- Molina Healthcare (Long Beach, CA)
- Job Description JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are ... vendor, and internal COB leads. Updates the other insurance table on the claims transactional system and COB tracking database. Contacts CMS directly or coordinates… more
- NTT DATA North America (St. Louis, MO)
- …the people who work here. NTT DATA is seeking to hire a **Remote Claims Processor ** to work **remote (MO).** **Role Responsibilities:** * Processing of ... schedule **Required Skills/Experience** * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years using a computer with… more
- System One (Fairfax, VA)
- ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual ... will review and adjudicate paper/electronic claims , also use automated system processes..., also use automated system processes to send pending claims to ensure accurate completion according to medical policy,… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims are… more
- CACI International (Chantilly, VA)
- Claims Processor Customer Service Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee ... We are seeking a detail-oriented, active, and critical thinker to manage and review workers' compensation claims as a Claims Processor . As a Claims … more
- TEKsystems (Brookfield, WI)
- …role is critical to our Medicaid line of business expansion and involves processing healthcare claims with accuracy and efficiency. If you have a strong ... you! Key Responsibilities + Examine and process both paper and electronic healthcare claims . + Determine appropriate action: return, pend, deny, or pay claims… more
- TEKsystems (Brookfield, WI)
- …MUST: - High school diploma or equivalent preferred. - 1.5-4 years claims processing experience required ( healthcare related) - Knowledge of current ... Description As a Claims Analyst II you will be tasked with the following: - Examine and process paper claims and/or electronic claims . - The person in this… more
- Tufts Medicine (Boston, MA)
- …related to Tufts Medicine's Legal Department. Activities include the processing of claims inquiries, invoices, generation of system and excel based reports related ... to claims and insurance, managing phone inquiries, and the distribution...system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences… more
- NTT DATA North America (Plano, TX)
- …applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing** + 2+ year(s) using a computer with ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- TEKsystems (Hillsboro, OR)
- …4 days. The team is interested in candidates with experience in Financial or Healthcare Claims ! Job Description The main function of the Benefits Processor ... National Insurance and Financial company is looking to add a Hybrid Claims and Benefits Processor to their team in Hillsboro, Oregon! This position would be… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible ... and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Contacts CMS directly or coordinates… more
- Conduent (Chesapeake, VA)
- …Sundays** As a Data Entry Associate, you will be responsible for processing all incoming healthcare claim forms sent by our client. All these claims need to be ... cable to a router, Wi-Fi is not acceptable. + Basic knowledge of medical claims form processing preferred. + Must have high speed internet connection and meet speed… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist** to join… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …diploma or GED Preferred: Additional training as a medical office assistant, medical claims processor , or medical claims follow up specialist. **Experience** ... and commercial products. Preferred: Three or more years' experience in a healthcare business office setting, preferably in electronic claims billing, or… more
- 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
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …of monthly, quarterly, and annual management reports for PBM clients, and from our Claims Processor . + Assist with on-site client orientation, health fairs and ... tasks; ID card production, DMR's, creation of mass mailings to membership or resolving claims not adjudicated in the mail order platform. May possess alarm code and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …of monthly, quarterly, and annual management reports for PBM clients, and from our Claims Processor + Assist with on-site resolution of customer service issues ... to clients + Training, coaching and development of call center staff + Assist with determining staffing/scheduling needs for ProAct Call Center + Providing call resolution in elevated customer service issues + Daily coaching and audits + Create and update… more
- Robert Half Technology (Westlake, OH)
- … processor and a thorough understanding on the underlying structure of claims transactions. Experience with Healthcare EDI standards such as 835s. Experience ... with job scheduling tools such as ActiveBatch. Requirements Microsoft SQL Server, .NET, C# - Sharp Technology Doesn't Change the World, People Do.(R) Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified… more
- The County of Los Angeles (Los Angeles, CA)
- …features of the tissue. Inspects microtome, ultramicrotome, cryostat, and tissue processor for general maintenance and use. + Prepares surgical specimens for ... College of American Pathologists (CAP) or Joint Commission on Accreditation of Healthcare Organizations (JCAHO). **In order to receive credit for any college course… more
