Medical Claims Adjudicator

Job Title: Claims AdjudicatorSeeking an experienced Claims Adjudicator to join our team at SNI Companies.Job Summary:This role is responsible for adjudicating medical and non-medical provider claims, ensuring accurate capitation reimbursement from Medicaid and Medicare.The successful candidate will be key to our revenue and expense process, procuring...

Job SummaryWe are seeking a skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will be responsible for analyzing and adjudicating routine claims, determining approval on file, eligibility, identifying discrepancies, and applying all cost containment measures to assist in the claim adjudication process.Key...

Job SummaryThis position is primarily responsible for ensuring the accurate and timely processing of medical and non-medical provider claims, as well as submitting enrollments and disenrollments to Florida Medicaid and CMS. The successful candidate will play a key role in the revenue and expense process, procuring Medicare rate tables, processing provider...

About Us:We are a service-based company, and as a licensed third-party administrator, we are seeking top talent and experienced personnel to meet and exceed our client's expectations.We're an innovative company creating a unique experience for healthcare professionals. Our ground-breaking approach sets us apart from industry-wide solutions. We're looking for...

Job Title: Medical Claims ManagerWe are seeking a highly skilled Medical Claims Manager to join our team at PayerFusion. As a Medical Claims Manager, you will be responsible for supervising and managing day-to-day claims operations, including claims evaluation, adjudication, and customer service.Key Responsibilities:Supervise the claims departments to ensure...

About UsPayerFusion Holdings LLC is a service-based company that excels in delivering innovative solutions to the healthcare industry.We're seeking a top talent and experienced Claims Processor Specialist to join our team and help us meet and exceed our client's expectations.Job DescriptionAs a Claims Processor Specialist, you will be responsible for...

About PayerFusionWe are a service-based company and a licensed third-party administrator seeking top talent and experienced personnel to meet and exceed client expectations. Our innovative approach creates a unique experience for healthcare professionals.We're looking for a highly qualified Claims Examiner for in-person on-site work. The ideal candidate has...

About Us:We are a service-based company, a licensed third-party administrator, seeking top talent and experienced personnel to meet and exceed client expectations.We're an innovative company creating a unique experience for healthcare professionals. Our ground-breaking approach sets us apart from industry-wide solutions.Responsibilities:Process medical and...

Claims Adjudication RoleWe are seeking a detail-oriented Claims Adjudication Specialist to review, process, and resolve insurance claims at Staffing Now.Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain...

Claims Adjudicator OpportunityWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims. Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain accurate records of...

Job Title: Claims AdjudicatorLocation: Miami, FLPay: $20 per hour Monday - Friday 8:30am - 5PMWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims.Key Responsibilities: Review and analyze insurance claims. Communicate with claimants and healthcare providers. Ensure compliance with company policies and...

Job Title:Claims AdjudicatorLocation:Little Haiti, Miami, FLPay:$20 per hour Monday - Friday 8:30am - 5PMWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims.Key Responsibilities:Review and analyze insurance claims.Communicate with claimants and healthcare providers.Ensure compliance with company policies and...

PayerFusion is seeking an experienced Senior Medical Claims Operations Manager to lead our claims department. As a member of our team, you will be responsible for supervising the claims operations, ensuring timely and accurate processing of claims, and maintaining a high level of customer satisfaction.**About Us:**We are a leading provider of medical claims...

Medical Claims Specialist OpportunityMount Sinai Medical Center of Florida is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for working on payer claims projects and collections work queues, including denials and/or underpayment patterns. You will identify edits and errors for corrected...

Job OverviewWe are seeking a highly skilled Medical Claims Specialist to join our team at North Shore Medical Center.The successful candidate will be responsible for performing patient account follow-up, credit balance review and resolution, and ensuring the hospital's accounts receivable are accurate.Key Responsibilities:Insurance follow-up, as...

Job Title: Medical Claims CollectorBaptist Health Enterprises is seeking a highly skilled Medical Claims Collector to join our team. As a Medical Claims Collector, you will be responsible for collecting unpaid medical claims from insurance providers and patients. You will work closely with our team to resolve claims and ensure timely...

Job Title: Medical Claims CollectorBaptist Health Enterprises is seeking a highly skilled Medical Claims Collector to join our team. As a Medical Claims Collector, you will be responsible for collecting unpaid medical claims from insurance providers and patients. This is a challenging and rewarding role that requires strong communication and negotiation...

Job SummaryWe are seeking a skilled Medical Claims Specialist to join our team at Mount Sinai Medical Center of Florida. In this role, you will be responsible for billing all claims to assigned payers electronically or via hardcopy on a daily basis.Key ResponsibilitiesProcess and submit claims to all assigned payers in a timely and accurate manner.Work...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Secure Eclaims LLC. As a Medical Claims Specialist, you will be responsible for reviewing medical/surgical billings for reasonable and necessary charges, examining coding of operative reports, procedures, and multiple and complicated surgeries.Key ResponsibilitiesConduct...

We are seeking a highly skilled Medical Biller and Collector to join our medical practice in Miami, Florida. The ideal candidate will have over 5 years of experience in medical billing, collections, preauthorization with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification.Key Responsibilities:Accurately process and...