- NTT DATA North America (Plano, TX)
- …when 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 ... office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing ** + **Previously performing - in P&Q work… more
- Robert Half Finance & Accounting (Winston Salem, NC)
- Description We are looking for a Medical Claims Supervisor to lead a dynamic team in Winston-Salem, North Carolina. This role requires a skilled leader with a ... that enhance efficiency and service quality. * Develop and maintain workflows for processing claims and customer service inquiries. * Train and onboard new… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...nature of the role offered. Company benefits may include medical , dental, and vision insurance , flexible spending… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have… more
- Philadelphia Insurance Companies (Harrisburg, PA)
- …day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . Assures that corporate claims handling procedures and ... staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents,...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Philadelphia Insurance Companies (West Linn, OR)
- …day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . + Assures that corporate claims handling procedures and ... staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents,...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... accurate records for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations, to develop and… more
- University of Washington (Seattle, WA)
- …Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is responsible for ... claims review, clearing claim edits, and timely and accurate...research available resources (EEV, payer websites, phone call to insurance ) to determine correct information needed to clear the… more
- NJM Insurance (Trenton, NJ)
- …with various aspects of claims handling and/or process including advanced knowledge of medical terminology and WC regulations for PA, MD and/or DE claims . + ... NJM's WC Claims Department is seeking an experienced Claims...parties + Determine compensability and coverage issues by gathering medical and factual evidence + Administer the delivery of… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …with one year of supervisory experience 3. Maintain current knowledge of the insurance industry and Claim's processing ideas through regular attendance of ... range of coverage and support. Eligible full-time teammates enjoy access to medical , dental, vision, life, disability, and AD&D insurance ; tax-advantaged savings… more