Claims Adjudicator

Job Title: Claims AdjudicatorSeeking an experienced Claims Adjudicator to join our team at SNI Companies.Job Summary:This role is responsible for adjudicating medical and non-medical provider claims, ensuring accurate capitation reimbursement from Medicaid and Medicare.The successful candidate will be key to our revenue and expense process, procuring...

Job Summary We are seeking a skilled Medical Claims Adjudicator to join our team at SNI Companies. As a key member of our revenue and expense process, you will be responsible for adjudicating medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. This position is crucial to our organization's success,...

Job SummaryThis position is primarily responsible for reviewing and processing medical and non-medical provider claims, ensuring accurate reimbursement from Medicaid and Medicare. The role is critical to the revenue and expense process, requiring strong analytical and communication skills.Key Responsibilities* Review and adjudicate medical claims, including...

Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. Position is key to all revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for...

Job Details Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS Position is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client...

Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. Position is key to all revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for...

Job SummaryThis position plays a critical role in the revenue and expense process, ensuring accurate capitation reimbursement from Medicaid and Medicare. The Medical Claims Adjudicator will be responsible for adjudicating all medical and non-medical provider claims, submitting enrollments and disenrollments to Florida Medicaid and CMS, and generating...

Job SummaryWe are seeking a skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will be responsible for analyzing and adjudicating routine claims, determining approval on file, eligibility, identifying discrepancies, and applying all cost containment measures to assist in the claim adjudication process.Key...

Claims Adjudication RoleWe are seeking a detail-oriented Claims Adjudication Specialist to review, process, and resolve insurance claims at Staffing Now.Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain...

Claims Adjudicator OpportunityWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims. Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain accurate records of...

About UsPayerFusion Holdings LLC is a service-based company that excels in delivering innovative solutions to the healthcare industry.We're seeking a top talent and experienced Claims Processor Specialist to join our team and help us meet and exceed our client's expectations.Job DescriptionAs a Claims Processor Specialist, you will be responsible for...

Job Title:Claims AdjudicatorLocation:Little Haiti, Miami, FLPay:$20 per hour Monday - Friday 8:30am - 5PMWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims.Key Responsibilities:Review and analyze insurance claims.Communicate with claimants and healthcare providers.Ensure compliance with company policies and...

Job Title: Claims AdjudicatorLocation: Miami, FLPay: $20 per hour Monday - Friday 8:30am - 5PMWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims.Key Responsibilities: Review and analyze insurance claims. Communicate with claimants and healthcare providers. Ensure compliance with company policies and...

Job SummaryThis position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. The position is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for...

About PayerFusionWe are a service-based company and a licensed third-party administrator seeking top talent and experienced personnel to meet and exceed client expectations. Our innovative approach creates a unique experience for healthcare professionals.We're looking for a highly qualified Claims Examiner for in-person on-site work. The ideal candidate has...

Job Title: Medical Claims AdjudicatorJob Summary:This position is responsible for the accurate and timely adjudication of medical and non-medical provider claims, as well as the submission of enrollments and disenrollments to Florida Medicaid and CMS. The successful candidate will play a key role in PACE's revenue and expense process, ensuring compliance...

Job SummaryThis position is primarily responsible for ensuring the accurate and timely processing of medical and non-medical provider claims, as well as submitting enrollments and disenrollments to Florida Medicaid and CMS. The successful candidate will play a key role in the revenue and expense process, procuring Medicare rate tables, processing provider...

We are looking to hire a Claims Manager in the Coral Gables, FL area. This is an on-site position available with one of our best clients in the insurance services industry.In this role, you will supervise and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Your leadership will be crucial in...

We are looking to hire a Claims Manager in the Coral Gables, FL area. This is an on-site position available with one of our best clients in the insurance services industry.In this role, you will supervise and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Your leadership will be crucial in...

We are looking to hire a Claims Manager in the Coral Gables, FL area. This is an on-site position available with one of our best clients in the insurance services industry.In this role, you will supervise and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Your leadership will be crucial in...