- UCLA Health (Los Angeles, CA)
- …and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings. ... complex claim issues as well as train others on claims processes and workflows. Salary Range: $29.42 - $42.12/Hourly...or equivalent + Four or more years of medical claims payment experience in an HMO setting + Expertise… more
- Robert Half Accountemps (Long Beach, CA)
- Description An Healthcare IPA in Long Beach is in the need of a Medical Claims Examiner III. This role of Medical Claims Examiner III is will be an ... essential position within the organization. The Medical Claims Examiner III is responsible for collaborating...team by answering questions and providing support Requirements Medical Claims , Medicare , Medicare Claim, … more
- Adecco US, Inc. (Concord, CA)
- …assisting a local client in their search to fill a **Remote Worker's Compensation Claims Examiner ** job opportunity but LIVES IN CALIFORNIA-PST Time Zone. **Pay ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the...Today to be considered for this **Remote Worker's Compensation Claims Examiner ** job and any other positions… more
- Fallon Health (Worcester, MA)
- **Overview** **The Claims Examiner position is a hybrid role working 3 days (Tuesdays, Wednesdays and Thursdays) in the office in Worcester, MA and 2 days ... or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- Sedgwick (Roseville, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville, CA (Agile Schedule) Are you looking ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- Adecco US, Inc. (Roseville, CA)
- …one of their top clients with their search to fill a Workers Compensation Claims Examiner role in Roseville, CA. $50/hr MUST HAVE OSIP certification Analyze ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions… more
- Adecco US, Inc. (Roseville, CA)
- **Adecco is seeking an experienced Workers' Compensation Claims Examiner with in-depth knowledge of California workers' compensation regulations. The successful ... candidate will manage complex or technically challenging claims involving litigation, rehabilitation, and high exposure cases. This position requires the ability to… more
- Adecco US, Inc. (Roseville, CA)
- …from an accredited college or university preferred. + **Min 3+ years as indemnity examiner handling CA Claims WC experience required.** + Experience Four (4) ... currently assisting a local client in their search to fill a **Remote Claims Adjuster Workers Compensation** job opportunity **BUT MUST LIVE IN CALIFORNIA** . **Pay… more
- Sedgwick (Ontario, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation **PRIMARY PURPOSE** **:** To analyze ... mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best… more
- Sedgwick (Roseville, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or ... Mountain Time Zone) Handling claims for large commercial trucking account **PRIMARY PURPOSE** :...+ Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles,… more
- Adecco US, Inc. (Long Beach, CA)
- …expenses. + Coordinate recovery efforts such as subrogation, Second Injury Fund claims , and Medicare offsets. + Maintain comprehensive documentation of claim ... Adecco is seeking an experienced Workers' Compensation Claims Analyst to handle complex claims analysis, involving high exposure cases with a focus on litigation… more
- Health Advocates Network (Folsom, CA)
- …MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims , authorization, and documentation requirements. + Proficient in ... computer skills including Microsoft Office Applications. **Benefits We Offer:** + Competitive pay rates, Referral opportunities, Comprehensive health, prescription, dental, vision, life, and disability plans, and more! **To apply for this job now or to find… more
- Robert Half Accountemps (Roseville, CA)
- …opportunity where you will be tasked with preparing for PAR audits, verifying Medicare coding, and handling low complexity claims . Responsibilities: * Assist in ... We are in search of a Workers' Compensation Indemnity Examiner to join our team in the industry of...wage, TTD, and TPD. * Verify the accuracy of Medicare coding in claims . * Handle low… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Medicaid Eligibility Examiner 2 (NY HELPS) - 79241 Occupational Category Other Professional Careers Salary Grade 14 ... year or more of permanent or contingent-permanent, competitive service as a Medicaid Eligibility Examiner 2 (G14), OR a NYS employee with one year or more of… more
- Sedgwick (Miami, FL)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Examiner - Litigation Exp Required **PRIMARY PURPOSE** : To address and handle ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Sedgwick (Naperville, IL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation required to complete ... Medicare Compliance referrals and process Medicare mail...+ Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to… more
- Molina Healthcare (NM)
- …or GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II, or other relevant work ... **JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid, Medicare , and Marketplace claims for overpayments; researching claim payment guidelines,… more
- TEKsystems (Amarillo, TX)
- …to resolve errors and contact providers for missing information. + Process electronic claims (EMC). + Informs examiner and/or technician of data entry problems ... analysis, Data Entry, Medical Dental, Microsoft, Medical terminology, Medical billing, Medicare , Claims management ONSITE - 13 week contract in Amarillo… more
- State of Georgia (Fulton County, GA)
- …Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs. + Works with investigative team to plan the ... more of the following: . Audit experience in medical claims and/or claims data. . Certification as...Certification as a CPA or a CFE (Certified Fraud Examiner ). Additional Information: A criminal background check is completed… more