- Kelsey-Seybold Clinic (Pearland, TX)
- …Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ... claims edits from secondary claims . In the event a claim edit...standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office**… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Sedgwick (Trenton, NJ)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- NTT DATA North America (St. Louis, MO)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... Responsibilities** - Processing of Professional claim forms files by...**Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a… more
- NTT DATA North America (Columbus, OH)
- … of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate** to work for our end client and their team. **Long ... this Role the candidate will be responsible for:** + Processing of Professional claim forms files by...and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- NTT DATA North America (MO)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this ... Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- MVP Health Care (Rochester, NY)
- …and Macess Systems. + Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the opportunity...or related field preferred + The availability to work Full- Time , Virtual + Previous related health care experience required… more
- Travelers Insurance Company (St. Paul, MN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... and processes out-going mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the proper handling of… more
- Sedgwick (San Diego, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... training program. + Performs on-the-job training activities including: + Adjusting lost- time workers compensation claims under close supervision. May be… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling ... change, or new ones may be assigned at any time with or without notice. Primary Responsibilities + Thorough... claim disputes. + Claim knowledge including professional, facility and ancillary claims… more