- CACI International (Chantilly, VA)
- Claims Processor Customer Service Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee ... and critical thinker to manage and review workers' compensation claims as a Claims Processor ....claim forms + Support claimants in explaining their claims Assist management with complex cases + Prepare reports… more
- Cognizant (Lansing, MI)
- …claims processing is required. **Travel:** None required **About the role:** As Claims Processor , you will be responsible for timely and accurate adjudication ... of professional and hospital claims utilizing payer specific policies and procedures. Provide support...* Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or… more
- Cognizant (St. Paul, MN)
- …Remote US Based** Claims Processors to join our growing team. The ** Claims Processor ** is responsible for the timely and accurate adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the… more
- Cognizant (Denver, CO)
- …environment and able to multi-task successfully? If so, please apply today! The Claims Processor , you will ensure accurate and timely adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
- CareFirst (Baltimore, MD)
- …generated and calculate deductibles and maximums as well as research and resolve pending claims . The Claims Processor also use automated system processes to ... & Qualifications** **PURPOSE:** Under direct supervision, reviews and adjudicates paper/electronic claims . Determines proper handling and adjudication of claims … more
- City of New York (New York, NY)
- …City Department of Citywide Administrative Services (DCAS) seeks to hire a Claims Processor within Human Capital's Unemployment Insurance Unit. The Unemployment ... account. The Unemployment Insurance (UI) unit seeks to hire one (1) Claims Processor to support the UI Administrative Manager. With latitude to exercise… more
- Belcan (Mason, OH)
- Claims Processor Job Number: 356324 Category: Finance/Accounting Description: Job Title: Claims Processor Location: Mason, OH Zip Code: 45040 Pay Rate: ... #ClaimsProcessorjobs; Job Description: GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects.… more
- NTT DATA North America (St. Louis, MO)
- …the people who work here. NTT DATA is seeking to hire a **Remote Claims Processor ** to work **remote (MO).** **Role Responsibilities:** * Processing of ... Professional claim forms files by provider * Reviewing the policies...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- Prime Therapeutics (Lincoln, NE)
- …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor , Government Programs **Job Description** Adjudicate or submit ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** + Adjudicate or submit claims and… more
- NTT DATA North America (Plano, TX)
- …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- US Tech Solutions (Myrtle Beach, SC)
- …**Job Description:** + Responsible for the accurate and timely processing of claims . + Research and processes claims according to business regulation, ... coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.… more
- Conduent (Honolulu, HI)
- …II, you will be responsible for:** + Perform data-entry and adjudication of Medicaid Claims data in the company systems + Verify and process insurance claims ... adherence to safety rules and company policies and guidelines + Experience in medical claims data-entry or similar a plus + Able to analyze data processes and make… more
- DXC Technology (Richmond, VA)
- …DXC Technology (NYSE: DXC) helps global companies run their mission-critical systems and operations while modernizing IT, optimizing data architectures, and ensuring ... security and scalability across public, private, and hybrid clouds. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive performance, competitiveness, and enhanced customer… more
- CVS Health (Cheyenne, WY)
- …Manager_ ) **Operations Team** and is responsible for processing PBM vendor invoices and claims . The **PBM Invoice Processor ** is assigned a set of groups to ... are not limited to):** + Imports and monitors PBM claim data and invoice files. + Reconciles and balances claims data and invoices in the claims processing… more
- Chadwell Supply (Zionsville, IN)
- …+ Named Top Companies USA 2022, 2023 and 2024! Overview The Outbound Freight Processor is responsible for processing all outbound freight that is not branch related, ... checking and counting products to ensure shipment accuracy. The Outbound Freight Processor is responsible to ensure that all products are properly labeled, packaged,… more
- Aston Carter (Salem, OR)
- Job Title: Bilingual Enrollment Processor (English/Spanish Speaking) Remote with restrictions, have to be local to Oregon. Job Description As an Enrollment ... Processor , you will manage small to medium employer groups...or health insurance setting. + Experience in medical billing, claims resolution, health insurance, Medicare, and insurance verification. +… more
- NJM Insurance (Trenton, NJ)
- …generous paid time off plan, and much more! Our West Trenton MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor ... criteria are routed immediately for audit purposes. + Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and… more
- Sedgwick (Indianapolis, IN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Product Processor DEA Are you looking for an impactful job that offers an opportunity ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Conduent (Chesapeake, VA)
- …all incoming healthcare claim forms sent by our client. All these claims need to be digitized in a form provided by the company. Additional responsibilities ... be to focus on inputting all details of the claim with high accuracy while meeting the expected keystrokes...Wi-Fi is not acceptable. + Basic knowledge of medical claims form processing preferred. + Must have high speed… more
- Family Service Association - Fall River (Fall River, MA)
- …Service Association is seeking to hiring a full time (35 hours per week) Payment Processor to join our Billing Department. The starting hourly rate is $19 and the ... + Complete billing for designated ADH program. + Prepare necessary write-offs when claims are uncollectable. + Respond to billing calls and questions timely and… more