• Claims Processing Representative

    Access Dubuque (Dubuque, IA)
    Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue...hybrid model** **after introductory period** **of some work from home and some in office days, with no evening… more
    Access Dubuque (10/31/24)
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  • Claims Auditor

    HCA Healthcare (Nashville, TN)
    …Qualifications** The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims processing at health plan payor, MSO, HMO, and IPA ... join an organization that invests in you as a ** Claim Auditor** ? At Work from Home ,...environment, required + Hands-on knowledge and functional understanding of medical claims billing, processing , terminology,… more
    HCA Healthcare (10/24/24)
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  • Supervisor Call Center Operations - Claims

    Providence (Anaheim, CA)
    …Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W ... valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...Center St Promenade **Work Location:** St Joseph Home Health-Anaheim **Workplace Type:** On-site **Pay Range:** $30.81 -… more
    Providence (11/14/24)
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  • Claims Examiner - $21/hour - Hybrid

    Fallon Health (Worcester, MA)
    …**Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level.. Thorough understanding of ... claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest...in a quality manner. + Solid working knowledge of claim processing from all perspectives (submissions, … more
    Fallon Health (10/22/24)
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  • Senior Claims Specialist - USFHP

    Pacific Medical Centers (Seattle, WA)
    …CHAMPUS, Medicare and/or Medicaid benefits/programs. + All areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health, Home ... Administration. + 4 years of Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group… more
    Pacific Medical Centers (11/13/24)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    …training and/or direct work related experience. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Oct 21, 2024 Location: Parsippany,...+ Minimum 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
    Teva Pharmaceuticals (10/26/24)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Philadelphia, PA)
    …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... The other 4 days a week are work from home ** Are you looking for an opportunity to join...and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
    Sedgwick (09/28/24)
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  • Insurance Call Center Claims Manager

    Mass Markets (Wichita, KS)
    …monitor, and manage production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, claims , ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
    Mass Markets (08/27/24)
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  • Claims Representative II

    Medical Mutual of Ohio (Brooklyn, OH)
    …. Processes claims edits from receipt to completion. . Utilizes claims and ancillary systems and adheres to processing procedures resulting in ... **_The Claims Representative II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH or… more
    Medical Mutual of Ohio (11/07/24)
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  • Claims Examiner

    HCA Healthcare (Nashville, TN)
    …accounts. Requirements + High school diploma or equivalent + Two (2) years of experience processing claims , with at least one year of claims adjudication ... join an organization that invests in you as a Claims Examiner? At Work from Home , you...CPT, HCPC, and Revenue Coding + Ability to analyze claim issues and "trouble shoot" claims problems… more
    HCA Healthcare (11/07/24)
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  • Senior Claims Examiner

    HCA Healthcare (Campbell, CA)
    …when necessary. Requirements: + High school diploma + Three to Five years of experience processing regular and complex claims + Ability to act as a resource and ... Do you have the career opportunities as a Senior Claims Examiner you want with your current employer? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (11/07/24)
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  • Healthcare Claims Denials Specialist

    CenterWell (Topeka, KS)
    …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
    CenterWell (10/30/24)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …Knowledge and experience in dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience ... and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission...your application using your full legal name and current home address. Be sure to include employment history for… more
    St. Luke's University Health Network (10/16/24)
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  • Claims Examiner 9-P11

    State of Michigan (Okemos, MI)
    …is required. Claims Examiner 10 One year of professional experience processing , reviewing and making determinations regarding medical insurance claims ... Claims Examiner P11 Two years of professional experience processing , reviewing and making determinations regarding medical ...birth or adoption to allow needed time together at home with a new child. Paid Holidays:Eligible employees receive… more
    State of Michigan (11/15/24)
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  • Remote - Claims Adjuster - Automotive/RV

    Reynolds & Reynolds (Phoenix, AZ)
    …but are not limited to: - Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage and terms ... - Accurately establish, review and authorize claims - Entering claim and contract information... and contract information into the AGWS' system A home office package will be provided for this position.… more
    Reynolds & Reynolds (10/26/24)
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  • Claims Rep I (Health & Dental) (US)

    Elevance Health (Columbus, GA)
    **Title: Claims Representative I (Health & Dental)** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate will live ... during the first 6 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
    Elevance Health (11/06/24)
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  • Workers Compensation Claims Adjuster…

    Access Dubuque (Dubuque, IA)
    …Job TH Ad TH Comments **Similar Jobs** Claims Assistant Sedgwick Claims Processing Representative Grand River Medical Group Commercial Auto/Liability ... ID: 4011971008 Posted On 10/10/2024 **Job Overview** **Workers Compensation Claims Adjuster** Location: Work from Home (must...experience level. + **Most Benefits start Day 1** + Medical , Dental, Vision Insurance + Flex Spending or HSA… more
    Access Dubuque (10/11/24)
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  • Commercial Auto/Liability Claims Adjuster

    Access Dubuque (Dubuque, IA)
    …Featured Job TH Ad TH Comments **Similar Jobs** Claims Assistant Sedgwick Claims Processing Representative Grand River Medical Group Summer 2025 ... ID: 4011973008 Posted On 10/25/2024 **Job Overview** **Commercial Auto/Liability Claims Adjuster** Location: Work from Home Who...experience level. + **Most Benefits start Day 1** + Medical , Dental, Vision Insurance + Flex Spending or HSA… more
    Access Dubuque (10/26/24)
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  • Claims Representative

    Do it Best Corp. (Fort Wayne, IN)
    …to Position: Director of Warehouse Operations Trave: N/A About the Role: The Claims Representative is responsible for processing members' claims for ... Claims Representative Location: Fort Wayne, IN Level: Full-Time...available to you: + Full insurance benefits package including Medical , Dental, & Vision + Paid time off to… more
    Do it Best Corp. (11/08/24)
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  • Claims Specialist

    Kelly Services (Wichita Falls, TX)
    …SPEED internet at home to do this position** **Job Duties:** + ** Processing complex claims requiring investigation and coding** + **Resolving pending ... claims in a timely manner** + ** Processing adjustments** + **Utilizing multiple applications simultaneously** + **Sitting at a cubicle for extended periods of… more
    Kelly Services (11/14/24)
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