- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing ...+ High School Diploma or equivalent + Experience in claim processing required + Medical ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- NTT America, Inc. (Plano, TX)
- …improvement. **Required Skills/Experience** + High school Diploma or equivalent. + 3+ years of medical claims processing experience + 5+ years of experience ... potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance… more
- NTT America, Inc. (Plano, TX)
- …for this role include:** + High school Diploma or equivalent. + 3+ years of medical claims processing experience + Experience in Amisys preferred + 5+ ... potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance… more
- Kelly Services (Glastonbury, CT)
- …(AA / AS) preferred, or equivalent work experience + **Experience:** 2-4 years in medical claims processing , billing, or insurance customer service + ... Microsoft Office, internet-based tools, and proprietary software + **Preferred:** Experience with medical coding, billing, or claims processing **Skills &… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Must be familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, ... Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end...School diploma or GED Preferred: Additional training as a medical office assistant, medical claims … more
- Robert Half Accountemps (East Hartford, CT)
- …and comply with HIPAA regulations at all times. Requirements Prior experience in medical claims processing or billing is required. Familiarity with ... Are you looking for an opportunity to bring your medical claims expertise to a reputable organization...with established guidelines. Ensure proper coding and documentation for claims processing . Verify patient eligibility for insurance… 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 Site - 90 days - Remote position after training in FL)** **Must live within a… more
- Travelers Insurance Company (Tampa, FL)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks… more
- City of New York (New York, NY)
- …position include, but are not limited to the following: 1) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims ...to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims… more
- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities...to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims… more
- CVS Health (Augusta, ME)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …routine and complex administrative and clerical tasks to remain current on procedures and medical claims processing resources, and to update CHS RPMS ... Assist patients and other health program staff with questions pertaining to processing of medical claims , direct questions and problems as necessary. +… more
- CVS Health (Franklin, TN)
- … processing team(s). Directs work flow to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
- Select Medical (Camp Hill, PA)
- …School Diploma or Equivalent + One year of experience within a medical billing, medical collecting or claims processing role. + Private and commercial ... **Overview** **Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but flexible...may be a phenomenal career for you within Select Medical ! Our dynamic team has the responsibility of resolving… more
- Select Medical (Camp Hill, PA)
- …of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role. **Preferred:** + Computer Skills ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to provide our… more
- Independent Health (Buffalo, NY)
- … office assistant certificate and/or college degree preferred. + Six (6) months of medical claims processing / medical billing experience, customer service ... + Identify and communicate process opportunities or improvements. + Prioritize and manage claim processing workload in an efficient manner. + Effective written,… more
- Robert Half Office Team (Little Rock, AR)
- …regulations and insurance policies to ensure compliance. Requirements * Proven experience in medical claims processing and handling insurance denials. * ... ideal for individuals with a strong background in managing medical insurance claims , processing denials,...and outcomes. * Utilize Epic EMR software to manage claim workflows and ensure data integrity. * Collaborate with… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is an on-site, full time ... benefits eligible position. The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to process claims in… more
- Robert Half Office Team (Little Rock, AR)
- …improving claims processing workflows. Requirements * Proven experience in processing medical insurance claims and handling denials. * Strong ... play a vital role in managing and resolving insurance claims and denials, ensuring accurate processing and... and denials efficiently. * Conduct detailed analysis of claim data to identify trends and areas for improvement.… more
- CenterWell (Topeka, KS)
- …Qualifications** + High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare ... and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer… more