• Cynet Systems (Dallas, TX)
    processing claim documents. Should Have: 1-3 years of experience in claims processing , billing, or medical terminology. Demonstrated analytical skills. ... Job Description: Responsibilities: Examine and resolve non-adjudicated claims to identify key elements of processing...claims . Use automated system processes to send pending claims for accurate completion according to medical more
    Upward (07/21/25)
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  • Cynet Systems (Fairfax, VA)
    …Teleprocessing System (ITS) Claims . Preferred Attributes: 5+ years of claims processing , adjudication, or medical terminology experience. Experience ... involves using automated systems to ensure accurate claim completion based on medical policies, contracts, and procedures. The Claims Processor also collaborates… more
    Upward (07/13/25)
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  • University of Mississippi Medical Center (Clinton, MS)
    …plans Knowledge, Skills & Abilities Knowledge, Skills, and Abilities: Basic knowledge of medical claims processing . Ability to maintain confidentiality. Good ... for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job… more
    Upward (07/21/25)
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  • Kaiser Permanente (Denver, CO)
    …inpatient/outpatient setting required. Minimum of six (6) months of experience researching and processing medical claims required. Minimum of six (6) months ... processing , applicable insurance laws and regulations and procedures related to claims processing , including Medicare, Medicaid, work comp and no fault.… more
    Upward (07/03/25)
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  • Staffosaurus (Irvine, CA)
    …billing system is a strong plus Minimum of 2 years of experience in medical billing and claims processing Strong understanding of CPT/ICD-10 coding ... About the job Medical Biller About Us: We are a high-complexity...scenes, wed love to hear from you. Key Responsibilities: Claims Processing : Prepare, review, and submit insurance… more
    Upward (07/17/25)
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  • Providence Health & Services (Portland, OR)
    …OR Oregon Certified Pharmacy Technician. 2 years experience with insurance verification, medical claims processing , insurance member enrollment or customer ... and ambulatory infusion therapy. The successful candidate will be responsible for processing all new referrals for Providence Infusion and Pharmacy Services Home and… more
    Upward (07/23/25)
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  • TheraCorp Behavioral Health - Jamesburg & Fairfield (Monroe Township, NJ)
    …our growing team. In this role, you will be responsible for managing and processing medical claims , ensuring accurate billing, and providing support from ... changing lives-one session at a time. IN PERSON / NO CONTRACTORS Responsibilities * Claims Processing : Accurately process insurance claims using our EHR… more
    Upward (07/14/25)
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  • MCI Careers (Wichita, KS)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... departments to resolve issues when needed Accurately document and process customer claims in appropriate systems Utilize knowledge base and training to accurately… more
    Upward (07/10/25)
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  • Rush (Chicago, IL)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access Work Type: Full Time (Total… more
    Upward (07/19/25)
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  • Community Health Systems (Kingston, PA)
    …for Medical Billing or Coding preferred 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required ... Summary The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and accurate reimbursement. This… more
    Upward (07/18/25)
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  • Providence Health & Services (Anaheim, CA)
    …3 years of Experience in health care or pharmacy billing, collections or medical claims processing . Preferred qualifications: Bachelor's Degree in Business, ... retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability insurance, time off benefits (paid… more
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  • Network Health WI (Menasha, WI)
    …compliance with Medicaid regulations, and serving as a subject matter expert for claims processing policies and procedures. The ideal candidate will have ... extensive experience in Medicaid claims processing , strong analytical skills, and a...procedural terminology (CPT) and international classification of diseases (ICD-10). Medical terminology, COB processing Basic Word and… more
    Upward (07/18/25)
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  • Sedgwick (Roseville, CA)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA **California workers compensation claims ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
    Upward (07/19/25)
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  • BLACKBURN'S PHYSICIANS PHARMACY (Tarentum, PA)
    …looking for a Claims Processing Specialist to join our Corporate Claims department and perform third-party medical billing functions. If you thrive in a ... - Tarentum, PA Job Category Insurance Description Job Opening: Claims Processing Specialist at Blackburn's Are you...for you! What You'll Do: Manage and verify third-party medical claims for accuracy and compliance. Collaborate… more
    Upward (07/07/25)
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  • Sedgwick (Cincinnati, OH)
    …is correct. *May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . ... accuracy, and files necessary documentation with state agency. *Communicates claim action/ processing with claimant, client and appropriate medical contact.… more
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  • Sedgwick (Dublin, OH)
    …collaboration, growth, and inclusion. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate ... settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the… more
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  • TriNet (Dublin, CA)
    …on all assigned claims . Ensure TPA is employing proper techniques to mitigate claims expense including, but not limited to: medical care is consistent and ... businesses. Our full-service HR solutions include features such as payroll processing , human capital consulting, employment law compliance and employee benefits,… more
    Upward (07/08/25)
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  • Solugenix (Los Angeles, CA)
    …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... within the Financial Compliance Unit, including the audit of claims processed by medical groups and health...capitated hospitals, and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
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  • Aquent (Los Angeles, CA)
    …with contractual and regulatory requirements. Identify and resolve issues related to claims processing in a timely and efficient manner. Prepare accurate ... the Financial Compliance team, you will conduct audits of claims processed by medical groups and health...related field. Minimum of 5 years of experience performing claims audits or claims processing more
    Upward (07/11/25)
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  • Sedgwick (Syracuse, NY)
    …regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | New York Jurisdiction | Dedicated Client Job Description We… more
    Upward (07/23/25)
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