- TEKsystems (Milwaukee, WI)
- …Obtains additional information from appropriate person and/or agency as needed. Skills claims processing, claims adjudication , call center, medicaid, Coding ... TO BE CONSIDERED Job Description We are seeking a Claims Analyst II to examine and process paper and...Analyst II to examine and process paper and electronic claims . In this role, you will determine whether to… more
- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION **Job Summary** Provides support for provider claims adjudication activities including responding to providers to address claim issues, and ... researching, investigating and ensuring appropriate resolution of claims . **Essential Job Duties** * Provides support for resolution of provider claims issues,… more
- Sedgwick (Syracuse, NY)
- …for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | New York Jurisdiction | Dedicated Client We are seeking… more
- Molina Healthcare (Dayton, OH)
- …**Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim ... issues, and researching, investigating and ensuring appropriate resolution of claims . **Knowledge/Skills/Abilities** + Responds to incoming calls from providers… more
- Commonwealth Care Alliance (Boston, MA)
- …specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication , clinical coding reviews for claims , settlement, ... 011250 CCA- Claims Hiring for One Year Term **_This position...the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr.… more
- UCLA Health (Los Angeles, CA)
- …COB + Knowledge of medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes or type ... skills + Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned… more
- NTT DATA North America (MO)
- …computer systems, and learn new software tools + 1+ years of working with Claims Adjudication Systems + High School diploma or equivalent **Preference** + ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- Percepta (Melbourne, FL)
- …and independent repair facilities regarding extended service contract coverage and provides claims adjudication per contract terms and contact handling processes ... **Description** **_Automotive Claims Representative_** At Percepta, we bring first-class service...web based technical service information to complete the claim adjudication process * Excellent negotiation skills and consultative approach… more
- CVS Health (Hartford, CT)
- …business, including product lifecycle management, enrollment processes, billing operations, claims adjudication , and industry regulations + Technical ... critical role involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The ideal candidate… more
- US Tech Solutions (Whittier, CA)
- …accurately and timely per policy guidelines **Experience:** 2+ years of experience in claims adjudication (HMO, IPA, or hospital environment) **Skills:** + ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more