- NTT America, Inc. (Plano, TX)
- …roles you will** **be responsible for:** + Review and process insurance claims . + Validate Member, Provider and other Claim 's information. + Determine ... forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas...based on defined Policy and Procedure. + Coordination of Claim Benefits based on the Policy & Procedure. +… more
- NTT DATA North America (Plano, TX)
- …roles you will be responsible for: Review and process insurance claims . Validate Member, Provider and other Claim 's information. Determine accurate payment ... forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas... based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain… more
- NTT DATA North America (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX for a remote position** . ... through NTT DATA only. **Role Responsibilities** -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Plano, TX)
- …part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **Note** : This ... NTT DATA only. **Role Responsibilities** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Guidehouse (Birmingham, AL)
- …understanding of diagnosis, HCPCS and CPT codes. + 1 year experience with claim edits and follow-up related to government/non-government claims accounts. + Prior ... + 0-2 years of experience in hospital billing and/or claims follow-up **What Would Be Nice to Have** **:**...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Ally (Trenton, NJ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... the various Ally Insurance / Dealer Products and Service lines. The ideal...claimant vehicles. * Handle catastrophe losses as directed by claim management. * Initiate the total loss handling process… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- Pacific Medical Centers (Renton, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -… more
- Philadelphia Insurance Companies (Ewing, NJ)
- … Claims Examiner - SIU to join our team! Summary : Evaluate referred insurance claims for potential insurance fraud. Conduct thorough investigations of ... suspect insurance claims and policy applications. Conduct insurance fraud investigations in accordance with applicable law and determine whether suspect … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely (Days, M- ... information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works will be assigned… more