- Robert Half Office Team (Roseburg, OR)
- Description We are looking for a skilled Medical Claims Examiner II to join our team in Roseburg, Oregon. This Contract-to-permanent position involves analyzing ... representatives, and other stakeholders. Responsibilities: * Review and assess complex medical claims to verify coverage, eligibility, and payment accuracy… more
- PSEG (Springfield, NJ)
- …or assigning is needed + Handles calls from internal clients and designs claim assignment to the appropriate Corporate Claims Consultant/Specialist + Handles the ... comprehensive benefits from day one, designed to support your total well-being: medical , dental, vision, parental leave and family leave programs, behavioral health… more
- Robert Half Accountemps (Northbrook, IL)
- Description We are looking for an experienced Medical Billing/ Claims /Collections specialist to join our team on a contract basis. This role is based in ... Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting.… more
- Travelers Insurance Company (New York, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... materials in a variety of formats such as microfilm and microfiche. Works with Claim and Underwriting Units to locate archived manuals and guidelines for all legacy… more
- Brighton Health Plan Solutions, LLC (NC)
- …or leadership role. + Advanced knowledge of Excel. + Strong knowledge of contracts, medical terminology, and claims processing and procedures. + 5+ years of ... About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The expectations… more
- Raphael and Associates (Rutherford, NJ)
- …to the appropriate adjuster and supervisor. + Set adjuster diaries with new claim notifications and necessary actions. + Claims Acknowledgement Letters: + ... and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on...included (claimant info, loss date, incident description). + Enter claim details into the system, including policy info, loss… more
- AssistRx (Phoenix, AZ)
- …and Merchant Card processors) and other sources. Required engagement is with pharmacy claim adjudicators, third party medical claim administrators, merchant ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim ...+ Subject Matter Expert on reviewing and processing of medical claims submitted for copay programs where… more
- Illumination Foundation (Santa Ana, CA)
- …up on outstanding account receivables + Review any rejected or denied claims and conduct proper follow up procedures (Escalations/Appeals/ Claim corrections) + ... EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close...Word, Excel, Calendar). + Associate's degree or higher + Medical Billing Certificate + Experience in Medical … more
- Allied Universal (Bronx, NY)
- …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- AssistRx (Dallas, TX)
- DUTIES AND RESPONSIBILITIES: + Processes medical copay claims in accordance with program business rules. + Liaison with other program-specific AssistRx resources ... by management. + Perform daily reconciliation of batch postings, including automated/manual claim inputs. + Analyze claims for accuracy based on insurance… more