payment analyst

CareSource

<div><div>Job Summary:</div><div></div><div>
The Payment Cycle Analyst II is responsible for providing analytical support and leadership for key Claims-related projects and initiatives.</div><div></div><div>
Essential Functions:</div><ul><li>
Define clinical and payment policy requirements to support configuration of clinical editing system</li><li>
Conduct and research potential new reimbursement policy claim edits, including sourcing support, data analysis, consistency with Market regulatory requirements, and network impact.</li><li>
Research claim results to determine potential errors/discrepancies attributed to clinical edits, claims coding, payment policies, and application of fee schedule and rates</li><li>
Conduct both systemic and targeted analysis to identify reimbursement errors and determine root cause</li><li>
Ensure that all clinical and payment policy analysis and documentation is prepared, reviewed, and approved prior to implementation.</li><li>
Provide input to UAT and conduct post production validation of implementation results</li><li>
Create effective written and oral communication materials that summarize findings and support fact based recommendations that can be shared with providers, provider associations, and Health Partner Managers</li><li>
Document the status of open issues, configuration design, and final resolution</li><li>
Review and interpret regulatory items, timely delivery of required updates</li><li>
Provide support of system change policy initiatives, provide updates in payment policy meetings, and present to stakeholders</li><li>
Monitor configuration and Claim SOPs to ensure accuracy of claim payments</li><li>
Assist in the development of policies and procedures for claims processing, COB, appeals and adjustment functions</li><li>
Ensure payment policies and decisions are documented and collaborate with the Health Partner team to ensure information is included in provider education activities</li><li>
Perform any other job duties as requested</li></ul><div></div><div>
Education and Experience:</div><ul><li>
Bachelor&rsquo;s degree or equivalent years of relevant work experience is required</li><li>
Minimum of three (3) years of health plan experience is required or equivalent experience with provider coding and claim payment policies</li><li>
Experience working with clinical editing software is preferred</li></ul><div></div><div>
Competencies, Knowledge and Skills:</div><ul><li>
Advanced proficiency level experience in Microsoft Suite to include Word, Excel, Access and Visio</li><li>
Strong computer skills and abilities in Facets</li><li>
Demonstrated understanding of claims operations, configuration, and clinical editing specifically related to managed care</li><li>
Understanding of CPT, HCPCs and ICD-CM Codes, including strong working knowledge of Codes sets ICD-9/ICD-10, CPT, HCPC, REV, DRG and Rug</li><li>
Knowledge of HIPAA Transaction Codes</li><li>
Effective listening and critical thinking skills</li><li>
Effective problem solving skills with attention to detail</li><li>
Data analysis and trending skills</li><li>
Excellent written and verbal communication skills</li><li>
Ability to work independently and within a team environment</li><li>
Strong interpersonal skills and high level of professionalism</li><li>
Ability to develop, prioritize and accomplish goals</li><li>
Understanding of the healthcare field and knowledge of Medicaid and Medicare</li><li>
Customer service oriented with strong presentation skills</li><li>
Strong working knowledge of claims processing edits and logic</li><li>
Familiar with CMS guidelines / HIPPA and Affordable Care Act</li><li>
Familiarity with reporting packages and running system reports</li></ul><div></div><div>
Licensure and Certification:</div><ul><li>
Certified Medical Coder preferred</li></ul><div></div><div>
Working Conditions:</div><ul><li>
General office environment; may be required to sit or stand for extended periods of time</li><li>
Occasional travel (up to 10%) to attend meetings, training, and conferences may be required</li></ul><div></div><div>
Compensation Range:</div>
$61,500.00 - $98,400.00<div>
CareSource takes into consideration a combination of a candidate&rsquo;s education, training, and experience as well as the position&rsquo;s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee&rsquo;s total well-being and offer a substantial and comprehensive total rewards package.</div><div></div><div>
Compensation Type (hourly/salary):</div>
Salary<div></div><div>
Organization Level Competencies</div><ul><li><div>
Fostering a Collaborative Workplace Culture</div></li><li><div>
Cultivate Partnerships</div></li><li><div>
Develop Self and Others</div></li><li><div>
Drive Execution</div></li><li><div>
Influence Others</div></li><li><div>
Pursue Personal Excellence</div></li><li><div>
Understand the Business</div></li></ul><div></div><div><br>
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.</div>
#LI-TS1</div>

Payment Cycle Analyst II

TriStar Health

<p></p><div><h5 class="jobSectionHeader"><b>Introduction</b></h5><p>
Do you have the career opportunities as an Underpayment Analyst you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.</p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><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<br>
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)<br>
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock<br>
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.<br>
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more<br>
</li><li>
Consumer discounts through Abenity and Consumer Discounts<br>
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships<br>
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)<br>
</li><li>
Colleague recognition program<br>
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)<br>
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b><br>
</p><p>Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Underpayment Analyst where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><p><br>
The Underpayment Analyst serves as our patient population. The Underpayment Analyst is responsible for researching and resolving Underpayments.</p><p><br>
What you will do in this role:</p><br>
<p></p><ul><li>
Perform and validate discrepancy reason coding of underpayment inventory.</li><li>
Pursue additional payment from payers on underpayment discrepancies through various means of communication, by telephone, online or via payment package processes.</li><li>
Identify and communicate trends to management, including those that might be appropriate for the dispute resolution process.</li><li>
Escalate accounts to appropriate individuals within the Shared Service Center management as needed, including accounts with lack of timely payer response.</li><li>
Utilize effective documentation standards that support a strong historical record of actions taken on the account.</li></ul><p></p><p><br>
What you should have for this role:</p><br>
<p></p><ul><li>
One year of related experience required.</li></ul><p>
&quot;</p><p><b>
Parallon</b> 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.</p><p>
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.</p><p>
&quot;</p><p></p><p><br>
&quot;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Underpayment Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. <b>Unlock the possibilities and apply today!</b></p><p><i>
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.</i></p></div>

Underpayment Analyst

Methodist Healthcare System

Bank of China (Dubai) Branch

<p> <br/> </p><p><strong>Position Description</strong></p><p> </p><p><strong>Position Title</strong></p><p>Product Analyst</p><br/><p><strong>Department</strong></p><p>Operations Service Department</p><br/><p> </p><p><strong>Purpose of Job</strong></p><p>The product analyst is responsible for the design, development, and deployment of bank clearing business products. Responsible for establishing relevant systems and processes for clearing operations. Responsible for promoting clearing products within the designated region, collecting customer feedback, and continuously optimizing and improving product functionalities and features. Responsible for engaging operations in clearing business.</p><p> </p><p><strong>Key Responsibilities</strong></p><p><strong>Results Expected</strong></p><p>Product Development of Payment & Settlement</p><ul><li>Proficient in SWIFT/CIPS/CBUAE FTS&WSI/IPP services</li><li>Propose business requirements of development or optimization of payment business system functions</li><li>Test and verify related IT system functions </li><li>Formulate clearing product processes and procedures</li><li>Promote RMB clearing related services based on regional market characteristics</li></ul><p>Operations</p><ul><li>Manage daily processing of clearing, treasury products, money market, foreign exchange, interest rate swap, bond insurance, bond investment and bond repo.</li><li>Payment investigations and AML processing and verification on payments as and when required</li><li>Prepare management reports, internal reports and regulatory reports</li><li>Execute transactions on relevant settlement and clearing systems</li><li>Provide assistance to senior management to develop and implement workflow procedures and guidelines, new products and services</li></ul><p>Monitoring and Maintenance</p><ul><li>Extract and organize complex data for analysis and trending for pricing model</li><li>Monitor VOSTRO, NOSTRO and relevant suspense accounts</li><li>Ensure all the daily activities of settlement, credit control and risk management, finance etc. are in compliance with UAE regulatory requirements and internal guidelines</li><li>Monitoring IRS/CCS daily margin and guarantying adequacy ratio monitoring</li></ul><p>Self-Leadership</p><p><strong>Performance "BE THE BEST&#x27; - &#x27;Results-oriented and strives to perform&#x27;</strong></p><p> </p><p><strong>LEAD SELF TO:</strong></p><p> </p><p>a. Always be curious to learn more and improve knowledge</p><p>b. Demonstrate ongoing resilience and the ability to work well under pressure</p><p>c. Manage multiple priorities effectively </p><p>d. Work constructively with others on a consistent basis</p><p> </p><p><strong>Innovation &#x27;CREATE THE SPARK&#x27; - &#x27;Challenges the status quo and proactively introduces new ideas and solutions&#x27;</strong></p><p> </p><p><strong>LEAD SELF TO:</strong></p><p> </p><p>a. Fully understand and adapt well to company culture</p><p>b. Effectively communicate knowledge and ideas with others</p><p>c. Generates creative solutions to overcome organisational problems and opportunities </p><p>d. Be prepared to challenge the status quo</p><p> </p><p><strong>Responsibility &#x27;OWN IT&#x27; - &#x27;Takes ownership and accountability to deliver what&#x27;s needed&#x27;</strong></p><p> </p><p><strong>LEAD SELF TO:</strong></p><p> </p><p>a. Meet the expectations of the customer</p><p>b. Consistently display a flexible and positive mind-set and encourage others </p><p>c. Be action oriented and full of energy to achieve</p><p> d. Deal with ambiguity effectively</p><p> </p><p><strong>Knowledge Skills & Abilities </strong></p><p>Role Related Experience</p><ul><li>3+ years experience in a Bank</li><li>Experience in banking operations, payments and settlement system with the ability to understand a large range of financial products in depth</li><li>Possesses excellent communication and market development skills</li></ul><p>Knowledge and Technical Skills</p><ul><li>Knowledge of treasury products</li><li>Strong background across payments and settlement within banking or trading environment.</li><li>Understanding of SWIFT/CIPS rules and practice is essential</li><li>Understanding of AML/CTF is desirable. </li><li>Strong communication skills   </li></ul><p>Qualifications and experience</p><ul><li>Bachelors degree or higher in a Finance, Economics, Applied Mathematics, Statistics</li></ul><p> </p><p><strong>Working Relationships</strong></p><p>Internal</p><ul><li>Corporate Banking</li><li>Transaction Banking</li><li>Risk</li></ul><p>External</p><ul><li>Clients and Counterparties </li></ul><p> </p><p>  </p>

Product Analyst

Alibaba

<div><div><p><b>Basic Infomation</b></p><div><div><div><p>
Department:</p><p>
Daraz</p></div><div><p>
Degree:</p><p>
Bachelor</p></div><div><p>
Work Experience:</p><p>
3 year</p></div></div></div></div><p></p><div><p><b>
Job Description</b></p><div>
Daraz Payments powers seamless financial transactions across the Daraz ecosystem, enabling millions of customers and partners to transact safely and efficiently. As we expand our footprint across South Asia, our mission is to innovate within the fintech space, strengthen partnerships with banks and payment networks, and enhance digital payment solutions across the region.
Key Responsibilities
&bull; Collect, analyze, and interpret large datasets to generate insights that support strategic decision-making across the payments and fintech ecosystem.
&bull; Monitor and evaluate the performance of key payment partners, including banks, wallet providers, and fintech solutions, across all markets.
&bull; Design and maintain dashboards and reports that track key metrics for digital payments, wallet adoption, transaction success rates, and customer engagement.
&bull; Support cross-functional teams (Product, Operations, Finance, and Commercial) with actionable insights to enhance payment success and user experience.
&bull; Identify trends, risks, and opportunities across regional markets, providing data-backed recommendations to improve efficiency and drive growth.
&bull; Partner with internal stakeholders to evaluate new digital payment initiatives and assess their impact on user behavior and revenue performance.
&bull; Ensure data accuracy and integrity by collaborating closely with tech and data engineering teams.
Candidate Requirements
&bull; Bachelor&rsquo;s degree in Data Analytics, Business, Economics, Finance, Statistics, or a related field.
&bull; 2&ndash;4 years of experience in Business Intelligence, Data Analytics, or Payments Analytics, preferably within fintech, banking, or e-commerce.
&bull; Strong understanding of digital goods, wallet ecosystems, and online payment products.
&bull; Proficiency in SQL, Power BI, Tableau, or similar BI tools.
&bull; Solid analytical and problem-solving skills with attention to detail.
&bull; Excellent communication skills with the ability to present insights clearly to both technical and non-technical audiences.
&bull; Familiarity with regional payment landscapes across South Asia is an added advantage.</div></div><p></p><div><p><b>
Position Requirement</b></p><div>
Daraz Payments powers seamless financial transactions across the Daraz ecosystem, enabling millions of customers and partners to transact safely and efficiently. As we expand our footprint across South Asia, our mission is to innovate within the fintech space, strengthen partnerships with banks and payment networks, and enhance digital payment solutions across the region.
Key Responsibilities
&bull; Collect, analyze, and interpret large datasets to generate insights that support strategic decision-making across the payments and fintech ecosystem.
&bull; Monitor and evaluate the performance of key payment partners, including banks, wallet providers, and fintech solutions, across all markets.
&bull; Design and maintain dashboards and reports that track key metrics for digital payments, wallet adoption, transaction success rates, and customer engagement.
&bull; Support cross-functional teams (Product, Operations, Finance, and Commercial) with actionable insights to enhance payment success and user experience.
&bull; Identify trends, risks, and opportunities across regional markets, providing data-backed recommendations to improve efficiency and drive growth.
&bull; Partner with internal stakeholders to evaluate new digital payment initiatives and assess their impact on user behavior and revenue performance.
&bull; Ensure data accuracy and integrity by collaborating closely with tech and data engineering teams.
Candidate Requirements
&bull; Bachelor&rsquo;s degree in Data Analytics, Business, Economics, Finance, Statistics, or a related field.
&bull; 2&ndash;4 years of experience in Business Intelligence, Data Analytics, or Payments Analytics, preferably within fintech, banking, or e-commerce.
&bull; Strong understanding of digital goods, wallet ecosystems, and online payment products.
&bull; Proficiency in SQL, Power BI, Tableau, or similar BI tools.
&bull; Solid analytical and problem-solving skills with attention to detail.
&bull; Excellent communication skills with the ability to present insights clearly to both technical and non-technical audiences.
&bull; Familiarity with regional payment landscapes across South Asia is an added advantage.</div></div></div>

Payments Operations Analyst-Payments Operations Analyst-Payments Operations Analyst

Amazon Middle East and North Africa FZ-LLC

<div><span style="font-size: 11px;"><b>DESCRIPTION</b></span></div><div><span style="font-size: 11px;">Our last-mile delivery partners are crucial to our service, and we work closely with them to make sure deliveries large and small get to where they need to be. As a Payments Specialist, you’ll make sure we process and pay our partners accurately and on time. You’ll build connections with the local stakeholders (finance, OTR, Tax, BC teams) and help put processes in place for timely and accurate delivery of information required for payment processing.</span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;"><b>Key job responsibilities</b></span></div><div><span style="font-size: 11px;">We are looking for a Payments Specialist, who will be responsible for ensuring timely and accurate payments to our partners.</span></div><div><span style="font-size: 11px;">Key functions for the role include:</span></div><div><span style="font-size: 11px;">Create and drive Payment processes to DSPs.</span></div><div><span style="font-size: 11px;">Develop relationship with stakeholders and define mechanisms for accurate and timely processing of payments.</span></div><div><span style="font-size: 11px;">Track payment accuracy and timeliness to secure business sustainability</span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;">A day in the life</span></div><div><span style="font-size: 11px;">You’ll be based in the corporate office. Being in the corporate office allows you to stay close to every part of the payments and means you have access to the key teams that will drive payment inputs and approvals.</span></div><div><span style="font-size: 11px;">This role is all about processing payments and ensuring DSPs are paid accurately and on time.</span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;">About the team</span></div><div><span style="font-size: 11px;">Amazon Logistics, or AMZL, handles ‘last mile’ delivery duties in partnership with third-party distribution businesses. We utilize creative thinking and continuous improvement initiatives to get millions of physical products into the hands of our customers. Our goal is to make our customers’ delivery experience as smooth as possible and roll out global delivery solutions for our newest concepts.</span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;"><b>BASIC QUALIFICATIONS</b></span></div><div><span style="font-size: 11px;">- Advance SQL skills are mandatory</span></div><div><span style="font-size: 11px;">- Experience accounting and/or finance is a plus</span></div><div><span style="font-size: 11px;">- Experience interpreting data and making business recommendations</span></div><div><span style="font-size: 11px;">- Experience driving roadmap strategy and on-ground implementation navigating across stakeholders</span></div><div><span style="font-size: 11px;">- Experience working across functional teams and senior stakeholders</span></div><div><span style="font-size: 11px;">- Effective email writing and communication skills</span></div><div><span style="font-size: 11px;">- Intermediate excel and data analysis skills</span></div><div><span style="font-size: 11px;"><br></span></div><div><span style="font-size: 11px;"><b>PREFERRED QUALIFICATIONS</b></span></div><div><span style="font-size: 11px;">Writing skills, influence skills, ability to structure an argument to make it brief and complete, clear and concise (to the point) communication</span></div>

Data Analyst

JPMorganChase

<div><b>JOB DESCRIPTION</b><p><br>
Are you looking for an exciting opportunity to join a dynamic and growing team in a fast paced and challenging area? This is a unique opportunity for you to work in our team to partner with the Business to provide a comprehensive view.</p><p>
As a Payments Advisory - Data Analyst within the Payments Advisory team, you will engage in bespoke engagements covering thematic research and analyzing client data. You will partner with the larger Payments team globally in their client conversations, gaining diverse exposure to various aspects of global business through meaningful and challenging work assignments. Your role will help clients optimize cash flow and working capital, contributing to the world's largest payments network.</p><p><b>
Job responsibilities</b></p><ul><li>
Perform in-depth industry, market &amp; competitor research on a wide range of public &amp; private entities</li><li>
Conduct extensive financial analysis and working capital benchmarking of clients along with ability to analyze data to identify efficiency opportunities</li><li>
Collaborating with global stakeholders in preparation of pitch materials including cash management and liquidity solutions</li><li>
Contributing in capturing evolving themes across thought leadership articles &amp; ideation</li><li>
Understanding industry ecosystem, how payments fit into it</li><li>
Developing deep market, company, and product knowledge to structure the solutions for clients</li><li>
Collaborating in a team environment, contributing to the overall goals of the firm</li></ul><p>
</p><p><b>Required qualifications, capabilities, and skills</b></p><ul><li>
Strong interest in making a career in finance</li><li>
Strong quantitative and analytical skills and attention to detail</li><li>
Ability to work independently and in a team environment, meeting tight deadlines</li><li>
Excellent oral and written communication skills</li><li>
Strong problem solving and project management skills</li><li>
Understanding &amp; experience working with various data computation &amp; presentation software like Tableau</li><li>
Understanding of VBA /python and ability to automate recurring workstreams</li><li>
Highly motivated individuals with a passion for developing innovative solutions that support clients around the world</li></ul><p>
</p><p><b>Preferred qualifications, capabilities, and skills</b></p><ul><li>
Prior experience in the payments landscape or treasury advisory / consultancy experience</li><li>
Good understanding of accounting, tax and regulatory considerations relevant in various treasury areas</li><li>
Understanding &amp; experience working with various data computation &amp; presentation software like Tableau</li><li>
Strong excel skills along with understanding of VBA /python and ability to automate recurring workstreams</li></ul>
<b>ABOUT US</b><div><br>
<p>JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world&rsquo;s most prominent corporate, institutional and government clients under the J.P. Morgan and Chase brands. Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.<br>
<br>
We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. We are an equal opportunity employer and place a high value on diversity and inclusion at our company. We do not discriminate on the basis of any protected attribute, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. We also make reasonable accommodations for applicants&rsquo; and employees&rsquo; religious practices and beliefs, as well as mental health or physical disability needs. Visit our FAQs for more information about requesting an accommodation.</p></div><br>
<br>
<br>
<b>ABOUT THE TEAM</b><br>
<br>
J.P. Morgan&rsquo;s Commercial &amp; Investment Bank is a global leader across banking, markets, securities services and payments. Corporations, governments and institutions throughout the world entrust us with their business in more than 100 countries. The Commercial &amp; Investment Bank provides strategic advice, raises capital, manages risk and extends liquidity in markets around the world.</div>

Payments Advisory - Data Analyst

Search 6862+ Payment analyst jobs near you this November. New roles added regularly across leading industries. Apply today.

6862 payment analyst jobs NEAR_ME

Payment Cycle Analyst II

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Data Analyst

Payments Advisory - Data Analyst