- Mastech Digital, Inc. (Aurora, CO)
- …as Digital Transformation Services for all American Corporations. We are currently seeking a Medical Claims Examiner for our client in the IT-Services domain. We ... someone to start immediately.Duration: 3+ Months ContractLocation: RemoteSalary: $24.00/HourlyRole: Medical Claims ExaminerPrimary Skills: ClaimsRole Description: As… more
- MultiPlan (Atlanta, GA)
- …Utilize analytics and data mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding and pricing errors ... using accurate HCPCS, ICD-10, and CPT codes. 4. Lookup and review medical claims in payer system to determine methods of payment and validate savings identified.… more
- MultiPlan (Atlanta, GA)
- …algorithms and queries that facilitate identification of new savings opportunities.3. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ... ICD-10, and CPT codes.4. Lookup and review medical claims in payer system to determine methods of payment and validate savings identified.5. Aid in the training… more
- MultiPlan (Atlanta, GA)
- …our client's needs and tailoring innovative healthcare cost management solutions. Medical Claims Intake Specialist Remote positions available - temporary ... Perform timely data entry of necessary information Perform adjustments on medical claims Cross train on additional intake responsibilities and work different… more
- Rose International (Denver, CO)
- …or lengthened based upon a client's business needs and requirements. Only qualified Medical Claims Examiner candidates located in the Denver, CO area will ... to an FTE.Required Education: High SchoolSkills and Experience Required: 3 years Claims processing experience. Claims experience is the primary skills needed… more
- A-Line Staffing Solutions (Taunton, MA)
- A-Line Staffing is now hiring a 3rd Party Medical Claims Specialist in Taunton, MA 02780. The Claims Specialist would be working with a LTC pharmaceutical ... per week. Remote Work possibility but needs to be local. Pharmacy Claims Specialist Compensation & Highlights SUMMARY: Ensure maximum reimbursement by resolving… more
- CornerStone Staffing (Fort Worth, TX)
- …work for an excellent Healthcare company in Fort Worth! JOB ID - 146044 Job Title: Medical Claims Analyst Pay: $18/hr Location: Fort Worth, TX (76102) - WILL BE ... CornerStone Staffing is hiring career minded candidates with medical provider experience! We are seeking tenacious candidates with healthcare and outbound call… more
- Staffing Now (Tampa, FL)
- …of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims are adjudicated ... * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when… more
- A-Line Staffing Solutions (Sacramento, CA)
- …meetings so must live local to Natomas.Duties: This role is primarily processing medical claims . Data entry Critical thinking is required Review medical ... , Medical Billing, Medical coding, adjudicate claims , claims adjudication, medical claims , claims processing, review medical records,… more
- Mindlance (Columbia, SC)
- …procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non- medical appeals. Determines whether to return, deny or ... actions according to department guidelines. *45% Examines and processes claims and/or non- medical appeals according to business/contract regulations,… more
- Spectraforce Technologies Inc (Columbia, SC)
- … and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non- medical appeals. Determines whether to return, deny or ... reprocessing actions according to department guidelines. 40% Examines and processes claims and/or non- medical appeals according to business/contract regulations,… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, ... additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and… more
- CornerStone Staffing (Waxahachie, TX)
- …years experience working for dermatology practices REQUIRED: Strong understanding of processing medical claims and following up on denials or non-payments CPC ... Do you have medical billing and coding experience? CornerStone Staffing is...Experience Hours: Monday-Friday 8:00AM-5:00PM Responsibilities: The biller will submit claims to payers. The biller will review claims… more
- Prestige Staffing (Birmingham, AL)
- …to resolve issues Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family ... to research and resolve discrepancies, denials, appeals, collections Knowledge of medical terminology likely to be encountered in medical claims #zr-rep more
- A-Line Staffing Solutions (Mcallen, TX)
- …service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims , healthcare claims , claims ... (MS word, MS teams, MS excel) 2 years of medical experience in authorizations or claims processing practices in managed care setting. Knowledge of customer… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …and attention to detail. General knowledge of accounting principles, pharmacy operations, and medical claims . Acceptable use of medical industry vernacular. ... Services could include but not limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking.… more
- US Tech Solutions, Inc. (Columbia, SC)
- …decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. . May provide any of the ... following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment… more
- Careerbuilder-US (St. Louis, MO)
- …Keywords: Data Entry, Typing, Creating Folders, Excel, Microsoft Excel, MS Excel, Amisys, Claims , Medical Claims , Amisys Claims , Federal Independent ... mandatory for the first 90 days Remote Data Entry Position Preferred Qualifications Amisys claims experience (1-2) If you think this Remote Data Entry position is a… more
- A-Line Staffing Solutions (Des Moines, IA)
- …service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims , healthcare claims , claims ... once Excel knowledge Why Apply: Full benefits available after 90 days: Medical , Dental, Vision, Life, Short-term Disability GREAT Hours! Competitive Pay Rate!… more
- HSAG (Phoenix, AZ)
- …and coding terminologies, including ICD-10, CPT, and HCPCS, to help with medical claims submission of Quality measures (10%); utilizes problem-solving techniques ... and other QI methods, such as PDSAs, to demonstrate to providers how current processes may create or ease system bottlenecks and provides educational support to providers regarding how to reengineer existing processes and subcomponents or design new ones to… more
