- Belcan (Mason, OH)
- Job Description Job Title: Claims Processor Location: Mason, OH Zip Code: 45040 Pay Rate: $18-19/hr. Start Date: Right Away Keywords: #MasonJobs; ... #ClaimsProcessorjobs; Job Description: GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects.… more
- Abacus Service Corporation (Mason, OH)
- Description/Comment: CTUAL JOB TITLE: Claims Coordinator BACKFILL Work hours: 8 - 5pm with hour lunch, or 8-430 with 30 minute lunch. Brand: Eyemed Temp only ... Medically Necessary Contacts Processing GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects.… more
- Integrity Marketing Group (Clearwater, FL)
- …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 ... accordance with specific claims processing guidelines. Receive, organize and make daily use of information regarding benefits, contract coverage, and policy… more
- APS Medical (Toledo, OH)
- …locations throughout the United States. Responsibilities Follow up on unresolved claims within the standard billing cycle Investigate, identify, research, and appeal ... denied claims Ensure accuracy and quality work on a day-to-day basis Reliably meet deadlines in a high-volume setting Qualifications Minimum 3 years of medical… more
- Molina Healthcare (Long Beach, CA)
- …vendor, and internal COB leads. Updates the other insurance table on the claims transactional system and COB tracking database. Contacts CMS directly or coordinates ... with the Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD. JOB QUALIFICATIONS Required Education HS Diploma or GED Required Experience 1-3 years' experience in an administrative support. Preferred… more
- UPMC Senior Communities (Pittsburgh, PA)
- …the following actions; submission of prescription information to correct insurance processor , troubleshoot and resolve rejected claims , reliably coordinate ... multiple benefit payers, including Medicare obtaining all necessary paperwork including assignment of benefit forms. Completion of high school diploma or equivalent OR Completion of an accredited pharmacy technician program AND one of the following: Two years… more
- Lili (New York, NY)
- …to decisioning, working with customers, the Lili customer service team and our payment processor to support this function. You will be expected to adhere to all ... of the dispute through the investigation and resolution. Review of outstanding claims in a timely manner to meet applicable regulations and company's policies.… more
- Property Damage Appraisers (Albany, NY)
- …the client and or claimant. CONTRACT REQUIREMENTS INCLUDE: *1 + years field claims experience including auto claims ; *Electronic estimating experience using one ... the location of assignments received. Normal office or field claims environment. Ability to operate a motor vehicle for...and Phone System Requirements: 1. CPU: Intel or AMD Processor (4 core / 2.7 GHz or better); 2.… more
- CACI International (Chantilly, VA)
- Claims Processor Customer Service Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee ... a detail-oriented, active, and critical thinker to manage and review workers' compensation claims as a Claims Processor . As a Claims Processor , your… more
- City of New York (New York, NY)
- …City Department of Citywide Administrative Services (DCAS) seeks to hire a Claims Processor within Human Capital's Unemployment Insurance Unit. The Unemployment ... account. The Unemployment Insurance (UI) unit seeks to hire one (1) Claims Processor to support the UI Administrative Manager. With latitude to exercise… more
- System One (Fairfax, VA)
- ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual will ... review and adjudicate paper/electronic claims , also use automated system..., also use automated system processes to send pending claims to ensure accurate completion according to medical policy,… more
- Prime Therapeutics (Lincoln, NE)
- …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor , Government Programs **Job Description** Adjudicate or submit ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** + Adjudicate or submit claims and… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims are… more
- NTT DATA North America (St. Louis, MO)
- …the people who work here. NTT DATA is seeking to hire a **Remote Claims Processor ** to work **remote (MO).** **Role Responsibilities:** * Processing of ... * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims are… more
- TEKsystems (Brookfield, WI)
- …PM or 8:30 AM-5:00 PM About the Role Seeking a detail-oriented and experienced Claim Processor to join our growing team. This role is critical to our Medicaid line ... of business expansion and involves processing healthcare claims with accuracy and efficiency. If you have a...and efficiency. If you have a strong experience in claims processing and Medicaid, we'd love to hear from… more
- TEKsystems (Brookfield, WI)
- Description As a Claims Analyst II you will be tasked with the following: - Examine and process paper claims and/or electronic claims . - The person in this ... role determines whether to return, pend, deny or pay claims within established policies and procedures. - Determines steps...policies to resolve claim and claim issues. - Settles claims with Claimants in accordance with policy provisions. -… more
- Tufts Medicine (Boston, MA)
- …related to Tufts Medicine's Legal Department. Activities include the processing of claims inquiries, invoices, generation of system and excel based reports related ... to claims and insurance, managing phone inquiries, and the distribution...Two (2) years of more progressively responsible experience processing claims . **Preferred Qualifications:** 1. Associate's degree. 2. Insurance experience.… more
- NTT DATA North America (Plano, TX)
- …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- US Tech Solutions (Myrtle Beach, SC)
- …**Job Description:** + Responsible for the accurate and timely processing of claims . + Research and processes claims according to business regulation, ... coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.… more
- Conduent (Honolulu, HI)
- …II, you will be responsible for:** + Perform data-entry and adjudication of Medicaid Claims data in the company systems + Verify and process insurance claims ... adherence to safety rules and company policies and guidelines + Experience in medical claims data-entry or similar a plus + Able to analyze data processes and make… more
