- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue...hybrid model** **after introductory period** **of some work from home and some in office days, with no evening… more
- The Cigna Group (Columbus, OH)
- …Remote** **SUMMARY** The claims representative is responsible for manually reviewing and processing medical , supplemental, or dental claims . Claims ... submitted claims . . Validate the accuracy of medical codes provided in claim submissions. ....Meet or exceed quality and productivity goals. . Identify claim processing learning opportunities by working directly… more
- 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 ,...environment, required + Hands-on knowledge and functional understanding of medical claims billing, processing , terminology,… more
- Providence (Anaheim, CA)
- …Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W ... valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...Center St Promenade **Work Location:** St Joseph Home Health-Anaheim **Workplace Type:** On-site **Pay Range:** $30.81 -… more
- Fallon Health (Worcester, MA)
- …**Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level.. Thorough understanding of ... claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest...in a quality manner. + Solid working knowledge of claim processing from all perspectives (submissions, … more
- Pacific Medical Centers (Seattle, WA)
- …CHAMPUS, Medicare and/or Medicaid benefits/programs. + All areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health, Home ... Administration. + 4 years of Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …training and/or direct work related experience. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Oct 21, 2024 Location: Parsippany,...+ Minimum 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Sedgwick (Philadelphia, PA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... The other 4 days a week are work from home ** Are you looking for an opportunity to join...and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- Mass Markets (Wichita, KS)
- …monitor, and manage production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, claims , ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …. Processes claims edits from receipt to completion. . Utilizes claims and ancillary systems and adheres to processing procedures resulting in ... **_The Claims Representative II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH or… more
- HCA Healthcare (Nashville, TN)
- …accounts. Requirements + High school diploma or equivalent + Two (2) years of experience processing claims , with at least one year of claims adjudication ... join an organization that invests in you as a Claims Examiner? At Work from Home , you...CPT, HCPC, and Revenue Coding + Ability to analyze claim issues and "trouble shoot" claims problems… more
- HCA Healthcare (Campbell, CA)
- …when necessary. Requirements: + High school diploma + Three to Five years of experience processing regular and complex claims + Ability to act as a resource and ... Do you have the career opportunities as a Senior Claims Examiner you want with your current employer? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- CenterWell (Topeka, KS)
- …Qualifications** + High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection ... and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer… more
- St. Luke's University Health Network (Allentown, PA)
- …Knowledge and experience in dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience ... and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission...your application using your full legal name and current home address. Be sure to include employment history for… more
- State of Michigan (Okemos, MI)
- …is required. Claims Examiner 10 One year of professional experience processing , reviewing and making determinations regarding medical insurance claims ... Claims Examiner P11 Two years of professional experience processing , reviewing and making determinations regarding medical ...birth or adoption to allow needed time together at home with a new child. Paid Holidays:Eligible employees receive… more
- Reynolds & Reynolds (Phoenix, AZ)
- …but are not limited to: - Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage and terms ... - Accurately establish, review and authorize claims - Entering claim and contract information... and contract information into the AGWS' system A home office package will be provided for this position.… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I (Health & Dental)** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate will live ... during the first 6 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Access Dubuque (Dubuque, IA)
- …Job TH Ad TH Comments **Similar Jobs** Claims Assistant Sedgwick Claims Processing Representative Grand River Medical Group Commercial Auto/Liability ... ID: 4011971008 Posted On 10/10/2024 **Job Overview** **Workers Compensation Claims Adjuster** Location: Work from Home (must...experience level. + **Most Benefits start Day 1** + Medical , Dental, Vision Insurance + Flex Spending or HSA… more
- Access Dubuque (Dubuque, IA)
- …Featured Job TH Ad TH Comments **Similar Jobs** Claims Assistant Sedgwick Claims Processing Representative Grand River Medical Group Summer 2025 ... ID: 4011973008 Posted On 10/25/2024 **Job Overview** **Commercial Auto/Liability Claims Adjuster** Location: Work from Home Who...experience level. + **Most Benefits start Day 1** + Medical , Dental, Vision Insurance + Flex Spending or HSA… more
- Do it Best Corp. (Fort Wayne, IN)
- …to Position: Director of Warehouse Operations Trave: N/A About the Role: The Claims Representative is responsible for processing members' claims for ... Claims Representative Location: Fort Wayne, IN Level: Full-Time...available to you: + Full insurance benefits package including Medical , Dental, & Vision + Paid time off to… more