- Johnson Service Group (Orange, CA)
- Job Description Johnson Service Group (JSG) is seeking a Medical Claims Resolution Specialist (Customer Service) for a company in Orange, CA. Work Schedule: ... 5:00 pm) Hourly range: $25.00-$38.00 (DOE) Duties & Responsibilities: 80% - Claims Support Responds to provider questions and researches issues regarding claims… more
- Gallagher (Oklahoma City, OK)
- …match, we encourage you to apply. Overview We are currently looking for a Claims Medical Only Representative who has a passion to provide outstanding ... to make decisions and resolve issues inherent in handling claims . About You REQUIRED QUALIFICATIONS : - High School...depending on your job level these benefits may improve: Medical /dental/vision plans, which start from day one! Life and… more
- Horizon (Getzville, NY)
- …to put into action? Then you've come to the right place! Apply to be a Medical Billing Claims Specialist today! What will your day look like? At Horizon, you'll ... experience that'll ensure your success in your new role. As a Medical Billing Claims Specialist at Horizon, you will Review suspense for payers and prebilling… more
- Optum (San Juan, PR)
- …to work occasional overtime on weekends and holidays) Preferred Qualifications: Experience in medical billing or claims Healthcare experience Pay is based on ... Growing together. Primary Responsibilities: Authorizes the appropriate payment or refers claims to investigators for further review Conducts data entry and … more
- MetroPlusHealth (New York, NY)
- …The Claims Adjustment Specialist I will also be responsible for adjusting medical claims that result in overpayment or underpayment due to claim processing ... and maintenance accurate records and files. Job Description Research and analyze medical claims adjustment requests along with related documentation to determine… more
- Absolute Staffing & Consulting Solutions (New York, NY)
- …are properly documented and claims coding is correct. May process complex lifetime medical and/or defined period medical claims which include state and ... & Consulting Solutions is looking for a Workers Compensation Claims Examiner to join our team of professionals in...description below sounds like you, Apply Now! Salary: 75k-85k Claims Examiner- Workers Compensation Are you looking for an… more
- CarolinasDentist (Raleigh, NC)
- …insurance claims processing is highly beneficial. Candidates with experience in medical claims processing may also be considered. Knowledge of Dental ... Job Description The Claims Coordinator ensures accuracy and timely filing for all dental claims for assigned office and reports problems and issues on follow up… more
- Marriott International (Bethesda, MD)
- … Claims Representative is responsible for the administration and disposition of medical only (MO) workers compensation (WC) claims . Caseload will be ... WC claims and responsibility is limited to non-litigated medical only and disability claims of limited duration. Claims involving continuous trauma,… more
- Optum (San Juan, PR)
- …will be required for this position) Preferred Qualifications: Experience working with medical claims platforms Medical record coding experience with ... Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported… more
- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. Theres a lot to ... Phoenix office (1 Norterra Drive, Phoenix, AZ 85085) as a Customer Service Claims Representative. You will be part of an outstanding contact service center, where… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations, you will lead and be accountable for auto, and other claims ... employees understand how their work and contributions support the overall claims and Enterprise strategies. Proactively find opportunities to improve operational… more
- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for you. Theres a lot to ... Phoenix office (1 Norterra Drive, Phoenix, AZ 85085) as a Customer Service Auto Claims representative. Your work will focus on adjusting non-injury auto claims … more
- Guidehealth (Rockford, IL)
- …with Microsoft applications, Excel, Word, Access and Power Point. Experience with HMO Medical insurance claims with in-depth understanding of federal and state ... and growth. You will provide operational oversight to the claims production and the inventory and reporting teams to...coding edits experience. CPT and ICD coding knowledge and medical terminology What we'd love for you to have… more
- Chubb (Walnut Creek, CA)
- …Angeles, CA office. Duties & Responsibilities: Handles all aspects of workers' compensation medical only claims from set-up to case closure ensuring strong ... customer relations are maintained throughout the process. Review and assess new medical -only claims to determine eligibility and coverage under workers'… more
- Integrity Marketing Group (Clearwater, FL)
- …and reliability. Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims . Familiarity with medical terminology, procedure and ... each of our employees a place where they can excel. Job Summary Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in… more
- AUROBINDO (Durham, NC)
- …resumes, conducting phone screens, and interviewing.Assist with benefits administration including medical , dental, vision, COBRA and 401(k), health and welfare open ... (FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities… more
- Swift Staffing Group (Monroe, NY)
- …This is a all female team office environment. Responsibilities: Process and submit medical claims accurately and in a timely manner. Verify patient insurance ... A Monroe-based medical billing company is seeking a Yiddish-speaking ...authorization for services. Follow up on denied or unpaid claims and resolve billing discrepancies. Communicate with insurance companies,… more
- Dollar General (Goodlettsville, TN)
- …of claims exceeding authority. Provide direction to defense attorneys for claims in litigation, medical case managers and private investigators as ... General Summary: Investigate, evaluate, negotiate, and resolve complex workers' compensation claims within authority and with limited supervision. Job Details Duties… more
- USAA (Colorado Springs, CO)
- …multi-tasking, and problem-solving skills. Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims . Ability to ... Injury Examiner , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, determining… more
- Trinity Health (Farmington, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a… more
