• Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …with: + High school diploma, GED or equivalent experience required + Minimum of 4 years medical claims payment experience in an HMO environment (ie MSO, IPA or ... You can do all this and more at UCLA Health . The Claims Quality Auditor serves as...understanding of Medicare Guidelines and COB required + Demonstrated medical terminology competence. + Working knowledge and experience in… more
    UCLA Health (04/26/25)
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  • Worker's Compensation Claims Professional…

    AON (LA)
    …related regulatory agencies.* Develops and maintains project-specific workers' compensation claims manual, medical panel, related processes and procedures ... to work. o Manages relationships with onsite clinic, panel/network physicians and other medical providers, to ensure effective claims management and return to… more
    AON (05/14/25)
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  • Associate, Credentialing Specialist

    MVP Health Care (Schenectady, NY)
    …working in the medical community ( medical office, medical records, medical billing), claims processing, health care or health insurance ... New York, United States of America Req #2609 Tuesday, May 20, 2025 At MVP Health Care, we're on a mission to create a healthier future for everyone - which… more
    MVP Health Care (05/21/25)
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  • Patient Account Representative (Managed Care…

    Select Medical (Canonsburg, PA)
    …(Managed Care Medicaid Claims )** **- Join Our Team at Select Medical !** **Starting Pay:** $17.00 per Hour (DOE) **Work Schedule:** Monday - Friday, Daylight ... and want to grow your career in healthcare? Select Medical is looking for motivated individuals to join our...part of our team, you'll help resolve outstanding insurance claims , ensuring our patients are billed accurately and without… more
    Select Medical (04/23/25)
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  • Risk and Claims Specialist

    Billings Clinic (Billings, MT)
    …data into department software systems, developing reports, and assisting in coordination of medical malpractice claims at the direction of the Risk Management ... with Billings Clinic and its affiliate sites to coordinate general and medical malpractice claims insured by Billings Clinic's insurance company. Participates… more
    Billings Clinic (03/28/25)
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  • Claims Administrator

    Royal Electric (Sacramento, CA)
    …with applicable state and federal regulations. + Coordinates with injured workers, medical providers, treating physicians, claims adjusters, Nurse Case Managers, ... claims paperwork to include incident reports, claim and medical status reports and related documentation. + Sets designated...time. We promote a drug free workplace. Benefits + Health Care Plan (3 types of Medical more
    Royal Electric (04/28/25)
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  • Claims Specialist II

    AON (Garden City, NY)
    Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... by a remote work schedule. How this role is different: Aon prioritizes the health and well-being of current and potential employees. Our leaders pride themselves in… more
    AON (04/24/25)
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  • Claims Investigator

    WMCHealth (Valhalla, NY)
    …knowledge of claims management functions related to a hospital or health care delivery setting; thorough knowledge of the principles, practices, procedures and ... utilized in planning and conducting confidential investigations; thorough knowledge of medical malpractice and general liability claims management; good… more
    WMCHealth (03/14/25)
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  • Claims Resolution Specialist

    Select Medical (Camp Hill, PA)
    …**Required:** + High School Diploma or Equivalent + One year of experience within a medical billing, medical collecting or claims processing role. + Private ... **Overview** **Medicare Claims Resolution Specialist** **Starting at $17.00/hr but flexible...may be a phenomenal career for you within Select Medical ! Our dynamic team has the responsibility of resolving… more
    Select Medical (05/14/25)
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  • Senior Quality Analyst, Claims *Remote

    Providence (Renton, WA)
    …and retain the best people, we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare ... Insurance terminology + Legal concepts + Liens + Electronic claims databases + Medical terminology **Skills required...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… more
    Providence (05/09/25)
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