- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... Commercial Claims Processing Associate, Claims Examiner...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
- State of Montana (Helena, MT)
- …over the phone in the claim process, utilizing the external customer oriented online claims system to file the claim . * Explain the rights and ... may be covered by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will: * Assist the public… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence… 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 (Montpelier, VT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Remote We ... 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...TPA Experience . Minimum 1 year experience in LuminX claims system Preferred: Experience processing Dental … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... claims processing and procedures. + 1+ year computer medical billing or claims adjudication systems experience. + Excellent written and oral communication,… 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
- State of Montana (Helena, MT)
- …position is open until filled with frequent screening of applicants. **Title:** * Claims Examiner 2 (11722)* **Location:** *Helena* **Requisition ID:** *25141497* ... resolution, pricing of specialized procedures, and maintenance of data systems for claims adjudication. Based on paid claims information, designs, and… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 20 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