Job Search Results for healthcare payer

Epic RTE Analyst

We are looking for a seasoned candidate with Epic RTE experience. You will be coordinating delivery across multiple teams, ongoing optimization, maintenance and performance improvements to the... More system. For new clients, the role helps assign build waves, track tasks, and collaborate with Epic and client stakeholders and will potentially travel to go live sites. Some side projects can include: solutioning and testing integration work, including developing inbound interfaces and supporting future implementations. Additionally, the role partners with teams using the internal platform, helping bridge gaps for teams with limited Epic knowledge.Will travel for go lives- 25% of lessWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

EPIC REHAB CONSULTANT

Insight Global is seeking an experienced Epic Rehab Consultant to support the largest health system in South Florida's ongoing Epic implementation. This consultant will play a key role in Rehab... More build, implementation, optimization, testing, and go-live activities as Baptist Health prepares for its July 2027 Epic Go-Live. The ideal candidate will bring extensive operational and clinical expertise and serve as a workflow leader for Rehab across the organization.Insight Global is seeking an experienced Epic Rehab Consultant to support the largest health system in South Florida's ongoing Epic implementation. This consultant will play a key role in Rehab build, implementation, optimization, testing, and go-live activities as Baptist Health prepares for its July 2027 Epic Go-Live. The ideal candidate will bring extensive operational and clinical expertise and serve as a workflow leader for Rehab across the organization.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Payment Application Specialist

The Payment Application Specialist accurately processes payments and maintains reconciliation processes in the CBO. In this role, you will manually and electronically post a high volume of patient... More and insurance payments and adjustments. The Payment Application Specialist is responsible for ensuring all payments received are posted for month end processes.PRIMARY RESPONSIBILITIES INCLUDE BUT NOT LIMITED TO: ?Follows organization policies and procedures?Provides superior customer support to our clients and their customers by responding to questions and requests; effectively escalates issues as required?Cross trained to provide department coverage ?Effectively trains team members?Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s)?Produces and maintains department policies, procedures, documentation, and training materials for role specific activities?Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team?Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner?Routinely collaborate with department managers to correct problems and improve services?Informs manager of identified issues or trends?Provides administrative support to business operations by performing processing tasks such as data entry, scanning, mail sorting, or similar activities?Performs timely and accurate importing, applying, processing, and posting ERAs and manual payment posting to practice management system to meet team goals and objectives?Posts live checks, online credit card payments, and EFT deposits?Records batch total with date and initials on payment receipt spreadsheet?Balances batches and runs transaction reports?Verifies all EFT deposits, scanned checks, and zero payments have been posted by month end?Assists with EFT/ERA enrollment for payers ?Reconciles all payments received daily, weekly, and monthly?Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients?Meets specified department performance requirements?Resolves support tickets submitted by clients and assigned to department according to metrics assigned?Manages time and multi-tasks appropriately to meet expectations of management and peers?Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner?Remote employee is responsible to keep work area quiet and organized during scheduled working hoursWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Epic Tapestry Analyst

An employer in the Southern California area is seeking two Epic Tapestry Analysts. The first Epic Tapestry Analyst will be responsible for the build aspect of Epic Tapestry, specifically designing... More the system and building components needed to enable incoming capitation functionality within the platform. (Enrollment Filer and Incoming Capitation R&R within the Tapestry module) This is a new build for the organization, and the role involves creating foundational elements to support capitation processes. Day to day duties include the following: lead the design, implementation, and maintenance of EDI workflows within Epic Tapestry, configure and support Enrollment File interfaces and Incoming Capitation R&R processes, troubleshoot and resolve EDI-related issues, including mapping errors, data discrepancies, and transmission failures, and maintain documentation of workflows, configurations, and operational procedures. They will collaborate with internal stakeholders and external payers to ensure timely and accurate data transmission, participate in testing, validation, and go-live support for new and updated interfaces, and will ensure compliance with HIPAA regulations related to health IT and data exchange. The Analyst will work alongside 2 internal resources to help them build and design the capitation functionality. This opportunity is a 6-month contract to hire opportunity. The second Epic Tapestry Analyst will be focusing on advanced build work but requires deeper technical specialization, including LPP extensions, custom cache development, custom rules implementation for configuration, and providing guidance. The key difference is that the second role demands experience implementing functionality in a live organizational environment, whereas the first role may not have that implementation background but brings extensive experience in enrollment filer build. The second Analyst position is a 6 month contract with possible extensions. Both positions will be fully remote, preferably sitting in California, but can also sit in the following states: Arizona, Illinois, Maryland, Michigan, Montana, Nevada, North Carolina, Texas, Utah, Washington & Wisconsin.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Salesforce BA

nsight Global is seeking a Technical Business Analyst to support the build of a brand-new claims tracking system within Salesforce Health Cloud and Data Cloud. You will partner closely with Product... More Owners, developers, and business stakeholders to gather, analyze, and document requirements, ensuring business needs are translated into clear, actionable technical specifications. On a daily basis, you will work within an Agile environment to define user stories, support backlog refinement, and map end-to-end workflows related to claims intake, tracking, and status visibility.You will collaborate heavily across cross-functional teams to define integrations, data mappings, and system dependencies between Salesforce and upstream/downstream platforms. This role requires strong participation in working sessions and Agile ceremonies, where you will help identify gaps, clarify requirements, and support delivery in a fast-paced, evolving environment. You will also support testing efforts, validate business functionality, and ensure the solution delivers a seamless, user-centric claims tracking experience.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less