Medical Claims Processor

Description: **Position: Claims Mailroom Clerk** **Position Specs**: - Entry-Level Position - FLSA: Non-Exempt - Benefit-Eligible: Paid Time Off, Sick Leave, Medical, Dental, Vision, life, AD&D, 8 Holidays off, unpaid time off. - Schedule: Monday - Friday, 8:30 am - 5:30 pm (30 min. or 60 min. lunch) - Where: In-Office - Salary: starting $17.27 - $19.00,...

Overview: At **CCMSI**, **we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development...

Job DescriptionJob DescriptionWe are hiring for Claims Analysts to join the team! The Claims Analyst role analyzes international insurance claims to determine the type of services rendered. When processing Classic claims, this position determines the extent of insurance carrier's liability and settles claims in accordance with policy provision. Claims...

Clover is reinventing health insurance by working to keep people healthier._ The Special Investigation Unit (SIU) is a motivated, collaborative team sitting at the intersection of Compliance, Payment Integrity, and Data Infrastructure. The SIU ensures that Clover monitors, identifies, and investigates instances of healthcare fraud, waste and abuse (FWA)....

**We are seeking a REGISTERED NURSE (RN) Medical Claims Review Nurse. Excellent computer skills including good MS Excel, analytics, sorting, and data entry is essential to be successful in this role. Virtual office skills are necessary to be collaborative between team members using MS Teams, videoconference, voice conferencing and email/ chat...

SUMMARY Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES * Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the...

Description: Position: Contract Coordinator This position will assist in the development and management of the contracting process workflow, and other duties as needed by the Contracting Department. The Contract Coordinator will need to be able to multi-task, be articulate and detail-oriented, with excellent reading comprehension and analysis to assist...

Job DescriptionJob DescriptionSUMMARYResearches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.ESSENTIAL FUNCTIONS AND RESPONSIBILITIESResearches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate...

POSTAL MAIL PROCESSOR - $23.47 to $38.62/hour NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1 million people and is hiring nationwide. There is NO experience required, paid training is provided for all...

About the Role This Claims Expert position is responsible for the processing of all levels of claims from low touch to complex claims, with the vast majority being complex claims, including responsibility for customer service and the financial risk associated with an assigned block of Stop Loss claims. Additional responsibilities include: Reviewing claims,...

Position: Document Processor Location: Salt Lake City, UT, 84101 Scheduled Hours: 2nd Shift 3:30pm-12am Duration: Permanent - Full Time About the Role: As a Document Processor, you will be an integral part of our team responsible for efficiently handling and processing various types of documents. Your role involves ensuring accuracy, completeness, and...

A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Claims Quality. In this role, the Director of Claims Quality will be responsible for the creation, delivery and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight...

A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Claims Quality. In this role, the Director of Claims Quality will be responsible for the creation, delivery and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight...

A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Claims Quality. In this role, the Director of Claims Quality will be responsible for the creation, delivery and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight...

A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Claims Quality. In this role, the Director of Claims Quality will be responsible for the creation, delivery and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight...

A health services organization in New York City is currently seeking an experienced professional to join their staff as their new Director of Claims Quality. In this role, the Director of Claims Quality will be responsible for the creation, delivery and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight...

Overview: Reliable, Local Company, Providing Full-Time Remote Job Opportunities ***Internal Applicants Only*** Play an integral role in driving success, being a part of a passionate team, working directly from the comfort of your own home. We value your expertise and passion, and aim to create a supportive atmosphere that encourages personal and...

Job Description Job Description Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Conduct AR Follow-up both on front end scrubs and back end denials...

Description: At Mercer, we’re creating a culture where you can bring your authentic self to work. When you join us, you bring your inclusive energy and enthusiasm to a team that values you personally and professionally – regardless of who you are, what you look like, where you were raised or born, who you love or what your religious beliefs are....

Job DescriptionJob DescriptionOverview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S.Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years.Conduct AR Follow-up both on front end scrubs and back end denials...