- IQVIA (New Providence, NJ)
- **Patient Support Medical Claims Processing ...+ High School Diploma or equivalent + Experience in claim processing required + Medical ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim ... Partners with claim adjudication vendors ensure proper claims processing and data integrity. + Monitor...team members. + Subject Matter Expert on reviewing and processing of medical claims submitted… more
- Conduent (Lexington, KY)
- …dependable and detail-oriented Document Processing Clerk to support the intake and processing of medical claims , financial and property documentation and ... where individuality is noticed and valued every day. Document Processing Clerk Lexington, KY $15 per hour & Great...sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service… more
- CHS (Clearwater, FL)
- … medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical … more
- Motion Recruitment Partners (Denver, CO)
- …CO area. **Contract Duration:** 2-Months **Required Skills & Experience** + 3 years Medical Claims processing /adjudication experience. + High School grad ... Medical Claims Processor / Contract /... Medical Claims Processor / Contract / Remote Denver, CO...patient care and safety, is looking for a contract Medical Claims Processor. This is a fully… more
- Travelers Insurance Company (West Bridgewater, MA)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks… more
- TEKsystems (Tampa, FL)
- …a Medical Claims Analyst + Experience and knowledge in Medical Billing, Claims Processing , Refunds/Reimbursement, Provider Relations, etc. + ... outreach, and refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems… more
- Travelers Insurance Company (St. Paul, MN)
- …moderate to direct supervision, this position is responsible for: Reviewing/evaluating, approving and processing Medical Only claims with: No lost time ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...the injured worker is on modified duty and/or total medical paid generally not to exceed $5,000. No attorney… more
- Cedars-Sinai (CA)
- …outcome in applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial products ... core values, policies, and procedures. + Acquires and adjudicates medical claims for processing ; reviews...Dispute Request (PDR) fulfillment process from the point of claim review through letter processing and records… more
- TEKsystems (Sioux Falls, SD)
- Now Hiring for a Medical Claims Processor for a large...from vendors. MUST HAVE * 1-3 years experience in medical insurance claim processing or ... Review, analyze, evaluate, investigate and determine action on complex medical claims and apply necessary adjustment or...and the need for additional information necessary to process claim . * Additional claims duties as required:… more
- CVS Health (Hartford, CT)
- …information for claim or reconsideration. **Required Qualifications** - 18+ months of medical claim processing experience. - Experience in a production ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received from patients and/or HCPs across a ... Supervisor. Responsibilities + Verifies the accuracy and completeness of claim forms and attachments, such as EOBs, EOPs, SPPs,...+ Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider,… more
- CVS Health (Franklin, TN)
- …**For this role you will need Minimum Requirements** + 2+ years of experience with medical claim processing . + 2+ years of experience in a production ... Description **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What… more
- Select Medical (Camp Hill, PA)
- …of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role. **Preferred:** + Computer Skills ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to provide our… more
- Robert Half Accountemps (Kansas City, MO)
- …this long-term contract role, you will play a vital part in managing and processing medical claims , ensuring accurate billing, and supporting efficient ... billing and coding within a healthcare setting. * Strong knowledge of medical claims processing and collections procedures. * Proficiency in medical … more
- Health Care Service Corporation (Quincy, IL)
- …experience. * Clear and concise written and verbal communication skills. * Experience processing medical claims . Preferred Job Qualifications: * Referral ... * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability...the six-eight-week Blue Chip Training class. * Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding. *… more
- Trinity Health (Davenport, IA)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- US Tech Solutions (Whittier, CA)
- …will be indicated by a high school diploma or equivalent; four years medical claims processing . **Preferred:** *Department Management to list. **DUTIES ... in a timely manner 9.Create, maintain and generate system reports 10.Interface with the Claims Director to ensure claims processing functions meet legal and… more
- MVP Health Care (Schenectady, NY)
- …looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical claims and attention to detail this is the opportunity for you. **What's in ... + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills required, Microsoft...and ensures the accuracy of all provider, member and claim line information for all claims for… more
- NTT DATA North America (Plano, TX)
- …+ 2+ year (s) hands-on experience in **Medicare, Medicaid or Commercial Insurance Claims Processing . Will consider medical billers.** + 2+ year(s) ... strategy. NTT DATA currently seeks a long term **Temporary Medical Claims Processor** to join our team...will be paid through NTT DATA only. **Role Responsibilities:** - Processing of Professional claim form files by… more