Medical Claims Examiner

*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...

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...

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...

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 include research...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500 and UB-04 claimsProcess...

The Claims Examiner is responsible for accurately processing professional and hospital claims for Community Care Health (CCH) for in-network and out-of-network providers. This role will review and analyze claims: verifying coverage, assessing eligibi Claims, Examiner, High School, Insurance, Healthcare

We are currently hiring a Medical Claims Examiner for one of the top insurance companies in Fresno! Posting Close Date: 9/5/2024 Description: Maintain multiple groups Process CMS-1500 claims Process UB-04 claims Process high dollar claims Process JAA / BlueCard claims Interpret individual group SPD’s and apply benefits appropriately Zero dollar...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500, UB-04, and high dollar...

We are currently hiring a Medical Claims Examiner for one of the top insurance companies in Fresno! Posting Close Date: 9/5/2024 *Description:* 1. Maintain multiple groups 2. Process CMS-1500 claims 3. Process UB-04 claims 4. Process high dollar claims 5. Process JAA / BlueCard claims 6. Interpret individual group SPD's and apply benefits appropriately 7....

Job DescriptionJob DescriptionOur client, Legal Industry is seeking a Legal Document Researcher to join their team. As a Legal Claims Examiner, you will be part of the Restructuring services department.  The ideal candidate will have Research, Administration and Analytical within the legal realm, skills which will align successfully in the...

Job Summary: Vivo HealthStaff Inc is seeking skilled Physicians to conduct medical examinations for Veteran Disability claims at various locations across the United States.Key Responsibilities:Conduct thorough medical examinations to assess the severity of disabilitiesEvaluate medical records and conduct interviews with patients to gather informationProvide...

Job Title: Medial Claims Processor Industry: Healthcare FSLA status: Non-Exempt Department: Operations Level: Entry to mid-level Location: Work at Home Pay Rate: 17.00-18.00In this Role the candidate will be responsible for: Processing of Professional and Hospital claim forms files by provider Reviewing the policies and benefits• Comply with company...

NTT DATA's Client is seeking a Remote Claims Processing Associate to join their team!*Must be able to work Monday to Friday 7 AM to 4 PM Central time.In this Role the candidate will be responsible for: Processing of Professional and Hospital claim forms files by provider Reviewing the policies and benefits• Comply with company regulations regarding HIPAA,...

Job SummaryCedars-Sinai is seeking a highly skilled Medical Claims Specialist III to join our team. As a key member of our Patient Financial Services department, you will play a critical role in ensuring accurate and timely reimbursement for medical services provided by our clinicians.Key Responsibilities:Coding and Compliance: Provide coding and educational...

This position offers the opportunity to engage in Zenith's flexible hybrid work model, allowing for a blend of remote and in-office work as per the established schedule by regional leadership. Essential Qualifications: Applicants must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role...

This position is eligible for Zenith's hybrid work model, allowing flexibility to work remotely on designated days based on the in-office schedule set by regional leadership. Essential Qualifications: Must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role involves supervising a Claims...

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 federal,...

Adelphi is seeking a Chief Medical Examiner-Post Mortem for the State of Maryland. The Chief Medical Examiner should have senior-level management or comparable experience in the field of forensic pathology. He/she will be responsible for the investigation of all unattended and non-natural deaths within the State of Maryland. Job Quick Facts: •...

Description:We are seeking a dedicated and detail-oriented Claims Associate to manage a diverse portfolio of leave pay and disability claims. As a Claims Associate, you will be responsible for administering disability and leave pay claims for multiple clients, adhering to client policies and plan guidelines. You will ensure claims are processed accurately...

Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.Initiate the referral to the SIU of cases with suspected fraud.Aggressively pursue subrogation from culpable third parties, contributions on...