Medical Claims Review work Supplement your Income
4 weeks ago
Medical Review Institute of America (MRIoA) is looking for Physicians, who are licensed in Minnesota to join our industry-leading peer review panel to conduct Medical Claims Reviews and Prior Authorization Reviews.Review cases from your home or office anywhere in the USA, around your current clinical activities typically 2-5 hours per week (can be more or less).MRIoA conducts independent, impartial reviews of medical documentation to ensure that services provided are in accordance with recognized standards of care and based on current medical literature and guidelines. MRIoA is recognized for the quality and bench strength of our nationwide panel. Work remotely on your own schedule The amount of time you commit daily or weekly to reviews is entirely at your own discretion and tailored to your schedule.Supplement your income MRIoA physician reviewers supplement their income while maintaining their active practice.Stay abreast of emerging practices and technologies As a MRIoA physician reviewer, you will have opportunities to explore controversial, cutting-edge treatment modalities, and see how others in your specialty are making treatment decisions.REQUIREMENTS Must be currently Board Certified through ABMS or AOA in your specialty field Must have a minimum of 5 years of recent patient care experience, in your specialty field. Must have solid computer navigation skills Must have an unrestricted Minnesota state license All work must be done within the USAFor more detail please contact:Holly BensonMedical Review Institute of America, LLC Direct
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Peer Review Opportunity with MRIoA
4 weeks ago
Salt Lake City, UT, United States Medical Review Institute of America, LLC Full timeAre you interested in providing your expertise, and helping your peers in the claims review process? We are looking for Physicians, who are licensed in Minnesota, to provide guidance in the Peer Review process for other Physicians in your specialty who need your skill and knowledge.Each case takes 20-60 minutes to complete and can easily be done from...
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Claims Coordinator
3 days ago
Salt Lake City, United States Salt Lake County Full timeJob Description: JOB SUMMARY Assists with the direct processing of claims, billings or payments related to County liability, subrogation or workers compensation. Facilitates the movement of claims through the process, gathers and verifies information required to process a claim, payment or subrogation. MINIMUM QUALIFICATIONS Two (2) years of related...
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Claims Processing Specialist
5 days ago
Salt Lake City, Utah, United States Salt Lake County Full timeJob SummaryAssists with the direct processing of claims, billings or payments related to County liability, subrogation or workers compensation. Facilitates the movement of claims through the process, gathers and verifies information required to process a claim, payment or subrogation.Key ResponsibilitiesAssists attorneys, risk manager and adjustors with...
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Medical Claim Review Nurse
4 weeks ago
Covington, KY, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...
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Medical Claims Specialist
1 week ago
Lake Forest, California, United States PrideStaff Full timeJob SummaryPrideStaff is seeking a highly organized and detail-oriented Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for qualifying claims/bills for payment, checking for coverage, and applying co-pays, deductibles, and coinsurance.Key ResponsibilitiesClaims Processing: Import claims received into...
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Medical Claims Specialist
1 week ago
Lake Forest, California, United States PrideStaff Full timeJob SummaryPrideStaff is seeking a highly organized and detail-oriented Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for qualifying claims/bills for payment, checking for coverage, and applying co-pays, deductibles, and coinsurance.Key ResponsibilitiesClaims Processing: Import claims received into...
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Medical Claims Processor
2 months ago
Lake Forest, United States PrideStaff Full timeMedical Claims Processor for a company in Foothill Ranch that serves medical providers, clients and patients.This is a Temporary to Hire opportunity, pay rate $20-23/hr, depending on experience. Full-time, Monday - Friday, 7:00 AM - 4:00 PM, with a 1 hour unpaid lunch. This is 100% ON-SITE position. Ideal candidate will be organized and detail-oriented....
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Medical Claims Examiner
2 weeks ago
Fresno, CA, United States TEKsystems Full timeDescription: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...
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Lead Auto Injury Claims Specialist
2 weeks ago
Texas City, Texas, United States Allcat Claims Service Full timeABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is a dynamic organization that prioritizes growth and personal development, encouraging its employees to maximize their potential. Our focus on exceptional customer service, quality assurance, and the swift adoption of innovative technology sets us apart. We take pride in managing claims with professionalism...
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Work Comp Claims Manager
4 weeks ago
Kansas City, United States Spencer Reed Group Full timeWork Comp Claims Manager HybridKansas City MO (Must live in KC Metropolitan area)Responsibilities:Supervise Claims Supervisors, and Claims AdjustersEnsuring quality standards are met, servicing standards are maintained, and productivity is achieved.Meet with policyholders and vendors.Responsible for managing claims personnel including hiring, training,...
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Claims Processor
6 days ago
Salt Lake City, United States ManhattanLife Insurance & Annuity Company Full timeJob DescriptionJob DescriptionWho we are: ManhattanLife Insurance and Annuity Company was founded in 1850, the Company’s longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for 174 years is a testimony to ManhattanLife’s enduring history, and an indicator of the reliability of...
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Claims Customer Support Specialist
2 weeks ago
Salt Lake, Utah, United States Security National Financial Full timePosition Title: Customer Service Representative - ClaimsCompany Overview: At Security National Financial, our commitment is to deliver exceptional services in Life Insurance, Mortuary, Cemetery, and Mortgage sectors. We take pride in being recognized as a 'Top Workplace' for five consecutive years.Role Overview: As a Customer Service Representative, you will...
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Claims Processor
2 weeks ago
Lake Forest, United States PrideStaff Full time $20 - $23Job DescriptionJob DescriptionClaims Processor for a company in Foothill Ranch that serves medical providers, clients and patients.This is a Temporary to Hire opportunity, pay rate $20-23/hr, depending on experience. Full-time, Monday - Friday, 7:00 AM - 4:00 PM, with a 1 hour unpaid lunch. This is 100% ON-SITE position. Ideal candidate will be...
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Claims Processor
1 week ago
Lake Forest, United States PrideStaff Full time $20 - $23Job DescriptionJob DescriptionClaims Processor for a company in Foothill Ranch that serves medical providers, clients and patients.This is a Temporary to Hire opportunity, pay rate $20-23/hr, depending on experience. Full-time, Monday - Friday, 7:00 AM - 4:00 PM, with a 1 hour unpaid lunch. This is 100% ON-SITE position. Ideal candidate will be...
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Insurance Claims Analyst
4 hours ago
Lake Forest, California, United States PrideStaff Full timeJob SummaryPrideStaff is seeking a highly organized and detail-oriented Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for qualifying claims/bills for payment, checking for coverage, and applying co-pays, deductibles, and coinsurance.Key ResponsibilitiesClaims Processing: Import claims received into...
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Medical Claims Processor
4 weeks ago
, MO, United States NTT DATA Full timeJob 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...
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Claims Collection Specialist
2 weeks ago
Salt Lake, Utah, United States Utah Department of Human Services Full timeJob Overview The Utah Department of Human Services is seeking a meticulous individual to take on the role of Claims Collection Specialist within the Financial Management team. In this position, you will manage accounts receivable documentation and transactions, providing essential support to various departments and claims processing personnel. Key...
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Medical Claims Processor
3 weeks ago
, MO, United States NTT DATA Full timeNTT 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,...
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Field Claims Adjuster for Catastrophic Property
2 weeks ago
Salt Lake, Utah, United States American Family Insurance Full timePosition OverviewThe Field Claims Adjuster for Catastrophic Property is responsible for investigating and managing property and casualty claims. This role involves determining liability, gathering necessary information, reviewing coverage details, coordinating appraisals, and finalizing claims settlements. The position requires travel up to 75% as...
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Claims Examiner
2 weeks ago
Garden City, United States Addition Management Full timePosition: Claims ExaminerLocation: New York, NY (hybrid)Compensation: $24-$27hr + OTFast growing insurance company seeks a Claims Examiner to join their Team!Responsibilities:Understand and appropriately apply department processes and regulatory policies.Manage new, continuous and/or periodic claims, by continually reviewing and prioritizing incoming mail...