We are seeking an experienced Application Analyst - PB/HB Claims to support and optimize our Epic Resolute Professional Billing and Hospital Billing applications. This role partners with revenue ...
We are seeking an experienced Application Analyst - PB/HB Claims to support and optimize our Epic Resolute Professional Billing and Hospital Billing applications. This role partners with revenue ...
Our Claims Supplier Management Analyst will oversee the operational and strategic management of the claims supplier portfolio to optimize the value, cost, and risk. You will collaborate with claims ...
Our Claims Supplier Management Analyst will oversee the operational and strategic management of the claims supplier portfolio to optimize the value, cost, and risk. You will collaborate with claims ...
Day. The Applications Analyst will have a strong understanding of general principles of information systems and computer usage. Independently researches and seeks solutions to problems and ...
Day. The Applications Analyst will have a strong understanding of general principles of information systems and computer usage. Independently researches and seeks solutions to problems and ...
General Liability Claim Representative
Brookfield, WI ยท On-site
$67K - $110K/yr
Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel.
General Liability Claim Representative
Brookfield, WI ยท On-site
$67K - $110K/yr
Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel.
Change Management Senior Analyst - MICON Group, Inc.
Milwaukee, WI ยท On-site
$86K - $114K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Milwaukee, WI ยท On-site
$86K - $114K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Lomira, WI ยท On-site
$96K - $127K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Lomira, WI ยท On-site
$96K - $127K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Milwaukee, WI ยท On-site
$86K - $114K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Milwaukee, WI ยท On-site
$86K - $114K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Lomira, WI ยท On-site
$96K - $127K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Change Management Senior Analyst - MICON Group, Inc.
Lomira, WI ยท On-site
$96K - $127K/yr
Develop parts of the claim analysis (cost, schedule, entitlement) under manager guidance. Assist with or oversee performance of cost analysis, such as discrete change pricing, labor/equipment ...
Risk Management Analyst
Beloit, WI ยท On-site
Responsible for premium/claim allocation and premium/claim invoice submissions. * Gathers Incident ... Analysis of invoices/estimates for proper support and cost detail in relationship to scope of ...
Risk Management Analyst
Beloit, WI ยท On-site
Responsible for premium/claim allocation and premium/claim invoice submissions. * Gathers Incident ... Analysis of invoices/estimates for proper support and cost detail in relationship to scope of ...
Risk Management Analyst
Beloit, WI ยท On-site +1
Responsible for premium/claim allocation and premium/claim invoice submissions. * Gathers Incident ... Analysis of invoices/estimates for proper support and cost detail in relationship to scope of ...
Risk Management Analyst
Beloit, WI ยท On-site +1
Responsible for premium/claim allocation and premium/claim invoice submissions. * Gathers Incident ... Analysis of invoices/estimates for proper support and cost detail in relationship to scope of ...
Risk Management Analyst
Beloit, WI ยท On-site +1
Responsible for premium/claim allocation and premium/claim invoice submissions. * Gathers Incident ... Analysis of invoices/estimates for proper support and cost detail in relationship to scope of ...
Risk Management Analyst
Beloit, WI ยท On-site +1
Responsible for premium/claim allocation and premium/claim invoice submissions. * Gathers Incident ... Analysis of invoices/estimates for proper support and cost detail in relationship to scope of ...
Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)
Madison, WI ยท On-site
$104K - $156K/yr
Provides claim file directions and assistance with complex claim issues resolution. Must maintain ... Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills * Proven ...
Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)
Madison, WI ยท On-site
$104K - $156K/yr
Provides claim file directions and assistance with complex claim issues resolution. Must maintain ... Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills * Proven ...
Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)
Madison, WI ยท On-site +1
$104K - $156K/yr
Provides claim file directions and assistance with complex claim issues resolution. Must maintain ... Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills * Proven ...
Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)
Madison, WI ยท On-site +1
$104K - $156K/yr
Provides claim file directions and assistance with complex claim issues resolution. Must maintain ... Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills * Proven ...
Claim Handler This is the intermediate level of the claim handler career path. Handles moderate to ... Attention to detail and analytical skills. * Ability to work independently as well as within a team.
New
Claim Handler This is the intermediate level of the claim handler career path. Handles moderate to ... Attention to detail and analytical skills. * Ability to work independently as well as within a team.
New
Medical Coding Systems Analyst
Madison, WI ยท Remote
$72K - $90K/yr
Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...
Medical Coding Systems Analyst
Madison, WI ยท Remote
$72K - $90K/yr
Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...
Medical Coding Systems Analyst
Madison, WI ยท On-site
$72K - $90K/yr
Coding Systems Analyst Come Find your Spark at Quartz! Do you have a strong background in medical ... Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings * Work ...
Medical Coding Systems Analyst
Madison, WI ยท On-site
$72K - $90K/yr
Coding Systems Analyst Come Find your Spark at Quartz! Do you have a strong background in medical ... Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings * Work ...
Medical Coding Systems Analyst
Madison, WI ยท On-site
$72K - $90K/yr
Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...
New
Medical Coding Systems Analyst
Madison, WI ยท On-site
$72K - $90K/yr
Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...
New
Medical Coding Systems Analyst
Madison, WI ยท Remote
$72K - $90K/yr
Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...
Medical Coding Systems Analyst
Madison, WI ยท Remote
$72K - $90K/yr
Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...
Medical Coding Systems Analyst
Madison, WI ยท On-site
$72K - $90K/yr
The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit ... Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings * Work ...
Medical Coding Systems Analyst
Madison, WI ยท On-site
$72K - $90K/yr
The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit ... Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings * Work ...
... claim reserves based on investigation, through well supported reserve report * Obtain and interpret official reports * Review applicable coverage forms and endorsement, providing thorough analysis of ...
... claim reserves based on investigation, through well supported reserve report * Obtain and interpret official reports * Review applicable coverage forms and endorsement, providing thorough analysis of ...
Claim Analyst information
See Wisconsin salary details
$14.80 - $18.22
14% of jobs
$20.26 is the 25th percentile. Wages below this are outliers.
$18.22 - $21.64
19% of jobs
The median wage is $23.89 / hr.
$21.64 - $25.06
26% of jobs
$25.06 - $28.48
9% of jobs
$30.26 is the 75th percentile. Wages above this are outliers.
$28.48 - $31.90
13% of jobs
$31.90 - $35.31
11% of jobs
$35.31 - $38.73
2% of jobs
$38.73 - $42.15
2% of jobs
$42.15 - $45.57
1% of jobs
$45.57 - $48.99
2% of jobs
$48.99 - $52.41
1% of jobs
$14
$27
$52
How much do claim analyst jobs pay per hour?
What are the key skills and qualifications needed to thrive as a claim analyst?
What is a claim analyst?
A claims analyst works for an insurance company, government agency, or medical billing department. As a claims analyst, your responsibilities include reviewing insurance claims filed by policyholders to ensure they are accurate and complete, that the individual understands their benefits, and that the policies cover the claims. Your duties include monitoring each claim throughout the process, determining reimbursement eligibility, negotiating payments to each party, and following up to ensure the parties make their payments. You then provide documentation and report the necessary information to each party. You are the primary contact for groups and members to answer questions and solve any issues. You may work in a variety of medical and insurance subsets in the claims industry, like dental or vision health, disability, and even construction.
How does a claim analyst typically collaborate with other departments during the claims review process?
How much do claim analysts make in the US?
What does a claim analyst do?
Is being a claim analyst hard?

Full-time
Medical, Life, Retirement, PTO
Re-posted yesterday
Job description
Job Specifics:
Location: 1920 Libal St, Green Bay, WI 54301
FTE Status: Full-Time 1.0 FTE (40 hours/week)
Work Schedule: Days. Monday - Friday. No weekends or holidays
Want to learn more: Chat with Marissa Zorzin at marissa.zorzin@emplifyhealth.org
Responsibilities:
- Troubleshoots and resolves basic application issues and provides end user support.
- Collaborate with IT, and clinical teams to ensure optimal system performance and workflow efficiency.
- Monitors applications for issues in connection with maintenance, upgrades and implementations.
- Monitor performance and assist with auditing processes to ensure data integrity
- Participate in projects related to system enhancements, integrations, and new implementations
- Education: Bachelor's degree or a related field or equivalent years of experience and education
- Experience: At least 2-4 years of relevant work experience
- Certifications: Epic Resolute PB or HB Billing Claims certification required
- Strong analytical and problem-solving experience
- Strong understanding of revenue cycle workflows including charge capture, coding, billing, claims, and follow-up
- Experience working with finance, revenue cycle, and operational stakeholders
- Strong analytical, problem-solving, and troubleshooting skills
- Ability to clearly communicate technical concepts to non-technical users
- Experience working in a healthcare IT environment
Why Emplify Health by Bellin?
With so many amazing healthcare organizations in this area, why Emplify?
Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
- Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
- Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
- Professional Development: Access to online continuing education for career growth
- Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
- Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home
Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork, and humility - our pillars set our foundation and our future.
Emplify Health is an Equal Opportunity Employer.