49 Results for

Claims Jobs in Post Falls, ID

Jobs

New!

Spokane, WAToday

$29.05–$67.97 Per Hour

Job QualificationsREQUIRED QUALIFICATIONS:• At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Job SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.

Spokane, WA30+ days ago

Remote

Full-time
Employee

As a member of the Stop Loss team, this position adjudicates all stop loss claims by developing policies and procedures to ensure consistent claim practices and adherence to policy and contract terms, appropriate laws and regulations - all in service of creating a person-focused health care experience. The expected hiring range for a Stop Loss Claims Analyst is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.

Coeur D Alene, ID30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

Rathdrum, ID30+ days ago

Full-time

Spokane, WA30+ days ago

Full-time

Cheney, WA30+ days ago

Full-time

Hayden, ID30+ days ago

Full-time

Greenacres, WA30+ days ago

Full-time

Post Falls, ID30+ days ago

Full-time

Spokane, WA11 days ago

Full-time
Employee

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from VOLT and its affiliates, and contracted partners. *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

New!

Spokane, WA3 days ago

$75,000–$80,000 Per Year

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury **PRIMARY PURPOSE OF THE ROLE:** To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.

Spokane, WA30+ days ago

Full-time
Employee

This role supports our customers with claims processing, including gathering required documentation and coding information, updating patient accounts with payments, vouchers and claims/payment status, and communicating with patients and 3rd party insurers about claims and payments. * Processing rejections by either making accounts private and generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.

New!

Spokane, WA3 days ago

$21.65–$27.62 Per Hour

Required Qualifications** - Up to 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. - Mails and files claims departmental documents with accuracy, efficiency and in a timely manner; includes folding, mailing and filing.

Spokane, WA30+ days ago

Full-time
Employee

Make non-clinical appeal determinations as permitted by department business processes and guidelines; follow processes to receive clinical review and decisions from licensed health professionals; present complex cases to appeal panels; document decisions and communicate determinations to members, providers. * Ability to switch from one task or type of work to another as business needs require while effectively prioritizing work to meet strict timelines and maintaining quality and consumer-centric focus.

Spokane, WA12 days ago

$50,000–$55,000 Per Year

Knowledge of total loss processing, State salvage forms and title requirements, preferred + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **Work environment requirements include -** Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto **PRIMARY PURPOSE OF THE ROLE:** To analyze and process low to mid-level auto and transportation claims.

Spokane, WA10 days ago

Full-time
Employee

Coding Review Consultant: Certification in at least 1 of the following is required at the time of hire, and throughout tenure in job: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator). * Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims, coding, provider contracting and revenue cycle deficiencies.

Spokane, WA19 days ago

$80,000–$100,000 Per Year
Full-time
Employee

As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. Responsible for providing customer service and overall service of assigned customers and/or policies, soliciting of new business on existing accounts and support of Producer-led new business efforts.

Spokane, WA19 days ago

$90,000–$110,000 Per Year
Full-time
Employee

As top tier professionals dedicated to solving our clients' health and welfare insurance challenges, Alliant team members deliver an unrivaled depth of service, and our unique approach enables us to help clients stay resilient and turn change into opportunity. As one of the 5 largest insurance brokerage firms in the U.S., Alliant provides property and casualty, workers' compensation, employee benefits, surety, and financial products and services to clients nationwide.

Spokane, WA30+ days ago

Full-time
Employee

Creating training documentation and providing software and process training to internal employees and customer staff members on the MEDITECH Accounts Receivable module and any third-party vendor clearinghouse. * Working collaboratively with the customer's Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements.

Spokane, WA30+ days ago

Full-time
Employee

Creating training documentation and providing software and process training to internal employees and customer staff members on the Cerner Accounts Receivable module and any third-party vendor clearinghouse. * Working collaboratively with the customer's Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements.

Spokane Valley, WA12 days ago

This hybrid role combines client-facing insurance service responsibilities with marketing initiatives aimed at promoting our products, enhancing customer engagement, and supporting business growth. Krina Mallgren Insurance Agency is a leading provider of insurance solutions dedicated to delivering exceptional service and innovative marketing strategies to grow our client base.

Spokane, WA30+ days ago

Remote

$19.67–$35.67

In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute—bringing together clinical excellence, innovation, research, and education to improve heart health in our communities. Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years.

New!

Post Falls, Idaho4 days ago

$25–$32 Per Hour

At Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. In this role, you will be responsible for verifying insurance coverage, managing claims and pre-authorizations, and serving as a key point of contact for patients regarding their insurance benefits.

Post Falls, ID8 days ago

As a Roof Field Inspector, you'll be part of our dynamic network of independent contractors, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.

Spokane, WA10 days ago

We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Provider Support Specialist (Entry-Level) We're looking for a customer-focused Provider Support Specialist to join a growing team during an exciting launch of a new provider-facing tool.

Post Falls, ID20 days ago

Mead, WA13 days ago

As a Customer Service Representative - State Farm Agent Team Member with Tyler Volk - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

New!

Spokane, WA6 days ago

As a Customer Service Representative - State Farm Agent Team Member with Brandon Cook - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Spokane, WA30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with Anna Wagner - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. I offer my team a positive work-life balance with benefits like PTO, health coverage, quarterly paid training, free snacks and food in the office, and licensing reimbursement.

Spokane Valley, WA26 days ago

As a Customer Service Representative - State Farm Agent Team Member with Krina Mallgren - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Spokane Valley, WA8 days ago

$23–$28 Per Hour

Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements.

SPOKANE VALLEY, WA12 days ago

$5,863.20–$7,354.20 Per Week

Supports Store Manager in expanding health and wellness awareness in the community **Job ID:** 1811447BR **Title:** Pharmacy Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 12312 E SPRAGUE AVE,SPOKANE VALLEY,WA,99216-00720-01993-S **Full District Office Address:** 12312 E SPRAGUE AVE,SPOKANE VALLEY,WA,99216-00720-01993-S **External Basic Qualifications:** + BS in Pharmacy or Pharm D Degree from an accredited educational institution. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

LIBERTY LAKE, WA30+ days ago

$64.60–$81.20 Per Hour

For You - Competitive Pay & Flexible Scheduling** + Competitive pay - Competitive wage offered based on geography and other business-related factors + Paid Time Off (PTO) - Available after three months of service (subject to state law) because work-life balance matters + Flexible scheduling - Flexible scheduling options to fit your lifestyle **For Your Family - Comprehensive Health & Wellness Benefits** + Comprehensive benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. **Job ID:** 1794402BR **Title:** Pharmacist **Company Indicator:** Walgreens **Employment Type:** Flexible hours **Job Function:** Retail **Full Store Address:** 1502 N LIBERTY LAKE RD,LIBERTY LAKE,WA,99019-08631-10788-S **Full District Office Address:** 1502 N LIBERTY LAKE RD,LIBERTY LAKE,WA,99019-08631-10788-S **External Basic Qualifications:** + BS in Pharmacy or Pharmacist Degree from an accredited educational institution.

Spokane, WA30+ days ago

$70,000–$120,000 Per Year

Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Demonstrated commitment to timely reporting + Strong customer service skills + Strong interpersonal skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Adjuster - Multi Line (Casualty/GL/Property) **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers.

Spokane Valley, WA30+ days ago

ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Krina Mallgren - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.

Coeur d'Alene, ID30+ days ago

ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for TJ Hake - State Farm Agent, you are vital to our daily business operations and customers’ success. We’re looking for someone who enjoys helping people, takes pride in doing quality work, and wants to be part of an agency where integrity and service come first.

Spokane, WA21 days ago

ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Brandon Cook - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.

Coeur d'Alene, ID30+ days ago

As a Customer Service Representative - State Farm Agent Team Member with TJ Hake - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We’re looking for someone who enjoys helping people, takes pride in doing quality work, and wants to be part of an agency where integrity and service come first.

Liberty Lake, WA30+ days ago

As a Customer Service Representative with Ashlie Hultman State Farm Insurance Agency, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.

Washington30+ days ago

$41,500–$101,000 Per Year

At Legacy, backed by AMERICAN SENIOR BENEFITS, where we put people back in the people business, we are at the front line in our communities, helping to protect retirement income, educating seniors on safeguards available to them. Create custom solutions using our toolbox of over 220 top named carriers.

SPOKANE, WA16 days ago

$35.55–$44.70 Per Hour

Maintains awareness of developments in retail and management and pursues best practices that would enhance performance + Obtains necessary certifications, education credits and training such as People Plus Learning modules as required by the Company + Seeks professional development by monitoring one's performance, solicits for constructive feedback, and leverages pharmacy manager and store manager as mentor and coach **Communications** + Supports the Pharmacy Manager and Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff. **Job ID:** 1741926BR **Title:** Pharmacy Intern Grad - Specialty Pharmacy **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 327 W 3RD AVE,STE A,SPOKANE,WA,99201-05082-21243-S **Full District Office Address:** 327 W 3RD AVE,STE A,SPOKANE,WA,99201-05082-21243-S **External Basic Qualifications:** + Willingness to obtain a Doctor of Pharmacy (Pharm D) degree from an accredited educational institution prior to the start date in position.

SPOKANE VALLEY, WA30+ days ago

$35.55–$44.70 Per Hour

Maintains awareness of developments in retail and management and pursues best practices that would enhance performance + Obtains necessary certifications, education credits and training such as People Plus Learning modules as required by the Company + Seeks professional development by monitoring one's performance, solicits for constructive feedback, and leverages pharmacy manager and store manager as mentor and coach **Communications** + Supports the Pharmacy Manager and Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff. **Job ID:** 1794346BR **Title:** Pharmacy Intern Grad **Company Indicator:** Walgreens **Employment Type:** Flexible hours **Job Function:** Retail **Full Store Address:** 12312 E SPRAGUE AVE,SPOKANE VALLEY,WA,99216-00720-01993-S **Full District Office Address:** 12312 E SPRAGUE AVE,SPOKANE VALLEY,WA,99216-00720-01993-S **External Basic Qualifications:** + Willingness to obtain a Doctor of Pharmacy (Pharm D) degree from an accredited educational institution prior to the start date in position.

New!

Spokane, WA5 days ago

$17.30–$21.28 Per Hour

Performing general offices tasks including; answering phones, ordering office supplies, distributing mail, light cleaning, and maintaining and operating copier, fax machine, phone/voice mail systems, and document shredder . The Administrative Assistant supports the assigned group with administration duties, they will assist with contract and insurance billing, fee collections, client scheduling and database management.

New!

Spokane, WA2 days ago

$30–$35 Per Hour

At HUB, we believe in investing in the future of our employees, and provide continuous opportunities for growth and development _._ Our entrepreneurial culture fosters an environment that empowers our people to make the best decisions for our customers and organization, focusing on expanding the industry knowledge of our insurance professionals to better serve our valued clients. **QUALIFICATIONS:** + High School Diploma / GED + 2-5 years insurance industry experience (brokage preferred) or equivalent combination of education & experience + Property & Causality License **KNOWLEDGE / SKILLS / ABILITIES:** + Ability to effectively and professionally communicate orally and in writing with internal and external customers.

Spokane Valley, WA12 days ago

$17.02–$28.38 Per Hour

Job Description Summary:** The Specialist, Patient Registration is responsible for facilitating new patient's transition to Option Care Health services with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost.

Spokane Valley, WA10 days ago

$17.02–$28.38 Per Hour

Spokane, WA30+ days ago

$28–$35 Per Hour

Today, Eyemart Express is celebrated for promptly delivering quality eyewear at great prices, while maintaining great relationships with optometrists and local communities. Provide Exceptional Customer Service: Use your optical expertise and product knowledge to precisely meet customer needs, ensuring personalized and informed interaction.

Spokane, WA30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Spokane, WA12 days ago

$29–$29

Respond to resident complaints and issues and serve as liaison to residents and the corporate office regarding the administration of common area maintenance and the enforcement of landlord rules and regulations. Create a climate in which associates want to do their best by leading and communicating a shared vision with associates and providing coaching and development.

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Claims Jobs in Post Falls, ID

Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare

Stop Loss Claims Analyst Cambia Health Solutions

Independent Insurance Claims Adjuster in Coeur D Alene, Idaho MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Rathdrum, Idaho MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Spokane, Washington MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Cheney, Washington MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Hayden, Idaho MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Greenacres, Washington MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Post Falls, Idaho MileHigh Adjusters Houston Inc

Coding Specialist Volt Management Corp.

Claims Examiner, Auto | Bodily Injury Sedgwick

Revenue Cycle Specialist Volt Management Corp.

Associate Specialist, Claims Recovery Molina Healthcare

Appeals Specialist I Cambia Health Solutions

Claims Representative, Auto Sedgwick

Coding Consultant I, II, or III DOE Cambia Health Solutions

Account Manager - Employee Benefits ALLIANT INSURANCE SERVICES INC

Underwriter Lead - Employee Benefits ALLIANT INSURANCE SERVICES INC

Meditech Systems Analyst Volt Management Corp.

Cerner Systems Analyst Volt Management Corp.

Customer Relations Representative - State Farm Agent Team Member Krina Mallgren - State Farm Agent

Medical Billing Specialist Cardiac Study Center

Dental Financial Insurance Coordinator Post Falls Perio and Implants

Post Falls, ID - Field Roof Inspector Hancock Claims Consultants

Customer Service Specialist TEKsystems

Post Falls, ID - Field Roof Inspector Hancock Claims Consultants Technicians

Customer Service Representative - State Farm Agent Team Member Tyler Volk - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Brandon Cook - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Anna Wagner - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Krina Mallgren - State Farm Agent

Field Site Inspector Allied Universal

Pharmacy Manager Walgreens

Pharmacist Walgreens

Adjuster - Multi Line (Casualty/GL/Property) Sedgwick

Account Associate - State Farm Agent Team Member Krina Mallgren - State Farm Agent

Account Associate - State Farm Agent Team Member TJ Hake - State Farm Agent

Account Associate - State Farm Agent Team Member Brandon Cook - State Farm Agent

Customer Service Representative - State Farm Agent Team Member TJ Hake - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Ashlie Hultman - State Farm Agent

WA-Spokane, Insurance Sales Specialist 😎 Hybrid AMERICAN SENIOR BENEFITS LLC

Pharmacy Intern Grad - Specialty Pharmacy Walgreens

Pharmacy Intern Grad Walgreens

Administrative Assistant I Pioneer Human Services

Account Manager, Commercial Lines HUB International

Patient Registration Specialist Option Care Health

Patient Registration Specialist - Hybrid Spokane Option Care Health

Licensed Optician FT Spokane Valley, WA Eyemart Express

Reporting Specialist Maximus

Floating Property Manager Avenue5 Residential, LLC

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