- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... center locations. We offer competitive compensation, performance-based bonuses, comprehensive medical , dental, and vision benefits, paid vacation and holidays, and… 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 ... claims special projects Daily interaction with supervisor/team members Remote therefore utilizes Microsoft team to communicate. Weekly meetings sometimes with… 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)... experience Prior experience handling first dollar payer insurance ( medical healthcare claims ) Experience with medical… 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...as a liaison and coordinates needed documentation between payer, medical records, review organizations, manager care provider, physician's office… more
- Trinity Health (Farmington, MI)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... 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
- Trinity Health (Farmington, MI)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... 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
- 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)
- … 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...of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery… more
- American Recruiting and Consulting Group (Jacksonville, FL)
- …Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims , and promoting evidence-based healthcare. ESSENTIAL DUTIES ... MEDICAL DIRECTOR - REMOTE ARC Group...industry, a utilization review firm, or another health care claims processing organization in a role that… 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
- 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
- Blue Cross Blue Shield of Arizona (Phoenix, AZ)
- …Services Division such including utilization management, quality management, case management, medical claims review, and pharmacy management. Specific activities ... regulatory compliance, care and disease management, concurrent review, precertification, medical claims reconsideration and retrospective review. Provide… 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
- Movn Health (Los Angeles, CA)
- …Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a hands-on, senior-level role ... etc) and QuickBooks , and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities...and payer systems is essential. Functional Responsibilities Submit clean claims via EHR to all payers within 24 hours… 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 ... day at one of our core locations and 4 remote days. Applicants must be currently authorized to work...and procedures pertaining to workers' compensation and general liability claims . Knowledge of medical terminology involved in… more
