- University Health (San Antonio, TX)
- …Work Plan. This position is responsible for conducting complex audits of medical coding, billing, and documentation practices to ensure adherence to federal and ... submissions, ensuring that coding is accurate, complete, and supported by the medical record. By evaluating operational and revenue cycle activities, the auditor… more
- University Health (San Antonio, TX)
- …and statistical analysis of data collected from data sources, patient surveys and claims data, ensuring timeliness and accuracy of data integration between the MAP ... healthcare billing experience is required. Five years experience in a medical or pharmacology related field to include project coordination; database/spreadsheet… more
- TEKsystems (Sioux Falls, SD)
- Now Hiring for a Medical Claims Processor for a large healthcare organization in Sioux Falls, SD!! Description * Provide input to supervise or regarding ways to ... day. * Review, analyze, evaluate, investigate and determine action on complex medical claims and apply necessary adjustment or refund as needed. * Perform… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines....guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions… more
- NTT DATA North America (Plano, TX)
- …part of an overall sourcing strategy. NTT DATA currently seeks a long term **Temporary Medical Claims Processor** to join our team **for a remote position** . ... (s) hands-on experience in **Medicare, Medicaid or Commercial Insurance Claims Processing. Will consider medical billers.** +...or Commercial Insurance Claims Processing. Will consider medical billers.** + 2+ year(s) using a computer with… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- TEKsystems (Tampa, FL)
- …outreach, and refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems ... + Extensive understanding of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in Medical Billing, Claims… more
- NTT DATA North America (Plano, TX)
- …when 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 ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as...nature of the role offered. Company benefits may include medical , dental, and vision insurance, flexible spending or health… more
- US Tech Solutions (Canton, MA)
- …**Overview** + Under the general direction of the Quality Program Manager(s), the Medical Claims Research Specialist(s) will review medical claims ... with medical terminology and provider specialties + Experience working in medical claims systems + Healthcare experience (including HEDIS) + Experience in… 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
- Insight Global (Somerset, NJ)
- Job Description Insight Global is looking for a Medical Claims Biller for one of our healthcare clients in Somerset, NJ. The candidate will oversee calculating ... the specific healthcare service provided. They must have experience following medical claims and updating patient data. The candidate should also understand and… more
- IQVIA (New Providence, NJ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Novant Health (Winston Salem, NC)
- …general liability, for all Novant facilities and physician practices. This is a Medical Malpractice Claims Manager Position. Considering candidates in NC or SC, ... + Reviews medical records and associated documents pertaining to incidents, claims and ligation. + Obtain, review and analyze internal and external contracts and… more
- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing non-complex ... and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to creating… more
- Robert Half Office Team (Vancouver, WA)
- Description We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis in Vancouver, Washington. In ... verifying patient insurance details, ensuring accurate billing, and supporting the claims process to minimize denials. This position requires excellent communication… more
- TEKsystems (Addison, TX)
- …on-site presence during regular business hours. Skills Customer service, medical , medical billing, medical records, intake, claims , Tricare, Medicare, ... Description The Claims Reconciliation Specialist is responsible for comprehensive billing...ensures accurate documentation collection, provider verification, and compliance with medical direction requirements to maximize revenue recovery. This is… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Sedgwick (Concord, CA)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Representative (Future Medical )| In-Office (Concord, CA) **ARE YOU AN… more
- Sedgwick (Helena, MT)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate l Workers Compensation l Medical -Only...Insurance Claims Associate l Workers Compensation l Medical -Only l Phoenix, AZ Are you looking for an… 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. **NOTE** : This is a US based, ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
