Claims Examiner Iii

(Workers Compensation Claims Examiner Level III) Intro Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Claims Examiner Level III. The ideal candidate will have a minimum of 5 years of experience in Texas Workers' Compensation Claims and hold a Texas Workers' Compensation...

(Workers Compensation Claims Examiner I - Medical Claims) Intro Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Medical Claims Examiner I. We are looking for a professional with 2-5 years of experience in Texas Workers' Compensation Claims and a Texas Workers' Compensation...

Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Long Beach, CA (Remote) Contract Duration: Contract until 10/31/2024 Work Hours: 08:00 AM - 04:30 PM

Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Long Beach, CA (Remote) Contract Duration: Contract until 10/31/2024 Work Hours: 08:00 AM - 04:30 PM

Job Summary Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. Job...

Job DescriptionJob DescriptionJob SummaryUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for...

Job DescriptionJob DescriptionJob SummaryUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for...

Job DescriptionWhat You Will Be Doing in this Role:Under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities,...

**TITLE** RISK ADJUSTMENT CODER I *** The Risk Adjustment Coding Specialist is responsible for Risk Adjustment HCC coding management and training both internally and externally to ensure that physicians, office staff and health plan representatives are working together effectively to achieve goals. **RESPONSIBILITIES-DUTIES** - Review medical record...

Job DescriptionJOB DESCRIPTIONJob SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and...

Job DescriptionJob DescriptionOur company is currently seeking ​an Accounts Receivable to join our team! You will be responsible for preparing and examining financial records for our company.Responsibilities:Obtain primary financial data for accounting recordsCompute and record numerical dataPrepare client invoices and ensure proper backup documentation is...

Job DescriptionWhat You Will Be Doing in this Role:Under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities,...

Job DescriptionWhat You Will Be Doing in this Role:Under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities,...

Job DescriptionJob DescriptionDescription:Responsibilities:- Greet and check-in patients, ensuring a positive and welcoming experience- Schedule and confirm patient appointments, both in-person and over the phone- Collect and update patient information, including medical history and insurance details- Assist with medical administrative support tasks, such as...

Job DescriptionJob DescriptionDescription: Capstone ISG Inc. was founded in 2003 and is dedicated to providing accurate and high-quality claims services to insurance companies, government, and the Lloyds market. With a goal to become the nation's top adjusting company, Capstone is expanding nationwide and looking for talented Field Adjusters to join...

Job DescriptionJob DescriptionFull Charge Bookkeeper / AccountantYou will be responsible for daily accounting functions, accruals, financial statement preparation, preparing & examining financial records and performing general accounting functions for a fast-paced wood product manufacturing company.Duties/Responsibilities, Core knowledge:Obtain primary...

Job DescriptionJob DescriptionFull Charge Bookkeeper / AccountantYou will be responsible for daily accounting functions, accruals, financial statement preparation, preparing & examining financial records and performing general accounting functions for a fast-paced wood product manufacturing company.Duties/Responsibilities, Core knowledge:Obtain primary...

Job SummaryUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for people who are excited by the...

Job SummaryUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for people who are excited by the...

Job SummaryUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for people who are excited by the...