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Medical Claims Representative Jobs

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  • 4.7
    Morgan Stephens – Columbus, OH
    EASY APPLY
    Est. Salary $33k-$52k
    1 days ago 17hr
    organizations seeking top talent. Open Position: A Medical Claims Representative develops skills and acquires knowledge necessary… physical damage claims; court decisions which may impact the claims function; current guidelines in the claims function; and policy…
  • Michigan Farm Bureau – Lansing, MI
    Est. Salary $34k-$50k
    Today 2hr
    diploma or equivalent required. Minimum two to three years medical claims handling experience required. Must possess a valid driver… administration preferred. Designation in claims insurance preferred. Other: We are looking for a MCU claims adjuster located in SE Michigan…
  • 3.5
    Accountemps – Roseville, CA
    1 days ago 23hr
    Practice in Sacramento is looking for several Medical Claims Adjusters for a 3 month Claims adjudicator project for a large company… 2) At least 6 months of Medical Claims Processing experience (making the decision to pay or deny claims) 3) High attention to detail…
  • 4.4
    The HT Group – Dripping Springs, TX
    EASY APPLY
    8 days ago 8d
    working with a medical supply company in South Austin. They are in need of an insurance claims representative. Please apply with… with a word resume for consideration. Claims/Billing Representative Contract to Hire Full-time $14-15/hour South - Near…
  • 3.1
    OfficeTeam – Oakland, CA
    Est. Salary $25k-$38k
    2 days ago 2d
    Opening for a Medical Claims Representative. Apply Now! Robert Half Healthcare Practice is looking for a Medical Claims Representative… reconciling batches Examine and enter basic claims for appropriateness of care Process claims for multiple plans Approving, pending…
  • 4.7
    Morgan Stephens – Albuquerque, NM
    EASY APPLY
    1 days ago 17hr
    denials for Medicaid medical claims. The Claims Representative should demonstrate the highest levels of customer service, technical… seeking a Claims Representative. The Claims Representative candidate should be able to process basic payments and/or claim denials…
  • 3.6
    Progressive Insurance – Maitland, FL
    Est. Salary $37k-$55k
    1 days ago 20hr
    Medical Claims Representative Trainee Our Medical Claims Representative Trainees are crucial to the success of our claims team… team, analyzing and adjusting medical claims. Using your customer service and investigative skills, you'll support Progressive…
  • 3.3
    PeopleShare Inc – Mechanicsburg, PA
    EASY APPLY
    16 days ago 16d
    PeopleShare is seeking qualified candidates for a Medical Claims Representative opening in Mechanicsburg, PA! This is an excellent… inquiries and research medical claims Work closely with insurance carriers to resolve unpaid medical claims Work closely with clinics…
  • A.I.M. Mutual Insurance Companies – Burlington, MA
    Est. Salary $33k-$49k
    6 days ago 6d
    . Payment of Medical Bills: Ensure expedient payment of medical bills as authorized by the Claim Representative. Must maintain… customers, medical providers and vendors on general case issues, providing complete and accurate information. Bring all claims assigned…
  • Glastonbury (GLA) - RCPS – United States
    3 days ago 3d
    clients, external business contacts and staff. All Claims Representatives must maintain the highest level of confidentiality and… documentation to properly process the claim for payment including, when applicable, IBs, UBs, Medical Records, POs, EOBs when necessary…
  • 3.1
    OfficeTeam – San Diego, CA
    Est. Salary $24k-$37k
    6 days ago 6d
    opportunity for a medical claims specialist who has experience working within a health insurance organization. Medical claims duties:… Adjudicating claims using standard principles and state specific policies and regulations Identifying errors in the coding and…
  • Onward Behavioral Health – King of Prussia, PA
    Est. Salary $28k-$44k
    30+ days ago 30d+
    healthcare claims, complete aging reports, troubleshoot rejections, unpaid or underpaid claims, experience in Medic, Allscripts… variety of daily tasks. Requirements: HS Diploma and 2 years medical billing experience, preferably in a mental health and/or substance…
  • 2.1
    Amida Care – New York, NY
    Est. Salary $49k-$75k
    1 days ago 21hr
    basis. Prepare monthly statistical reports regarding member claims, encounters with providers, and quality assurance of member… between Amida Care and vendors to ensure all domains are represented. Attend Health Home meetings and NYSDOH webinars to receive…
  • 4.3
    GAINSCO, INC. – Dallas, TX
    Est. Salary $53k-$86k
    1 days ago 20hr
    Minimum 3 years bodily injury claims (Non-Attorney and/or Attorney Represented) adjusting experience in the auto insurance… Minimum 2 years in a claims leadership role Full understanding of auto claims investigations and claims processing…
  • 2.8
    Medcor – Richland, WA
    1 days ago 19hr
    skilled leaders from the medical industry to collaborate with medical providers and client’s representatives from Human Resources… that is transparent, free from conflicts of interest and not claims-driven. No quotas or referral pressures – we don’t even bill…
  • 3.0
    Availity – United States
    Est. Salary $101k-$152k
    1 days ago 19hr
    knowledge of the health care/payer/insurance industry specifically claims processing systems, provider office operations, and customer… , marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any…
  • 3.6
    Boca Raton Community Hospital – Boca Raton, FL
    Est. Salary $31k-$40k
    1 days ago 17hr
    follow processes needed to ensure clean claims are submitted timely using a third party claim editor system. Demonstrate knowledge… follow up with the payers and/or patients to expedite payment of claims by effectively completing assigned work list as required by…
  • 4.0
    Corporate Job Bank – Phoenix, AZ
    20 days ago 20d
    checking on the status of medical claims that were submitted for payment. The Customer Service Representative will research these requests… Requirements: Types 35+ wpm Previous experience with medical billing, insurance, claims, or insurance a plus but is not required Reliable…
  • 3.6
    Progressive Insurance – Tigard, OR
    Est. Salary $39k-$57k
    15 days ago 15d
    Medical Claims Adjuster Trainee (PIP) Our Claims Representatives are crucial to the success of our claims team, analyzing… relevant work experience which includes: claims adjuster in medical claims or other claims experience, or a position that developed…
  • 3.1
    Arthur J. Gallagher & Co. – Pittsburgh, PA
    Today 2hr
    and/or claims management experience -- or -- High school diploma/GED and 10 or more years client coordination and/or claims management… and actuarial services in the United States. We also offer claims and information management, risk control consulting, and appraisal…
  • 3.8
    Arbella Insurance – Quincy, MA
    Est. Salary $31k-$47k
    1 days ago 14hr
    the first line of contact in the reporting and assignment of claim information for designated policyholders. · Resolve general… Insurance. · The Customer Service Representative will act as the agency representative to our clients, fellow professionals,…
  • Glastonbury (GLA) - RCPS – United States
    21 days ago 21d
    clients, external business contacts and staff. All Claims Representatives must maintain the highest level of confidentiality and… documentation to properly process the claim for payment including, when applicable, IBs, UBs, Medical Records, POs, EOBs when necessary…
  • 3.8
    CSI Professional – Frisco, TX
    8 days ago 8d
    available, Patient Account Representatives (Medical Collections) and Claims Denials Specialist (Medical Claims denial analysis).CANDIDATES… APPLY MUST HAVE EXPERIENCE WITH MEDICAL COLLECTIONS OR A/R OR CLAIMS DENIALS FOLLOW UP. HOSPITAL CLAIMS/COLLECTIONS IS PERFERRED!Please…
  • 3.3
    Montana State Fund – Helena, MT
    Est. Salary $40k-$62k
    2 days ago 2d
    accordance with the Claim Guidelines and industry Best Claim Practices. Runs II reports as needed to document medical, pharmacy and… accordance with the MSF Claim Guidelines and industry Best Claim Practices Calculates and authorizes payment of medical and indemnity…
  • 2.8
    Dane Street – Huntington, NY
    6 days ago 6d
    forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers Compensation… determination as part of the claims management process. https://en.wikipedia.org/wiki/Independent_medical_examination…
  • 2.7
    Navicure – Duluth, GA
    3 days ago 3d
    accelerate cash flow, and reduce the cost of managing insurance claims and patient payments. Navicure is a leading SaaS company in… recognized as: 2016, 2015, & 2014 AJC Top Workplace® Named #1 Claims & Clearinghouse 2017 Best in KLAS: Software and Services Report…
  • 3.1
    Arthur J. Gallagher & Co. – Chicago, IL
    Today 2hr
    service and/or claims management experience -OR- High School degree/GED with 10 years client service and/or claims management experience… and actuarial services in the United States. We also offer claims and information management, risk control consulting, and appraisal…
  • 3.2
    Sanford Health – Sioux Falls, SD
    1 days ago 22hr
    written communication, and performs follow-up on claims when necessary, and appeals claims when denied or downgraded. QUALIFICATIONS… Some of the duties expected are, but not limited to: submit claims, ensures compliance with internal and external customers via…
  • 4.4
    Central California Alliance for Health – Scotts Valley, CA
    2 days ago 2d
    and/or adjudicates claims, including applying detailed consideration, standards in pending and releasing claims from pend edits and… policy related to claim entry and analysis; 2. Assists with training new hires and cross-training other Claims Technicians; and…
  • 3.1
    Arthur J. Gallagher & Co. – Chicago, IL
    Est. Salary $38k-$68k
    Today 2hr
    service and/or claims management experience -OR- High School degree/GED with 10 years client service and/or claims management experience… and actuarial services in the United States. We also offer claims and information management, risk control consulting, and appraisal…
  • 3.4
    Dignity Health – Woodland, CA
    Today 14min
    Collaborate with billing staff to maximize reimbursement through claims appeals. 6. Update patient demographics and/or insurance… accuracy and timely authorization receipt. This position is represented by Service Employees International Union and is covered by…
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