healthcare claims manual tester Jobs

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Healthcare EDI Claims Analyst with Pega Implementation expertise

Blink Technology Partners

Pennsylvania, USA

Third Party, Contract

Position : Healthcare EDI Claims Analyst with Pega Implementation expertise Location: Remote Duration : Long Term Mode of Interview : Telephonic/Video Job Description: We are seeking a skilled EDI Analyst to join our team. The ideal candidate will have experience with PEGA implementation for claims processing and a strong understanding of APIs, including REST and SOAP. This role involves gathering requirements for request/response payloads and conducting API testing. Knowledge of PEGA claims w

Sr. Business Analyst ( Healthcare Claims Data / SQL)

IT Associates, Inc.

Chicago, Illinois, USA

Full-time

Sr. Business Analyst - Fulltime Position Location - Rosemont, IL (2 days a week onsite)Healthcare client Exp with Facets a plus Good experience with SQL is a must. Visa sponsorship is not available for this role. Locals to Chicago only. Our client that is looking to add a Senior Business Analyst leads the analysis and optimization of claims processes within the health insurance industry. The role involves defining business requirements and specifications including for Facets system configuration

Remote Healthcare Claims Processor (Temporary)

NTT DATA Americas, Inc

Remote or St. Louis, Missouri, USA

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.NTT DATA is seeking to hire a Remote Claims Processor to work remote (MO).Ro

Remote Healthcare Claims Processing Associate (Temporary)

NTT DATA Americas, Inc

Remote

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.NTT DATA is seeking to hire a Remote Claims Processing Associate to work for

Java Developer with Healthcare Claims Processing - ONLY W2

nTech Solutions

Remote or Reston, Virginia, USA

Contract

ONLY W2ONLY W2ONLY W2 MUST HAVE experience with Healthcare Claims processing Title: Java Developer with Healthcare Claims Processing Location: Reston, VA (Hybrid) Duration: 6 Months Contract + Extension Job Description: Terms of Employment Contract, 6 Months This position is hybrid. Candidates should be comfortable working onsite in Reston, VA up to once per week. Overview & Responsibilities We are seeking a skilled Java Developer with strong experience in healthcare claims processing and mode

Remote Junior Manual QA/Test Engineer with Healthcare Domain

Infinite Computer Solutions (ICS)

Remote

Full-time

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Descriptions : Job Title: QA/Test Engineer Remote Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Youll add to you

Senior Manual Tester with accounting or claims systems experience.

Eliassen Group

Anywhere, US

Full-time

Description: 100% Remote role, must be able to work regular EST hours. We are seeking a skilled Manual QA Tester to support the manual testing of our client's accounting system, with a focus on PeopleSoft General Ledger (GL) modules. This role will play a key part in validating the accuracy of financial data and ensuring seamless integration between systems. Due to client requirement, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits

QA Functional Tester with Data Logistics and Healthcare Domain Expertise

iTeckSoft INC.

Remote

Contract

Note: iTeckSoft INC. will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship (H-1B, L-1B, L-1A, etc.).Introduction: We are seeking a meticulous QA Functional Tester with extensive experience in data logistics and a strong background in the healthcare domain. The ideal candidate will be responsible for ensuring the quality and reliability of our healthcare applications, focusing on data transformation processes and data i

Supervisor, Medical Billing - Healthcare Claims

Guidehouse

San Marcos, California, USA

Full-time

Job Family: PFS General Travel Required: Up to 10% Clearance Required: None What You Will Do: The Billing Supervisor - Healthcare Claimsis responsible for the daily operations of billing and works closely with Information Systems, Medical Records, Patient Access and all Ancillary Departments to ensure compliance/ regulatory and accuracy of all billings. Responsible for the supervision of billers, billing systems and billing processes. The Billing Supervisor reports directly to an Operations

Data Tester Lead with Azure + Insurance Policy + claims system Exp

AQUA Information Systems, Inc.

Warren, New Jersey, USA

Contract

Role: Data Tester Lead with Azure + Insurance Policy + claims system Exp. Work Location: Warren, NJ, it s a hybrid role, expectation minimum 3 days work from office in a week is mandatory. Required Qualifications: In this role, we are expecting someone with experience in Azure ADLS gen 2 (data lake) and pipe like ADF/Databricks etc. Data testing is on the Azure data lake target with core Insurance policy, and claims system. Hands on Data Tester exp, Azure, Insurance Policy, claims system Exp. Te

Capability Manager

Horizontal Talent

Minneapolis, Minnesota, USA

Contract

We are seeking a dedicated Capability Manager to join our team in a telecommute role. This position offers an exciting opportunity to lead initiatives that enhance our claims capabilities while collaborating with various stakeholders. Responsibilities Collaborate with business partners to define and develop requirements for claims-related initiatives. Manage the lifecycle of capabilities, ensuring alignment with business needs and strategic goals. Establish and maintain strong relationships with

Appeals and Grievance Specialist II | Irving, TX | Onsite | Contract

Walker Healthforce

Irving, Texas, USA

Contract

Appeals and Grievance Specialist II | Irving, TX | Onsite | Contract Walker Healthforce is seeking an Appeals and Grievance Specialist II for a healthcare client located in Irving, TX. This is acontract opportunity. Start Date: ASAP Walker Healthforce Standard Perks: Weekly pay via Direct Deposit Medical, Dental, and Vision Available 401K JOB DESCRIPTION Review and resolve inquiries and complaints from members and providers related to claims, denials, benefits, and appeals. Review, classify,

Data/Reporting Analyst

Horizontal Talent

Eagan, Minnesota, USA

Contract

Are you a skilled Data/Reporting Analyst looking for a dynamic opportunity to showcase your expertise? Join our team and contribute to a pivotal project with a leading healthcare company, ensuring business requirements are met and supported. Responsibilities Maintain and support ongoing business operations during the transition to a new platform. Handle ad hoc tasks and run reports as needed. Collaborate with business partners to ensure accuracy and feasibility of business requirements. Particip

Epic Principle Trainer

Thinkbyte Consulting, Inc.

Raleigh, North Carolina, USA

Contract

Experience as an Epic-certified Principal Trainer. PT 1 - certified as Principal Trainer for EpicCare Inpatient - ClinDoc with Secure Chat & Rover, Clinical Case Management, Behavioral Health, & LTC PT 2 - certified Principal Trainer for Willow Inpatient & Willow Ambulatory, Willow Inventory/Supply PT 3 - certified Principal Trainer for EpicCare Ambulatory, Wisdom, EpicCare Link, MyChart Patient Experience Platform, & Healthy Planet PT 4 - certified as Principal Trainer for Cadence Enterpris

Healthcare Business System Analyst - Remote (Anywhere in the US)

Info Dinamica Inc

US

Third Party, Contract

Healthcare Business System Analyst Remote (Anywhere in the US) Quarterly Travel to Puerto Rico for a week is required. Contract Fluency in Spanish language. As a Business System Analyst, you will be a part of an Agile team to build healthcare applications and implement new features. Responsibilities/Requirements : 12+ years of experience as a Business Analyst in the healthcare payer domain Fluency in Spanish language. Analyze and document business pro

Business Systems Analyst

Hunter Recruiting

Westlake, Ohio, USA

Full-time

Business Systems Analyst Westlake, OH Competitive Compensation and Benefits Package The Business Systems Analystis responsible for delivering successful new client implementations as well as ongoing client support. This position requires a highly motivated, self-driven individual who is passionate about achieving goals and committed to providing a high level of service. Business Systems Analyst Primary Responsibilities: Data analysis and data translation between proprietary and standard file fo

QA Functional Tester with PBM and Healthcare Domain Experience

iTeckSoft INC.

Remote

Contract

Note: iTeckSoft INC. will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship (H-1B, L-1B, L-1A, etc.). Introduction: We are seeking a skilled QA Functional Tester with extensive experience in Pharmacy Benefit Management (PBM) and the healthcare domain. The ideal candidate will be responsible for ensuring the quality and reliability of our healthcare applications, collaborating with cross-functional teams, and contributin

Medical Claims Examiner - M

Next Step Systems

Tucson, Arizona, USA

Full-time

Medical Claims Examiner, Tucson, AZ The Medical Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of

Medical Claims Coder - M

Next Step Systems

Tucson, Arizona, USA

Full-time

Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medica

Claims Examiner - M

Next Step Systems

Tucson, Arizona, USA

Full-time

Claims Examiner, Tucson, AZ The Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner