- Cognizant (Malvern, PA)
- …years of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United... claims and client for issues related to claims adjudication and adjustments. You will be… more
- Mass Markets (Killeen, TX)
- …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys,...in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer… more
- Ascension Health (Austin, TX)
- …and accurately, in accordance with regulatory requirements. + Strong understanding of claims adjudication process, provider contracts, fee schedules and system ... **Schedule:** Full-time, 8 hour day shift, Monday - Friday, Remote + **Facility:** Ascension Care Management Insurance + **Salary:**...Preference: + Three (3) years of experience in health-care claims adjudication required. + Expertise in the… more
- Commonwealth Care Alliance (Boston, MA)
- …specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication , clinical coding reviews for claims , settlement, ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- Adecco US, Inc. (Minneapolis, MN)
- …of claim adjudication processes and eligibility criteria. **What's in this Claims Representative position for you?** + Pay: $23.41/hour + Shift: Monday - Friday ... Adecco is assisting a local client recruiting for Claims Representative opportunities for a local client. This...Remote (Telecommute) + Weekly Paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more
- Community Health Systems (Fort Smith, AR)
- **_Job Summary_** _The Remote Insurance Reimbursement Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure ... identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with… more
- Community Health Systems (Fort Smith, AR)
- …if a payor or patient has overpaid on the account._ + _Prices claims using contracts, pricers, and payment methodologies to validate refund requests from payors._ ... programs, preferred_ + _Experience with payer reimbursement policies, claim adjudication , and healthcare revenue cycle operations preferred_ **_Knowledge, Skills and… more
- New York State Civil Service (Queens, NY)
- NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #3845 Occupational Category Legal Salary Grade 28 Bargaining ... Telecommuting allowed? Yes County Queens Street Address Office of General Counsel, Adjudication Services 168-46 91st Avenue 3rd Floor City Queens (Jamiaca) State NY… more
- Martin's Point Health Care (Portland, ME)
- …in Microsoft Outlook, Word, Excel, TruCare and Salesforce. Experience with QNXT Claims Adjudication Platform strongly preferred. Abilities + Exceptional written ... to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through… more
- CDPHP (Latham, NY)
- …health information required. + Chronic Conditions knowledge preferred. + Experience in claims adjudication , billing and enrollment systems, product or pricing is ... and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis coding of risk… more