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Medical Claims Examiner Jobs

41 jobs

Volt Workforce Solutions is currently searching for experienced Claims Examiners. Position Description: Flexible, Friendly, Accurate, Accountable, Self- Directed. Our clients claims operations are the focal point of handling information about services patients receive and the way those services get paid. Must have experience doing complex, detailed work as this position is a fast pace challenge....
Medical Claims Examiner – Managed Care Oakland, CA Job Summary: The Claims Examiner is responsible for in-depth analysis and final resolution of claims requiring clinical review, ensuring full compliance with policies and all regulatory procedures along with building, and fostering collaborative working relationships. The Claims Examiner is also responsible for reviewing medical claims and docu...
Job Description: At least five years medical claims experience, including processing claims - Handling provider disputes - At least three years experience auditing medical claims - exceptional customer service experience and communication skills - internship not accepted We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or...
Job Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, duplication, unbundli...
Western Growers is a multi-faceted service organization and trade association founded in 1926 that operates a number of companies that offer a wide array of products and services to our member companies and other customers. We operate as a large health benefit insurer (Western Growers Assurance Trust), a Third Party Administrator (Pinnacle Claims Management), a Pharmacy Benefit Manager (Pinnacle ...
Western Growers is a multi-faceted service organization and trade association founded in 1926 that operates a number of companies that offer a wide array of products and services to our member companies and other customers. We operate as a large health benefit insurer (Western Growers Assurance Trust), a Third Party Administrator (Pinnacle Claims Management), a Pharmacy Benefit Manager (Pinnacle ...
Johns Hopkins employs more than 20,000 people annually across our health system. Upon joining Johns Hopkins, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate loca...
A Great Company Looking for Great People. At York we are committed to supporting our employees and their future, we offer a competitive benefit package, a healthy work environment, a supportive team and management group who is dedicated to developing and mentoring their staff, preparing career paths and resources for success. We seek individuals who are passionate, believe in quality of work, del...
POSITION PURPOSE To accurately review, research, and complete designated Medi-Cal pended electronic and Imagenet claims within established timeframes, applying appropriate program policies and procedures. Designated Medi-Cal claim types include: medical, ancillary, long term care, other coverage, electronic crossovers, CHDP, encounter data, substance abuse, and batch claims. ESSENTIAL DUTIES AND...
Aerotek is currently seeking a seasoned Claims Examiner to work in the Linthicum, MD area. The position requires the ability to work in a high volume claims environment including daily processing of various types of claims. Daily the Claims Examiner is responsible for reviewing correcting and releasing claims for payment. Some additional duties may be performed including processing new insurance ...
Aerotek is currently seeking a seasoned Claims Examiner to work in the Linthicum, MD area. The position requires the ability to work in a high volume claims environment including daily processing of various types of claims. Daily the Claims Examiner is responsible for reviewing correcting and releasing claims for payment. Some additional duties may be performed including processing new insurance ...
Dell hasthe opportunity to help find and place Medical Claims Analysts for a temporaryto perm position with one of our client's. The selected candidates will work LOCALLY on site at client's locations– in either Appleton, WI, Denver, CO, Omaha,NE or Portland, OR. Claims Analyst Reports To:Supervisor – Claims SUMMARY The purpose of theClaims Analyst is to provide exceptional customer service. ...
Dell hasthe opportunity to help find and place Medical Claims Analysts for a temporaryto perm position with one of our client's. The selected candidates will work LOCALLY on site at client's locations– in either Appleton, WI, Denver, CO, Omaha,NE or Portland, OR. Claims Analyst Reports To:Supervisor – Claims SUMMARY The purpose of theClaims Analyst is to provide exceptional customer service. ...
Dell hasthe opportunity to help find and place Medical Claims Analysts for a temporaryto perm position with one of our client's. The selected candidates will work LOCALLY on site at client's locations– in either Appleton, WI, Denver, CO, Omaha,NE or Portland, OR. Claims Analyst Reports To:Supervisor – Claims SUMMARY The purpose of theClaims Analyst is to provide exceptional customer service. ...
Medical Claims Examiner-1581184 Description Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics ...
POSITION PURPOSE To accurately review, research, and complete designated Medi-Cal pended electronic and Imagenet claims within established timeframes, applying appropriate program policies and procedures. Designated Medi-Cal claim types include: medical, ancillary, long term care, other coverage, electronic crossovers, CHDP, encounter data, substance abuse, and batch claims. ESSENTIAL DUTIES AND...
Description Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. R...
Flexible, Friendly, Accurate, Accountable, Self- Directed. Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast pace challenge. It's a job that calls you to be thoughtful, resourceful, team driven, and customer focused. Detailed oriented, computer savvy, ability to continuously...
Medical Claims Examiner-1575775 Description Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that ...
Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to pr...