Current jobs related to Medical Claims Specialist - San Antonio - PrideStaff

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  Medical Claims Specialist

  6 days ago

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  San Antonio, Texas, United States University Health Full time

  Medical Claims AdjudicatorAs a Medical Claims Adjudicator at University Health, you will play a critical role in ensuring the accuracy and efficiency of medical claims processing.Key Responsibilities:Adjudicate medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.Maintain audit standards as defined by the...

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  Claims Examiner

  6 days ago

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  San Antonio, Texas, United States University Health System Full time

  Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...

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  Fertility Claims Specialist

  5 days ago

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  San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full time

  Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.Key Responsibilities:Documentation Review: Conduct thorough reviews of...

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  Fertility Claims Specialist

  7 days ago

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  San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full time

  Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...

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  Medical Claims Supervisor

  1 week ago

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  San Antonio, Texas, United States Jobot Full time

  Job Overview:We are currently seeking a dedicated and experienced Claims Manager to join our esteemed healthcare organization. This role is essential in ensuring the efficient management of medical claims processing, contributing to our mission of delivering exceptional healthcare services.About Us:As a leading healthcare network, we are committed to...

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  Claims Adjuster Specialist

  5 days ago

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  San Antonio, Texas, United States Fred Loya Insurance Full time

  Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...

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  Field Property Claims Specialist- Shared

  3 weeks ago

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  San Antonio, United States CNA Financial Corporation Full time

  Include communicating with the market and other involved parties, investigating and resolving claims according to company protocols, quality, and customer service standards. This field position requires regular face-to-face and/or telephonic communic Claims Specialist, Claims, Property, Field, Specialist, Customer Service, Business Services

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  Medical Claims Operations Manager

  2 weeks ago

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  San Antonio, Texas, United States Jobot Full time

  About Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals is focused on providing top-notch care to our diverse patient base.Why Join Our Team? Attractive Salary Range Comprehensive Benefits Package including health, dental, and vision coverage Opportunities for Professional...

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  Medical Claims Specialist

  3 days ago

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  San Diego, California, United States TEKsystems Full time

  About the Role:We are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at TEKsystems. As a Medical Claims Processor, you will play a critical role in ensuring the smooth processing of medical claims and maintaining accurate records.Key Responsibilities:Communicate effectively with insurance agents and beneficiaries to...

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  Claims Processing Specialist

  5 days ago

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  San Antonio, Texas, United States Smile Brands Full time

  Overview:Smile Brands is a leading entity in the dental industry, currently in search of an Insurance Billing & Collections Specialist to enhance our Revenue Cycle Management team. We are looking for a meticulous individual with a background in claims appeals and a solid understanding of Explanation of Benefits (EOBs). The ideal candidate will thrive in a...

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  Claims Examiner II

  7 days ago

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  San Antonio, Texas, United States 052 SLIC Insurance Agency, LLC Full time

  At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

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  Medical Claims Adjuster

  3 weeks ago

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  San Antonio, TX, United States USAA Full time

  Why USAA?At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. This hybrid role requires an individual to be in the office 3 days per week. Relocation...

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  Claims Processing Specialist

  2 weeks ago

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  San Antonio, Texas, United States Frontier Management (OR) Full time

  POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...

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  Claims Processing Specialist in Medical Billing

  2 weeks ago

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  San Ramon, California, United States California Dermatology Care Full time

  Job OverviewA leading full-service dermatology practice is seeking a skilled candidate for the role of Claims Processing Specialist focused on insurance claims management and payment posting. The ideal candidate will possess a dynamic personality, integrity, a quick learning ability, and strong multitasking skills. Interested applicants should provide a...

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  Workers' Compensation Claims Specialist

  2 days ago

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  San Antonio, Texas, United States The Hartford Full time

  Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...

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  Claims Operations Specialist

  1 week ago

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  San Antonio, Texas, United States University Health Full time

  POSITION OVERVIEW/RESPONSIBILITIES Serves as a vital resource within the Claims Department to enhance, evaluate, and optimize departmental efficiency. Recognizes opportunities for enhancement, documents operational workflows, investigates industry best practices, gathers relevant data, and collaborates with process stakeholders to facilitate improvements and...

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  Claims Reimbursement Specialist

  2 hours ago

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  San Bernardino, California, United States TEKsystems Full time

  Job SummaryWe are seeking a highly skilled Claims Reimbursement Specialist to join our team at TEKsystems. As a Claims Reimbursement Specialist, you will be responsible for systematically analyzing and auditing claims for overpayments and applying billing rules to determine the appropriate party to refund.Key ResponsibilitiesAnalyze and audit claims for...

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  Claims Specialist

  5 days ago

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  San Angelo, United States Kelly Services Full time

  What’s next for you? This great job. Finding a job that fits your lifestyle isn’t always easy. That’s where Kelly® Professional & Industrial comes in. We’re seeking Claims Specialist to work in a temporary to hire opportunity with a Top Healthcare Client in San Angelo, TX. We’re here to help you find something great that works for you—so...

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  Claims Management Specialist

  5 days ago

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  San Diego, California, United States Intercare Insurance Full time

  Job OverviewPosition Summary: The Claims Management Specialist plays a crucial role in overseeing and resolving a portfolio of workers' compensation claims. This position reports directly to the Claims Supervisor and is responsible for managing complex cases while adhering to company policies and regulatory requirements.Key Responsibilities:Conduct thorough...

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  Medical Claims Specialist

  4 days ago

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  San Diego, California, United States La Maestra Community Health Centers Full time

  Medical Biller at La Maestra Community Health Centers**Job Summary:**We are seeking a highly skilled and detail-oriented Medical Biller to join our team at La Maestra Community Health Centers. As a Medical Biller, you will play a crucial role in handling various insurance and self-pay accounts, ensuring accurate and efficient processing of patient...