- IQVIA (Atlanta, GA)
- …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 ... Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial… more
- Providence (TX)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position… more
- NTT DATA North America (Plano, TX)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote Claims Processor to join our team in Plano, TX. **HRP Claims ... + **1-3 year(s) of hands on experience in Healthcare Claims Processing ** + 2+ year(s) using a...for specific roles. The starting hourly range for this remote role is ($20 - $22/hourly ). This range… more
- Sedgwick (Topeka, KS)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- TEKsystems (Minneapolis, MN)
- …member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. ... insurance, Claims Analyst, Audit, support, analysis, workflow, claim, Healthcare, Medical Terminology Top Skills Details Claims , RxClaims, Pharmacy benefits,… more
- Sedgwick (Bartlesville, OK)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation ( Remote - GA/MN exp required) **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Sedgwick (Concord, NH)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist ( REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... field; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- NTT DATA North America (Plano, TX)
- …seeks a **HRP Claims Processor** to join our team for a remote position. **Role Responsibilities** - Processing of Professional claim forms files by provider ... system** + **1-3 year(s) of hands-on experience in Healthcare Claims Processing ** + 2+ year(s) using a...for specific roles. The starting hourly range for this remote role is **$22.00/hourly** . This range reflects the… more
- TEKsystems (Milwaukee, WI)
- …member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. ... years of claims experience with emphasis on researching / auditing not processing or production + Claims software experience with RxClaims being preferred +… 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 ... + Schedule: Full-time Days: Monday - Friday + Location: Remote after training in Detroit, MI Prepares and issues...to third party payers and/or responsible parties. . Reviews claims for accuracy, including proper diagnosis and procedure codes.… more
- CVS Health (Frankfort, KY)
- … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Reynolds & Reynolds (Des Moines, IA)
- Position Description This is a full-time, remote position.American Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking ... Claims Adjuster - Automotive for our growing team. In...are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract coverage… more
- US Tech Solutions (Robbinsville, NJ)
- … Claims Eligibility Specialist will be responsible for adjudicating and processing fee-for-service claims , billing and eligibility inquiries and other ... **Part-time** : **Monday-Friday 8 am-12 pm (Hours are flexible)** ** Remote after training, but must be willing to come...assigned billing duties **Experience:** + Medical billing knowledge (including completion of CMS 1500) +… more
- Kelly Services (Glastonbury, CT)
- …(AA / AS) preferred, or equivalent work experience + **Experience:** 2-4 years in medical claims processing , billing, or insurance customer service + ... Microsoft Office, internet-based tools, and proprietary software + **Preferred:** Experience with medical coding, billing, or claims processing **Skills &… 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...Examiner** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within… 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 files by… more
- TEKsystems (Reston, VA)
- …GED Experience: 3 years claims experience required Preferred Qualifications Three years medical claims processing billing or medical terminology ... experience. Experience using the FACETS Claims processing application Knowledge Skills and Abilities KSAs Demonstrated communication skills both written and… more
- UMB Bank (Kansas City, MO)
- …resolution, and weekly reporting. Assisting with ongoing monthly audit and reporting of vendor claims processing to ensure compliance with Reg E and Reg Z ... remote working schedule The Sr Card Fraud Claims Analyst will be a member of the UMB...Demonstrates in-depth knowledge of back-office card fraud and non-fraud claims processing . + Demonstrate knowledge of Reg… more
- Holcim US (Nashville, TN)
- …budget goals. + Provides guidance to Junior Warranty Claims Investigator regarding claims analysis and processing . **WHAT WE ARE LOOKING FOR** + 6+ years ... Warranty Claims Investigator - East Requisition ID: 13348 Location:...a repair contractor, ordering/shipping materials, reviewing work completed and processing contractor invoices. This Investigator position is for our… more
- TEKsystems (Fresno, CA)
- …+ High school diploma or equivalent. + 1-3 years of experience in health claims processing ( medical , dental, vision, subrogation, or accident). + Familiarity ... We Are Looking for a Claims Examiner! Location: Remote (On-site training...claim processing . You'll: + Review and process medical , dental, vision, and HIPD claims with… more
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