• Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims more
    Commonwealth Care Alliance (08/31/25)
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  • Claims Process Executive (remote)

    Cognizant (Juneau, AK)
    …WPM + 10-key + Proficient in Microsoft Office - Excel, Word, and Outlook + Healthcare claims payer processing experience (required) + Ability to work at a high ... ** Claims Process Executive (remote)** **JOB PURPOSE:** Claim Processors...workspace and location free from distractions and safety of healthcare data (required) **Salary and Other Compensation** : Applications… more
    Cognizant (10/04/25)
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  • Claims Examiner

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This...our people are committed to the improvement of how healthcare is accessed and delivered. When you join our… more
    Brighton Health Plan Solutions, LLC (09/11/25)
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  • Claims Examiner III

    Dignity Health (Bakersfield, CA)
    …responsible for the detailed and accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims ... procedures. **Job Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2 years in a senior or… more
    Dignity Health (09/25/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims more
    NTT DATA North America (10/06/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing** + 2+ year(s) using a computer with ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims more
    NTT DATA North America (10/06/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in ** Healthcare Claims Processing** + **Previously performing - in P&Q ... overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
    NTT DATA North America (10/05/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …methodology/ fee schedule **Required Skills/Experience** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims more
    NTT DATA North America (10/05/25)
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  • Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    claims adjudication. This will involve reviewing UB04 and CMS 1500 healthcare claims and adjustments for accuracy, and appropriate application claims ... Bachelor's degree and/or equivalent experience * Five or more years of medical claims payment experience in Medicare Advantage or combination of equivalent years of… more
    UCLA Health (09/17/25)
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  • Business Analyst - Claims Systems

    Levi, Ray & Shoup, Inc. (Chicago, IL)
    …for you! The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and first-pass resolution rates. + ... at least 6 years relevant IT experience overall. + Experience in the Healthcare industry domain, including and especially Claims systems experience. + Experience… more
    Levi, Ray & Shoup, Inc. (07/22/25)
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