• Team Lead - Claims Processing

    CVS Health (Franklin, TN)
    …or staffing shortages. **Required Qualifications** * 3+ years of experience in health insurance claims processing , preferably with Medicare Supplement ... At CVS Health , we're building a world of health...**Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing… more
    CVS Health (05/01/25)
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  • Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
    DOCTORS HEALTHCARE PLANS, INC. (05/07/25)
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  • Claims Representative - Remote

    The Cigna Group (Albany, NY)
    …setting preferred. . Knowledge of CPT/ICD-10 codes preferred. . Proven experience in health insurance claims processing or similar field preferred If ... claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims . ...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
    The Cigna Group (05/20/25)
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  • Medical Claims Adjuster

    University of Utah Health (Salt Lake City, UT)
    …**Qualifications** **Required** + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims . + ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health ...if adjustment is necessary. + Adjusts and documents medical claims or electronic records. + Researches and verifies appropriate… more
    University of Utah Health (05/08/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (New Haven, CT)
    …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
    Molina Healthcare (04/30/25)
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  • Claims Representative III ( Health

    Elevance Health (Miami, FL)
    …and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
    Elevance Health (05/17/25)
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  • Supervisor, Insurance Credit Balance and Refund…

    CVS Health (Monroeville, PA)
    …+ 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or ... + 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related… more
    CVS Health (05/17/25)
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  • Medical Claims Examiner

    TEKsystems (Pasadena, CA)
    …the claims system Skills PPO Insurance, Claims , Claims Processing , Member Claims , Health information management Top Skills Details PPO Insurance, ... Claims , Claims Processing ,Member Claims , Health information management Additional Skills & Qualifications Health / Medical Claims experience -… more
    TEKsystems (05/16/25)
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  • Medical Economics Analyst Sr - Hybrid

    AdventHealth (Maitland, FL)
    claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
    AdventHealth (04/17/25)
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  • Business Audit - Senior Analyst (Illinois…

    CVS Health (Tallahassee, FL)
    …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
    CVS Health (05/16/25)
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