- IQVIA (Trenton, NJ)
- …for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will ... **Patient Support Medical Claims Processing Representative** _Contract Remote...+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Sr Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up ... course of three years. This is a Work From Home opportunity. **Benefits** HCA Healthcare, offers a total rewards...+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans… more
- Henry Ford Health System (Farmington Hills, MI)
- …in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. . ... Reviews claims for accuracy, including proper diagnosis and procedure codes. . Reviews claim rejections and communicates with payers to resolve billing issues. .… more
- Kelly Services (New Haven, CT)
- …fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a ** Claims Examiner** to work at a premier client in **New Haven CT 06511** ... life of the claim . + Reviews the claim status at regular intervals and makes...initiatives. + Complies with customer service requests including Special Claims Handling procedures, file status notes and claim… more
- Axis (Red Bank, NJ)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... team that is among the best in the industry. At AXIS, we believe that we are only as...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Teva Pharmaceuticals (North Wales, PA)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Jun 9, 2025 Location: North...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Sedgwick (Dallas, TX)
- … 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
- Conduent (Warren, MI)
- …multiple claim reviews. **Responsibilities:** + Validate costs for Supplier Claims according to contract Terms & Conditions. + Generate and complete audit ... Activity ("SCA") group is responsible for receipt, audit, processing , accrual and forecasting of supplier obsolescence and cancellation...approach. + Drive timely closure of open audits and claim settlements (reduce aging of claims ). +… more
- FlexStaff (Bronx, NY)
- …Subrogation conditions - Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor - Attends JOC meetings with providers as ... compensation configuration by creating and testing compensation grids used for reimbursement and claims processing - Ensures that refund checks are logged and… more
- Champion Home Builders Inc. (Topeka, IN)
- …Administrator **FLSA Status:** Non-exempt **Summary** Aid service department with specific claims processing by performing the following tasks: **Essential ... maintain electronic and paper records in regard to roofing claims Field Phone calls relating to roofing claim...or unexpected events. Attendance / Punctuality **-** Is consistently at work and on time. Dependability - Follows instructions,… more