- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- Akumin (FL)
- The **Biller I, Medical Claims ** is responsible for submitting medical claims to government and private payers. Ensures that service date, CPT code, ... normal workflow. **Specific duties include, but are not limited to:** + Submits medical claims to payers via electronic data interchange (EDI,) paper claims … more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... of Clearwater, FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims… more
- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing ... medical claims , identifying appropriate medical records and providers, and documenting follow-up actions. This role operates under the direction of Quality… more
- Robert Half Accountemps (Novi, MI)
- Description We are in search of a Medical Claims Representative to join our team in NOVI, Michigan. This role is pivotal in the healthcare industry, providing a ... environment and contribute to ensuring a smooth and efficient process for medical claims . Responsibilities: * Initiate and manage claims from clients,… more
- Insight Global (Somerset, NJ)
- Job Description Insight Global is looking for a Medical Claims Biller for one of our healthcare clients in Somerset, NJ. The candidate will oversee calculating ... the specific healthcare service provided. They must have experience following medical claims and updating patient data. The candidate should also understand and… more
- Robert Half Accountemps (East Hartford, CT)
- Description We are in search of a Medical Claims Representative based in East Hartford, Connecticut, United States. This role lies within the healthcare industry ... contract employment opportunity. The selected individual will be tasked with managing medical claims , liaising with various healthcare providers, and ensuring… more
- Kelly Services (Houston, TX)
- We are currently seeking a ** Medical Claims Analysts** for a client located in northwest **Houston, TX 77092** . **Pay: $20 hr** **Schedule: mon-fri 8am-5pm ... experience with patients and customer service + experience analyzing data + medical terminology knowledge **Job Description** + Work within approved budget; uses… more
- Trinity Health (Farmington Hills, MI)
- …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, Supplemental… more
- Robert Half Accountemps (Mount Holly, NJ)
- …Ensure the accurate and efficient processing of medical billing requests. * Manage medical claims and resolve any related issues that may arise. * Keep ... Description We are seeking an experienced Medical Billing/ Claims /Collections detail oriented to join our team based in Mt. Holly, New Jersey. In this pivotal… more
- IQVIA (Atlanta, GA)
- **Experienced Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Robert Half Accountemps (New Castle, DE)
- …long term contract employment opportunity in New Castle, Delaware for a Medical Billing/ Claims /Collections specialist. This role is within the non-profit sector ... in daily tasks. Requirements * Minimum of 2 years experience in medical billing, claims , or collections * Proficient in Accounts Receivable (AR) * Demonstrated… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Professional Liability ( Medical Malpractice) **PRIMARY PURPOSE** ... To analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury… more
- Crawford & Company (Livonia, MI)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in accordance… more
- Whitney Young Health Center (Albany, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience… more
- Sedgwick (Roseville, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
- Sedgwick (Columbus, OH)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Liability **PRIMARY PURPOSE:** To analyze mid- and higher-level… more
- Sedgwick (Concord, CA)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - IAP | Workers Compensation Training Program | Concord, CA… more
- Sedgwick (Albany, NY)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY PURPOSE**… more
- Sedgwick (Cincinnati, OH)
- …is correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . * ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Associate | Blue Ash, OH (In-Office) **PRIMARY PURPOSE** **:** To… more
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