Claims Analyst jobs in Alaska

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Epic Applications Analyst - AP Claims
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description

    *We are currently offering remote work from one of our footprint states which are inclusive of WA, OR, MT, CA, AK and or TX*

    Providence is seeking an Epic Applications Analyst – AP Claims, who will:

    • Demonstrate full use and application of standard principles, theories, and concepts related to technical discipline and provide solution to a variety of moderately complex problems.
    • Manage small and moderately complex projects, establish and implement new or revised system requirements or procedures.
    • Analyze user requirements, develop and implement systems for moderately complex processes.
    • Coordinate activities of project team and act as a source for direction, training and guidance for less experienced departmental staff.
    • Initiate course correction to stay on schedule while providing professional support for a large multi-facility healthcare organization.
    • Build and enhance effective working relationships with a wide range of internal and external contacts, vendors, and stakeholders on behalf of Providence St. Joseph Health and Services.
    • Work collaboratively with colleagues across PSJHS in delivery of specific cross departmental projects and efforts.
    • Actively support and incorporate the mission and core values into daily activities.
    • Treat all others with respect and demonstrate excellence, justice and compassion in daily work and relationships with others.

    In this position, you will:

    • Work collaboratively with clients to determine information and data requirements. Evaluate and report on a variety of topics, sometimes complex in nature.
    • Collaborate with customers on efficient, effective use of application resources, and create related documentation as necessary.
    • Work with internal teams to support and develop business solutions. Use professional knowledge, judgment and analysis in making decisions or recommending a course of action that meets business needs.
    • Demonstrates service excellence and positive interpersonal relationships in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, and community members, so that productivity and positive relations are maximized.
    • Applies standards, concepts and theories related to technical discipline to provide solutions to moderate to highly complex problems, while also mentoring less experienced staff in the use of these tools, techniques and analytical skills.
    • Prepares documentation and assist in documenting and defining workflows in collaboration with relevant stakeholders.
    • Participate in projects and assist project leaders, taking lead on smaller projects as needed.
    • Synthesizes data, information, and knowledge to analyze multiple approaches/solutions to issues or problems.
    • Collaborates with peers to create and maintain standard team specific documentation. Instrumental in maintaining, and consistently participates in improving standards of documentation.
    • Identifies, manages, and communicates issues and risks, diplomatically escalating as appropriate through areas affected. Assist in troubleshooting root cause failures.
    • Understand and translate the business needs into system configuration and workflow validations.
    • Builds and participates in test plan development. Acts as a resource during testing and upgrades; coordinates with appropriate individuals.
    • Able to define and meet individual goals consistent with organizational mission, quality, budget, customers, and financial results.
    • Plans and coordinates downtime, change management, maintenance, and upgrades.
    • Ability to travel as required.
    • Perform rotational on-call responsibilities.

    Job Specific Knowledge, Skills and Abilities:

    • Competent in supporting the technical, operational and application needs of appropriate moderately complex applications or subcomponents of a highly complex application.
    • Ability to train team members in information collection and troubleshooting root cause of application failures.
    • Knowledgeable of application architecture with basic skills in technical documentation of application system installations and moderately complex system flows.
    • Ability to develop test plans for appropriate moderately to highly complex applications.
    • In-depth knowledgeable of database configurations, complex queries and elements.
    • Demonstrated ability to pro-actively identify ways to enhance or improve programs, processes and systems.
    • Proficient in Microsoft office products.
    • Able to lead small to medium internal project work with moderate complexity and moderate risk.
    • Demonstrated ability to network collaboratively with line managers and supervisors, as well as high level individual contributors.
    • Able to independently prioritize work assignments, meet deadlines and manage multiple priorities.
    • Able to work independently and as part of a team.
    • Skilled communicator, both oral and written. Skilled in working collaboratively, courteously and tactfully with difficult situations and/or people to recognize issues and solve problems. Able to adapt communication style to the needs of others, especially in difficult situations.
    • Able to respect confidentiality of all information, especially related to patients, medical staff and employees.
    • Able to set challenging objectives and works against self-defined standards of excellence to continually improve personal performance.

    Required qualifications:

    • Bachelor's Degree in Computer Science, Business Management, Information Services -or- equivalent educ/experience.
    • Epic certification (must be kept up to date) within 90 days of hire.
    • Applicable Epic Certification within 3 months of last class required for certification (must be kept up to date) upon hire.
    • Some application suites require advanced current clinical knowledge and expertise (Pharmacist, Registered Nurse, LPN, Therapist) as demonstrated by a current state license upon hire.
    • 4 years industry related experience.

    Preferred qualifications:

    • Working Knowledge in managed care.
    • Tapestry Certification.
    • Any certifications relating to software applications, technology infrastructure, and/or clinical specializations (must be kept up to date) upon hire.
    • 3 years Healthcare IS experience.
    • Epic experience.

    Salary Range by location:

    NorCal (Napa, Sonoma)

    Min: $45.10, Max: $72.81

    Southern California, NorCal (Humboldt) Alaska (Kodiak, Seward, Valdez)

    Min: $40.20, Max: $64.89

    WA Puget Sound Oregon (Portland) Alaska (Anchorage)

    Min: $38.56, Max: $62.26

    Oregon (Hood River, Medford, Seaside)

    Min: $35.95, Max: $58.04

    Eastern Washington (Richland, Spokane, Walla Walla)

    Min: $34.31, Max: $55.40

    Montana

    Min: $31.05, Max: $50.12

    Texas

    Min: $29.41, Max: $47.48

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    About the department you will serve.

    Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 264237

    Company: Providence Jobs

    Job Category: Applications

    Job Function: Information Technology

    Job Schedule: Full time

    Job Shift: Day

    Career Track: Business Professional

    Department: 4011 SS IS CRCA TAPESTRY

    Address: WA Renton 2001 Lind Ave SW

    Work Location: Providence Southgate 2-Renton

    Pay Range: $See Posting - $See Posting

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 5 Days Ago

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Claims Processor
  • Highmark Health
  • AK, AK FULL_TIME
  • Description JOB SUMMARY This job is responsible for screening, reviewing, evaluating online entry, correcting errors and / or performing quality control review and final adjudication of paper / electr...
  • 21 Days Ago

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Claims Adjuster
  • University of Alaska
  • Anchorage, AK FULL_TIME
  • Job Number:527737 Classification:Risk Management 4 Grade:Grade 82 Work type:Hybrid, On Campus, Staff Full-time Administrative Unit:University of Alaska Statewide School/Business unit:Vice President of...
  • 1 Day Ago

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Claims Specialist - Workers Compensation
  • Crawford & Company
  • Alaska, AK OTHER
  • Excellence In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inven...
  • 19 Days Ago

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Medicaid Claims Manager
  • Fortuna BMC
  • Anchorage, AK FULL_TIME
  • Title: Medicaid Claims Manager The Claims Manager position is responsible for, at a minimum, the following functions: mailroom, data entry, scanning, adjustments, resolution, and change orders. This i...
  • 21 Days Ago

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Claims Appeal Representative
  • Providence
  • Bartlesville, AK PART_TIME,FULL_TIME
  • Description Claims Appeal Representative - 100% Remote. Part Time- Day Shift.. We welcome residents in our footprint states, AK, CA, OR, WA, TX, NM, or MT. The Claims Appeal Representative position is...
  • 3 Days Ago

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Claims Analyst
  • Kuvare Holdings
  • The Complex Claims Analyst is responsible for handling all Life claims including Living Benefits (disability, waiver of ...
  • 3/29/2024 12:00:00 AM

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Claims Analyst
  • MagMutual LLC
  • Atlanta, GA
  • OVERALL RESPONSIBILITIES: Investigate and manage with minimal supervision primarily litigation and selected high-exposur...
  • 3/29/2024 12:00:00 AM

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Senior Complex Casualty Claim Analyst
  • AIG - American International Group, Inc.
  • Chicago, IL
  • This position will ensure high-quality claim handling in the Casualty - Complex Claims Unit. Files handled by this unit ...
  • 3/29/2024 12:00:00 AM

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Scheduling & Claims Analyst
  • Marathon TS
  • Bethesda, MD
  • Senior Construction Scheduling and Claims Consultant Summary/Objective The Senior Scheduling and Claims Consultant will ...
  • 3/28/2024 12:00:00 AM

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Claims Analyst | Home Plus Pharmacy-Specialty | Full Time - 40 Hours
  • Monument Health
  • Rapid City, SD
  • Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday...
  • 3/28/2024 12:00:00 AM

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Senior Casualty Claims Analyst
  • AIG
  • Chicago, IL
  • Senior Casualty Claims Analyst Join us as a Senior Casualty Claims Analyst to take on key responsibilities within a worl...
  • 3/27/2024 12:00:00 AM

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Mechanical Claims Analyst (Remote/Hybrid)
  • JM Family Enterprises
  • Deerfield Beach, FL
  • Who We Are Looking For? Fidelity Warranty Services, Inc. (FWS), a subsidiary of JM&A, is looking for Mechanical Claims A...
  • 3/26/2024 12:00:00 AM

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Pharmacy Claims Analyst- Hybrid (Quincy, MA)
  • University of Massachusetts Medical School
  • Quincy, MA
  • Overview POSITION SUMMARY: Under the direction of the Director of Pharmacy Technology and Informatics or designee, the P...
  • 3/26/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$41,984 to $53,839

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