- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in **Healthcare Claims Processing ** + 2+ year(s) using a computer with Windows applications… more
- Molina Healthcare (Covington, KY)
- …knowledge of provider data/processes/requirements related to provider contracting, credentialing, claims processing and state/federal regulations + Ability to ... data systems and models + Complex database and data management responsibilities + Claims processing background + Configuration background To all current Molina… more
- Robert Half Accountemps (Spokane, WA)
- …claim issues and provide resolutions. Requirements * Proven experience in medical claims processing and adjudication. * Strong knowledge of medical billing ... with insurance companies, patients, and healthcare providers. * Proficiency in using claims processing software and related tools. * Understanding of healthcare… more
- Robert Half Accountemps (East Hartford, CT)
- …in compliance with established guidelines. Ensure proper coding and documentation for claims processing . Verify patient eligibility for insurance benefits and ... with HIPAA regulations at all times. Requirements Prior experience in medical claims processing or billing is required. Familiarity with medical terminology,… more
- McLaren Health Care (Flint, MI)
- …to position. + Demonstrated experience in developing adjudication logic to support automated claims processing . + Five (5) years' experience and knowledge of ... PPO, TPA, PHO and Managed Care functions (eg accounting/finance, reinsurance, claims processing , membership/eligibility) + Affiliation with a Professional… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
- Pike Corporation (Fort Mill, SC)
- …of internal database. . Handles multiple functions related to business operations, claims processing , and office workflows. . Recognizes and resolves basic, ... Position Overview: The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General Liability… more
- Pike Corporation (Mount Airy, NC)
- …of internal database. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes and resolves basic, ... Position Overview: The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General Liability… more
- NTT DATA North America (MO)
- …fee schedule **Required Skills/Experience** * Minimum of 1 year hands-on experience in healthcare claims processing * Minimum of 2 years using a computer with ... here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** *... Processor** to work **remote (MO).** **Role Responsibilities:** * Processing of Professional claim forms files by provider *… more
- Aflac (ME)
- …production management concepts, operating principles, and operational management methodology applicable to claims processing ; a high degree of skill in applying ... practices, and procedures as they relate to the insurance industry and claims processing * Knowledge of budgeting and expense control to plan, implement, and… more