Medical Claims Manager

Job DescriptionJob DescriptionMedical Claims ManagerWe are looking for a Claims Manager that supervises and manages day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with agreed quality and production standards. Process claims in a timely manner and complies with industry fair claims practices and...

Our client has an exciting opportunity for a Claims Manager to lead their Claims DepartmentIn addition to supervising the Claims personnel, the Manager's primary responsibility will be to ensure accuracy and to achieve cost containment on medical claims for the Company's customers Qualified candidates should have experience in a similar role and be able to...

Our client has an exciting opportunity for a Claims Manager to lead their Claims DepartmentIn addition to supervising the Claims personnel, the Manager's primary responsibility will be to ensure accuracy and to achieve cost containment on medical claims for the Company's customers Qualified candidates should have experience in a similar role and be able to...

Claims Manager Miami, FL  SNI Companies is seeking an experienced Claims Manager to oversee daily operations in our claims department, ensuring compliance with quality and productivity standardsThis role involves managing a small team, overseeing claim assessments, adjudications, and customer support, while adhering to industry practices and state...

Job DescriptionJob DescriptionClaims ManagerWe are looking for a Claims Manager that supervises and manages day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with agreed quality and production standards. Process claims in a timely manner and complies with industry fair claims practices and applicable...

Job OverviewAbout PayerFusion:PayerFusion is a premier service-oriented organization dedicated to delivering exceptional administrative solutions. As a licensed third-party administrator, we pride ourselves on attracting top-tier talent to ensure we consistently surpass our clients' expectations. Our innovative approach sets us apart in the healthcare...

Job SummaryCAREERXCHANGE, Inc. is seeking a highly skilled Claims Management Specialist to join our team of professionals. As a Claims Management Specialist, you will play a critical role in managing and resolving a variety of general liability claims, with a particular emphasis on cases involving medical malpractice and other complex scenarios.Key...

Position Overview:King's Insurance Staffing is looking for a dedicated Workers' Compensation Claims Supervisor to lead our claims team in the Northeast Region. This role involves supervising a group of five Claims Examiners who manage both lost time and medical-only claims from initiation to resolution. The supervisor will be tasked with allocating claims to...

Job DescriptionJob DescriptionReviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries.Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of...

Insurance and Claims Management Specialist Join Mount Sinai Medical Center, a leader in high-quality healthcare. Since its inception, Mount Sinai Medical Center has been dedicated to providing exceptional healthcare services to a diverse community. Our commitment to clinical excellence is reflected in our recruitment and training of top-tier healthcare...

Job Title: Revenue Cycle SpecialistWelcome to Alivi's job listing. As a Revenue Cycle Specialist, you will be instrumental in facilitating the efficient processing and resolution of outstanding claims within specified timeframes. Below are the key details of the position:Overview:The main focus of this role is to assess the factors contributing to unresolved...

Claims and Insurance Coordinator As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across...

Claims and Insurance Coordinator As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across...

Job DescriptionJob DescriptionHere at Clinical Care Medical Centers, we are in need of a Billing Manager with in-depth knowledge of Procedural Coding, identifying appropriate ICD-10 coding based on CMS/HCC categories, CPT, HCPS CMS 1500 FORM, HEDIS, MRA, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB and payments, denials and...

Job DescriptionJob DescriptionAbout Us:We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance provider focusing on general liability and medical malpractice claims throughout Florida. Our organization is committed to offering extensive risk management solutions while prioritizing exceptional...

Position OverviewEDI Staffing is seeking a skilled Healthcare Claims Supervisor to oversee our Claims Department. This role is pivotal in ensuring precision and cost efficiency in medical claims processing for our clients.Key Responsibilities:Leadership: Direct the claims and repricing teams to maintain optimal workflow.Client Communication: Regularly update...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance organization focusing on general liability and medical malpractice claims throughout Florida. Our commitment lies in providing thorough risk management solutions while ensuring outstanding service to our...

Job DescriptionWe are currently seeking a Claims Operations Supervisor to lead our claims team. This role is essential for overseeing the daily operations of claims processing, ensuring adherence to industry standards and regulatory compliance.Your leadership will play a pivotal role in fostering professional relationships and achieving operational...

Company OverviewCAREERXCHANGE, Inc. is a prominent insurance organization focusing on general liability and medical malpractice claims. We are in search of a proficient General Liability Adjuster with relevant experience.Job Summary:The General Liability Adjuster plays a crucial role in the investigation, assessment, and resolution of general liability...