- Lyric (Newtown Square, PA)
- … editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor , chart auditor/reviewer, or claims edit/denial management ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Lyric (Newtown Square, PA)
- …+ 5 years or more relevant healthcare experience as a medical coder, medical claims processor medical auditor, clinical editing analyst, or payment or medical ... and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim… more
- PennyMac (Moorpark, CA)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Claims Processor will take direction from the department supervisor for ... and adherence to GSE servicing requirements during the REO process. As the Claims Processor , you will be responsible for filing MI, investor, and insurer … more
- Motion Recruitment Partners (Denver, CO)
- Medical Claims Processor / Contract / Remote Denver, CO **100% Remote** Contract $25.63/hr - $26.51/hr Our client, a leading healthcare organization dedicated to ... advancing patient care and safety, is looking for a contract Medical Claims Processor . This is a fully remote role. We are looking for candidates in the Denver… more
- NTT DATA North America (Chicago, IL)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks a ** Claims Processor ** to join our team in **Chicago, IL** **Role Responsibilities** + ... Process and adjudicate health, dental, and vision insurance claims with precision and efficiency + Perform quality assurance reviews of auto-adjudicated claims … more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims are… more
- Prime Therapeutics (Nashville, TN)
- …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 (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor ** to join our team in **Plano, TX for a remote position** ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are… more
- Conduent (Helena, MT)
- …and the medical eligibility and claims process! **About the Role** As a Claims Resolution Transaction Processor claims team, you will enter claim ... our system, ensuring data integrity and timely processing. As a Claims Resolution Transaction Processor , you will be responsible for: + Accurately input claim… more
- M&T Bank (Getzville, NY)
- **Overview:** Submits conventional claims , reviews losses, and reconciles loans for final booking by Default Accounting. Reviews claims filed for accuracy. ... + Understand difference between the claim types: Short Sales, Foreclosure Claims , Third Party Claims , Charge Off, Security Claims , Loss Mitigation Claims… 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 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
- AssistRx (Dallas, TX)
- DUTIES AND RESPONSIBILITIES: + Processes medical copay claims in accordance with program business rules. + Liaison with other program-specific AssistRx resources to ... daily reconciliation of batch postings, including automated/manual claim inputs. + Analyze claims for accuracy based on insurance coverage, cost of goods, allowable… more
- ManpowerGroup (Santa Ana, CA)
- …communication skills, which will align successfully within the organization. **Job Title: Claims (** Aged Requests **)** **Location:** Santa Ana, CA (Hybrid - ... In-Office or Remote) **Pay Range: $22.00hr** **Shift: 8 am - 5 pm** **What's the Job?** + Review and analyze older requests to determine the best course of action for completion. + Enter memos, demand letters, and schedule field workers to check request… more
- NTT DATA North America (Plano, TX)
- …-Use multiple sources in researching the potential and calculating member accumulators. -Update Accumulator Application according to Standard Operating Procedure ... At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both… 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 ... we ensure a bright future 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… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor experience with a minimum of one year experience working ... and related health plan functions such as member services, claims , and the referral process. As well as functions...clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to… 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
