- TEKsystems (Fresno, CA)
- We are currently hiring a Claims Processor for one of the...Degree in Business or related medical field preferred. + 1 + year of experience in a lead or lead ... groups + Process CMS-1500, UB-04, high dollar, and JAA/BlueCard claims + Interpret individual group SPD's and apply benefits...Blue Cross website for inquiries and JAA / BlueCard claims processing + Batch/Scan correspondence + Keep track of… more
- Highmark Health (Harrisburg, PA)
- …None **EXPERIENCE** **Required** + 1 year of related experience **Preferred** + 1 year of claims processing experience + Inquiry resolution system, OCWA, ... errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following… more
- M&T Bank (Getzville, NY)
- …position is responsible for the preparation and processing of Conventional Claims . **Primary Responsibilities:** + Monitor daily reports outlining workflow and ... the difference between the claim types: Short Sales, Foreclosure Claims , Third Party Claims , Charge Off, Security...higher education and/or work experience, including a minimum of 1 year relevant work experience. Organized and detail oriented.… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... Payment Services Unit total more than $319 million annually. The Payment Processor for HHS-PASSPort Payments is responsible for processing payments to contracted… more
- Sedgwick (Miami, FL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medical Bill Processor **PRIMARY PURPOSE** : To code provider bills; to enter pre-coded ... pre-coded billing data into the system. + Identifies and forwards complex bills to claims examiners. + Codes provider bills in accordance with claims management… more
- Sedgwick (Indianapolis, IN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Product Processor **PRIMARY PURPOSE** **:** To scan, count and/or weigh quantities of ... Licensing** High School diploma preferred, or GED required. **Experience** One ( 1 ) years of related experience manufacturing or processing environment or equivalent… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... will be contacted. PRINCIPAL ADMINISTRATIVE ASSOC - 10124 Qualifications 1 . A baccalaureate degree from an accredited college and...one year of the administrative supervisory experience described in " 1 " above; or 3. A four-year high school diploma… more
- CVS Health (Scottsdale, AZ)
- …provides service to multiple employer and health plans. Primary Responsibilities of the Claims Processor include: - Sorting interoffice and regular mail by ... join our fast-paced Claims Department. As a Claims Intake Processor , you will be responsible...meet timelines. **Preferred Qualifications** - Previous PBM Experience - 1 + year of claims experience (medical or… more
- Further Enterprise Solutions (Bentonville, AR)
- Job Title: Business Professional - Claims Specialist 4 Duration: 6 months Work Location: Bentonville, AR, USA Job Description: Job Title - Finance Operations ... level 4 Hybrid - 4 days in office & 1 WFM Preferred Requirements 2+ years finance or revenue...the Financial Analyst and the Operations team with inputting claims (price protection, trailing credits, pricing difference, and post… more
- AmeriHealth Caritas (Raleigh, NC)
- …business partners on all financial matters; + Review and provide approval for claims processor payment and dispute costs as necessary; Administration + Manage ... Review and provide sign off on business quotes for claims processor + Ensure all membership and...insurance coverage for you and your dependents on Day 1 , 401(k) Tuition reimbursement and more. \#CO As a… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …of monthly, quarterly, and annual management reports for PBM clients, and from our Claims Processor . + Assist with on-site client orientation, health fairs and ... tasks; ID card production, DMR's, creation of mass mailings to membership or resolving claims not adjudicated in the mail order platform. May possess alarm code and… more
- PruittHealth (Kinston, NC)
- …with established procedures, and as directed by the Administrator. **KEY RESPONSIBILITIES:** 1 . Creates and maintains an atmosphere of warmth, interest, and optimism ... prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. Operates copier,… more
- Access Dubuque (Dubuque, IA)
- Human Resources Manager **Rousselot** 1 Positions ID: 63047 Posted On 03/06/2025 **Job Overview** **Job Title:** Human Resources Manager **FLSA Status:** Exempt ... analysis processes. Directs work flow including benefit programs, WC claims , general HR functions, coordination with Payroll Dept. Acts...Years Company ID 1229 Job REQ # \# Positions 1 Start Date 20250306 End Date 20250404 Featured Job… more
- Robert Half Office Team (Oklahoma City, OK)
- …is not available. Ideal Backgrounds for This Role: ✅ Legal Assistant ✅ Claims Processor ✅ Medical Billing/Processing If you are detail-oriented, process-driven, ... in Oklahoma City, OK Schedule: Monday - Friday, 7:30 AM - 4:30 PM Duration: 1 Year (Potential for Extension) Anticipated Start Date: Last Week of March Pay Rate:… more
- Access: Supports For Living (Middletown, NY)
- …+ Performs A/R, cash/denial postings, and billing/follow up on MCO insurance claims + Completes external audit work as assigned and assists with internal ... Use intermediate computer skills which include knowledge of word processor , spreadsheet, and database software + Perform other duties...+ An Associates in Accounting or related field with 1 year of experience or Bachelor's degree + Previous… more
- The County of Los Angeles (Los Angeles, CA)
- …features of the tissue. Inspects microtome, ultramicrotome, cryostat, and tissue processor for general maintenance and use. + Prepares surgical specimens for ... Requirements REQUIREMENTS: SELECTION REQUIREMENTS : OPTION I - One ( 1 ) year experience in the preparation of tissue specimens...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more