Hospital Claim Reviewer

About This OpportunityWe are seeking a Medical Claims Review Expert to join our team at MedPOINT Management. As a Risk Claims Adjuster Specialist, you will be responsible for reviewing and adjusting hospital risk claims in accordance with regulatory guidelines.Responsibilities:Review and adjudicate web portal inquiries.Assist Providers and other Departments...

Job Title: Medical Claims AuditorAbout the Role:This position is responsible for reviewing claims paid in Shared and Dual Risk Pools, monitoring and maintaining files audited, submitting disputes to outside entities, and ensuring accuracy and integrity of Hospital claims paid by MPM.Key Responsibilities:• Review, track, and analyze Risk Pool Summaries•...

Job OverviewMedPOINT Management is seeking an experienced Risk Pool Review Specialist to join our team. As a key member of our Auditing & Recoveries unit, you will be responsible for reviewing and analyzing Risk Pool Summaries to ensure the accuracy and integrity of hospital claims paid by MPM.**Key Responsibilities**Review Risk Pool Summaries to identify...

Job Summary: We are seeking a highly motivated and organized Personal Injury Claims Specialist to join our team. As a Personal Injury Claims Specialist, you will be responsible for managing pre-litigation cases from start to finish, including obtaining medical records and other related documents. You will also be working closely with our attorneys and case...

Job OverviewAs a Medical Claims Auditor at MedPOINT Management, you will play a vital role in ensuring the accuracy and integrity of hospital claims paid by our company. The ideal candidate will have at least 2 years' experience with hospital claims processing and/or billing.

Job Description:Key Responsibilities:Review and adjust medical claims to ensure accuracy and compliance with regulatory requirements.Research and resolve issues related to claims processing.Collaborate with internal teams to facilitate efficient claim resolution.Maintain accurate records and reports to track claim status and performance metrics.Stay...

Job SummaryA Healthcare Claims Specialist is needed at MedPOINT Management to resolve medical claims efficiently and accurately. The ideal candidate will have strong analytical and communication skills.About the Role:Review and adjust medical claims according to established guidelines and protocols.Work collaboratively with healthcare providers and insurance...

About the Role:We are seeking a skilled Claims Audit Specialist to join our team at MedPOINT Management. As a key member of our recovery services team, you will be responsible for reviewing and disputing capitation deductions received from various health plans. Your expertise will also be required to analyze retro eligibility term reports, identify...

Job OverviewWe are seeking a skilled Medical Claims Recovery Specialist to join our team at MedPOINT Management. The successful candidate will research and identify complex overpayments on previously processed claims for multiple product lines, assist in DOFR implementation projects, and review claim refunds and capitation deductions from various...

We are seeking an experienced Claims Reconciliation Coordinator to join our team at MedPOINT Management.In this role, you will be responsible for:Reviewing and correcting rejected claims in accordance with CMS and DHCS regulations.Analyzing claim rejection trends and identifying areas for improvement.Coordinating with health plans and other stakeholders to...

Claims Resolution Expert WantedWe are seeking a skilled Medical Claims Resolution Expert to join our team at MedPOINT Management. As a key member of our claims team, you will be responsible for resolving complex medical claims in a timely and efficient manner.Key Responsibilities:Review and analyze medical claims to identify potential issues and...

Job OverviewWe are seeking a highly skilled Hospital Claims Adjuster to join our team at MedPOINT Management.The ideal candidate will have a strong background in claims management, with experience in adjusting hospital risk claims and a keen eye for detail.

Job Title: Damage Claims ExpertAbout Us:At Wilshire Law Firm, we are committed to providing exceptional legal services to our clients. Our team of experts is dedicated to helping individuals resolve their property damage claims efficiently and effectively.Salary: $45,760 - $66,560 per year, depending on experience.Job Description:We are seeking a highly...

About the RoleJBA International is seeking a skilled Personal Injury Claims Coordinator to join our team. In this role, you will be responsible for managing personal injury claims from start to finish, including reviewing files, requesting documentation, and verifying information.Salary: $20 - $25 per hourLocation: Century City, CA (In-Office Work)You will...

Role OverviewWe are seeking an experienced Claims Management Specialist to join our team at Ascendion. As a Claims Management Specialist, you will be responsible for managing all aspects of personal injury cases, from intake to resolution. This includes gathering and reviewing medical records, coordinating with medical providers and insurance adjusters, and...

About the Role:We are looking for a skilled Claims Analyst Specialist to join our team at MedPOINT Management. The successful candidate will possess expertise in healthcare financial recovery, medical claims analysis, and process improvement.Main Responsibilities:Review and analyze retro eligibility term reports to identify potential overpayments.Develop and...

We are seeking an experienced Compensation Claims Specialist to oversee and negotiate bodily injury claims for Plaintiffs' side cases in the Mid-Wilshire area. As a key member of our team, you will be responsible for negotiating personal injury cases against insurance companies, supervising a team, and reviewing demand packages.Our ideal candidate will have...

At Advantage Surveillance LLC, we are seeking a highly skilled Part-Time SIU Claims Investigator to join our Operations Team in the Los Angeles, CA Area.Job Responsibilities:Our ideal candidate will be responsible for conducting thorough investigations of auto, property, homeowner liability and worker's compensation insurance claims.Key...

Job Summary:We are seeking a skilled Adjuster - Medical Claims Professional to join our team. This role will be responsible for accurately reviewing and adjusting medical claims in accordance with departmental policies and procedures.

Job SummaryWe are seeking a highly organized and detail-oriented Senior Case Manager to support our Personal Injury department. As a key member of our team, you will be responsible for managing pre-litigation matters, communicating with clients, and collaborating with various stakeholders.Main ResponsibilitiesOversee approximately 115-125 pre-litigation...