- GAF (Parsippany, NJ)
- …under this roof, we protect what matters most. **Job Summary** The Residential Warranty Claims Examiner position is a critical member of our Residential Warranty ... Warranty Claims Supervisor for Enhanced Warranties. The Residential Warranty Claims Examiner will be responsible for overseeing their assigned warranty… more
- Integra Partners (Troy, MI)
- …payer-specific guidelines. + Document claim activity and payer communications in the claims management system . + Assist providers and patients with claim ... Integra is seeking a results-oriented, dynamic, proven Claims Examiner , with a specific background...verification, prior authorization, and appeal processes. + Proficiency in claims management systems and electronic billing platforms.… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within a ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
- Sedgwick (Buffalo, NY)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client We are ... payment timelines, and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim resolution. + Provide… more
- NTT DATA North America (Decatur, IL)
- …for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner ** on a **project** basis to work **remote, from home** . This is ... providers and case management company for information regarding problem claims . . Print/mail EOBs and claim forms...Experience . TPA Experience Preferred: Experience in the GBAS system Experience processing Dental Claims **About NTT… more
- TEKsystems (Bakersfield, CA)
- …HIPAA and other privacy and security regulations. 1.11 Document all actions taken on claims in the system , ensuring clear and concise records. 1.12 Prepare ... experience in healthcare claims processing or related field -Proficiency in claims processing systems and software. -Strong knowledge of CPT, ICD-10, and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- Robert Half Office Team (San Leandro, CA)
- … claims knowledge and experience in Medicare/Medi-Cal processes? We're looking for a Senior Claims Examiner to join our team! In this role, you will evaluate ... of medical terminology, and proficiency in CPT, ICD-10-CM, and HCPCS coding systems , ensuring claims are accurately processed. + A minimum of 3 years of … more
- UCLA Health (Los Angeles, CA)
- …and resolve complex claim issues as well as train others on claims processes and workflows. Salary Range: $29.42 - $42.14/Hourly Qualifications We're seeking a ... on a key role within a world-class, award-winning health system . Contribute to the delivery of award-winning patient care....Microsoft Office and data visualization tools + Knowledge of claims adjudication systems (eg, EPIC-Tapestry, EZ Cap,… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 50 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... be responsible for: + Processing of Professional and Hospital claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
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