- 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
- Belcan (Mason, OH)
- Claims Processor Job Number: 356324 Category: Finance/Accounting Description: Job Title: Claims Processor Location: Mason, OH Zip Code: 45040 Pay Rate: ... #ClaimsProcessorjobs; Job Description: GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects.… 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
- 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 (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
- 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
- DXC Technology (Richmond, VA)
- …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 performance, competitiveness, and enhanced customer… more
- Kelly Services (Myrtle Beach, SC)
- …fits your lifestyle isn't always easy. That's where Kelly(R) comes in. **We're seeking a Claims Processor to work at a premier organization in Myrtle Beach, SC ... 1 years claims experience **Why you should apply to be a Claims Processor :** + Enjoy working in a typical office environment that fosters collaboration and… more
- Superior Ambulance Service (Elmhurst, IL)
- …and General Liability and Property claims . We are looking for a detail-oriented claims processor to join our Risk and Safety team. You will be responsible ... claim amounts, and process payments. To be successful as a claim's processor , you should have excellent organizational and interpersonal skills. You should also… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist** to join our growing… more
- NTT DATA North America (Decatur, IL)
- …**Must have TPA experience and LuminX claims payment system experience** The Claims Processor reports to the Regional Claims Manager, Employee Benefits ... 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 home** . This is a… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …diploma or GED Preferred: Additional training as a medical office assistant, medical claims processor , or medical claims follow up specialist. **Experience** ... Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ...claims edits, "front end "edits, as well as claims edits from secondary claims . In the… more
- CVS Health (Cheyenne, WY)
- …Manager_ ) **Operations Team** and is responsible for processing PBM vendor invoices and claims . The **PBM Invoice Processor ** is assigned a set of groups to ... claim data and invoice files. + Reconciles and balances claims data and invoices in the claims ...balances claims data and invoices in the claims processing system. + Coordinates client billing and invoice… more
- Novant Health (Winston Salem, NC)
- …+ Experience: Minimum two years in medical billing or hospital coding, as a claims processor , medical claims for an insurance carrier, or Clerical/Billing ... You will also handle patient inquiries regarding their accounts and resubmit claims as needed to ensure accurate reimbursement. Key Responsibilities: + Follow up… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …of monthly, quarterly, and annual management reports for PBM clients, and from our Claims Processor . + Assist with on-site client orientation, health fairs and ... tasks; ID card production, DMR's, creation of mass mailings to membership or resolving claims not adjudicated in the mail order platform. May possess alarm code and… more
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