- System One (Fairfax, VA)
- ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual will ... review and adjudicate paper /electronic claims , also use automated system processes to send pending claims to ensure accurate completion according to medical… more
- Highmark Health (Columbus, OH)
- …entry, correcting errors and/or performing quality control review and final adjudication of paper /electronic claims . Determines whether to return, deny or pay ... claims following organizational policies and procedures. Reviews processed claims and inquiries to determine corrective action including adjusting claims as… more
- Catholic Health Initiatives (Omaha, NE)
- …will facilitate the overall claim process through submission of both electronic and paper -based claims , resolution of claim-form edits and validation of data ... **Job Summary / Purpose** This job is responsible for submitting claims in accordance with payer regulations and applicable guidelines. An incumbent… more
- Highmark Health (Columbus, OH)
- …entry, correcting errors and/or performing quality control review and final adjudication of paper /electronic claims . Determines whether to return, deny or pay ... claims following organizational policies and procedures. Reviews processed claims and inquiries to determine corrective action and takes the corrective action… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... is completely automated. However, some providers need to use paper to submit TITO (ACS-2 form). Staff are required...invoice and ACS-2 form is returned to the payment processor for correction. Invoices that have been reviewed and… more