- 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 (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Providence (CA)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility...+ 7+ years of relevant general and professional liability claims processing or management experience + 5+… 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 (MO)
- …experience, technical skills, and other qualifications.** NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client ... compensation for specific roles. The pay rate for this remote role is $17.00-18 Hourly . This range reflects...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… 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
- Rising Medical Solutions (Milwaukee, WI)
- …With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, ... The Claims Specialist will assist in reviewing, processing...claim + Develop and maintain a working knowledge of medical bill processing , procedures, and supporting systems… 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
- Sedgwick (Miami, FL)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Workers Compensation ( REMOTE - Southeast State exp… 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 AD&D, long-term disability and short-term disability insurance + Medical , dental and vision plans to meet your unique… more
- Henry Ford Health System (Detroit, MI)
- …reimbursement to individual and third party payers in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission ... + Schedule: Full-time Days: Monday - Friday + Location: Remote after training in Detroit, MI Prepares and issues...to third party payers and/or responsible parties. . Reviews claims for accuracy, including proper diagnosis and procedure codes.… more
- CVS Health (Augusta, ME)
- … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- TEKsystems (Fresno, CA)
- …of Claims . Claims Examiner I is responsible for reviewing and processing medical , dental, vision and electronic claims in accordance with state, ... * A minimum of one (1)year experience as a Claims Examiner for medical , dental claims...of Employee Retirement Income Security Act of 1974 (ERISA) claims processing /adjudication guidelines.* Examine a problem, set… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills &… more
- CHS (Clearwater, FL)
- …of medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience + Must live a reasonable ... **Overview** **Health Insurance Medical Claims Examiner** **(Initial Training On...Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within… 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 files by… 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 ... areas for process improvement. 1.17 Contribute to the development and updating of claims processing procedures and guidelines. 1.18 Assist in training and… more
- Integra Partners (Troy, MI)
- …establish strategies for development Knowledge/Skills/Abilities + 5+ years of experience in medical claims processing , billing, or revenue cycle management. ... Medicare/Medicaid requirements, and regulatory changes affecting CRT reimbursement. + Ensure claims processing adheres to HIPAA regulations and payer-specific… more
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