- StarKist Co. (Reston, VA)
- …available PURPOSE - To support the Accounts Receivable department in processing payments, deductions and collections. Communicates and builds a strong partnership ... back-up documentation from brokers, customers and/or carriers to validate claims . Resolves invalid or unauthorized deductions by following deductions procedures… more
- Christus Health (Olmos Park, TX)
- …either front-desk management or general clinical administration such as insurance processing . The assistant is responsible for the preparation for sterilization of ... duties to include filing of Medicaid and private insurance claims , appeal and follow-up on denied claims ...dentist. Compile clinic list and distribute to registration and medical records two days prior to clinic. Obtain all… more
- Merck & Co. (Rahway, NJ)
- …with minimal requirementsProgramming expertise with electronic healthcare databases (electronic medical records and insurance claims ); efficiently manipulates ... to enable the discovery, development, regulatory approval, manufacturing, and marketing of medical drugs and vaccines for the benefit of patients and global human… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 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
- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim ... Partners with claim adjudication vendors ensure proper claims processing and data integrity. + Monitor...team members. + Subject Matter Expert on reviewing and processing of medical claims submitted… more
- Conduent (Lexington, KY)
- …dependable and detail-oriented Document Processing Clerk to support the intake and processing of medical claims , financial and property documentation and ... where individuality is noticed and valued every day. Document Processing Clerk Lexington, KY $15 per hour & Great...sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service… more
- Robert Half Accountemps (Raleigh, NC)
- …external parties regarding claim -related issues. Requirements * Proven experience in medical claims processing and reconciliation. * Familiarity with ... position is ideal for someone with extensive experience in medical claims processing and a...skills in handling claim denials and rejected claims . * Knowledge of medical billing procedures… more
- CHS (Clearwater, FL)
- … medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical … more
- Motion Recruitment Partners (Denver, CO)
- …CO area. **Contract Duration:** 2-Months **Required Skills & Experience** + 3 years Medical Claims processing /adjudication experience. + High School grad ... Medical Claims Processor / Contract /... Medical Claims Processor / Contract / Remote Denver, CO...patient care and safety, is looking for a contract Medical Claims Processor. This is a fully… more
- CVS Health (Hartford, CT)
- …enhance and improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in ... week)** ** Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing...willingly to change, and a positive, willing attitude. Prior medical claim processing experience is… more
- Travelers Insurance Company (West Bridgewater, MA)
- …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
- Molina Healthcare (Tacoma, WA)
- …combination of relevant education and experience. * Medical claims processing experience across multiple states, markets, and claim types. * Knowledge of ... * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets...efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or… more
- Cedars-Sinai (CA)
- …outcome in applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial products ... core values, policies, and procedures. + Acquires and adjudicates medical claims for processing ; reviews...Dispute Request (PDR) fulfillment process from the point of claim review through letter processing and records… more
- TEKsystems (Milwaukee, WI)
- …standards. What We're Looking For + Experience: 2-4 years of claims processing required. + Knowledge: CPT, ICD-9/ICD-10 coding, medical terminology, COB ... processing . + Preferred: Familiarity with QNXT (TM) Claims Workflow, ACA/Medicaid plans, and coding experience. + Education:...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- TEKsystems (Brookfield, WI)
- …& Qualifications + High school diploma or equivalent preferred. + 2-4 years claims processing experience required + Knowledge of current procedural terminology ... (CPT) and international classification of diseases (ICD-9 and ICD-10). Medical terminology, COB processing , subrogation. + Past...processing , subrogation. + Past experience using QNXT (TM) Claims Workflow a plus + Prior experience with ACA,… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received from patients and/or HCPs across a ... Supervisor. Responsibilities + Verifies the accuracy and completeness of claim forms and attachments, such as EOBs, EOPs, SPPs,...+ Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider,… more
- CVS Health (Franklin, TN)
- …**For this role you will need Minimum Requirements** + 2+ years of experience with medical claim processing . + 2+ years of experience in a production ... Description **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What… 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
- Health Care Service Corporation (Albuquerque, NM)
- …experience. * Clear and concise written and verbal communication skills. * Experience processing medical claims . Preferred Job Qualifications: * Referral ... * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability...the six-eight-week Blue Chip Training class. * Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding. *… more
- Trinity Health (Davenport, IA)
- …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
