- Robert Half Accountemps (Plantation, FL)
- Description We are offering a short term contract employment opportunity for a Medical Claims Analyst in the insurance industry, based in Plantation, Florida. As ... a Medical Claims Analyst, you will be tasked with handling various aspects of the claims process, including auditing, billing, and claim administration,… more
- Providence (NM)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility to foster teamwork, operational excellence,… more
- Commonwealth Care Alliance (Boston, MA)
- …experience, specific to Medicare and Medicaid * 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , ... CCA- Claims Essential Duties & Responsibilities: * Develop enhanced,...(CPC) * Certified Inpatient Coder (CIC) * Certified Professional Medical Auditor (CPMA) Desired Education (nice to have): *… more
- TEKsystems (Rochester Hills, MI)
- …To be successful in this role a candidates must understand EOB's and be familiar with medical claims to be able to recognize what is missing and the terminology ... or equivalent qualification required. * Minimum 1 year of experience handling medical claims denials or rejections within a medical setting. * Familiarity… more
- Robert Half Accountemps (Sterling Heights, MI)
- Description We are offering a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This role is in the ... auditing standards. Requirements * Minimum of three years of experience as a Medical Claims Analyst or in a similar role * Proficiency in using computer programs… 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 ... Office, including Outlook, Word, PowerPoint, and Excel. **Experience performing hospital medical claims follow-up with the Medicare and Medicare Advantage… 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
- Robert Half Accountemps (Fort Wayne, IN)
- …Indiana. This role is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high ... to medical billing and insurance follow-ups. * Utilize skills in Medical Claims , Medical Billing, and Medical Insurance Billing for efficient… more
- CVS Health (St. Paul, MN)
- …DG system claims processing experience. + Reinsurance / Stop loss medical claims experience. + Familiarity with overpayments **Education** Associate degree ... dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage,… 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 (Cedar Rapids, IA)
- Description We are offering a contract to hire employment opportunity for a Medical Claims Specialist in Cedar Rapids, Iowa. This role is in the healthcare ... industry and will be based in a dynamic and fast-paced environment. As a Medical Claims Specialist, you will be tasked with managing and processing medical … more
- The Cigna Group (Denver, CO)
- The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed ... (primarily in Excel/SQL). Familiarity with R/Python a plus. + Experience with medical claims , clinical, and financial data + An actuarial background and SOA… more
- Robert Half Management Resources (Bellaire, TX)
- Description We are offering a long term contract employment opportunity for a Medical Claims Manager in Bellaire, Texas. This role operates within the healthcare ... and social assistance industry and involves managing the claims payment process, specifically focusing on Tapestry report and data processing outside of Oracle. The… more
- TEKsystems (Rochester Hills, MI)
- …To be successful in this role a candidates must understand EOB's and be familiar with medical claims to be able to recognize what is missing and the terminology ... payers, insurance providers, insurance claim, dme, orthopedic, orthotics, medicare claims , medicaid programs Top Skills Details: medical … more
- Robert Half Accountemps (Tucson, AZ)
- …Claims specialist near downtown Tucson! You will be tasked with managing medical claims and ensuring accurate billing and collections. This position requires ... who are open to learning new EHR systems. Responsibilities: * Handle medical claims with precision and ensure timely processing * Utilize accounting software… more
- Robert Half Accountemps (Tucson, AZ)
- …Claims specialist near downtown Tucson! You will be tasked with managing medical claims and ensuring accurate billing and collections. This position requires ... who are open to learning new EHR systems. Responsibilities: * Handle medical claims with precision and ensure timely processing * Utilize accounting software… more
- HCA Healthcare (Denver, CO)
- …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 ... the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Representative like you to be a part of our team. **Job Summary… more
- Sedgwick (Syracuse, NY)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Associate | Medical Only | Syracuse, NY (In-Office) **PRIMARY… more
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... Days Monday - Friday 7:30am - 4:00pm + **Facility:** Ascension St. Vincent's Medical Group + **Location:** Jacksonville, FL **_Listening to you, caring for you!_**… more