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Medical claims Jobs

3,013 Jobs

  • MDAdvantage – Lawrenceville, NJ
    EASY APPLY
    NEW
    Liability Claim Specialist to join the Claims Department, reporting to the Vice President of Claims & Risk Management. The candidate will… will be responsible for conducting comprehensive claim investigations, thoroughly evaluating policy coverage and liability issues…
  • Excess Reinsurance Underwriters, Inc. – Woodbury, NJ
    EASY APPLY
    9 days ago 9d
    experience as a medicalclaims examiner and/or Stop Loss claims auditor; Good math aptitude; Knowledge of medical terminology… the self-funded medical insurance market, is expanding its claims department. We are seeking a Stop Loss Claims Auditor to adjudicate…
  • 4.1
    Utah Retirement Systems – Salt Lake City, UT
    $37k-$50k(Glassdoor est.)
    1 days ago 21hr
    information and medical records. Reviews complex claims histories and analyzes patterns to determine appropriate medical record requests… scanning process. Reviews existing refund requests for medical/dental claims for receipt. Maintains strict confidentiality. Reviews…
  • 2.6
    Unity Health Care – Washington, DC
    $25k-$36k(Glassdoor est.)
    We're Hiring!
    Hours 08:30-05:00 Job Details The MedicalClaims Processor primary duties include but are not limited to… and understanding medical terminology in relation to diagnoses and procedure Registers and analyze claims in the EMR system,…
  • 3.6
    Motion Picture Industry Pension & Health Plans – Studio City, CA
    $59k-$91k(Glassdoor est.)
    20 days ago 20d
    adjudication of Participant medicalclaims. Responsibilities: Review and determination of medicalclaims for correct benefit… organized senior medicalclaims examiner with strong attention to detail to join our Adjustment Unit within the Claims Department.…
  • 3.3
    UnitedHealth Group – Houston, TX
    $250k-$381k(Glassdoor est.)
    25 days ago 25d
    Individual MedicalClaim Review Medical Director The Medical Director provides physician support to MedicalClaim Review (MCR)… (MCR) post service clinical review of claims for UnitedHealth Group (UHG). The Medical Director collaborates with MCR leadership…
  • 4.9
    Dedicated Tech Services – Columbus, OH
    EASY APPLY
    NEW
    requirements among disparate COTS applications used to manage medicalclaims and peripheral interface applications. He or she will work…
  • 3.4
    Health First – Rockledge, FL
    $155k-$247k(Glassdoor est.)
    NEW
    control, utilization management and medicalclaims review Facilitates the implementation of the organizations mission and execution… peer clinical review for cases as needed for quality and claims departments. Conducts regular rounds with UM Nurses to discuss…
  • 3.6
    Motion Picture Industry Pension & Health Plans – Studio City, CA
    $68k-$105k(Glassdoor est.)
    23 days ago 23d
    MANAGER, MEDICALCLAIMS AUDIT UNIT/RN Position Summary: Manages the day to day claims production including claims evaluation… meetings to represent department. Competencies: 1. MedicalClaims Examination expertise. 2. Business Acumen. 3. Collaboration…
  • Excess Reinsurance – Woodbury, NJ
    EASY APPLY
    4 days ago 4d
    analyze and interpret medical records, claims files, and underwriting reports. Background in medical insurance case management… cost projections and underwriter support for the review of medicalclaims. This full time position requires using your extensive knowledge…
  • 4.8
    Morgan Stephens – Miami, FL
    EASY APPLY
    $30k-$47k(Glassdoor est.)
    NEW
    years of claims processing Previous claims analysis / claims research experience Medical terminology Previous medical billing… healthcare system is seeking a MedicalClaims Representative to join their staff. This MedicalClaims Representative will be responsible…
  • 3.4
    Alameda Health System – Oakland, CA
    $43k-$60k(Glassdoor est.)
    5 days ago 5d
    concurrent review, repatriation, retrospective medicalclaim review, provider medicalclaim appeal review and prior authorization out-of-network…
  • 4.7
    Brinson Benefits – Dallas, TX
    EASY APPLY
    12 days ago 12d
    insurance carriers and service providers on behalf of members. Medicalclaims and contract analysis background required. Bilingual skills…
  • 3.3
    Anne Arundel Medical Center – Annapolis, MD
    $69k-$95k(Glassdoor est.)
    We're Hiring!
    system setting required. At least 5 years of recent medical malpractice claims management experience. Bachelor's degree in nursing… exposure. The Claims Manager serves as primary contact and project lead in the administration of claims. Leads closed claim reviews…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    6 days ago 6d
    processing medicalclaims. Familiarity with on-line claims systems processing preferred. Processing basic payments and/or claim denials… Supervisor of Claims Services and is responsible for the analysis, investigation, and adjudication of medicalclaims. Receive requests…
  • 3.7
    Novartis – East Hanover, NJ
    $116k-$178k(Glassdoor est.)
    1 days ago 16hr
    pharmaceutical data like IMS, Symphony, knowledge of medical/retail claims and managed care data a plus -Excellent problem solving…
  • 2.4
    Conduent – Anchorage, AK
    $25k-$37k(Glassdoor est.)
    We're Hiring!
    Coordination; Case Management; Insurance Claim Administration; Pharmacy Services; Medical Services; Collection Services; Negotiates… Negotiates liability settlement of medicalclaims with third parties or healthcare providers; seeks reimbursement from healthcare providers…
  • Progressive – Bothell, WA
    Today 9hr
    MedicalClaims Adjuster Trainee (PIP) Our Claims Representatives are crucial to the success of our claims team, analyzing and… relevant work experience which includes: claims adjuster in medicalclaims or other claims experience, or a position that developed…
  • 5.0
    Symed Corporation – Napa, CA
    Today 9hr
    healthcare field or medical office environment considered (front office, back office, scheduling, medical assistant, claims processing,… advantage of real-time, custom medical billing software & reports Follow up on unpaid claims Qualifications / Skills:…
  • 3.4
    Kelly Services – Glastonbury, CT
    We're Hiring!
    Process/adjust medicalclaims, in accordance with policies. Process health insurance premium requests and medical payments to clients… including enrollment, claims processing, payment terms, benefits coordination, etc. Strong medicalclaims processing knowledge…
  • 3.6
    MaineHealth – Portland, ME
    $47k-$78k(Glassdoor est.)
    NEW
    including a large data warehouse containing clinical and medicalclaims data, in order to delineate key contract drivers through… years of experience working on analytical projects using medicalclaims data. Prefer experience with a payer or major health system…
  • 4.1
    Central California Alliance for Health – Scotts Valley, CA
    EASY APPLY
    2 days ago 2d
    independently. You will have experience in a customer service, medicalclaims or health care setting. WHAT YOU'LL NEED TO BE SUCCESSFUL… and list of requirements click here. OUR BENEFITS Medical, Dental and Vision Plans Ample Paid Time Off 11 Paid Holidays…
  • 3.7
    Johns Hopkins Medicine – Glen Burnie, MD
    $37k-$54k(Glassdoor est.)
    NEW
    healthcare field. The MedicalClaims Adjuster reports directly to the Adjustment Manager in the Claims Cost Management Department… MedicalClaims Adjuster Requisition #: 161031 Location: Johns Hopkins Health Care, Glen Burnie, MD Category: Clerical…
  • 3.6
    Progressive Insurance – Bothell, WA
    $42k-$64k(Glassdoor est.)
    1 days ago 12hr
    MedicalClaims Adjuster Trainee (PIP) Our Claims Representatives are crucial to the success of our claims team, analyzing… relevant work experience which includes: claims adjuster in medicalclaims or other claims experience, or a position that developed…
  • 3.0
    International Medical Group – Indianapolis, IN
    EASY APPLY
    $38k-$60k(Glassdoor est.)
    26 days ago 26d
    International Medical Group is now hiring for medicalClaims Examiners! Job Summary Claims Examiners provide a service to… questionable claims. Documents medicalclaims actions by completing forms, reports, logs, and records. Resolves claims by approving…
  • 3.5
    HCS Healthcare – Omaha, NE
    $47k-$74k(Glassdoor est.)
    NEW
    need for MedicalClaims Specialist in the Omaha, NE area for a large Healthcare Organization. The MedicalClaims Specialist… for reviewing unpaid medical aged accounts and applying hospital billing experience to follow up on claims that have been denied…
  • 4.8
    Morgan Stephens – Syracuse, NY
    EASY APPLY
    NEW
    We are seeking a top medicalclaims data entry professional to join a growing team in a professionals and fun work environment… load tenaciously with accuracy. JOB RESPONSIBILITIES: Medical Data Entry for patient demographics Insurance eligibility…
  • 3.2
    APEX Systems – Pasadena, CA
    1 days ago 22hr
    Job #: 821763 VMS #: KAISJP00104930 BH#: Title: MedicalClaims Processor Client: Kaiser Permanente Duration: 2 months…
  • 4.3
    HFRI – Elgin, IL
    $33k-$48k(Glassdoor est.)
    Today 2hr
    organizations to increase cash collections, decrease unpaid claims, and reduce denials. HFRI is a proven leader in Account Receivables… documentation * Submission of additional documentation to challenge claim decision PREFERRED SKILLS: * Basic computer skills (Microsoft…
  • 2.7
    Synergy Global Systems, Inc – Albany, NY
    $36k-$57k(Glassdoor est.)
    1 days ago 22hr
    limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides…
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