- IQVIA (Miami, FL)
- **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
- Robert Half Accountemps (Glastonbury, CT)
- …and Billing or equivalent experience in a related field. * Proven experience in medical claims processing and familiarity with claims clearinghouses. ... basis in Glastonbury, Connecticut. This role involves managing various aspects of medical billing, claims processing , and collections while maintaining… more
- Providence (Mission Hills, CA)
- …+ 5 years experience in medical /institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience ... staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units....in a medical /institutional claims customer services unit within a health plan … more
- Rising Medical Solutions (Milwaukee, WI)
- …With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, ... The Claims Specialist will assist in reviewing, processing... + Develop and maintain a working knowledge of medical bill processing , procedures, and supporting systems… more
- Travelers Insurance Company (Houston, TX)
- …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
- 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
- CVS Health (Columbus, OH)
- …multiple assignments competently, accurately and efficiently. **Preferred Qualifications** Self funded medical claim processing experience DG system ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… 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
- Molina Healthcare (Columbus, OH)
- …claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim types + Demonstrates familiarity ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and… more
- TEKsystems (Fresno, CA)
- …of Claims . Claims Examiner I is responsible for reviewing and processing medical , dental, vision and electronic claims in accordance with state, ... * A minimum of one (1)year experience as a Claims Examiner for medical , dental claims...of Employee Retirement Income Security Act of 1974 (ERISA) claims processing /adjudication guidelines.* Examine a problem, set… more
- Robert Half Accountemps (Richfield, MN)
- …for write-off to management on a monthly basis. Requirements * Proficiency in medical billing, claims processing , and collections, including familiarity with ... with excellent problem-solving and communication skills. Responsibilities: * Submit biweekly medical claims with accuracy and completeness, ensuring compliance… more
- CVS Health (Columbus, OH)
- …all resource materials to manage job responsibilities **Required Qualifications** + 2+ years medical claim processing experience. + Experience in a ... RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing...level on customer service platforms by using technical and claims processing expertise. + Applies medical… more
- Integra Partners (Troy, MI)
- …establish strategies for development Knowledge/Skills/Abilities + 5+ years of experience in medical claims processing , billing, or revenue cycle management. ... Medicare/Medicaid requirements, and regulatory changes affecting CRT reimbursement. + Ensure claims processing adheres to HIPAA regulations and payer-specific… more
- ManpowerGroup (Linthicum Heights, MD)
- …team. As a Health Claims Coordinator, you will be part of the medical claims processing department supporting the efficient management of healthcare ... per hour **What's the Job?** + Review and evaluate claims for all medical benefits. + Utilize...School Diploma or Equivalent. + Minimum one year of Claims Processing experience. + Typing speed of… 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
- CenterWell (Topeka, KS)
- …Qualifications** + High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection ... and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer… more
- Robert Half Accountemps (Burr Ridge, IL)
- …will handle vital billing and collection tasks, ensuring accuracy and compliance in medical claims processing . This is a Contract-to-Permanent position ... Description We are looking for an experienced Medical Collections Specialist to join our team in...delivery tickets for accuracy. * Prepare and submit insurance claims , including printing and mailing forms, and attaching explanation… more
- CVS Health (Franklin, TN)
- …and every day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ... Serve as a subject matter expert on Med Supp claim guidelines, system functionality, and regulatory requirements. * Respond... claims . * Step in to assist with claims processing during peak volumes or staffing… more
- CVS Health (Raleigh, NC)
- …+ Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. + Documents claim information in the ... healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and.... Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of… more
- Trinity Health (Davenport, IA)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
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