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5 Medical Analyst jobs match your search criteria.

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Job Description: Medical Audit Analyst Medical Audit Analyst Location: Yonkers, NY Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1014213       About the Opportunity An established healthcare facility located in Yonkers, NY is actively seeking a self-motivated and driven professional for a promising opportunity on their staff as a Medical Audit Analyst. In this role, the Medical Audit Analyst will prepare chase lists and ensure all assigned administrative tasks are completed in a timely and efficient manner. Apply today! Company Description Healthcare Facility Job Description The Medical Audit Analyst will: Make outreach calls Collect quality related data via fax/mail/email and prep data for Quality Improvement team Perform other tasks as necessary Required Skills Polished and professional demeanor Ability to multitask Basic math skills Excellent communication skills Highly organized Desired Skills Knowledge of Microsoft Excel, Word, Data Entry, and Access Customer Service experience

Job Description: Claims Analyst Claims Analyst Location: Lake Success, NY Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1010503       About the Opportunity A health insurance agency on Long Island is looking to fill an immediate need with the addition of a new Claims Analyst to their growing staff. As part of the Provider Relations Department, the Claims Analyst will be responsible for assisting Providers with questions pertaining to claims issues, billing questions, and service authorizations. Apply today! Company Description Health Insurance Agency Job Description The Claims Analyst will: Verify and update information related to data entry, submitted claims, authorizations and workflow processes to determine reimbursement eligibility Ensure payments/denials are processed in accordance with Provider contracts, authorizations, the company's New York policies and procedures and in compliance with NY State and CMS policies and regulations Analyze claims and report billing discrepancies for overpayments, retroactive termination errors, duplicate billing/payments, and coding errors. Make sure Providers are in compliance with billing guidelines Clarify health insurance coverage regarding claims’ processing Maintain records, files, and documentation as appropriate Meet department production and quality standards Assist with administrative and operation activities Required Skills 2+ years of Health Insurance and Claims Administration experience High School Diploma and/or Associate's Degree in a related field Experience in Customer Service and Medical Billing Knowledge of ICD-9, ICD-10, CPT, HCPCs, Revenue Codes, and Medical Terminology Medical Practice Front-end Billing and/or Claims follow-up experience Solid analytical, problem solving and troubleshooting skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in a related field Knowledge of HIPPA Rules and Regulations and Experience with Medicaid and Medicare claims

Job Description: Appeals Analyst Appeals Analyst Location: Trenton, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1007332       About the Opportunity A recognized managed care company located in Trenton, NJ is actively seeking a diligent and driven professional for a promising opportunity on their staff as an Appeals Analyst. In this role, the Appeals Analyst supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Company Description Managed Care Company Job Description The Appeals Analyst: Performs review of service requests for completeness of information, collection and transfer of non-clinical data Handles initial screening for pre-certification requests from physicians/members Prepares, documents and routes cases in appropriate system for clinical reviews Initiates call backs and correspondence to members and providers to coordinate and clarify benefits Reviews professional medical/claim policy related issues or claims in pending status Initiates call back or correspondence to Physicians/Members to coordinate/clarify case completion Performs other relevant tasks as assigned by Management Required Skills High School Diploma Knowledge of medical terminology Polished and professional demeanor Strong verbal and written communication skills Ability to multitask Team-oriented Proficiency with computer platforms and applictaions Solid judgment skills Desired Skills Knowledge of contracts, enrollment, billing and claims coding/processing Knowledge Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

Job Description: Business Systems Analyst Business Systems Analyst Location: Staten Island, NY Salary: $70,000-$100,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137087       About the Opportunity A growing managed long term care plan headquartered on Staten Island is actively seeking a self-motivated and dynamic individual for promising opportunity on their staff as a Business Systems Analyst. In this role, the Business Systems Analyst will be responsible for application support for the plan's core systems (e.g., Medical Management, Claim, Data Warehouse, etc.). Additionally, the Analyst reviews and resolves staff issues related to applications. Apply today! Company Description Managed Long Term Care Plan Job Description The Business Systems Analyst will: Analyze incoming requests, gather business requirements, create specification documentation and implement systems solutions Provide application support and trouble shoot incoming issues, determine root cause of the issue and participate in the development of the solution Liaison with vendors for application issues Lead other Business/Systems Analyst in the execution of various projects Track and trend issues for effective resolution and to identify underlying systemic causes Participate in standing meetings as necessary, including but not limited to data warehouse, medical management system, claims system and team building Perform other duties and special projects as assigned by manager Required Skills 5+ years of IT experience Proficiency with MS applications, including but not limited to Word, Excel, Outlook, Power Point, Project and Access Strong telephonic and customer service skills Effective presentation skills Excellent verbal and written communication skills Able to participate in meetings with all levels of management within the organization Detail-oriented Excellent follow-up skills Desired Skills Healthcare experience in a Medicaid/Medicare or MLTC environment VB.Net and HTML

Job Description: Junior Patient Safety Analyst Junior Patient Safety Analyst Location: New York, NY Salary: $65,000-$80,000 Experience: 1.0 year(s) Job Type: Full-Time Job ID: J134861       About the Opportunity A recognized insurance company headquartered in Manhattan is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Junior Patient Safety Analyst. In this role, the Junior Patient Safety Analyst works as a team member to balance multiple functions to analyze, produce and deliver loss prevention and patient safety data and information to company members and staff.  Company Description Insurance Company Job Description The Junior Patient Safety Analyst: Serves an active role in the support of PSLP risk reduction and quality improvement initiatives Works in close collaboration with Data Analysts and Business analysts Applies data and information retrieval, communication, and customer service skills Works to implement and support PSLP Websites Facilitates client surveys and works to develop related analyses and reporting Works independently and as a team member Required Skills 1-3 years of related experience Bachelor’s Degree Ability to rapidly assimilate, synthesize, and communicate data and information on a broad range of topics related to medical malpractice loss prevention, patient quality and safety Ability to balance multiple activities and projects simultaneously Ability to meet deadlines Excellent technical skills Ability to plan, organize, coordinate, and direct work processes Ability to anticipate problems and develop solutions as necessary and appropriate Advanced practical understanding and demonstrated ability to apply the Microsoft product suite and other commercial software packages

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If you’re organized, numbers-oriented, and looking for a job in the medical field, medical analyst jobs might be for you.

There is a huge demand for medical data for healthcare providers, research firms, and pharmaceutical companies. The statistics gathered by medical analysts are used to help find out more about diseases, drugs, and, most importantly, treatments.

Depending on the company of employment, medical analyst positions have different duties and demands. Generally, medical analysts can expect to spend their days gathering and documenting data from medical records, analyzing data, and presenting data and conclusions.

Most colleges and universities do not offer a degree in medical analysis; however, you still need a bachelor’s degree to get the job. Recommended fields of study include information systems, business, and health systems management.
To apply to medical analyst jobs, visit ADVANCE Healthcare Jobs. You can see what jobs are available in your area today!