medical review nurse analyst

Parallon

<div><h5 class="jobSectionHeader">Introduction</h5>
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as a Billing Integrity Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Billing Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances. Analyzes accounts for specialized billing requirements that require a review of the medical record documentation, regulatory information, and HCA standards. Uses clinical expertise when applicable to perform charge reviews and/or works on edits that are deemed appropriate for only an RN to be qualified to review and resolve. Combines or splits accounts as appropriate. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Coordinates retrospective, concurrent, patient requested, and external billing audits. Reviews denial trends for documentation and charging opportunities. Serves as a primary contact for charge related SSC and facility inquiries and issues.
In this role you will:<ul><li>
Analyze and resolve specific billing edits that require an RNs clinical expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate.
</li><li>Identify charging, coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues.
</li><li>Perform charge audits reviews by verifying billing data as compared to documentation and making corrections in Patient Accounting as needed.
</li><li>Analyze charge review findings, provide recommendations to facility ancillary department directors in order to improve documentation, charging flow, and accuracy.</li><li>
Serve as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary
</li><li>Performs assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) by researching documentation, analyzing information, entering all corrections as needed and communicating error trends to provide process improvement opportunities.
</li><li>Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Billing Integrity procedures and implement changes as needed. Perform NCD LCD Coverage review when requested.
</li><li>Participate in customer service events at the facility such as facility FECC Committee, new director onboarding, charge education and report charging issues as appropriate.</li></ul>
Qualifications:<ul><li>
RN or other advanced nursing degree required</li><li>
Active Registered Nurse License or other advanced nursing license required. Compact license for all states accepted.</li><li>
Healthcare experience in an acute care hospital or coding experience preferred. Knowledge of CPT/HCPCS codes or experience in charging or performing charge reviews</li></ul>
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Billing Integrity Analyst RN opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Billing Integrity Analyst RN

West Calcasieu Cameron Hospital

I. DESCRIPTION
 The Clinical Informatics Educator/Analyst (CIEA) will collaborate as a member of the Information Technology Department and assist with coordination, planning, design, development, implementation, maintenance and evaluation of clinical information systems. The CIEA will be accountable for measurable improvements in clinician satisfaction with technology, and in the use of the technology to facilitate best practices, promote patient safety, improve workflow, and reduce errors. The CIEA is responsible for training, supporting, and assisting with the optimization of West Calcasieu Cameron Hospital's Electronic Health Record (EHR), including its components (i.e. Order Sets, Clinician Documentation, Medication administration, etc.). This position works closely and collaborates with the information systems, patient care services, medical records and the education departments to improve and maximize the computerized medical record. In addition, this position serves as an EHR Physician Liaison and assists clinical and non-clinical employees in the workflow needs of the EHR.
 
II. POSITION SPECIFICATIONS
 
<ul>
<li>Educational Requirements:</li>
</ul>
Bachelor's or Associates degree in Nursing
 
Current state licensure as Registered Nurse
 
•
 
<ul>
<li>Experience Requirements:</li>
</ul>
One year minimum in informatics/analyst role
 
Two years minimum as a Registered Nurse
 
Knowledge of current Paragon and Wellsoft EHR programs preferred
 
•
 
<ul>
<li>Special Requirements:</li>
</ul>
Must possess excellent interpersonal skills in order to maintain a professional working relationship with area specific departments, and have the ability to communicate effectively both written and verbally. Must possess Project Management Skills and initiative on projects and must possess excellent analytical and problem solving skills.
 
III. JOB RELATED HAZARDS
 
Most job functions will take place in an air-conditioned office with little exposure to hazardous or infectious materials. Customer contact may cause some exposure to infection. Employee may be required to perform duties in storage areas. Possible long hours of sitting at a computer terminal is routine. Some lifting, stooping, and pushing will be necessary. Local travel to clinics and physician's offices required.

Clinical Informatics Educator

Alaka`ina Foundation Family of Companies

<div><div>The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Nurse Abstractor Jr. to support our government customer located in Ft. Sam Houston, Texas.
This is a partially remote position. Individual will be expected to be onsite once every other week and for periodic meetings.
DESCRIPTION OF RESPONSIBILITIES:<ul><li>
Provide Trauma or Orthopedic Nurse Analyst / Abstractor Support</li><li>
Review source data from handwritten medical records as well as electronic sources such as MHS Genesis, Armed Forces Health Longitudinal Technology Application (ALTHA), Critical Care Air Transport Team (CCATT) records, ESSENTRIS, Joint Legacy Viewer (JLV), Patient Movement Records (PMR), Tactical Combat Casualty Cards (TC3), Theater Data Medical Store (TMDS), Web Interface Scanned Patient Records (WISPR) and other source data as provided by the Government and enter same information into the Department of Defense Trauma Registry (DoDTR) and/or the integrated clinical modules of the DoDTR in accordance with government provided business rules</li><li>
Collect comprehensive, accurate data relating to trauma patients by abstracting all trajectories of care</li><li>
Verify and update all information compiled, and enter data into the application in a timely manner</li><li>
Code injuries, procedures, and causes of injuries using standard medical record references, specifically International Classification of Diseases (ICD), Ninth and Tenth Revision (9/10) codes, assign diagnoses Abbreviated Injury Scale (AIS) and ICD-9/10-CM (Clinical Modification) codes, ICD-10-PCS and CPT codes, and complete Injury Severity Scale (ISS) and other calculations for an average of one hundred eighty (180) levels of trauma care per week or three hundred sixty (360) orthopedic procedures per week or 120 Infectious disease records per week with at least 90% average accuracy.</li><li>
Correct audited inaccuracies within 7 days of audit utilizing the government provided abstracting business rules</li><li>
Complete abstraction time and medical record documentation in JTSM daily</li><li>
Serve as a trauma and clinical subject matter expert to non-clinical personnel</li><li>
Other duties as assigned.</li></ul>
REQUIRED DEGREE/EDUCATION/CERTIFICATION:<ul><li>
Bachelor&rsquo;s Degree in Nursing</li><li>
BSN prepared registered nurse, with an active nursing license in one of the fifty states</li></ul>
REQUIRED SKILLS AND EXPERIENCE:<ul><li>
Three to five (3-5) years&rsquo; experience</li><li>
Experience in caring for trauma patients in the emergency department, intensive care unit or in a deployed environment</li><li>
Familiar with basic computer skills, such as utilizing Microsoft office products</li></ul>
DESIRED SKILLS AND EXPERIENCE:
Military Treatment Facility Experience
REQUIRED CITIZENSHIP AND CLEARANCE:<ul><li>
Must be a U.S. Citizen</li><li>
Tier I Clearance before starting work</li></ul> 
The Alaka`ina Foundation Family of Companies (FOCs) is a fast-growing government service provider. Employees enjoy competitive salaries. Eligible employees enjoy a 401K plan with company match; medical, dental, disability, and life insurance coverage; tuition reimbursement; paid time off; and 11 paid holidays.
We are an Equal Opportunity/Affirmative Action Employer of individuals with disabilities and veterans. We are proud to state that we do not illegally discriminate in employment decisions on the basis of any protected categories. If you are a person with a disability and you need an accommodation during the application process, please click here to request accommodation. We E-Verify all employees
&ldquo;EOE, including Disability/Vets&rdquo; OR &ldquo;Equal Opportunity Employer, including Disability/Veterans&rdquo;
The Alaka`ina Foundation Family of Companies (FOCs) is comprised of industry-recognized government service firms designated as Native Hawaiian Organization (NHO)-owned and 8(a) certified businesses. The Family of Companies (FOCs) includes Ke`aki Technologies, Laulima Government Solutions, Kūpono Government Services, and Kapili Services, Po`okela Solutions, Kīkaha Solutions, LLC, and Pololei Solutions, LLC. Alaka`ina Foundation activities principally benefit the youth of Hawaii through charitable efforts which includes providing innovative educational programs that combine leadership, science &amp; technology, and environmental stewardship.
For additional information, please visit www.alakainafoundation.com 
#LI-JS1
#ClearanceJobs</div></div>

Nurse Abstractor Jr.

Berkley

<div>Company Details:
<div></div><div>
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker&rsquo;s successful and speedy return to work is good for people and good for Berkley&rsquo;s insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology as a way to deliver the best outcome for injured workers and Berkley&rsquo;s operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers&rsquo; compensation cases.</div><div></div><div> 
To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley&rsquo;s operating units with reliable results, and reduced time and expenses associated with case management.</div> 
<div></div>
Responsibilities:
<div>
The position serves as a subject-matter expert for Medical Bill Review (MBR) operations, providing advanced production support, driving process improvements, and coordinating cross-functional issue resolution and project execution. As an Operations Analyst, you will support the processing of workers&rsquo; compensation medical and pharmacy bills from bill intake through bill payment and is a primary resource for issue resolution related to these processes. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting. You may also work directly with medical providers and networks regarding billing issues. We&rsquo;ll also look to you to independently and as part of a team identify issue commonalities and root causes to assist in solution design, monitoring, and controlling.</div><div> 
</div><div>The position serves as a subject-matter expert for Medical Bill Review (MBR) operations, providing advanced production support, driving process improvements, and coordinating cross-functional issue resolution and project execution. Core responsibilities include:</div><div>
MBR Production Support &amp; Issue Resolution</div><ul><li>
Serve as the primary escalation point for complex MBR issues that cannot be resolved by Operations Technician/Level 1 support, vendors, or related internal teams (Clinical Validation, Negotiations, OU adjusters, mailroom).</li><li>
Diagnose operational and adjudication issues by applying deep MBR process knowledge and collaborating with vendors and internal partners to resolve root causes.</li><li>
Provide backup Level 1 support, including bill-level troubleshooting, Jira ticket creation/maintenance, report distribution, and vendor communications.</li><li>
Maintain timely, clear communication with Operating Units, providers, and stakeholders regarding issue status, outcomes, and required actions.</li></ul><div>
Operational Analysis, Monitoring &amp; Continuous Improvement</div><ul><li>
Monitor business dashboards and vendor reports daily to identify and escalate adverse bill TAT trends, identify likely root cause owners, and track resolution progress.</li><li>
Recommend workflow enhancements, rule updates, and process changes to improve MBR accuracy, efficiency, and throughput.</li><li>
Document trends, issues, and resolutions to support auditability and continuous operational improvement.</li></ul><div>
Cross-Functional Collaboration</div><ul><li>
Work closely with BMMS IT, BAMTECH, BTS, Finance, Data Reporting, and MBR vendors to coordinate root cause investigations, technical fixes, and operational adjustments.</li><li>
Support Operating Unit staff by analyzing medical bill issues, guiding next steps, and ensuring a consistent, professional experience.</li><li>
Build and maintain strong relationships with internal teams, external vendors, clients, and medical providers.</li></ul><div>
Project Leadership</div><ul><li>
Serve as the lead business resource for regulatory audit responses, coordinating data gathering, vendor input, and documentation review prior to submission.</li><li>
Lead reconsideration projects, including impact analysis, bill resubmission coordination, and monitoring outcomes.</li><li>
Partner with Business Analysts on MBR-related initiatives such as API implementations, vendor transitions, mailroom integrations, and payment process enhancements.</li></ul><div>
Professional Standards &amp; Administration</div><ul><li>
Manage assignments in alignment with standard operating procedures, meeting requirements, and departmental expectations.</li><li>
Maintain issue tracking and ensure timely escalation of complex matters.</li><li>
Demonstrate professionalism, tact, and discretion in all interactions, contributing positively to department morale and organizational reputation.</li></ul>
Qualifications:
<ul><li>MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding;</li><li>
Demonstrated application of successful critical thinking and complex problem solving skills;</li><li>
Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology &ndash; not at a developer level &ndash; but from a business analyst perspective;</li><li>
Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution;</li><li>
Communication experience with varied audiences including leadership and peers in business/operational &amp; technology roles;</li><li>
Client-facing acumen</li><li>
Team-player</li><li>
Experience with Atlassian/JIRA/SQL</li><li>
5 years in a multi-faceted workers compensation MBR role demonstrating increasing responsibility with required skills outlined above within that time<ul><li>
or 3 years in an MBR role + 2 years in position with similar responsibilities;</li></ul></li></ul>
Additional Company Details: www.berkleymms.com The Company is an equal employment opportunity employer We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees &bull; Base Salary Range: 75k - 95k &bull; Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements: &bull;Domestic U.S. travel required (up to 5% of time) Sponsorship Details: Sponsorship not Offered for this Role</div>

Workers Compensation - Medical Bill Review - Operations Analyst (Remote)

HCA Healthcare Trident Hospital

<div>Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Clinical Informatics Analyst with HCA Healthcare Trident Hospital you can be a part of an organization that is devoted to giving back!
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
 The Clinical Informatics Analyst (CIA) supports high quality, patient-centered care through implementing and/or providing ongoing support for corporate/division/facility-wide standardization, utilization, integration, and optimization activities related to the electronic health record and other clinically related technologies. The Clinical Informatics Analyst is responsible for coordination, support, and completion of project assessments, project advancements, workflow mapping, and implementation of tools and resources focused on clinical informatics initiatives. The Clinical Informatics Analyst works with the Director of Clinical Informatics and facility peers to ensure clinical applications are well supported throughout the facility.<h6 class="jobSectionHeader">
What qualifications you will need:</h6><ul><li>
(RN) Registered Nurse</li><li>
Bachelors Degree</li><li>
1 years experience required</li><li>
Experience with MEDITECH or other EHR systems strongly preferred</li><li>
Experience in implementation of technology preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
HCA Healthcare Trident Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Trident Health is a 445-bed HCA Healthcare hospital system comprised of two acute care hospitals, HCA Healthcare Trident Hospital and HCA HealthCare Summerville Hospital and three freestanding emergency departments, Brighton Park Emergency, Moncks Corner Medical Center and Centre Pointe Emergency. 
 
We provide care to nearly 375,000 South Carolina Low country residents each year. Every day Trident Health's more than 2,600 employees, more than 500 physicians and more than 130 volunteers are dedicated to fulfilling our mission. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Clinical Informatics Analyst opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Clinical Informatics Analyst

Acrisure LLC

<div><h2 class="jobSectionHeader">Job Description</h2>
About Acrisure 
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
JOB SUMMARY
Acrisure is seeking a Claims Analyst II to manage multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes.
The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.
Responsibilities<ul><li>
Manage a caseload of multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures</li><li>
Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties</li><li>
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution</li><li>
Set and manage reserves to ultimate probable cost within established authority levels</li><li>
Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements</li><li>
Coordinate return to work efforts in alignment with medical guidance and employer programs</li><li>
Manage litigation, including directing defense counsel and attending hearings or depositions as needed</li><li>
Negotiate settlements with injured workers, attorneys, and other parties</li><li>
Identify and pursue subrogation opportunities and manage third party recoveries</li><li>
Review medical and expense bills for accuracy, causation, and appropriateness</li><li>
Maintain accurate and timely documentation within the claims system</li><li>
Prepare claim status reports and participate in claim review meetings</li><li>
Assign and coordinate nurse case management resources when appropriate</li><li>
Collaborate with leadership on complex claims requiring additional support or escalation</li></ul>
Requirements<ul><li>
Experience handling workers&rsquo; compensation claims required</li><li>
2 to 5 years of relevant claims experience or equivalent experience required</li><li>
Strong understanding of workers&rsquo; compensation laws, claims processes, and jurisdictional requirements</li><li>
Experience managing indemnity claims, litigation, and claim resolution strategies</li><li>
Strong analytical skills, decision making ability, and attention to detail</li><li>
Strong communication and negotiation skills</li><li>
Ability to manage multiple claims in a fast paced environment</li><li>
Strong organizational and time management skills</li><li>
Proficiency with Microsoft Office and claims management systems</li><li>
Ability to work independently with limited supervision</li><li>
Litigation experience beneficial</li></ul>
Education and Licenses<ul><li>
High school diploma required, bachelor&rsquo;s degree beneficial</li><li>
Relevant state licensing beneficial or ability to obtain as required</li></ul>
Pay Details:
The base compensation range for this position is $60,000 - $71,050. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. 
Why Join Us:
At Acrisure, we&rsquo;re building more than a business, we&rsquo;re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. 
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:<ul><li>
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.</li><li>
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.</li><li>
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.</li><li>
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.</li><li>
&hellip; and so much more!</li></ul>
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. 
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws. 
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. 
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. 
Welcome, your new opportunity awaits you.</div>

Claims Analyst II

The Healing Hands Clinic

MUST BE LICENSED IN or reside within 25 miles of Chipley, FL.We are looking for a Physician to review and provide support care for a provider looking to provide microneedling and medical grade skin care services.<ul><li>Be available for telephone consultations with nurse</li><li>Accept Telehealth consults if needed</li><li>Review any charts, if required by the state</li><li>Review and sign administrative documents for practice</li><li>Maintain malpractice insurance</li></ul>Skills<ul><li>Proven experience as a physician</li><li>Supportive of nurse practitioner and nurse business owners</li><li>In-depth knowledge of legal medical guidelines and medicine best practices</li><li>Respect for patient&rsquo;s confidentiality</li><li>Compassionate and approachable</li><li>Responsible and trustworthy</li><li>MD or DO degree and valid license to practice the profession</li></ul>Job Types: Full-time, Part-time, ContractPay: From $750.00 per monthBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: On the road

Consulting Dermatologist

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