Claims Analyst jobs in Fitchburg, MA

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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Sr. Apps/Analyst - Epic Resolute Hospital Billing and Claims
  • UMass Memorial Health
  • Worcester, MA FULL_TIME
  • Schedule Details:

    Monday through Friday

    Scheduled Hours:

    8am - 4:30pm

    Shift:

    1 - Day Shift, 8 Hours (United States of America)

    Hours:

    40

    This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

    Everyone Is a Caregiver

    At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

    Position Summary:

    Leads and coordinates all aspects of major I.S. Applications projects in multi-platform environments, from the definition of the clients' needs to the delivery of the complete applications package, with procedures and documentation, to the Data Center for production. Responsible for the selection or development, implementation, testing, documentation, maintenance and utilization of applications software to effectively support the clinical or business information systems needs of assigned clients.

    Major Responsibilities:

    • Leads or performs studies to develop a clear understand of clients' clinical or business processes, and corresponding information system needs. Analyzes existing reports, procedures, systems and controls. Conducts feasibility studies and cost/benefit analyses.
    • Designs clinical and business information systems to meet clients' needs. Develops detailed conceptual designs/specifications which define the scope and objectives, and functional and reporting requirements. Develops application-level specifications for systems performance, systems integration and data base design. Produces data flow diagrams. Devises and modifies procedures. Performs and leads studies of the impact of major systems conversions.
    • Apprises client of I.S. design issues, ensuring that the client is informed of alternatives, the results of cost/benefit analysis, and the problematic implications of changes under consideration.
    • Determines the appropriate means for the delivery of necessary applications software, whether through the acquisition of available products or through the development of custom applications software.

    Position Qualifications:

    Required:

    • Bachelor's degree in Computer Science or equivalent is required.
    • Over 5 years and up to and including 7 years of experience.
    • Current Epic certification(s) or ability to achieve based on UMass EPIC Project Commitment.
    • Must be able to work off hours and participate in on-call rotation.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

    We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

    As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

    If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.


    UMass Memorial Medical Center is an Equal Opportunity Employer – M/F/Veteran/Disability/Sexual Orientation/Gender Identity


     

  • 18 Days Ago

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Claims- Field Claims Representative
  • The Cincinnati Insurance Companies
  • Worcester, MA FULL_TIME
  • US-MA-Worcester Description Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into ...
  • 5 Days Ago

T
Claims - Paralegal Claims Counsel
  • The Hanover Insurance Group
  • Worcester, MA FULL_TIME
  • Our Claims Counsel team is currently seeking a Paralegal Claims Counsel in our Worcester, MA location. This is a full time, non-exempt role. This role is eligible for Hybrid/Flex work arrangement. POS...
  • 5 Days Ago

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Claims - Workers Comp - WC Claims Representative
  • The Hanover Insurance Group
  • Worcester, MA FULL_TIME
  • Our Workers Comp Claims team is currently seeking an Claims Representative to join our growing Level One team in our Worcester, MA office. This is a full-time/non-exempt role. POSITION OVERVIEW: In th...
  • 5 Days Ago

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Medical Claims Representative
  • Robert Half
  • Fort Wayne, IN PER_DIEM
  • Needing a medical claims follow-up individual. Responsibilities include: * Must have a medical background* Claims follow-up experience* Follow-up on insurance* Patient claims paid* Customer service* M...
  • 20 Days Ago

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Associate Claims Adjuster - Trainee
  • Trainee - Concord Group Insurance
  • Westborough, MA FULL_TIME
  • Claims Adjuster Trainees handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation and claim resolution. The...
  • 28 Days Ago

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0 Claims Analyst jobs found in Fitchburg, MA area

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Complex Claims Analyst - Healthcare Billing
  • Promedical Llc
  • Lexington, MA
  • Complex Claims Analyst Healthcare Billing PROMEDICAL is seeking a Complex Claims Analyst. This position is responsible f...
  • 4/18/2024 12:00:00 AM

M
Senior D&O Claims Analyst
  • Masis Professional Group
  • Manchester, NH
  • Masis Professional Group has partnered with a New England based insurance client seeking an experienced Sr. D&O Claims A...
  • 4/18/2024 12:00:00 AM

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Senior Tax Analyst
  • Bj's Wholesale Club
  • Marlborough, MA
  • Job description BJs Wholesale Club, Inc. is seeking a Senior Tax Analyst. Responsibilities involve state tax compliance,...
  • 4/18/2024 12:00:00 AM

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Senior Cost Analyst
  • Dcs Corp
  • Bedford, MA
  • DCS Corp has an exciting opportunity for aSenior Cost Analystproviding support to the Air Force Life Cycle Management Ce...
  • 4/18/2024 12:00:00 AM

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Senior D&O Claims Analyst
  • Masis Professional Group
  • Manchester, NH
  • Masis Professional Group has partnered with a New England based insurance client seeking an experienced Sr. D&O Claims A...
  • 4/16/2024 12:00:00 AM

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Senior Marketing Program Analyst, WATCHMAN
  • Boston Scientific
  • Marlborough, MA
  • Work mode: Hybrid Preferred, Remote Considered Onsite Location(s): Maple Grove, MN, US, 55311 Additional Locations: US-M...
  • 4/16/2024 12:00:00 AM

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Senior Tax Analyst
  • BJ's Wholesale Club
  • Marlborough, MA
  • Job description BJ’s Wholesale Club, Inc. is seeking a Senior Tax Analyst. Responsibilities involve state tax compliance...
  • 4/15/2024 12:00:00 AM

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R&D DATA ANALYST
  • Hiring Now!
  • Marlborough, MA
  • The Judge Group is seeking Data Analyst to support the R&D group within a Manufacturing Client in Marlborough MA.This is...
  • 4/14/2024 12:00:00 AM

Fitchburg is the third largest city in Worcester County, Massachusetts, United States. The population was 40,318 at the 2010 census. Fitchburg is home to Fitchburg State University as well as 17 public and private elementary and high schools. Fitchburg is located at 42°34′43″N 71°48′12″W / 42.57861°N 71.80333°W / 42.57861; -71.80333 (42.578689, −71.803383). According to the United States Census Bureau, the city has a total area of 28.1 square miles (73 km2), of which 27.8 square miles (72 km2) is land and 0.3 square miles (0.78 km2), or 1.07%, is water. The city is drained by the Nashua Riv...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$41,022 to $52,605
Fitchburg, Massachusetts area prices
were up 1.6% from a year ago

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