- IQVIA (Crossville, TN)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position,… more
- 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
- CVS Health (Albany, NY)
- …all resource materials to manage job responsibilities. **Required Qualifications** + 2+ years medical claims processing experience. + Experience in a ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage,… more
- Cedars-Sinai (CA)
- …outcome in applicable tracking databases. **Qualifications** **Experience:** Three (3) years of medical claims processing for Medicare and Commercial ... + Supports core values, policies, and procedures. + Acquires and adjudicates medical claims for processing ; reviews scanned, EDI, or manual documents for… more
- Conduent (MT)
- …guiding and mentoring team members. Display understanding and application of concepts in medical claims processing and basic knowledge of other disciplines. ... fostering efficiency and driving operational success. **Responsibilities** Managing a claims processing department to effectively and efficiently meet… more
- CenterWell (Atlanta, GA)
- …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
- 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 ... secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to...benefits as a Claims Resolution Specialist:** Select Medical strives to provide our employees with a solid… more
- Randstad US (Rossville, GA)
- …complex issues, and provide outstanding customer support. Requires atleast 1 year of experience processing medical claims from start to finish. If you are ... Maintain knowledge of multiple benefit schedules in regards to medical claims and claims processing - Respond timely and accurately to phone calls,… more
- Providence (Mission Hills, CA)
- **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance ... best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA… more
- Whitney Young Health Center (Watervliet, NY)
- …within 1 year from start date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. ... NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …inquiry within the specified timeframes. Essential Qualifications + Knowledge of contracts, medical terminology, and claims processing and procedures. + ... Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This job… more
- Providence (Anaheim, CA)
- …years of experience in medical /institutional claims examining within a medical group/IPA setting claims processing experience. + Access, Teleform and ... **Required qualifications:** + 3 years of experience as a Claims Examiner in an IPA, Medical Group,...time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA… more
- Providence (Anaheim, CA)
- …within an insurance company. **Preferred Qualifications:** + 1 year Experience in medical /institutional claims processing or enrollment processing . ... are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on… more
- State of Colorado (CO)
- …Five (5) years of relevant experience including at least three years in Medical claims processing , Medicare/Medicaid billing knowledge, Physician and ... assigned equal to five (5) years. Preferred Qualifications: + Experience with medical claims processing (3+ years of experience) + Medicare/Medicaid billing… more
- MyFlorida (Fort Lauderdale, FL)
- …Knowledge of Medicaid eligibility, programs, policies, and benefit limitations. Knowledge of medical claims processing and/or health insurance claims ... 2 years of medical claims billing experience or 2 years medical claims processing experience with the understanding of the Explanation of Payment and… more
- Immigration and Customs Enforcement (IN)
- …Behavioral Health and Clinical Services Division (CSD), as required, for inquiries into medical claims processing , utilization, and provider concerns related ... and workflows, electronic Health Record referral processes, third party vendor for claims processing , provider appeals, IHSC outside referral related fraud,… more
- TEKsystems (St. Louis, MO)
- …High School graduate or GED equivalent. * Minimum of one year of experience in claims processing and/or medical billing. * Working knowledge of the ... Medical Claims Processor Full-Time Opportunity Available... Medical Claims Processor Full-Time Opportunity Available TEKsystems is looking...is looking for someone to join a team of medical claims processors who advocate for members… more
- TEKsystems (St. Louis, MO)
- …*High School graduate or GED equivalent. *Minimum of one year of experience in claims processing and/or medical billing. *Working knowledge of healthcare ... Teksystems is currently looking for someone to join a team of medical claims processors who advocate for the Fund's members while maintaining the policies and… more
- UNC Health Care (Eden, NC)
- …percentages, ratios, and proportions to practical situations.COMPUTER SKILLSAbility to use medical claims processing software. Working knowledge of ... regulations and third party payer contracts, including payment rates and claims processing requirements and determines how to appropriately file claims . 6.… more
- CVS Health (St. Paul, MN)
- …information for claim or reconsideration. **Required Qualifications** Required 2+ years of Medical claims processing experience Familiar with ICD and ... Ability to multitask while working independently **Preferred Qualifications** Required 2+ years of Medical claims processing experience Familiar with ICD and… more