Healthcare Claims Reviewer

Key ResponsibilitiesAs a medical and billing coder at Dane Street, LLC, your primary focus will be on reviewing medical records and ensuring accurate coding and billing information. You'll play a critical role in maintaining the integrity of our claims review process.Core DutiesConduct thorough evaluations of codes to ensure they meet established program...

We are seeking a Healthcare Claims Processor to join our team at Empire Imaging Of West Palm Beach L. As a Healthcare Claims Processor, you will be responsible for processing insurance claims, noting and processing all necessary forms from the insurance, and working with doctors offices and attorneys to obtain charge information and billing details. The...

Are you an organized and analytical paralegal seeking a challenging role in claims adjudication? We are looking for a skilled Medical Review Paralegal to join our team at Dane Street, LLC. In this role, you will be responsible for reviewing medical records, evaluating medical information, and communicating with other reviewers and office teams.About the...

Salary Range$45,000 - $60,000 per yearJob SummaryWe are seeking a skilled Medical Biller to join our team at Empire Imaging Of West Palm Beach L. As a Medical Biller, you will play a crucial role in ensuring that patients receive accurate and timely medical billing services. You will assist clients with processing insurance claims, note and process necessary...

About the RoleWe are seeking a skilled Physician Reviewer to join our team at Dane Street, LLC. The successful candidate will have the opportunity to work as an independent contractor, reviewing insurance appeals and claims on a per-case basis.Responsibilities:Utilizes clinical expertise to review medical records and address client questionsEvaluates the...

Job OpportunityEstimated Salary: $70,000 - $100,000 per yearWe are seeking an experienced Senior Claims Specialist to join our team at Elite. As a key member of our claims department, you will be responsible for managing complex claims and providing exceptional customer service.About the RoleInvestigate and manage automobile, general liability, and...

We are excited to offer a Clinical Reviewer Physician position at Dane Street, LLC, where you can work remotely and enjoy a flexible schedule.About the OpportunityAs a 1099 independent contractor, you will be compensated on a per-case basis and have the ability to customize your schedule and caseload within the week while maintaining client-mandated...

Job SummaryDane Street, LLC is seeking a skilled medical and billing coder to join our team. As a key member of our group health claims review program, you'll be responsible for reviewing medical records and ensuring accurate coding and billing information.Key ResponsibilitiesConduct thorough evaluations of codes to ensure they meet established program...

Job Overview: Schern & Meltzer is looking for a highly skilled Plaintiff Claims Assistant to join our team. In this role, you will be responsible for providing administrative support to our attorneys, handling Plaintiff Personal Injury Litigation cases. Our law firm offers a supportive work environment with opportunities for professional growth.Your primary...

About the RoleAs a Medical Billing Specialist, you will be responsible for reviewing denials and submitting appeals, patient collections, and backup to post charges and payments.You will also be required to have a working knowledge of CPT and ICD codes, commercial insurances, Medicare, HMOs, and PPOs.Able to review EOBs and act accordingly to claim denials....

About the RoleIn this exciting new program, you will have the opportunity to apply your organizational skills to review reports accompanying medical records and ensure accuracy in billing information and coding. With a strong background in healthcare and paralegal experience, you will be responsible for evaluating claims, communicating with reviewers and...

Key ResponsibilitiesEvaluate the quality of physician reports and determine if they meet all client and jurisdictional standards.Ensure that claims support physician determinations.Apply policy guidelines, healthcare terminology, and assess when criteria is/is not met.Provide excellent customer service skills and work closely with clients on a case-by-case...

Job SummaryWe are seeking a highly organized and detail-oriented Healthcare Claims Processor to join our team at Global Channel Management Inc. As a critical member of our operations team, you will be responsible for processing medical claims efficiently and accurately.Main Responsibilities:Process medical claims through clearinghouses Availity and Emdeon...

Job Title: Insurance Claims InvestigatorThe Safepoint MGA, LLC is seeking a skilled Insurance Claims Investigator to join our team. As a Field Adjuster Trainee, you will be responsible for investigating property insurance losses and documenting damages.About the Role:Conduct field-based investigations of property insurance losses in assigned territoryInspect...

About the RoleWe are seeking a skilled Healthcare Claims Analyst to join our team at Wolters Kluwer. The ideal candidate will have a strong understanding of healthcare reimbursement systems, RCM (Revenue Cycle Management) software and systems, and be proficient in analyzing CMS rules as it relates to claims and processes.Main Responsibilities:Research,...

US Claims Capital LLC is a leading provider of advances to personal injury victims and their families. Our mission is to provide much-needed liquidity to an under-served market, offering financial means for victims to pursue a fair settlement.We are looking for a Servicing Analyst to join our team, reporting directly to the Servicing Manager. As a key member...

Job Title: Medical Claims SpecialistAbout the Role: We are seeking a skilled Medical Claims Specialist to join our team at Arthritis Associates. The ideal candidate will have experience in healthcare collections and be proficient in reviewing EOBs, understanding insurance benefits, and communicating effectively with patients.Responsibilities:Review EOBs and...

Job SummaryWe are seeking a highly motivated and experienced Long Term Disability QA Reviewer to join our team. In this role, you will apply your claims knowledge to review reports accompanying medical records to ensure that the report is complete. You will communicate with physician reviewers and their office teams to ensure clarity of information and to...

Job SummaryWe are looking for a Clinical Reviewer with expertise in Physical Medicine to review insurance appeals, prospective, and retrospective claims. You will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based...

About the Role:At Orthopaedic Associates, P.A., we are seeking a highly skilled Healthcare Claims Examiner to join our team. This individual will play a critical role in ensuring that claims are processed accurately, efficiently, and swiftly while advocating for patients and their practices.The ideal candidate will possess previous health insurance...