• Experienced Patient Support Medical /Biller…

    IQVIA (Atlanta, GA)
    **Experienced Patient Support Medical Claims Processing ​ Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position,… more
    IQVIA (12/21/24)
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  • Analyst, Claims Research

    Molina Healthcare (MI)
    …SKILLS & ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and… more
    Molina Healthcare (11/15/24)
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  • Medical Claims Examiner

    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
    CHS (10/24/24)
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  • Claims Adjudicator

    Independent Health (Buffalo, NY)
    … office assistant certificate and/or college degree preferred. + Six (6) months of medical claims processing / medical billing experience, customer service ... The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental claims against established criteria, and in accordance… more
    Independent Health (12/14/24)
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  • Claims Research and Resolution…

    Humana (Tampa, FL)
    …Qualifications** + Computer Sciences Corporation (CSC) Experience (CarePlus Platform) + Medical claims processing experience + Member reimbursement ... office 3 days a week /home 2 days a week + 1 or more years of Medical Claims knowledge + 1 or more years of the Customer Service experience + 1 or more years… more
    Humana (12/31/24)
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  • Healthcare Claims Denials Specialist

    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
    CenterWell (11/28/24)
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  • Payment Posting Representative-I ( Medical

    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
    Trinity Health (12/27/24)
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  • Analyst, Business-( Claims )

    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
    Molina Healthcare (12/20/24)
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  • Claims Resolution Specialist

    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 ... secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist:** Select Medical strives to...benefits as a Claims Resolution Specialist:** Select Medical strives to provide our employees with a solid… more
    Select Medical (12/14/24)
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  • Claims Coding Specialist

    Whitney Young Health Center (Albany, NY)
    …within 1 year from start date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. ... NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following… more
    Whitney Young Health Center (11/09/24)
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  • Claims Processor - Medicaid (Onsite)

    Conduent (Helena, MT)
    …+ High School diploma or equivalent. **_Preferred Qualifications and Success Factors:_** + Medical claims and payment processing experience preferred + ... of a culture where individuality is noticed and valued every day. ** Claims Transactions Processor** **Monday - Friday 8:00am - 5:00pm** **$16.75/hr** **Principal… more
    Conduent (11/07/24)
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  • Claims & Customer Service Auditor I

    University of Utah Health (Murray, UT)
    …+ Three years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and familiarity with ... of the job as outlined above. + Experience with claims processing in a health care delivery...medical coding, or experience as a medical claim processor. **Qualifications (Preferred)** **Preferred** + Extensive Customer… more
    University of Utah Health (01/03/25)
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  • Claims Processing Representative

    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
    Access Dubuque (12/25/24)
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  • Billing and Follow-Up Representative -II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... Microsoft Office, including Outlook, Word, PowerPoint, and Excel. **Experience with hospital medical claims billing with Medicare needed** **Experience with the… more
    Trinity Health (11/14/24)
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  • Specialist 3rd Party Rx Ops Pharmacy Tech Services

    Walgreens (Deerfield, IL)
    …High School Diploma/GED and at least 1 year of experience in retail pharmacy, medical claims processing , and/or third party reimbursement. + Required ... prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers. Ensures claims more
    Walgreens (12/20/24)
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  • Insurance Enrollment Processor

    University of Utah Health (Murray, UT)
    …degree, or equivalency which could include two years of experience in insurance, medical claims processing , and benefits enrollment processing . ... and updates enrollment, files, and processes coordination of benefits claims . + Processes medical claims ...and providers. + Adheres to department quality and production processing standards. + Acts as a liaison between the… more
    University of Utah Health (12/12/24)
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  • Senior Claim Benefit Specialist - Operations

    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
    CVS Health (12/29/24)
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  • Patient Access Specialist 1

    Trinity Health (Chelsea, MI)
    …care, insurance, or managed care industries is highly preferred. Experience performing medical claims processing , financial counseling and clearance, or ... the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers… more
    Trinity Health (01/03/25)
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  • Billing Coordinator

    RWJBarnabas Health (Livingston, NJ)
    …degree in healthcare administration, finance, or a related field + Proven experience in medical billing and claims processing , preferably in a healthcare ... the supervision of the department Manager, the Billing Coordinator will manage claims processing specifically for pre-transplant procedures and ensure accurate… more
    RWJBarnabas Health (12/18/24)
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  • Admission Registration Specialist 1

    Rush University Medical Center (Chicago, IL)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... **Job Description** **Location:** Chicago, IL **Hospital:** Rush University Medical Center **Department:** Patient Access **Work Type:** Full Time (Total FTE between… more
    Rush University Medical Center (01/01/25)
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