills. Computer literate

Summary We are seeking a detail-oriented Warranty Claims Analyst responsible for warranty claim documentation and claim review or submission. In addition, this position will be responsible for monitoring and reporting warranty claim reimbursement. The Warranty Claims Analyst position will be a direct report of the Warranty Manager. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Duties and Responsibilities Establish and maintain accurate and timely warranty claim submissions and reviews. Improve efficiency of warranty claim and review process. Identify and implement key performance indicators for improving manufacturer reimbursement. Coordination with branch Service and Parts departments for a

Epic HB/Claims Analyst - Contract (remote) *3-month engagement *4+ years of HB Analyst build experience *HB and HB/Claims certification *Remote *Immediate start date - Monday 11/18/24 Contact: Jack Kowalik jack@roundtablehit.com

System Analyst - Claims Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. Overview Under minimal supervision, formulates and defines Resolute Hospital Billing/Claims scope and objectives through research and fact-finding to develop or modify moderately complex information systems. Prepares detailed specifications from which the patient accounting department system will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/Claims program. Is competent to work on all phases of Epic Resolute Hospital Billing/Claims analysis and implementation activities and able to assist the patient accounting operations champion. Responsibilities: Participates in all aspects of information systems lifecycles (business requirements definition, selection/plannin

Job Description Job Description As a Claims Analyst a qualified candidate will work within our growing Health Benefits Administration team supporting our wide array of self-funded employer clients and their members. As schedules and job responsibilities there may be some opportunity for a hybrid work schedule balancing client and company needs. Responsibilities: Accurately process claims by researching benefits, claim policies, procedure and reviewing claim edits. Answer incoming telephone calls to assist customers with explanations and issue resolution of healthcare policies, benefits, eligibility and coverage. Manage daily workloads to ensure production goals are met and calls are resolved timely. Verify accurate data entry, to include correct patient, coding, dollar amounts and provider information. Maintain accuracy levels of 98% or higher for both payment and statistical data. Work in assigned work groups/queues and assist in other areas as needed. Perform other duties as assigned