Medical Claims Processor

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...

Title: Claims Processor Specialist Department: Claims Bargaining Unit: OPEIU 29 Grade: 20 Position Type: Non-Exempt Hours per Week: 40 Date Open: 04/26/2024Position Summary: Independently processes medical, dental and/or hospital claims, including more difficult or complex claims, provides customer service, and handles special projects and complex...

Status: Open Union Code: - Profession: Non-Clinical - Finance/Accounting Specialty: Claims Processor Unit: Claims Examiner/ 110-85300 Shift: Day 5x8-Hour (07:00 - 15:30) Block Schedules: No Start Date: 05/06/2024 Job Duration: 13 # of Positions: 1 Non-Bill. Orientation: Job ID: 2475029 Account Manager: Brittney Clark Email: Brittney.Clark@ayahealthcare.com ...

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...

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children's Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE High school diploma or GED equivalent is required....

Join one of the top 20 auto finance companies in the industry and grow with us! We offer in-house promotions, great benefits, work-life balance, and job stability. Would you like to work for a rewarding company that encourages their employees to learn and develop? Then partner with Lobel! Lobel Financial is a full-spectrum auto financing solution that...

Job DescriptionJob DescriptionPOSITION: Sr. Workers' Comp Claims Adjuster - Workers’ Compensation (TEXAS Jurisdiction)REQUIRED: Texas Workers Compensation License (valid and current)STATUS: ExemptPOSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and...

Job DescriptionJob DescriptionCLIENT HIGHLIGHTThe Client you will be working for is a Fortune 100 Oil and Gas Company. This opportunity will give you experience in the energy sector in the United States with a company that is a globally recognized leader in energy production and one of the biggest companies in the US.LOCATIONSan Ramon, CA...

POSITION SUMMARY/RESPONSIBILITIES Responsible for oversight and maintenance of audit and training programs for all lines of business as it relates to claim cycle. Coordinates training activities required for compliance with applicable policies, procedures rules, regulations and standards. Works in partnership with Vice President and operations management...

Flooring Services has continued to be a trusted and respected industry leader in the home building industry since 1983. Our family of companies bring the Family Advantage, and we conduct our affairs with integrity while demonstrating respect for our clients, employees, the environment, and the communities in which we do business. SUMMARY: If you are a...

Job DescriptionJob DescriptionFlooring Services has continued to be a trusted and respected industry leader in the home building industry since 1983. Our family of companies bring the Family Advantage, and we conduct our affairs with integrity while demonstrating respect for our clients, employees, the environment, and the communities in which we do...

Job Summary: Under general supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers. May prepare notices to patients of amount expected (or received) from insurance and amount expected from patient. Job...

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 job...

Job DescriptionJob DescriptionRole: Medical Billing SpecialistHourly Pay Rate: $20-23/hrHours: M-F 8am-5pm (1 hour lunch)Location: San Antonio, TX (3 days/week onsite, 2 days/week remote)Our client, a third-party medical billing company, is seeking a Billing Specialist to add to their robust revenue cycle department on a contract basis. Job...

**Assistant Claims Risk Manager / Claims Risk Manager** **San Bernardino, CA** Catholic Mutual Group (CMG) was established in 1889 and is recognized as the leading provider of property and casualty protection and related services for the Catholic Church in the United States and Canada. Benefits include a competitive salary, paid holidays and generous...

Overview About MPOWERHealth: For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what's complex, and we help them find a better way. Our best-in-class...

Overview About MPOWERHealth: For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what's complex, and we help them find a better way. Our best-in-class...

Full Harvest is solving the #1 contributor to climate change - food waste - with the leading business-to-business online produce marketplace specializing in imperfect and surplus produce. The company is not only solving on-farm food loss, the largest portion of the food waste problem, but is also bringing the $1T produce industry online end-to-end for the...

Full Harvest is solving the #1 contributor to climate change - food waste - with the leading business-to-business online produce marketplace specializing in imperfect and surplus produce. The company is not only solving on-farm food loss, the largest portion of the food waste problem, but is also bringing the $1T produce industry online end-to-end for the...

Full Harvest is solving the #1 contributor to climate change - food waste - with the leading business-to-business online produce marketplace specializing in imperfect and surplus produce. The company is not only solving on-farm food loss, the largest portion of the food waste problem, but is also bringing the $1T produce industry online end-to-end for the...