- Carrot (Des Moines, IA)
- …Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and ... issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support...to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps… more
- PennyMac (Moorpark, CA)
- …achieve aspirations of homeownership through the complete mortgage journey. Job Overview The Claims Processor is a specialized role within the mortgage industry, ... that incurred during the foreclosure process. A Typical Day The Claims Processor will take direction from the department supervisor for post-sale functions,… more
- Motion Recruitment Partners (Denver, CO)
- Medical Claims Processor / Contract / Remote Denver, CO **100% Remote** Contract $25.63/hr - $26.51/hr Our client, a leading healthcare organization dedicated to ... advancing patient care and safety, is looking for a contract Medical Claims Processor . This is a fully remote role. **Contract Duration:** 2-Months **Required… more
- CareFirst (Baltimore, MD)
- …generated and calculate deductibles and maximums as well as research and resolve pending claims . The Claims Processor also use automated system processes to ... & Qualifications** **PURPOSE:** Under direct supervision, reviews and adjudicates paper/electronic claims . Determines proper handling and adjudication of claims … more
- CareFirst (Baltimore, MD)
- …generated and calculate deductibles and maximums as well as research and resolve pending claims . The Claims Processor also use automated system processes to ... Office.** **PURPOSE:** Under general supervision, reviews and adjudicates paper/electronic claims . Determines proper handling and adjudication of claims … more
- Apex Health Solutions (Houston, TX)
- Job Title: Claims Processor Department: Operations Supervisor: Manager, Claims Operations Summary: Position is responsible for the timely and accurate ... claims adjudication and regulatory reporting functions including associated processes...and processes focused on timely and accurate adjudication of claims to review, evaluate and/or quality control review and… more
- Cognizant (Lansing, MI)
- …US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor ** is responsible for the timely and accurate adjudication of ... professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims … 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 (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor ** to join our team in **Plano, TX for a remote position** ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are… more
- Aston Carter (Akron, OH)
- Job Title: Claims Processor Job Description This integral position helps resolve client issues, determine appropriate next steps for client files, and manage ... client correspondence effectively. Responsibilities + Request and prepare legal documents through the case management system. + Reference court websites to obtain status updates on pending cases. + E-file complaints and motions with courts. + Update the case… more
- Conduent (Helena, MT)
- …and the medical eligibility and claims process! **About the Role** As a Claims Resolution Transaction Processor claims team, you will enter claim ... our system, ensuring data integrity and timely processing. As a Claims Resolution Transaction Processor , you will be responsible for: + Accurately input claim… 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. **NOTE** : This is ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- M&T Bank (Getzville, NY)
- **Overview:** Submits conventional claims , reviews losses, and reconciles loans for final booking by Default Accounting. Reviews claims filed for accuracy. ... + Understand difference between the claim types: Short Sales, Foreclosure Claims , Third Party Claims , Charge Off, Security Claims , Loss Mitigation Claims… more
- NTT DATA North America (Plano, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... + 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 (Plano, TX)
- …part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **Note** : This ... + 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
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- Sutter Health (West Valley, UT)
- …: **EDUCATION** + Equivalent experience will be accepted in lieu of the required degree or diploma. + HS Diploma: High School Diploma or General Education Diploma ... We are so glad you are interested in joining Sutter Health! **Organization:** S3-Sutter Shared Services-Utah **Position Overview:** Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit… more
- DXC Technology (Nashville, TN)
- …DXC Technology (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring ... security and scalability across public, private and hybrid clouds. The world's largest companies and public sector organizations trust DXC to deploy services across the Enterprise Technology Stack to drive new levels of performance, competitiveness, and… more
- NTT DATA North America (Decatur, IL)
- …home** . This is a full-time, temporary role. **Must have TPA experience.** The Claims Processor reports to the Regional Claims Manager, Employee Benefits ... we ensure a bright future for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote, from… more
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