- 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
- Cognizant (Lansing, MI)
- …**Fully Remote US Based** Claims Processors to join our growing team. The ** Medical ** ** Claims Processor ** is responsible for the timely and accurate ... School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of… more
- NTT DATA North America (Plano, TX)
- …advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Medical Claims Processor ** to join our team in **Plano, TX for ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows applications that… 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
- 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 ...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… 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, ... incurred during the foreclosure process. A Typical Day The Claims Processor will take direction from the...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
- Conduent (Helena, MT)
- … medical eligibility and claims process! **About the Role** As a Claims Resolution Transaction Processor claims team, you will enter claim information ... system, ensuring data integrity and timely processing. As a Claims Resolution Transaction Processor , you will be...sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service… 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 ... send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated… 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 ... send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated… 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 ... adjudication of paper/electronic claims for inpatient, outpatient and professional medical claims Resolve claim edits, review history records and determine… 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 ... the benefits available for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement… more
- Robert Half Accountemps (Olathe, KS)
- Description We are looking for a detail-oriented Medical Billing - Denials Processor to join our team in Olathe, Kansas. In this long-term contract position, you ... on insurance claim denials. If you have expertise in medical billing and a strong background in resolving claim...and timely billing. * Review and analyze denied insurance claims , identifying reasons for denials and taking corrective actions.… more
- Sedgwick (Indianapolis, IN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Product Processor DEA Are you looking for an impactful job that offers an opportunity ... promotional growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more The statements contained in… more
- ICW Group (Philadelphia, PA)
- …+ Directs questions to the appropriate contact in the department. Inputs new claims into enterprise resource planning (ERP) system as well as creates written ... + Processes incoming mail and other administrative duties relating to claims . **SUPERVISORY RESPONSIBILITIES** This role does not have supervisory responsibilities.… more
- Tompkins Community Bank (Batavia, NY)
- …(CL) Department in the handling and processing of new and renewal business, claims and special projects. It will provide in-house customer service to clients, as ... + Assist with First Notice of Loss and Reporting Claims to carriers, setting up ImageRight for the Claim....with good verbal and written communication skills. Benefits + Medical + Dental + Vision + 401(k) Match +… 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 ... the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote,...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- Lineage Logistics (Novi, MI)
- …the transportation industry + Carmack Amendment knowledge strongly preferred. + Certified Claims Processor (CCP) preferred. + Proficient computer skills required ... **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Capture data related to potential claims of overages, shortages, and damages of customer products and unexpected… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor experience with a minimum of one year experience working in ... medical care setting required. + Working knowledge of medical terminology and the claims systems required....Working knowledge of medical terminology and the claims systems required. + Must demonstrate proficiency with Microsoft… more
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