• Medical Claims Processing

    Ascension Health (Jacksonville, FL)
    …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... Days Monday - Friday 7:30am - 4:00pm + **Facility:** Ascension St. Vincent's Medical Group + **Location:** Jacksonville, FL **_Listening to you, caring for you!_**… more
    Ascension Health (09/25/24)
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  • Medical Claims Adjustor (Fully…

    CVS Health (St. Paul, MN)
    …all resource materials to manage job responsibilities. **Required Qualifications** + 2+ years medical claim processing experience. + 2+ years of experience ... RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing...level on customer service platforms by using technical and claims processing expertise. + Applies medical more
    CVS Health (10/31/24)
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  • Supervisor Claims - Claims

    Providence (Mission Hills, CA)
    …+ 5 years experience in medical /institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience ... staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units....in a medical /institutional claims customer services unit within a health plan … more
    Providence (09/25/24)
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  • Claim Operation Specialist

    Travelers Insurance Company (Franklin, TN)
    …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
    Travelers Insurance Company (11/01/24)
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  • Medical Claims Examiner

    TEKsystems (El Monte, CA)
    claims . Adjudicate claims Skills: Claim , hipaa, superbill, cms 1500, medical claims processing , medical terminology Additional Skills & ... exceptional customer service abilities. Key Responsibilities: Review and validate insurance claims for accuracy and completeness. Examine claim forms, policies,… more
    TEKsystems (10/29/24)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    medical terminology **Qualifications** **Qualifications:** Minimum two (2) years of medical claims processing experience **Education and/or Experience:** ... **Overview** **Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable… more
    CHS (10/24/24)
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  • Claim Benefit Specialist Ops

    CVS Health (Jacksonville, FL)
    …regional, and national goals **Required Qualifications** Experience in a production environment. Medical claim processing experience preferred but not ... and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.… more
    CVS Health (09/18/24)
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  • Billing and Follow Up Representative-II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. **Experience with hospital medical claims follow-up with Medicaid in the state of Ohio… more
    Trinity Health (10/29/24)
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  • Senior Claim Benefit Specialist - Fully…

    CVS Health (St. Paul, MN)
    …for claim or reconsideration. **Required Qualifications:** - Required 2+ years of Medical claims processing experience - Familiar with ICD and CPT ... Benefit Specialist will reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Reviews… more
    CVS Health (10/29/24)
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  • Claim Auditor

    HCA Healthcare (Nashville, TN)
    …Qualifications** The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims processing at health plan payor, MSO, HMO, and IPA ... join an organization that invests in you as a ** Claim Auditor** ? At Work from Home, you come...environment, required + Hands-on knowledge and functional understanding of medical claims billing, processing , terminology,… more
    HCA Healthcare (10/24/24)
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  • Billing and Follow-up Representative-I (Hospital…

    Trinity Health (Farmington Hills, MI)
    …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
    Trinity Health (11/01/24)
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  • Medical Billing/ Claims /Collections

    Robert Half Accountemps (Portsmouth, NH)
    …and efficient processing of customer applications. Responsibilities: * Handle medical claims billing and denial issues, including research and reprocessing ... and take appropriate actions when necessary * Apply skills such as Claims Processing , Medical Denials, and Billing in daily tasks and responsibilities… more
    Robert Half Accountemps (10/29/24)
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  • Claims Examiner - Managed Care

    Cedars-Sinai (CA)
    …outcome in applicable tracking databases. **Qualifications** **Experience:** Three (3) years of medical claims processing for Medicare and Commercial ... 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
    Cedars-Sinai (09/12/24)
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  • Medical Claims Analyst

    Robert Half Accountemps (Winter Garden, FL)
    …role will be to handle claims adjudication and oversee the payment and processing of medical claims . The role also involves maintaining positive ... employment opportunity. Responsibilities: * Oversee the timely and efficient processing and payment of medical claims... medical providers, and parents. * Ensure all claim payments and processing are conducted in… more
    Robert Half Accountemps (10/29/24)
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  • Claims Department Team Lead

    Conduent (MT)
    …As the ** Claims Department Team Lead** , you will support a complex medical claim processing team, overseeing daily tasks, setting priorities, and ... processing requests. Display understanding and application of concepts in medical claims processing and basic knowledge of other disciplines. Conduent is… more
    Conduent (10/18/24)
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  • Claims Resolution Specialist

    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
    Select Medical (10/12/24)
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  • Claims Examiner I

    Elevance Health (Rancho Cordova, CA)
    …Minimum Requirements : + Minimum of one (1) year of Anthem Blue Cross medical claims processing experience (internal applicants shall have preference over ... the appropriate course of action (ie referral to MRU, claim reject, return to submittal etc.). + Utilizes appropriate...external applicants) or medical claims processing /or other health… more
    Elevance Health (10/25/24)
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  • Claims Processing Representative

    Access Dubuque (Dubuque, IA)
    Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... located in Dubuque, IA; telecommuting options available **Grand River Medical Group, a leading healthcare provider in the Dubuque...report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key… more
    Access Dubuque (10/31/24)
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  • Claims Department Manager

    Conduent (Helena, MT)
    …day. As the ** Claims Department Manager** , you will lead a complex medical claim processing team, overseeing daily tasks, setting priorities, and ... mentoring team members. Display understanding and application of concepts in medical claims processing and basic knowledge of other disciplines. Bachelor's… more
    Conduent (10/22/24)
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  • Claims Department Manager

    Conduent (MT)
    As the ** Claims Department Manager** , you will lead a complex medical claim processing team, overseeing daily tasks, setting priorities, and ... mentoring team members. Display understanding and application of concepts in medical claims processing and basic knowledge of other disciplines. Bachelor's… more
    Conduent (10/18/24)
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