Current jobs related to Junior Claims Examiner - Miami - Medix

  • Claims Examiner

    2 weeks ago


    Miami, United States AppleOne Employment Services Full time

    Claims Examiner Job DescriptionWe are seeking a skilled Claims Examiner to join our team at AppleOne Employment Services in Miami, FL.This is an on-site position, working full-time in Coral Gables, FL, where you will be responsible for resolving balance billing and appeals sent by clients, patients, and/or providers at a successful TPA of insurance...

  • Claims Examiner

    4 weeks ago


    Miami, United States AppleOne Employment Services Full time

    Claims Examiner Job DescriptionWe are seeking a skilled Claims Examiner to join our team at AppleOne Employment Services in Miami, FL.This is an on-site position, working full-time in Coral Gables, FL, where you will be responsible for resolving balance billing and appeals sent by clients, patients, and/or providers at a successful TPA of insurance...

  • Claims Examiner

    3 weeks ago


    Miami, Florida, United States AppleOne Full time

    Job OverviewWe are seeking a highly skilled Claims Examiner to join our team at AppleOne. As a Claims Examiner, you will play a critical role in resolving balance billing and appeals sent by clients, patients, and/or providers.Key ResponsibilitiesReceive and register appeals/balance billing into the system, ensuring accurate documentation and distribution...

  • Claims Examiner

    1 month ago


    Miami, United States AppleOne Employment Services Full time

    We are urgently hiring a Claims Examiner to work with a very successful company in Miami, FL.With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits.This is an on-site...

  • Claims Examiner

    1 month ago


    Miami, United States AppleOne Employment Services Full time

    We are urgently hiring a Claims Examiner to work with a very successful company in Miami, FL.With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits.This is an on-site...

  • Claims Examiner

    3 weeks ago


    Miami, United States AppleOne Employment Services Full time

    We are urgently hiring a Claims Examiner to work with a very successful company in Miami, FL.With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits.This is an on-site...

  • Claims Examiner

    1 month ago


    miami, United States AppleOne Employment Services Full time

    We are urgently hiring a Claims Examiner to work with a very successful company in Miami, FL.With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers at a very successful TPA of insurance benefits.This is an on-site...

  • CLAIMS EXAMINER

    4 days ago


    Miami, United States AppleOne Full time

    Job DescriptionJob DescriptionWe are looking for a detail-oriented Claims Examiner to join our team and help ensure the accuracy and efficiency of our claims processing. Job Summary: The Claims Examiner will be responsible for reviewing, analyzing, and processing claims to ensure compliance with company policies and regulations. The ideal candidate will have...


  • Miami, Florida, United States Insight Global Full time

    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 Examiner

    3 days ago


    Miami, Florida, United States AppleOne Full time

    Job DescriptionWe are seeking a detail-oriented Claims Examiner to review, analyze, and process claims to ensure compliance with company policies and regulations.Key Responsibilities:Review and evaluate claims submitted by policyholders to determine eligibility and coverage.Analyze documentation and assess the validity of claims based on company policies and...


  • Miami, Florida, United States PayerFusion Full time

    About PayerFusionWe are a leading third-party administrator in the healthcare industry, dedicated to delivering exceptional service to our clients. Our innovative approach and commitment to excellence have earned us a reputation as a trusted partner in the industry.We are seeking a highly skilled and experienced Claims Examiner to join our team. As a Claims...

  • Claims Examiner

    1 month ago


    Miami, United States AppleOne Full time

    Job DescriptionJob DescriptionWe are urgently hiring a Claims Examiner to work with a very successful company in Miami, FL. With offices located in Coral Gables, FL, we are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers. This is an ON-SITE position, working...


  • Miami, FL , USA, United States SNI Companies Full time

    Job DetailsJob Title: Claims ExaminerLocation: RemotePay: $20 per hourWe are seeking a detail-oriented Claims Examiner to review, process, and resolve insurance claims. For analyzing and evaluating insurance claims, ensuring compliance with company policies and guidelines, and maintaining accurate records of all claim transactions.Key...


  • Miami, Florida, United States PayerFusion Full time

    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...

  • Claims Examiner

    2 weeks ago


    Miami, Florida, United States Insight Global Full time

    Job SummaryWe are seeking a highly skilled Claims Processor to join our team at Insight Global. As a Claims Processor, you will play a critical role in analyzing and adjudicating routine claims, ensuring timely and accurate processing of claims.Key ResponsibilitiesAnalyze and adjudicate routine claims, determining approval, eligibility, and identifying...


  • Miami, Florida, United States PayerFusion Holdings LLC Full time

    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...


  • Miami, United States Staffing Now Full time

    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...


  • Miami, Florida, United States SNI Companies Full time

    Job Title: Claims AdjudicatorWe are seeking a detail-oriented Claims Adjudicator to join our team at SNI Companies in Little Haiti, Miami, FL.Job SummaryAs a Claims Adjudicator, you will be responsible for reviewing, processing, and resolving insurance claims. You will work closely with claimants and healthcare providers to ensure compliance with company...


  • Miami, United States Staffing Now Full time

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


  • Miami, Florida, United States SNI Companies Full time

    Job Title: Claims AdjudicatorWe are seeking a detail-oriented Claims Adjudicator to join SNI Companies in Little Haiti, Miami, FL.Job Summary:The successful candidate will be responsible for reviewing, processing, and resolving insurance claims in a timely and accurate manner.Key Responsibilities:Review and analyze insurance claims to ensure compliance with...

Junior Claims Examiner

2 months ago


Miami, United States Medix Full time
  • Receive and register appeals/balance billing into the system (claim notes, image the documents in the
    patient's file), spreadsheet and distribute according to department procedure. Review and determine,
    according to department procedure, how to resolve the appeal/balance billing.
    * Handles, provider statements/invoices by contacting the providers to request complete claim forms
    * Provide continuous update to both client and provider until appeals/balance billing is closed.
    * Performs other similar and related duties
    * Demonstrates the ability to communicate with others.
    * Records complete, appropriate information in performing duties.
    * Other office duties as assigned by Supervisor