• Senior Supervisor, Claims Processing

    Conduent (Hunt Valley, MD)
    …receiving guidance from a manager. + Understanding and application of concepts in medical claims processing and basic knowledge of other disciplines. ... noticed and valued every day. **Job Description:** **Senior Supervisor, Claims Processing ** **Are you a seasoned leader...the Role:** As a Senior Supervisor, Claims Processing , you will lead a complex medical more
    Conduent (04/27/24)
    - Save Job - Related Jobs - Block Source
  • ONSITE - Cedar Rapids, IA 52401 - Medical

    TEKsystems (Madison, WI)
    …service team so they will be taking inbound calls. Job Summary: Responsible for processing medical claims and correspondence and handling customer service ... processing , claims adjusting, medical terminology, icd9, icd-10, medical claims processing , WPS, Dean, TASC, Exact Sciences Top Skills Details: … more
    TEKsystems (05/07/24)
    - Save Job - Related Jobs - Block Source
  • Billing and Follow-up Representative-I (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... Livonia, Michigan - Monday through Friday - Day Shift** **Experience processing hospital (UB04) medical claims needed working with all payors** **Experience … more
    Trinity Health (05/08/24)
    - Save Job - Related Jobs - Block Source
  • Medical Claims Adjuster

    CVS Health (Tallahassee, FL)
    …all resource materials to manage job responsibilities. Required Qualifications: + 2+ years Medical claims processing experience + Demonstrated ability to ... amount level on customer service platforms by using technical and claims processing expertise. * Applies medical necessity guidelines, determine coverage,… more
    CVS Health (04/25/24)
    - Save Job - Related Jobs - Block Source
  • Billing and Follow-up Representative-II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... reflects honest, ethical, and professional behavior. **MINIMUM QUALIFICATIONS** **Hospital (UB04) medical claims follow-up experience need working with all… more
    Trinity Health (05/04/24)
    - Save Job - Related Jobs - Block Source
  • Claims Specialist

    PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
    …the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received from patients and/or HCPs across a ... a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of… more
    PSKW LLC dba ConnectiveRx LLC (05/07/24)
    - Save Job - Related Jobs - Block Source
  • Claims Examiner

    TEKsystems (Houston, TX)
    Job Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. They work ... processing , claims adjusting, medical terminology, icd9, icd-10, medical claims processing , Education/Qualifications: * Familiarity with ICD-10… more
    TEKsystems (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Medical Claims Specialist

    Robert Half Accountemps (Glen Allen, VA)
    …* Minimum of 2 years of experience in Medical Billing. * Proficiency in Medical Claims processing and management. * Demonstrated expertise in Medical ... to ensure accurate and efficient billing processes. * Use specific skills in Medical Billing, Medical Claims , and Medical Collections to perform job… more
    Robert Half Accountemps (05/07/24)
    - Save Job - Related Jobs - Block Source
  • Payment Posting Representative-II ( Medical

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... accounting or customer service activities or an equivalent combination of education and experience. CPA certification preferred. Experience in a complex, multi-site environment preferred. Excellent written and verbal communication skills and organizational… more
    Trinity Health (05/02/24)
    - Save Job - Related Jobs - Block Source
  • Health Policy Medical Claims

    Serco (Washington, DC)
    …and subject matter expertise in medical claims verification, including medical records review and claims processing review for the Medicaid ... contact for PERM statistical contractor, subcontractors, and states on medical records and claims processing ...subcontractors, and states on medical records and claims processing reviews, and reporting of findings.… more
    Serco (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Claims Specialist - Claims

    Providence (Mission Hills, CA)
    **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance ... best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA… more
    Providence (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Claims Examiner II, Accident & Health

    AIG (Lenexa, KS)
    …1 year of Insurance claims experience, with exposure to Accident and Health claims or medical bill processing . + Excellent written and verbal ... be responsible to handle all aspects of claim resolution for assigned claims while providing world class service to external and internal customers. Responsibilities… more
    AIG (04/23/24)
    - Save Job - Related Jobs - Block Source
  • Medical Claims Processor

    TEKsystems (Temple, TX)
    …appropriate duties as required in a competent, professional and courteous manner. Skills: claims processing , medical insurance, data entry, amisys Top Skills ... Details: claims processing , medical insurance,data entry Additional Skills & Qualifications: 2 years of claims processing 2 years of health insurance… more
    TEKsystems (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Medicaid/CHIP Data Processing Review…

    Serco (Washington, DC)
    …+ Be in direct communication with the Program Director, Assistant Program Director for Medical Claims Review, Data Processing Reviewers, and CMS PERM staff, ... claims support to teams in overseeing, reviewing, researching, and investigating claims processing systems and processes.The position oversees the business… more
    Serco (05/08/24)
    - Save Job - Related Jobs - Block Source
  • Lead Medical Claims Specialist

    Kelly Services (Glastonbury, CT)
    …spreadsheet software, internet software, time keeping system, proprietary software, and medical coding/billing or insurance claims processing strongly ... We are looking to hire a **Lead Medical Claims Specialist** to support our client in Glastonbury, CT. **Hours:** 11:30 am to 8 pm Monday to Friday **Pay:** $26+… more
    Kelly Services (04/20/24)
    - Save Job - Related Jobs - Block Source
  • Associate Enrollment Representative - Enrollment…

    Providence (Anaheim, CA)
    …within an insurance company **Preferred qualifications:** + 1 year of Experience in medical /institutional claims processing or enrollment processing ... are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on… more
    Providence (05/09/24)
    - Save Job - Related Jobs - Block Source
  • Medical Claims Specialist / CSR

    Kelly Services (Glastonbury, CT)
    …$22 **Requirements:** **Bilingual (** **English/Spanish** **) Required** **Certificates and Licenses:** Medical coding/billing or insurance claims processing ... Customer Service Specialist to support our client in Glastonbury, CT. **Title:** Medical Claims Specialist / CSR **Hours:** 11:30 am to 8 pm Monday to… more
    Kelly Services (04/20/24)
    - Save Job - Related Jobs - Block Source
  • Payment Resolution Specialist-I (Hospital Denials…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... payment variance services, outcomes and trends, eg, number and types of claims and dollars rejected/denied, billing errors, payer processing errors, potential… more
    Trinity Health (05/09/24)
    - Save Job - Related Jobs - Block Source
  • Payment Resolution Specialist -II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... payment variance services, outcomes and trends, eg, number and types of claims and dollars rejected/denied, billing errors, payer processing errors, potential… more
    Trinity Health (05/07/24)
    - Save Job - Related Jobs - Block Source
  • Senior Claim Benefit Specialist

    CVS Health (Columbus, OH)
    …required information for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims processing experience Familiar with ICD and ... Ability to multitask while working independentlyPreferred Qualifications Required 2+ years of Medical claims processing experience Familiar with ICD and… more
    CVS Health (05/10/24)
    - Save Job - Related Jobs - Block Source