- IQVIA (Miami, FL)
- …are looking for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this ... **Patient Support Medical Claims Processing ...**Patient Support Medical Claims Processing Representative** _Contract Remote...+ High School Diploma or equivalent + Experience in claim processing required + Medical … more
- Henry Ford Health System (Detroit, MI)
- …reimbursement to individual and third party payers in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission ... to third party payers and/or responsible parties. . Reviews claims for accuracy, including proper diagnosis and procedure codes. . Reviews claim rejections and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… 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
- Sharp Electronics Corporation (Downers Grove, IL)
- …Associate degree in Business or work-related experience. + Minimum one year rebate/ claim processing , data management, or equivalent experience. + Demonstrated ... for review and alignment. + Issue credits for approved claims and send claim discrepancy report to...Collaborate with claim partners to improve the claim submission data for processing efficiency. +… more
- VNS Health (Manhattan, NY)
- … errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established procedures and timelines. ... + Monitors claims processing metrics and identifies opportunities for...processing . + Identifies trends and root causes of claim errors and develops corrective action plans. + Monitors… more
- TEKsystems (Earth City, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... Seeking a Mechanical Claims Specialist to join our expanding customer contact...other parties, providing exceptional customer service while successfully resolving claim -related requests. * Actively listen to callers' questions and… more
- CommonSpirit Health (Erlanger, KY)
- …to return, pend, deny or pay claims ). + Follows and ensures claims processing is consistent with applicable policies, regulations, procedures and department ... and monitor the Short Term Disability and/or Statutory Disability claims processes to ensure timely and accurate claim...overall caseload of STD, Statutory Disability and/or Family & Medical Leave Act (FMLA) claims while remaining… more
- TEKsystems (Earth City, MO)
- …Growth: Opportunities for professional development and advancement Key Responsibilities: + Claims Processing : Utilize your in-depth knowledge of vehicle ... in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , with the ability to navigate multiple software systems… more
- Fresenius Medical Center (Mesa, AZ)
- …of outstanding payments from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + ... the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms… more
- TEKsystems (Deerfield Beach, FL)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you a… 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
- HCA Healthcare (Nashville, TN)
- …Have strong experience in coverage evaluation process and coverage issues pertinent to medical professional liability claims . + Have a strong understanding of ... an organization that invests in you as a(an) Sr Claims Supervisor? At HCA Healthcare, you come first. HCA...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Providence (Renton, WA)
- …Medicaid benefits/programs required. + Experience with all areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health, Home ... claims adjudicator with at least 3 years prior claims processing experience and a proven track...the impact to the business, and propose solutions. Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and… more
- GuideOne Insurance (Tampa, FL)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
- Aflac (Columbia, SC)
- …does it take to be successful in this role? + Advanced knowledge of claims systems and processing + Broad understanding of human resources laws, regulations, ... of the work week. You will work from your home (within the continental US) for the remaining portion...Responsible for the review, determination, and payment authorization of claims ; provides guidance to subordinates regarding general claim… more
- UCLA Health (Los Angeles, CA)
- …+ High School Diploma, GED or equivalent experience + Four or more years of medical claims payment experience in an HMO setting + Expertise in industry standard ... claim issues as well as train others on claims processes and workflows. Salary Range: $29.42 - $42.14/Hourly...other ancillary locations throughout metro Los Angeles. We're also home to the world-class medical research and… more
- PennyMac (Fort Worth, TX)
- …of homeownership through the complete mortgage journey. A Typical Day The Claims Coordinator is responsible for performing various administrative tasks of the ... Post-sale Claims Team. As the Claims Coordinator, your...intake of Agency Requests for documentation (to perfect the claim submission) + Monitor to ensure timely and accurate… more
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