- Merck & Co. (North Wales, PA)
- …Our Quantitative Sciences team uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and ... - $213,400.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family),… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines.… more
- TEKsystems (Sacramento, CA)
- …in a call center team environment. Required Skills & Abilities: + Health insurance /Benefits or medical claims experience is required. + Knowledge of HFCA ... service, document the claim system, work with the Supplemental Health and Limited Medical Benefit products, and...and enter the information needed to enter and process claims accurately and in a timely manner. + Record… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Knowledge:** . Basic Microsoft Office Skills . Basic knowledge of health insurance products and medical terminology. ** Claims /Customer Care Specialist II ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...company match and an additional company contribution + Excellent medical , dental, vision, and disability insurance An… more
- HCA Healthcare (Denver, CO)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Representative? At HCA Healthcare, you come first. HCA ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...make a difference. We are looking for a dedicated Medical Insurance Claims Representative like… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... Office, including Outlook, Word, PowerPoint, and Excel. **Experience performing hospital medical claims follow-up with the Medicare and Medicare Advantage… more
- Elevance Health (Houston, TX)
- …II ( Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. **How ... ** Claims Representative II ( Health & Dental)**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- HP Inc. (Spring, TX)
- …**Benefits:** HP offers a comprehensive benefits package for this position, including: + Health insurance + Dental insurance + Vision insurance ... The Manager, Global Claims & Insurance is responsible for...claims and settlement values and strategies. Understanding of medical and legal issues and terminology + Excellent communication… more
- Prairie Ridge Health (Columbus, WI)
- …experience. + Experience with medical terminology. + Previous experience with health insurance and collection techniques. + Must possess the ability to ... Prairie Ridge Health is seeking a Claims Resolution...responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are… more
- Providence (NM)
- …+ Insurance Carrier Experience + Third Party Professional Negligence Claims Experience + Experience handling Medical Negligence Professional Liability ... medical negligence claims + Experience analyzing medical professional and general liability insurance policy...Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability … more
- CVS Health (St. Paul, MN)
- …DG system claims processing experience. + Reinsurance / Stop loss medical claims experience. + Familiarity with overpayments **Education** Associate degree ... Bring your heart to CVS Health . Every one of us at CVS ...level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity… more
- 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 ... within 50 miles of our Elevance Health PulsePoint location at **6087 Technology Pkwy, Columbus** **,...first 6 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing… more
- American Family Insurance - Corporate (Columbus, OH)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Cleveland, OH)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Virginia Beach, VA)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Phoenix, AZ)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Sioux Falls, SD)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Columbia, SC)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (San Francisco, CA)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... following up on more complex or problem claims or insurance types as designated by...Clinical degree/background preferred. Prior experience reviewing and coding from medical records. Behavioral Health , Mental Health… more
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