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Medical Claims Jobs

1000+ jobs

Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) We are seeking a motivated individual to join our team as a Medical Claims Quality Analyst. Positions in this funct...
Position: Claims Specialist Location: Grand Rapids, MI 49525 Duration: 6 months (contract) 36 Hours/week Job Description · Processes inpatient and outpatient claims to insurance companies, employers and patients. · Follows claims through the payment cycle to insure timely and accurate payment by third party payers. · Maintains an in-depth knowledge of payer regulations and reimbursement met...
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Compiles, maintains, and disseminates medical denial statistical data REQUIREMENTS Acute medical billing experience Ability to data mine and pull reports Some data analyses Proficiency in Excel and Powerpoint _ojrfc_ JO00014103 _rfc_ 169479946...
Job Description: Growing, dynamic company is looking for dedicated and experienced medical claims professionals to become a part of their subrogation team! On the subrogation team, you will be responsible for identifying and determining case values for claims by reviewing beneficiaries' medical history, and verifying, creating, and updating cases from all incoming documents from various sources. ...
Job Description: This Medical Claims Clerk Position Features: - Great Pay up to $32K - Monday- Friday - Business Hours Requirements: - At least 2 years of experience working in a professional office environment, OR at least 1 year of experience in a professional environment if applicant has an associates degree - Experience working in a legal office OR insurance industry (casualty or health...
DuvaSawko, a leader in Emergency Medicine, currently has an opening in our Claims Research Department. As a Claims Research Representative, qualifying candidates must have knowledge and experience with Motor Vehicle Accident Injury Claims, Workers Compensation Claims, and Accounts Receivables. Medical Billing experience is preferred along with knowledge of Windows Microsoft Office, Exceptional C...
Accurate Diagnostic Labs is a dynamic, fast-paced and growing full service clinical diagnostic testing facility offering blood testing for various branches of medicine. We specialize in physician office based services and have conveniently located patient service centers throughout NJ-NY metro areas. Established in 1999, Accurate Diagnostic Labs prides itself in providing the highest level of cust...
RESPONSIBILITIES: A reputable client in Conshohocken, PA is looking for a Medical Claims Processor to join their team. Responsibilities: Claims Management: Analyze, correct and reprocess claims Reprocess Medicaid Denials Process Claims via Promise Website REQUIREMENTS: Extensive Physician Claims management experience Experience utilizing PROMISE and NextGen AR/Billing Experience _ojrfc_ 1...
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DATA ENTRY CLERK / MEDICAL CLAIMS: LONG-TERM TEMPORARY POSITION VERY IMMEDIATE HIRE 9AM-5PM $15 / HOUR MONDAY – FRIDAY JOB DUTIES: COMPILE & SORT MEDICAL CLAIM FILES FOR ENTRY INTO MEDICAL DATA BASE COLLECT, ANALYZE & SUMMARIZE ALL MEDICAL CLAIMS & CALCULATIONS OF BENEFITS DUE COMPLETE MEDICAL FORMS, REPORTS & RECORDS TO DOCUMENT ALL MEDICAL CLAIMS RESPOND TO CUSTOMER ENQUIRIES & PROVIDE...
Job Purpose: Maintains revenue by establishing, implementing, and controlling billing system; supervising staff. Duties: * Accomplishes billing human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; ...
MEDICAL CLAIMS FOLLOW-UP SPECIALIST FUNCTION OVERVIEW: As a Claim Representative this position will be instrumental in analyzing billed medical claims to determine the appropriate course of action to resolve the claims. This position requires you have a strong background in Commercial insurance, Medicaid HMO's and/or Workers Comp. FINANCIAL RESPONSIBILITIES: Resolve cash generating accounts ex...
Job Purpose: Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. Duties: * Determines covered medical insurance losses by studying provisions of policy or certificate. * Establishes proof of loss by studying medical documentation; assembling additiona...
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Medical Claims Specialist Full time position available in medical billing office, main responsibilities follow-up/ AR work in fast paced environment. Ideal candidate will be knowledgeable with insurance and AR, able to problem solve and multi-tasked while staying focused. Possess excellent communication skills and a positive attitude. Benefit package available along with a competitive salary. Joi...
Customer Service Representative III, Medical Claims Reports To: Customer Service Manager Location: Rancho Cordova, CA Client: Third Party Administrator, Healthcare Claims POSITION SUMMARY: Customer Service Representatives are a key part of the department’s successful operation. The Customer Service Representative is in daily contact with members, clients and providers, and are very often the ...
Description: WellMed provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient’s health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Do you have compassion and a...
RESPONSIBILITIES: Kforce has a Fort Worth, Texas (TX) company is seeking a Medical Claims Follow Up Specialist. Essential Functions: Resolve cash generating accounts expeditiously to bring in revenue for the client and the company Follow up with Worker's Comp on the status of each claim using phone calls, websites, if available, online resources Ensured understanding of medical terminology, d...
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Description: Medical Claims Examiner Job Purpose: Serves customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. Duties: * Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. * Follows company pol...
RESPONSIBILITIES: Kforce has a well-respected client looking to add a Medical Claims Specialist to their team of medical billers in Bayonne, New Jersey (NJ). REQUIREMENTS: 3-5 years medical billing experience AR Background including Reporting and Analysis Billing/ Coding Certifications (preferred) Experience using various billing software _ojrfc_ 1300-AQG-1544203T1 _cc_ xkforcex _cn_ Kforce ...
POSITION PURPOSE To accurately review, research, and complete all Medi-Cal and PartnershipAdvantage Crossover pended electronic and Imagenet claims within established timeframes, applying appropriate program policies and procedures. Medi-Cal claim types include: medical, facility (inpatient and outpatient), ancillary, long term care, supplies, DME, manual pricing, other coverage, electronic cross...
Responsible for all facets of medical claims, collections and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Responsible for reviewing the physician’s coding at the time of charge entry to ensure accuracy, timely payments, and to maximi...