Medical Claims Processor

About the Role:We are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at TEKsystems. As a Medical Claims Processor, you will play a critical role in ensuring the smooth processing of medical claims and maintaining accurate records.Key Responsibilities:Communicate effectively with insurance agents and beneficiaries to...

Title: Claims Processor 1 Department: Claims Bargaining Unit: OPEIU 29 Grade: 16 Position Type: Non-Exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has...

Job DescriptionJob DescriptionTitle: Claims Processor 1 Department: Claims Bargaining Unit: OPEIU 29 Grade: 16Position Type: Non-Exempt Hours per Week: 40Position SummaryThe Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and...

Job DescriptionJob DescriptionTitle: Claims Processor 1 Department: Claims Bargaining Unit: OPEIU 29 Grade: 16Position Type: Non-Exempt Hours per Week: 40Position SummaryThe Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and...

Job Summary:The Billing and Collections Representative plays a vital role in the revenue cycle of Rady Children's Hospital-San Diego. Under the direction of the Supervisor of Professional Billing & Coding, this individual is responsible for receiving and verifying charge batches, ensuring accurate and timely processing of claims. The ideal candidate will...

Job DescriptionJob DescriptionTitle: Claims Processor 3 Department: ClaimsBargaining Unit: OPEIU 29 Grade: 18Position Type: Non-Exempt Hours per Week : 40Position Summary:Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities as necessary.General...

Communicating with insurance agents and beneficiaries. Preparing claim forms and related documentation. Reviewing claim submissions and verifying the information. Recording and maintaining insurance policy and claims information in a database system. Determining policy coverage and calculating claim amounts. Processing claim payments. Complying with...

Communicating with insurance agents and beneficiaries. Preparing claim forms and related documentation. Reviewing claim submissions and verifying the information. Recording and maintaining insurance policy and claims information in a database system. Determining policy coverage and calculating claim amounts. Processing claim payments. Complying with...

Job Summary:The Insurance Patient Account Representative - Medi-Cal / HMO Emphasis is an extension of a client's business office staff. This role is responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed.Key Responsibilities:Process and...

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of...

Job OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a vital role in delivering customer support and managing the processing of standard health and welfare claims for designated accounts, ensuring compliance with...

Job OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a crucial role in delivering exceptional customer service while managing the processing of standard health and welfare claims for designated accounts. This role...

Medical Biller at La Maestra Community Health Centers**Job Summary:**We are seeking a highly skilled and detail-oriented Medical Biller to join our team at La Maestra Community Health Centers. As a Medical Biller, you will play a crucial role in handling various insurance and self-pay accounts, ensuring accurate and efficient processing of patient...

Job DescriptionJob Summary:Nissan of Boerne is seeking a highly motivated and organized Warranty Administrator to join our team. As a Warranty Administrator, you will be responsible for processing titles and registrations, as well as processing car deals by verifying completeness of documentation.Key Responsibilities:Claims Processing: Work all dealers'...

POSITION OVERVIEW AND RESPONSIBILITIES The Claims Auditor is accountable for the creation and upkeep of a comprehensive auditing framework for claims across various business sectors, aimed at enhancing claims processing protocols and assessing the quality of service provided to clients. This role involves pinpointing training requirements for processors and...

About Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals works tirelessly to ensure high-quality care for our diverse patient base.Position Overview:We are currently seeking a qualified and experienced Claims Manager to oversee our claims processing department. This permanent...

Job DescriptionJob DescriptionChanging Healthcare For GoodAt Angle Health, we believe the healthcare system should be accessible, transparent, and easy to navigate. As a digital-first, data-driven health plan, we are replacing legacy systems with modern infrastructure to deliver our members the care they need when they need it. If you want to build the...

Job SummaryWe are seeking a highly motivated and experienced Claims Manager to join our team at Angle Health. As a Claims Manager, you will be responsible for overseeing the Claims department to ensure accurate, efficient, and timely handling of all health insurance claims.Key ResponsibilitiesClaims Management: Supervise and mentor a team of claim...

*Description:* The Claims Examiner I reports to the Superviosr of Claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to...

Claims ManagerCynet Systems is seeking a highly skilled Claims Manager to join our team. As a key member of our organization, you will be responsible for analyzing and processing complex workers' compensation claims. Your expertise will be essential in negotiating settlements, ensuring timely and cost-effective resolution, and maintaining professional...