Account Manager II CCMSIAccount Manager IIReading, Massachusetts$90,000–$110,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Administrative Assistant II - Claims (Hybrid) Onebeacon Professional Insurance IncAdministrative Assistant II - Claims (Hybrid)Englewood, CO$59,000–$68,000 / yearIn return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $59,000 - $68,000.
Claims Specialist - Full Time FRONTIER HEALTHClaims Specialist - Full TimeGray, TNAll employees of the organization are expected to: Support the organization's mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership. Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
Customer Service Supervisor I MCI CareersCustomer Service Supervisor ILas Cruces, New MexicoFull timeMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Patient Account Representative - Medical Claims - A/R Follow-up Guidehouse IncPatient Account Representative - Medical Claims - A/R Follow-upMitchell, SDNote that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Meet with payer escalation representatives monthly (or as required) to review outstanding escalations and identified payer trends & issues.
Patient Account Representative - Physician Claims Guidehouse IncPatient Account Representative - Physician ClaimsLewisville, TXThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
Claims Cash Processor Global Channel ManagementClaims Cash ProcessorNew YorkIdentify and recommend systems and process modifications necessary to improve the efficiency and effectiveness of the Assignment processes. Cash Claims Processor requires: Working knowledge of mainframe computers and systems in general, ie: AS400.
Patient Account Representative - Medical Billing and Claims Guidehouse IncPatient Account Representative - Medical Billing and ClaimsBirmingham, ALDuties may include but are not limited to; timely and accurately processing of overpayment requests, post contractual adjustments, write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party payers in response to overpayment requests and/or to obtain insurance hierarchy information. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.
Administrative Assistant II - Claims (Hybrid) Intact InsuranceAdministrative Assistant II - Claims (Hybrid)Englewood, CO$54,000–$63,000 / yearIn return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. Files documents, office product, and other materials, performs data entry of applicable office/division/group information, and maintains product library, references, and other indexes, as applicable.
NewClaims Specialist Rogers Memorial HospitalClaims SpecialistOconomowoc, WisconsinSummary: The Claims Specialist is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively communicate and resolve payer errors.
Purchased Referred Care Claims Analyst Tuba City Regional Health Care CorpPurchased Referred Care Claims AnalystTuba City, AZThe PRC Claims Analyst works closely with department leadership to monitor program compliance, budget, reports, and claims accuracy by performing the following: monitoring fund control and appropriate use of dollars spent on allowed services, auditing claims processed for patient eligibility for third party programs, and ensuring proper codes are submitted to cover primary provider, diagnosis, and clinic. Work closely with departmental leadership to monitor program compliance, budget, reports, and claims accuracy by performing the following: monitoring fund control and appropriate use of dollars spent on allowed services, auditing claims processed for patient eligibility for third party programs, and ensuring proper codes are submitted to cover primary provider, diagnosis, and clinic.
Purchased Referred Care Claims Analyst Tuba City Regional Health Care CorporationPurchased Referred Care Claims AnalystTuba City, ArizonaFull timeThe PRC Claims Analyst works closely with department leadership to monitor program compliance, budget, reports, and claims accuracy by performing the following: monitoring fund control and appropriate use of dollars spent on allowed services, auditing claims processed for patient eligibility for third party programs, and ensuring proper codes are submitted to cover primary provider, diagnosis, and clinic. Work closely with departmental leadership to monitor program compliance, budget, reports, and claims accuracy by performing the following: monitoring fund control and appropriate use of dollars spent on allowed services, auditing claims processed for patient eligibility for third party programs, and ensuring proper codes are submitted to cover primary provider, diagnosis, and clinic.
MSO Claims Manager North East Medical ServiceMSO Claims ManagerBurlingame, CAThis role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsBellevue, WADXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
Claims Examiner I Western GrowersClaims Examiner IFresno, CA$40,580.28–$52,756.02 / yearAdjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, Blue Card, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe. Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as well as meeting established quality and production performance benchmarks, including research and review of applicable documentation.
Complex Casualty Claims Specialist EMC Insurance Group Inc.Complex Casualty Claims Specialist$100,085–$138,285 / yearIdentifies, investigates, and proactively pursues opportunities for recovery including partnering with attorneys and/or other experts to arrange of evidence preservation in legal compliance that meets custody, control, transfer, analysis, and disposition of physical and/or electronic evidence. Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology and prepares roundtable reports and large loss reports to advise the Branch VPs and Underwriting Directors.
Call Center Collections Supervisor MCI CareersCall Center Collections SupervisorTampa, FloridaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Workers Compensation Claims Manager CurrentlyWorkers Compensation Claims ManagerMount Laurel, New JerseyThis role bridges internal operations, employee relations, carrier management, and financial oversight—supporting the CFO's responsibility for controlling claims costs, protecting company interests, and ensuring timely, accurate claims administration. Unlike a carrier-side claims role, this position advocates on behalf of the company, coordinates with injured employees and operations teams, and ensures carriers and TPAs handle claims fairly and efficiently.
NewSupv Claim Analytics Advocate Health and Hospitals CorporationSupv Claim AnalyticsCharlotte, North CarolinaRemoteSupervises the assigned functional area of billing related operations with the primary focus on ensuring timely, accurate, compliant, and efficient processing of claims to receive appropriate to reduce accounts receivables in compliance with Generally Accepted Accounting Principles (GAAP) to ensure protection of cash assets. Billing Experience: 3 to 5 years of experience in patient accounts, medical billing or collections within a healthcare setting and with billing procedures for various types of payers, including private insurance, Medicare, Medicaid and self-pay patients.
Supervisor, Transportation Network Management Inland Empire Health PlanSupervisor, Transportation Network ManagementRancho Cucamonga, CAThis role oversees provider performance through audits, inspections, scorecards, and action improvement plans (PIPs/CAPs), while ensuring Voice of Member initiatives and outreach programs are executed effectively. The Supervisor monitors billing investigations, credentialing enforcement, and quality assurance processes, running transportation provider, trip, and Quality Assurance reports to identify trends and issues.