Medical Claims Processor
2 weeks ago
Communicating with insurance agents and beneficiaries. Preparing claim forms and related documentation. Reviewing claim submissions and verifying the information. Recording and maintaining insurance policy and claims information in a database system. Determining policy coverage and calculating claim amounts. Processing claim payments. Complying with federal, state, and company regulations and policies. Performing other clerical tasks, as required. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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Medical Claims Specialist
6 days ago
San Diego, California, United States TEKsystems Full timeAbout 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 Processor
2 weeks ago
San Francisco, United States Zenith American Full timeTitle: Claims Processor 1 Department: Claims Bargaining Unit: OPEIU 29 Grade: 16 Position Type: Non-Exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has...
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Claims Processor
3 months ago
San Francisco, United States Zenith American Full timeJob DescriptionJob DescriptionTitle: Claims Processor 1 Department: Claims Bargaining Unit: OPEIU 29 Grade: 16Position Type: Non-Exempt Hours per Week: 40Position SummaryThe Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and...
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Claims Processor
3 months ago
San Francisco, United States Zenith American Full timeJob DescriptionJob DescriptionTitle: Claims Processor 1 Department: Claims Bargaining Unit: OPEIU 29 Grade: 16Position Type: Non-Exempt Hours per Week: 40Position SummaryThe Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and...
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Medical Claims Processor
5 days ago
San Diego, California, United States Rady Children's Hospital-San Diego Full timeJob Summary:The Billing and Collections Representative plays a vital role in the revenue cycle of Rady Children's Hospital-San Diego. Under the direction of the Supervisor of Professional Billing & Coding, this individual is responsible for receiving and verifying charge batches, ensuring accurate and timely processing of claims. The ideal candidate will...
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Claims Processor 3
3 months ago
San Francisco, United States Zenith American Full timeJob DescriptionJob DescriptionTitle: Claims Processor 3 Department: ClaimsBargaining Unit: OPEIU 29 Grade: 18Position Type: Non-Exempt Hours per Week : 40Position Summary:Responsible for independently processing all types of health claims on an assigned Plan(s), and for assuming primary or back-up customer service responsibilities as necessary.General...
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Medical Claims Processor
2 weeks ago
San Diego, United States TEKsystems Full timeCommunicating with insurance agents and beneficiaries. Preparing claim forms and related documentation. Reviewing claim submissions and verifying the information. Recording and maintaining insurance policy and claims information in a database system. Determining policy coverage and calculating claim amounts. Processing claim payments. Complying with...
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Medical Claims Processor
2 weeks ago
San Diego, CA, United States TEKsystems Careers Full timeCommunicating with insurance agents and beneficiaries.Preparing claim forms and related documentation.Reviewing claim submissions and verifying the information.Recording and maintaining insurance policy and claims information in a database system.Determining policy coverage and calculating claim amounts.Processing claim payments.Complying with federal,...
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Medical Claims Processor
5 days ago
San Marcos, California, United States Guidehouse Full timeJob Summary:The Insurance Patient Account Representative - Medi-Cal / HMO Emphasis is an extension of a client's business office staff. This role is responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances. All client policies and procedures are followed.Key Responsibilities:Process and...
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Auditor Claims
1 month ago
San Antonio, United States University Health System- San Antonio Full timePOSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of...
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Claims Processing Specialist
2 weeks ago
San Francisco, California, United States Zenith American Full timeJob OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a crucial role in delivering exceptional customer service while managing the processing of standard health and welfare claims for designated accounts. This role...
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Insurance Claims Coordinator
2 weeks ago
San Francisco, California, United States Zenith American Full timeJob OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a vital role in delivering customer support and managing the processing of standard health and welfare claims for designated accounts, ensuring compliance with...
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Medical Claims Specialist
7 days ago
San Diego, California, United States La Maestra Community Health Centers Full timeMedical 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...
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Warranty Claims Processor
19 hours ago
San Antonio, Texas, United States Nissan of Boerne Full timeJob DescriptionJob Summary:Nissan of Boerne is seeking a highly motivated and organized Warranty Administrator to join our team. As a Warranty Administrator, you will be responsible for processing titles and registrations, as well as processing car deals by verifying completeness of documentation.Key Responsibilities:Claims Processing: Work all dealers'...
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Insurance Claims Analyst
2 weeks ago
San Antonio, Texas, United States University Health System- San Antonio Full timePOSITION OVERVIEW AND RESPONSIBILITIES The Claims Auditor is accountable for the creation and upkeep of a comprehensive auditing framework for claims across various business sectors, aimed at enhancing claims processing protocols and assessing the quality of service provided to clients. This role involves pinpointing training requirements for processors and...
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Healthcare Claims Administrator
2 weeks ago
San Antonio, Texas, United States Jobot Full timeAbout Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals works tirelessly to ensure high-quality care for our diverse patient base.Position Overview:We are currently seeking a qualified and experienced Claims Manager to oversee our claims processing department. This permanent...
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Claims Manager
4 days ago
San Francisco, United States Angle Health Full timeJob DescriptionJob DescriptionChanging Healthcare For GoodAt Angle Health, we believe the healthcare system should be accessible, transparent, and easy to navigate. As a digital-first, data-driven health plan, we are replacing legacy systems with modern infrastructure to deliver our members the care they need when they need it. If you want to build the...
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Claims Manager
3 days ago
San Francisco, California, United States Angle Health Full timeJob SummaryWe are seeking a highly motivated and experienced Claims Manager to join our team at Angle Health. As a Claims Manager, you will be responsible for overseeing the Claims department to ensure accurate, efficient, and timely handling of all health insurance claims.Key ResponsibilitiesClaims Management: Supervise and mentor a team of claim...
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Claims Manager
1 week ago
San Diego, California, United States Cynet Systems Full timeClaims ManagerCynet Systems is seeking a highly skilled Claims Manager to join our team. As a key member of our organization, you will be responsible for analyzing and processing complex workers' compensation claims. Your expertise will be essential in negotiating settlements, ensuring timely and cost-effective resolution, and maintaining professional...
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Claims Examiner II
3 months ago
San Antonio, United States 052 SLIC Insurance Agency, LLC Full timeSWBC is seeking a talented individual to review and evaluate incoming claims for payment or denial and acts as a liaison for the carrier and the financial institution. This role allows you to help those who are dealing with difficult circumstances in their lives. Your help gives them a sense of relief in times of need. You will also have a team who is...