Healthcare Claims Examiner

Sedgwick Claims Management Services is looking for a skilled Insurance Claims Examiner to analyze mid-level commercial General Liability/Bodily Injury claims. The ideal candidate will have excellent analytical skills, a strong understanding of industry best practices, and the ability to work effectively with clients.About the Position:The successful...

Job OverviewA Warranty Repair Claims Examiner is needed to review warranty repair orders, determine labor operation codes, and process claims according to manufacturer guidelines. The ideal candidate will be responsible for reviewing each repair order for proper completion, accuracy, and legibility.Key Responsibilities:Determine the applicable labor...

Job OverviewMET Healthcare Solutions, a leading healthcare management group, is seeking an experienced Medical Claims Eligibility Specialist II to join their team. This hybrid position combines in-office training with remote work opportunities.The ideal candidate will have a strong background in healthcare claims analysis and possess excellent analytical,...

About Korzen HealthWe are a reputable healthcare organization dedicated to providing exceptional services to our nation's heroes. Our team is comprised of skilled professionals who share a common goal: to deliver high-quality care and support to those who have served.Compensation PackageThe successful candidate will be rewarded with an attractive salary...

About the RoleWe are seeking a highly skilled Claims Eligibility Specialist I to join our team at MET Healthcare Solutions in Houston, Texas. This is a full-time position requiring your presence in our corporate office 2-3 times per week.Estimated Salary: $62,000 - $72,000 per year, based on experience and qualifications.The ideal candidate will have...

Job Title: Medical Claims Reconciliation ExpertEstimated Salary: $50,000 - $65,000 per yearAbout Medical AR Management Services, LLCWe are a reputable medical billing and accounts receivable management company serving various healthcare providers. Our mission is to provide reliable and efficient claims resolution services.Job DescriptionThe Medical Claims...

Job SummaryWe are seeking an experienced AR Collections Specialist to join our team at Medical AR Management Services, LLC.About the RoleThis is a challenging and rewarding position that requires strong analytical skills, attention to detail, and excellent communication abilities. The successful candidate will be responsible for managing accounts receivable,...

We are seeking a skilled Healthcare Revenue Cycle Specialist to join our team at Sherloq Solutions.About the RoleThis is a challenging opportunity for individuals with experience in medical claims billing, insurance collections, coding, and denials management. The ideal candidate will have three years of healthcare industry experience and a high school...

Join Dane Street as a highly skilled OB/GYN Physician to review medical claims and provide expert interpretations. This role offers the flexibility to customize your schedule and caseload within the week, ensuring a great work-life balance.We are seeking an experienced physician with an active Texas License to work as an independent contractor on a per-case...

Company Overview:St. Joseph Medical Center is a world-class healthcare provider, dedicated to delivering exceptional care to the community of Houston for over 137 years.We pride ourselves on our tradition of compassion and innovation, ensuring that every patient receives personalized attention and top-notch treatment.About the Role:This exciting opportunity...

Job OverviewEthos Behavioral Health Group LLC is seeking a detail-oriented and organized Healthcare Administrative Specialist to join its team in Woodway. This role is responsible for collecting patients' financial responsibilities and performing non-clinical administrative duties.Key Responsibilities:Financial Communication: Assist with communicating...

About the Role:As a Pharmaceutical Claims Consultant at TEKsystems, you will play a crucial role in supporting patients with limited financial resources. Your expertise will be instrumental in navigating complex insurance programs, ensuring timely and accurate reimbursement for specialty medications. This is an exciting opportunity to make a meaningful...

About the Role:We are seeking a skilled and experienced Healthcare Investigator II to join our team at Elevance Health. This role will play a key part in identifying, investigating, and developing cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims.Key Responsibilities:Conduct claim reviews for...

Role OverviewAs a Licensed Practical Nurse (LPN) Unit Manager at Genesis HealthCare in New Mexico, you will oversee the delivery of compliant and high-quality healthcare services, ensuring positive clinical outcomes and patient satisfaction.This position promotes a culture of care and compassion with a focus on education, teamwork, and continual improvement...

OverviewGenesis HealthCare is a leading provider of healthcare services, offering a wide range of living options and professional clinical services. Our mission is to improve the lives we touch through the delivery of high-quality healthcare and everyday compassion.Job SummaryWe are seeking a compassionate Licensed Practical Nurse (LPN) Unit Manager to...

Key ResponsibilitiesDevelop and implement a comprehensive Claims Quality program to measure financial and clerical accuracyOversee claims adjudication and regulatory reporting functions, ensuring timely processing and accuracyServe as Subject Matter Expert (SME) in the development, validation and submission of all Claims related regulatory reportingPromote...

At Della Infotech, Inc., we are seeking a Medical Examiner General Medicine Specialist to join our team in performing Compensation and Pension exams. This is a great opportunity for healthcare professionals who want to work with veterans and make a positive impact on their lives.About the RoleThis position involves working as an independent contractor,...

Job Summary: We are seeking an experienced Healthcare Coding Professional to join our team as a Medical Coder. In this role, you will apply diagnostic and procedural codes to patient health records for purposes of document retrieval, analysis, and claim processing.The ideal candidate will have a strong understanding of coding guidelines and reimbursement...

Job SummaryPediatric and outpatient experience preferred for a Registered Nurse position at UT Health San Antonio. Responsible for preparing equipment and aiding healthcare providers during treatment and examination of patients.About the RoleThis is a challenging yet rewarding opportunity to provide direct nursing care to patients in a dynamic healthcare...

About the RoleIn this dynamic position, you will work collaboratively with other members of the healthcare team to provide age-appropriate care to patients. You will be responsible for gathering information, assessing, and providing direct care to patients in our urgent care setting.Key Responsibilities:Prepare patient for examination.Collect and process...