- NTT DATA North America (St. Louis, MO)
- …NTT DATA 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. ... schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a...be able to work 7am - 4 pm CST online/ remote (training is required on-camera). **Preferred Skills & Experiences:**… more
- NTT DATA North America (MO)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. ... **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a...in P&Q work environment; work from queue + Previous remote work experience + Key board skills and computer… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will provide… more
- CVS Health (Phoenix, AZ)
- …-Working within turnaround times to meet client performance guarantees for claims processing . -Meeting productivity and accuracy standards. **Required ... calls to Members and/or Providers for verification of information - Processing and adjudicating paper claims . -Maintaining integrity...Microsoft Office Suite products. - This position is fully remote , but must be able to work based on… more
- NTT DATA North America (Decatur, IL)
- …and insured members. . Assist with audits for assigned group. . Assist with claims processing and over specific for new or backlogged groups. KNOWLEDGE, SKILLS ... Claims Examiner** on a **project** basis to work ** remote , from home** . This is a full-time, temporary.... High School Education required. . 3 Years of Claims Processing Experience . TPA Experience Preferred:… more
- Cognizant (Columbus, OH)
- …ensuring all mandated government and state regulations are consistently met + Processing claims for multiple plans with automated and manual differences ... ** Claims Process Specialist ( remote )** **JOB PURPOSE**...Minium of two-three years of Medicaid and or Commercial claims payer processing experience. Technical Competencies: +… more
- Martin's Point Health Care (Portland, ME)
- … claims payment accuracy. Job Description Key Outcomes: + Drives quality, timely claims processing to allow the health plan to achieve regulatory compliance, ... operational readiness for system fixes, configuration, and project rollouts impacting claims processing + Ensures operational readiness, testing, training,… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 50 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to ... for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny)...compensation for specific roles. The hourly rate for this remote role is $18 hourly. This rate reflects the… more
- NTT DATA North America (St. Louis, MO)
- …is seeking to hire a ** Remote Claims Processor** to work ** remote (MO).** **Role Responsibilities:** * Processing of Professional claim forms files by ... * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years...be able to work 7am - 4 pm CST online/ remote (training is required on-camera) **Preferences** * Amisys Preferred… more
- Providence (CA)
- …education and experience + 7+ years of relevant general and professional liability claims processing or management experience + 5+ years of direct supervisory ... through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote... Claims , & Insurance department **_Providence welcomes 100% remote work for applicants who reside in the following… more
- Sedgwick (Newark, NJ)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner I NY license required I Remote **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Miami, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Workers Compensation ( REMOTE - Southeast State exp ... required)) **PRIMARY PURPOSE** : To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of … more
- Sedgwick (Tallahassee, FL)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation - REMOTE w/ AR, LA, OK, TX, ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Houston, TX)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation ( REMOTE - NJ, PA, VA Claims ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… more
- GuideOne Insurance (Tampa, FL)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...and volunteer paid time off + Flexible work schedules and hybrid/ remote options for eligible positions + Educational assistance… more
- Rising Medical Solutions (Milwaukee, WI)
- The Claims Specialist will assist in reviewing, processing , and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- Henry Ford Health System (Detroit, MI)
- …Pediatric Billing + Schedule: Full-time Days: Monday - Friday + Location: Remote after training in Detroit, MI Prepares and issues bills for reimbursement ... in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. .… more
- CVS Health (Augusta, ME)
- …every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a ... and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise.… more
- Insight Global (Woonsocket, RI)
- …and challenges, which requires domain knowledge. Having expertise in claim filing/ processing , claim adjudication, and claim payment workflows is essential for ... helps the business understand the impacts of policy compliance, claim processing , accrued savings, and provider abrasion. Possessing insurance payer domain knowledge… more
- TEKsystems (Bakersfield, CA)
- QNXT claims processing is a MUST. Familiarity with Medi-Cal and Medicare lines of business, preferably in an IPA or MSO. Description 1.1 Review and process ... improvement. 1.17 Contribute to the development and updating of claims processing procedures and guidelines. 1.18 Assist...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
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