- Spotter (Lemont, IL)
- …lookout for a dedicated and detail-oriented Trucking Claims Agent to enhance our claims processing team. This remote position is vital in ensuring that ... Stay informed about industry regulations, company policies, and best practices related to claims processing . Ensure that all claims are handled in… more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... staff Serve as a subject matter expert on client-specific operations Manage remote employees as needed Perform other duties as assigned CANDIDATE QUALIFICATIONS… more
- The Reynolds and Reynolds Company (Omaha, NE)
- * This is a full-time, remote position working from 9:45am to 6:15pm CST American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is ... seeking Claims Adjuster - Automotive for our growing team. In...- Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage… more
- Pyramid Consulting, Inc. (Dallas, TX)
- …Healthcare experience; bachelor's degree in business or related field preferred. Preferred: Claims Processing Our client is a leading Healthcare Industry, and ... Immediate need for a talented Claims Analyst/Data Analyst. This is a 06+months contract...claims special projects Daily interaction with supervisor/team members Remote therefore utilizes Microsoft team to communicate. Weekly meetings… more
- Berkley (Trenton, NJ)
- …continuing education We'll count on you to: Process an average of 5 to 7 claims per day Maintain a processing accuracy of 99% or better Determine, on ... the United States. This position can either be fully remote (if not within commutable distance to the office)...Responsibilities We have an opportunity for a Stop Loss Claims Analyst to join our Berkley Accident and Health… more
- Energy Solutions - USA (Portland, OR)
- …institutional customers. We are currently seeking a full-time, temporary Incentive Claims Processor for a 4-month assignment to provide department administration ... our Energy Efficiency Programs team, with an emphasis on rebate claim processing . The ideal candidate will demonstrate flexibility, adaptability, and a professional,… more
- Insight Global (Bridgeton, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and...connection and a quiet at-home workspace is required for remote and hybrid schedules. Must be able to pass… more
- 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 ... Financial Compliance Auditor III, Claims Los Angeles, CA ( Remote ) 3-Month...capitated hospitals, and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Valley View (Glenwood Springs, CO)
- …Billing Auditor in our Patient Financial Services department. This is a REMOTE position! The general objectives of this position are to: coordinate Commercial ... billing, ensuring clean claims are sent out; demonstrate extensive methodology and knowledge to produce accurate UB04 and 1504 forms; deal with billing issues in a… more
- Trinity Health (Farmington, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- TEKsystems (San Francisco, CA)
- …the STD, SDI, AM, LTD, Life and AD&D products, and perform well in a remote call center team environment. Required Skills & Abilities: 1-2 + years of related call ... carry a strong phone presence over the phone. Prior experience in insurance, benefits/ claims , or financial services is a plus. Proven work tenure from previous work… more
- Cynet Systems (Roseville, CA)
- …nalyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure ... on the claim; manages claims through well-developed action plans to an appropriate and...a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Tenet Health (Detroit, MI)
- …medical practice and/or billing company; specifically involved in the charge entry, claims processing , claim rejections and claims edit/correction processes ... (KPI) time frames. Works with the vendor on any claims that are not billed and escalates to RCM...and escalates to RCM leadership and operations leadership for claims that are not meeting the established KPI. Runs… more
- Trinity Health (Farmington, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position Work Hours: 11:30 am to 8:00 pm (EDT) - Monday thru Friday (Pay Range:… more
- Machinify (Palo Alto, CA)
- …deploy, at light speed, industry-specific products that increase the speed and accuracy of claims processing by orders of magnitude. We're seeking a hands on, ... is the leading provider of AI-powered software products that transform healthcare claims and payment operations. Each year, the healthcare industry generates over… more
- American Recruiting and Consulting Group (Jacksonville, FL)
- …in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or ... MEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for...(LCDs) and ensuring compliance with Medicare policies, reviewing medical claims , and promoting evidence-based healthcare. ESSENTIAL DUTIES & RESPONSIBILITIES… more
- Actalent (Orlando, FL)
- … team. In this role, you will be responsible for handling insurance claims , processing prior authorizations, and making coverage determinations. You'll work ... Remote Pharmacy Technician - Insurance & Coverage Determination...medications. Key Responsibilities Process and follow up on insurance claims and prior authorizations Evaluate and make coverage determinations… more
- The EW Scripps Company (San Diego, CA)
- …responsible for a variety of billing and follow-up tasks relating to claims processing ; contacts responsible parties to resolve past-due accounts; investigates ... is a full-time, benefit eligible position and is partial remote and will be located at our 4S Ranch...account status and initiates collection. Submits claims and follows up with payors to account resolution.… more
- TEKsystems (Earth City, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... gears in your career? We are seeking a Mechanical Claims Specialist to join our expanding customer contact team....connection and a quiet at-home workspace is required for remote and hybrid schedules. Pay and Benefits The pay… more
- Peapod Digital Labs (Salisbury, NC)
- …quality level targets. This role is responsible, specialized technical work investigating and processing claims for self-insured claims programs. This role ... Job Requisition: 439819 Address: USA-NC-Salisbury-2110 Executive Drive Store Code: Claims Management (5157500) Ahold Delhaize USA, a division of...day at one of our core locations and 4 remote days. Applicants must be currently authorized to work… more
