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Claims Processor Jobs

1000+ jobs

Job Description: Modoma Health Systems – Frisco, Tx Who we are:Modoma is a growing medical clinic that was established in 2014 with a location in Plano and Frisco. Our focus is physical medicine and rehab in a massage environment. Check out our website: www.modomaplano.com The Position:We have an immediate opening for a full-time Insurance Claims Processor. The successful candidate will work dire...
Job Description: Qualifications:Team player with a positive attitudeMedical billing experience preferredFamiliar with medical insurance terminologyDetail-orientedExperienced in Microsoft Word, Excel and OutlookDemonstrate good leadership and interpersonal skillsDemonstrate great verbal/written communication skills Duties and Responsibilities: Apply payments to appropriate claims daily, by paper a...
Job Description: Title: Sr. Claim Filer/Claims Processor 3-4 week training program (8-5, CANNOT miss any days)Regular Business Hours: 8am-5pmLocation: West Des Moines, IATemp to hire Position Description:This team is responsible for responding to and/or researching and resolving escalated, high dollar, or high profile inquiries and complaints requiring special handling and that may have been forw...
Job Description: Medical Claims Processor - 6 month contract - 13/hr Description: Receives and adjudicates medical claims/bills for payment/denial. Researches claims/bills for appropriate support documents &/or documentation. Analyzes and adjusts data and benefits criteria for payment. Responds to and researches vendor and member problems, questions and complaints. (medical coding not included in...
Job Description: Medical Claims Processor - 6 month contract - 13/hr Description: Receives and adjudicates medical claims/bills for payment/denial. Researches claims/bills for appropriate support documents &/or documentation. Analyzes and adjusts data and benefits criteria for payment. Responds to and researches vendor and member problems, questions and complaints. (medical coding not included in...
Job Description: Medical Claims Processor - 6 month contract - 13/hr Description: Receives and adjudicates medical claims/bills for payment/denial. Researches claims/bills for appropriate support documents &/or documentation. Analyzes and adjusts data and benefits criteria for payment. Responds to and researches vendor and member problems, questions and complaints. (medical coding not included in...
Job Description: Medical Claims Processor - 6 month contract - 13/hr Description: Receives and adjudicates medical claims/bills for payment/denial. Researches claims/bills for appropriate support documents &/or documentation. Analyzes and adjusts data and benefits criteria for payment. Responds to and researches vendor and member problems, questions and complaints. (medical coding not included in...
Job Description: Medical Claims Processor - 6 month contract - 13/hr Description: Receives and adjudicates medical claims/bills for payment/denial. Researches claims/bills for appropriate support documents &/or documentation. Analyzes and adjusts data and benefits criteria for payment. Responds to and researches vendor and member problems, questions and complaints. (medical coding not included in...
Job Description: Claim Processing - Out of Network - Claim Review - Claim Pricing - Provider Billing - Professional and Facility Claims - Medical Billing Zelis is a healthcare information technology company and market-leading provider of end-to-end healthcare claims cost management and payments solutions Do you want to be part of an award-winning team? Are you financially motivated? We are recogn...
Job Description: Seeking 3 Experienced Temp to Hire Full-Time Medical Claims Processors to Work in Chicago, Illinois For $19.00/hr Our client, a Union located in Down Town Chicago has an immediate staffing need for 3 experienced temp to hire full-time Medical Claims Processors. The client is looking for people with at least 3-5 years of recent medical claims processing experience paying specifica...
Job Description: JOB DESCRIPTIONThird Party Administrators is seeking an individual experienced with customer service phone calls, knowledge of insurance claims and/or medical billing.Must be able to effectively communicate verbally. Our customer service representatives are responsible for maintaining customer satisfaction, understanding and providing support via telephone communication. Previous...
Job Description: Dental Third Party claim payer seeking experienced dental claim analysts/processors. Prior experience in processing dental insurance claims required. This is a full time position and includes competitive compensation as well as fully paid benefit plan and 401k plan. Company Description: Third Party Claim administrator specializing in dental benefit plans. _cn_ ADN Administrator...
Job Description: Entrust Inc.’s Medical Claims Processor adjudicates and processes claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members and adjustments. The successful candidate will have the ability to meet and exceed production and quality standards for processing...
Job Description: The Claims department is responsible for investigating, analyzing, and determining coverage, liability and damages concerning mortgage property/losses attempt to effect settlement with insureds and claimants. The department corresponds with or interviews policy holders, agents, attorneys or claimants to compile information. Main Duties:Adapt to rules and regulations to ensure pro...
BlueCross BlueShield of Western New York is a division of HealthNow New York Inc., one of New York’s leading health care companies that provides access to quality health care and solutions for members throughout Upstate New York. Since 1936, BlueCross BlueShield has helped millions of people gain access to health care. Headquartered in Buffalo, NY, the company is an independent Licensee of the Blu...
Are you an experienced healthcare claims processor? If so, here’s your chance to help a busy team get caught up! The more experience you have in the billing and claims side of healthcare, the better. This is a 30 day temporary assignment with the possibilty of being extended Job Requirements: Good understanding of healthcare coding Experience with ICD 9 and 10 and CPT (certification NOT REQUIR...
Description Company : Gateway Health Plan Job Description : General Overview: The Director of Claims establishes the overall strategic and operational plan for area of accountability and Manages and develops all direct and indirect reports with responsibility for handling inquiries for all states outside of primary area and processing claims submitted by host providers within primary area. Th...
Claims Processor Job in San Francisco, CA Do you have previous experience processing complex and routine medical claims? Are you able to act as a resource and help customers? Are you deadline driven and results oriented? Would you be interested in working with a large national solutions company? Do you have experience reviewing and auditing disability claims? If so, then we have the job for you! ...
Description Company : Gateway Health Plan Job Description : GENERAL OVERVIEW: Screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. May include initial entry claims or claims which have suspended. Translate fo...
1. Maintains working knowledge of regulations, guidelines, policies and procedures for all insurance companies that pertain to billing physician and mid-level CPT codes. 2. Maintain working knowledge of proper filing of claims and refiling denied claims based on insurance company guidelines. 3. Accounts receivable follow-up with insurance carriers and patients. 4. Manage accounts receivable as ...