- IQVIA (Atlanta, GA)
- …are looking for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this ... **Patient Support Medical Claims Processing ...**Patient Support Medical Claims Processing Representative** _Remote Role...+ High School Diploma or equivalent + Experience in claim processing required + Medical … more
- The Cigna Group (Bloomfield, CT)
- …further enhance claim accuracy outcomes + Engagement, partnership with supervisor, claim processing team, and other internal and external partners + Position ... ** Any Work at Home Location is Acceptable for This Position **...pricing accuracy **Qualifications:** + 1 year of Payer Solutions claim processing technical knowledge and application +… more
- HCA Healthcare (Nashville, TN)
- …ability to independently problem solve and proactively manage and resolve claims . Job Responsibilities: **Quality** + Handle professional medical malpractice ... course of three years. This is a Work From Home opportunity. **Benefits** HCA Healthcare, offers a total rewards...in coverage evaluation process and coverage issues pertinent to medical professional liability claims . + Have a… more
- Henry Ford Health System (Farmington Hills, MI)
- …reimbursement to individual and third party payers in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission ... to third party payers and/or responsible parties. . Reviews claims for accuracy, including proper diagnosis and procedure codes. . Reviews claim rejections and… more
- Kelly Services (New Haven, CT)
- …personal injury protection / medical injury, general liability or as a claim technical assistant for lost time claims . + Requires knowledge of ... the life of the claim . + Sets reserves within authority limits for medical , indemnity and expenses and recommends reserve changes to Team + Leader throughout the… more
- HCA Healthcare (Frankfort, KY)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Teva Pharmaceuticals (North Wales, PA)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Jun 9, 2025 Location: North...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Conduent (Warren, MI)
- …multiple claim reviews. **Responsibilities:** + Validate costs for Supplier Claims according to contract Terms & Conditions. + Generate and complete audit ... Activity ("SCA") group is responsible for receipt, audit, processing , accrual and forecasting of supplier obsolescence and cancellation...approach. + Drive timely closure of open audits and claim settlements (reduce aging of claims ). +… more
- FlexStaff (Bronx, NY)
- …Subrogation conditions - Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor - Attends JOC meetings with providers as ... members, attorneys, regulatory agencies, and other carriers on any claim related matters - Analyzes patient and medical...creating and testing compensation grids used for reimbursement and claims processing - Ensures that refund checks… more
- TEKsystems (Earth City, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... TEKsystems is looking to hire several Mechanical Claims Analysts for a large 3rd party automotive company out of STL! **If you have 4+ years of hands-on mechanical… more
- AIG (Atlanta, GA)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... consists of a diverse range of products from the home warranty, consumer electronics, and mobile industries. How you...you will create an impact + Adjudicate and settle claim according to fair claims practices. +… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms… more
- CenterWell (Topeka, KS)
- …Qualifications** + High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection ... and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer… more
- TEKsystems (Earth City, MO)
- …opportunity to apply your hands-on mechanical expertise in a new way-evaluating and processing vehicle claims from the comfort of a modern, professional ... coverage for proposed repairs using established guidelines. + Customer Questions - Explain claim decisions and guide customers through the claims process. +… more
- Trinity Health (Livonia, MI)
- …a week and on site one day a week. **What you will do:** + Analyze medical claims and review billing information. Refer claims for further investigation if ... and eligibility. Prepares and maintains reports and records for processing . **Position Details:** HYBRID work environment - remote 4...and investigate claims before payment. Review paid claims for accuracy. + Resolve claim discrepancies… more
- Reynolds & Reynolds (Des Moines, IA)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...claim and contract information into the AGWS\u2019 systemA home office package will be provided for this position.… more
- Billings Clinic (Billings, MT)
- …wide Risk Management Plan that organizes both risk prevention measures and claims processing and management systems for Billings Clinic and regional ... family activities. Amazing outdoor recreation is just minutes from home . Four seasons of sunshine! You can make a...software systems, developing reports, and assisting in coordination of medical malpractice claims at the direction of… more
- Do it Best Corp. (Fort Wayne, IN)
- …Claims Reporting to Position: Director of Warehouse Operations About the Role: The Claims Representative is responsible for processing members' claims for ... Claims Representative Location: Fort Wayne, IN Level: Full-Time...available to you: + Full insurance benefits package including Medical , Dental, & Vision + Paid time off to… more
- Alight (IN)
- …resulting in either approval, denial or extension of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company ... through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave,… more
Related Job Searches:
Claim,
Claim Processing,
Home,
Home Medical,
Medical,
Medical Claim,
Medical Claim Processing,
Processing