- IQVIA (Atlanta, GA)
- **Experienced Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to...+ High School Diploma or equivalent + Experience in claim processing required + Medical … more
- Providence (Mission Hills, CA)
- …+ 5 years experience in medical /institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience ... staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units....in a medical /institutional claims customer services unit within a health plan … more
- Travelers Insurance Company (Charlotte, NC)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks… more
- CHS (Clearwater, FL)
- … medical terminology **Qualifications** **Qualifications:** Minimum two (2) years of medical claims processing experience **Education and/or Experience:** ... **Overview** **Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable… more
- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities...to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims… more
- CVS Health (Phoenix, AZ)
- …encounter processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works ... scanning issues and any other irregularities. **Required Qualifications** 2 years Medical Claims processing experience (Commercial, Medicaid, Medicare,… more
- Molina Healthcare (MI)
- …claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim types + Demonstrates familiarity ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and… more
- Trinity Health (Farmington Hills, MI)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... accounting, or customer service activities or an equivalent combination of education and experience. Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare, Medicaid, Social Security Disability, Champus,… more
- Banner Health (AZ)
- …the role of Health Plans Claims Educator, you will leverage your expertise in Medical Claims Processing to enhance and expand the knowledge of the Banner ... **Primary City/State:** Arizona, Arizona **Department Name:** Claims Processing **Work Shift:** Day **Job...adjudication, regulatory compliance or medical management. For Claims , working knowledge of adjudication processing to… 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 ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to provide our… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1384666 Posted On 12/23/2024 **Job Overview** ** Claims Processing ... options available Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide a key… more
- Independent Health (Buffalo, NY)
- … office assistant certificate and/or college degree preferred. + Six (6) months of medical claims processing / medical billing experience, customer service ... + Identify and communicate process opportunities or improvements. + Prioritize and manage claim processing workload in an efficient manner. + Effective written,… more
- University of Utah Health (Murray, UT)
- …+ Three years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and familiarity with ... Performs routine and complex audits on phone calls and claims adjudication. + Researches claim processing...medical coding, or experience as a medical claim processor. **Qualifications (Preferred)** **Preferred** +… more
- LA Care Health Plan (Los Angeles, CA)
- …to support the safety net required to achieve that purpose. Job Summary The Medical Payment Processing Coordinator II is responsible for ensuring all System ... Medical Payment Accounting Coordinator II Job Category: Accounting/Finance...Application and Products (SAP) provider claims , incentives, Capitation payments and Member out-of-pocket refunds for… more
- Robert Half Accountemps (Mount Holly, NJ)
- …with a variety of responsibilities, including processing and maintaining medical billing records, resolving claims -related issues, and managing accounts ... receivable tasks. Responsibilities: * Ensure the accurate and efficient processing of medical billing requests. * Manage... of medical billing requests. * Manage medical claims and resolve any related issues… more
- Crawford & Company (Boise, ID)
- …have been settled and the claim is only open for payment of medical benefits (ie maintenance claims not requiring actuarial reserves). + Contacts, by ... claims , other than "M" cases, where all medical issues have been settled and the claim...and operations. + Demonstrates a thorough working knowledge of claim processing and claim policies… more
- CenterWell (Atlanta, GA)
- …Qualifications** + High School Diploma or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of healthcare ... and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer… more
- Molina Healthcare (Savannah, GA)
- …business areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), ... root cause and assist with problem management as it relates to claim processing + Experience using Microsoft Excel + QNXT experience preferred + Salesforce… more
- UPMC (Natrona Heights, PA)
- **Russellton Medical Group is hiring a Charge Processing Specialist to join their team in Natrona Heights, PA.** This is a Monday through Friday daylight ... for the office and hospital, work on denials and claim edits, and help with registration. If you want...to the charge document upon submission to the Charge processing Department. **Responsibilities:** + Verify the appropriate Place of… more
- Bon Secours Mercy Health (Warren, OH)
- …work experience in the areas of scheduling, registration, patient billing and/or medical insurance processing , preferred. + Computer literacy and keyboarding, ... Practice - Front Office Specialist (PP-FOS) registers, schedules, and performs related processing duties for all patients being served by the respective physician… more
Related Job Searches:
Claim,
Claim Processing,
Medical,
Medical Claim,
Medical Claim Processing Home,
Medical Processing,
Processing