- Swedish Health Services (Seattle, WA)
- …they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit ... **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers,...Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused,… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...+ Expert knowledge of CPT, ICD-10, HCPCS coding, and medical terminology. + Associate's Degree - Associate's Degree in… more
- Sedgwick (Ontario, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Entry Level | Claims Assistant | In-office (Ontario, California) Are you looking for an impactful ... PURPOSE OF THE ROLE:** To provide support to the claims staff and to perform other office tasks depending...letters, reports, and forms. + Manage phone calls, schedule medical appointments, and provide customer service when needed. +… more
- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including Final ... experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three (1-3)… more
- CVS Health (Hartford, CT)
- …critical role involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The ideal candidate ... resolving high-priority defects and systemic issues impacting enrollment, billing, and claims processing + Deep-Dive Analysis & Root Cause Identification: Conduct… more
- Sedgwick (Concord, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Manager - Dedicated Are you looking for an opportunity to join a ... Establishes policy and procedure to ensure compliance to best practices, claims management services standards, state regulations and client service requirements;… more
- US Tech Solutions (Whittier, CA)
- **Duration: 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated ... medical groups and hospitals + Evaluate provider reimbursement terms...provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims , ... assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return, deny, or… more
- Philadelphia Insurance Companies (Ewing, NJ)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. 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… more
- Ryder System (Philadelphia, PA)
- …**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program. **ESSENTIAL ... FUNCTIONS** Investigates and resolves low to high exposure worker's compensation claims pursued against Ryder and our insured customers Ensures the most appropriate… more