• Healthcare Claims Processing

    NTT DATA North America (MO)
    NTT DATA is seeking to hire **Remote Healthcare Claims Processing Associates** to work for our end client and their team. This is scheduled to be a 8+ month ... applicable methodology/ fee schedule **Requirements:** + 1+ year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with… more
    NTT DATA North America (07/18/25)
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  • Remote Healthcare Claims

    NTT DATA North America (MO)
    …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... 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… more
    NTT DATA North America (07/15/25)
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  • Remote Healthcare Claims

    NTT DATA North America (MO)
    …applicable methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a ... part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role… more
    NTT DATA North America (07/15/25)
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  • Remote Healthcare Claims Processor…

    NTT DATA North America (St. Louis, MO)
    …methodology/ fee schedule **Required Skills/Experience** * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years using a ... here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** *... Processor** to work **remote (MO).** **Role Responsibilities:** * Processing of Professional claim forms files by provider *… more
    NTT DATA North America (07/15/25)
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  • Medical Claims Examiner - Remote US

    NTT DATA North America (Dallas, TX)
    …applicable methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
    NTT DATA North America (07/18/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing , provider reimbursement, or payment ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims more
    Commonwealth Care Alliance (05/31/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing ** + 2+ year(s) using a ... 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… more
    NTT DATA North America (07/22/25)
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  • Claims Examiner 2

    State of Montana (Helena, MT)
    …finance, economics, or a closely related field. o One year of experience in healthcare claims processing . o Other combinations of related education and ... position is with the Health Resources Division. This position is a Medicaid Claims Specialist and provides technical support primarily in the areas of disputed or… more
    State of Montana (07/04/25)
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  • Remote Claims Auditor

    NTT DATA North America (Decatur, IL)
    …as assigned. **REQUIREMENTS:** + High School Education. + Minimum 3 years' experience in Healthcare Claims Processing role + Minimum 1 year experience in ... an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote...of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief Administrative Officer.… more
    NTT DATA North America (07/08/25)
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  • Claims Processing Rep - On-site

    Central Maine Medical Center (Lewiston, ME)
    …care and experiences for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. ... At Central Maine Healthcare our team members are committed to providing...The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to… more
    Central Maine Medical Center (07/03/25)
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  • Claims Examiner

    NTT America, Inc. (Plano, TX)
    …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... this Role the candidate will be responsible for:** + Processing of Professional claim forms files by provider +...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims more
    NTT America, Inc. (07/16/25)
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  • Financial Compliance Auditor: Claims

    Insight Global (Los Angeles, CA)
    …organizational skills Ability to work independently and collaboratively In-depth knowledge of healthcare regulations and claims processing systems Reliable ... experience may be considered. Experience: Minimum 5 years in claims audits or processing within managed care (eg, Medi-Cal, Cal MediConnect). Skills: Strong… more
    Insight Global (07/26/25)
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  • Director, Application Support and Quality…

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …process improvements for Core back-Office systems including but not limited to: Core Healthcare Claims Processing Platform including Eligibility & Enrollment ... growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be… more
    Brighton Health Plan Solutions, LLC (07/19/25)
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  • Systems Analyst

    St. Luke's Health System (Boise, ID)
    …ability to obtain certification within a defined timeframe). + Strong understanding of healthcare claims processing , CMS requirements, HIPAA, and managed ... Claims functionality. This role ensures the integrity and efficiency of claims processing , vendor payments, adjudication logic, and integration with financial… more
    St. Luke's Health System (05/08/25)
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  • Sr. IBMi QA Analyst

    CGI Technologies and Solutions, Inc. (Lafayette, LA)
    Healthcare IT, familiarity with Healthcare IT terminology and Healthcare claims processing , business functions and processes. Extensive QA/Software ... (https://youtu.be/YSXgCJSXL44) By playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube)… more
    CGI Technologies and Solutions, Inc. (07/16/25)
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  • Client Advocate, Employee Benefits - Bilingual…

    HUB International (Roseville, CA)
    …verbal and written interactions. + High School / GED + 1-2 years of healthcare claims processing , or benefits administration preferred **KNOWLEDGE / SKILLS ... Handles inbound calls on a queue system. + Assists clients and employees with various claims and benefit issues. + Respond to all phone calls and inquiries no later… more
    HUB International (06/19/25)
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  • Product Owner (Level III)

    Insight Global (Boca Raton, FL)
    …candidate will have a solid foundation and proven track record in Commercial Healthcare Insurance including claims processing , products, and benefits ... . Skills and Requirements 5+ years of experience working within the Commercial Healthcare Insurance industry, including claims processing , products, and… more
    Insight Global (07/16/25)
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  • Senior Analyst, Healthcare - Claims

    Molina Healthcare (Covington, KY)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... knowledge of provider data/processes/requirements related to provider contracting, credentialing, claims processing and state/federal regulations + Ability to… more
    Molina Healthcare (07/09/25)
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  • Claims Processing Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office** **Department:** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
    Kelsey-Seybold Clinic (08/01/25)
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  • Patient Support Medical/Biller Claims

    IQVIA (Atlanta, GA)
    **Patient Support Medical Claims Processing ​ Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
    IQVIA (07/29/25)
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