Medical Claims Specialist
5 hours ago
RemX is seeking a dedicated and detail-oriented Medical Claims Case Manager to join their dynamic onsite team. As a Medical Claims Case Manager, you will be responsible for reviewing and processing medical claims submitted by healthcare providers, verifying claim information, and communicating with providers, insurance companies, and patients to resolve discrepancies.
Key Responsibilities:- Review and process medical claims submitted by healthcare providers
- Verify claim information and ensure it aligns with patient records and insurance policies
- Communicate with providers, insurance companies, and patients to resolve discrepancies
- Investigate and analyze claim denials or rejections and take appropriate actions to rectify issues
- At least 6 months of previous Medical Benefits experience
- Proven experience in medical claims processing or a similar role
- Strong knowledge of medical terminology, coding, and billing practices (ICD-10, CPT, HCPCS)
- Proficiency with medical billing software and MS Office Suite
- Great work attitude and willingness to help others
- Weekly pay and amazing perks
- Growth opportunities and professional development
- Fun, collaborative work environment
- Flexible hours and work-life balance
- Amazing benefits and onsite perks
RemX offers a dynamic and supportive work environment, with a focus on employee happiness and well-being. If you're passionate about healthcare and have a knack for navigating the complexities of medical claims, we want to hear from you.
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Medical Claims Specialist
2 weeks ago
Phoenix, Arizona, United States CorVel Enterprise Comp, Inc. Full timeJob SummaryCorVel Enterprise Comp, Inc. is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision.This is a remote position that requires excellent customer...
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Medical Claims Specialist
1 month ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing:...
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Medical Claims Specialist
1 month ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing: Accurately and timely...
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Claims Specialist
2 weeks ago
Phoenix, Arizona, United States CorVel Enterprise Comp, Inc. Full timeJob Title: Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for managing workers' compensation claims within delegated authority to achieve the best possible outcome.Key Responsibilities:Receive and process claims, confirming policy coverage and...
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Medical Claims Processor
2 weeks ago
Phoenix, Arizona, United States LHH Recruitment Solutions Full timeJob Title: Medical Collections SpecialistJoin our team as a Medical Collections Specialist and take on a challenging role that requires attention to detail, strong analytical skills, and excellent communication abilities.About the Role:We are seeking a highly motivated and organized individual to investigate and enter claims in our payment system. As a...
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Medical Claims Specialist
3 weeks ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a key member of our revenue cycle team, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesAccurate...
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Medical Claims Examiner
2 weeks ago
Phoenix, Arizona, United States CorVel Corporation Full timeJob SummaryThe Medical Only Claims Specialist plays a crucial role in managing non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision. This position supports the goals of the claims department and CorVel Corporation.Key ResponsibilitiesReceive and confirm claims, ensuring policy coverage...
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Claims Specialist
1 month ago
Phoenix, Arizona, United States RTA US Full timeJob DescriptionRTA US is currently looking for a Claims Specialist to assist in managing claims processes effectively. This role offers a fantastic opportunity to collaborate with a vibrant team and acquire significant experience in the Insurance Sector. There is potential for extension or conversion for the right candidate.Position: Claims...
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Pharmacy Claims Specialist
3 weeks ago
Phoenix, Arizona, United States Onco360 Full timePharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ. This is a full-time position with a hybrid work style, requiring a strong understanding of pharmacy claims and benefits verification.Key Responsibilities:Adjudicate pharmacy claims, review claim responses...
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Medical Claims Specialist
1 week ago
Phoenix, Arizona, United States HETAL C SHAH MD PC Full timeJob Title: Medical BillerWe are seeking a highly skilled Medical Biller to join our team at HETAL C SHAH MD PC. As a Medical Biller, you will play a critical role in ensuring accurate and timely billing and insurance claims processing.Key Responsibilities:Process and manage patient insurance claims, including private insurance and Medicaid/MedicareCollect...
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Claims Adjuster-1
4 weeks ago
Phoenix, Arizona, United States CopperPoint Insurance Companies Full time{"title": "Claims Adjuster-1 - Workers Comp Claims Specialist", "content": "Job SummaryCopperPoint Insurance Companies is seeking a skilled Claims Adjuster-1 - Workers Comp Claims Specialist to join our team. As a key member of our claims team, you will be responsible for analyzing and investigating medical-only workers' compensation claims to determine...
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Pharmacy Claims Specialist
2 weeks ago
Phoenix, Arizona, United States Onco360 Full timePharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Scottsdale, AZ. This is a full-time position, Monday to Friday, 8:30 am to 5 pm Arizona time. The ideal candidate will be located within driving distance to our pharmacy and have a hybrid work style.About...
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Insurance Claims Specialist
4 weeks ago
Phoenix, Arizona, United States American Vision Partners Full timeAbout the RoleAt American Vision Partners, we are seeking a highly skilled Insurance AR Specialist to join our team. As an Insurance AR Specialist, you will play a critical role in collecting payments for assigned insurance accounts and performing follow-up duties in accordance with established federal and state regulations.Key ResponsibilitiesInsurance...
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Senior Claims Specialist
3 weeks ago
Phoenix, Arizona, United States Chubb Full timeSenior Claims SpecialistChubb is seeking a highly skilled Senior Claims Specialist to join our team in Tampa, FL. As a key member of our claims team, you will be responsible for investigating facts, evaluating damages, and writing estimates for property claims.Responsibilities:Conduct onsite inspections to investigate facts and evaluate damagesEvaluate...
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Claims Recoup Specialist
2 weeks ago
Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Claims Recoup Specialist to join our team. In this role, you will be responsible for managing and performing claims department activities related to recoupments and collections.Key ResponsibilitiesManage the recoupment process and identify opportunities for improvements.Work with Provider...
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Medical Claims Specialist
23 hours ago
Phoenix, Arizona, United States Southwest Breast & Aesthetics Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Southwest Breast & Aesthetics. As a Medical Biller, you will be responsible for accurately and timely processing medical claims, managing billing and payment records, and communicating with internal and external representatives to resolve billing issues.Key...
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Medical Claims Specialist
2 weeks ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Biller to join our team at Southwest Breast and Aesthetics LLC. As a Medical Biller, you will be responsible for accurately and timely processing medical claims, managing billing and payment records, and communicating with internal and external representatives to resolve billing...
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Medical Claims Specialist
5 days ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob Title: Medical BillerAt Southwest Breast and Aesthetics LLC, we are seeking a highly skilled Medical Biller to join our team. As a Medical Biller, you will play a critical role in ensuring the accurate and timely processing of medical claims.Key Responsibilities:Accurately and efficiently process electronic and hardcopy medical claimsInput billings and...
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Integrated Absence Claims Specialist
2 weeks ago
Phoenix, Arizona, United States Lincoln Financial Services Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented Integrated Absence Claims Specialist to join our team. As an Integrated Absence Claims Specialist, you will play a critical role in managing a workload of Short-Term Disability claims and their associated leaves.Key ResponsibilitiesConduct initial and ongoing interviews with claimants to...
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Medical Claims Specialist
3 weeks ago
Phoenix, Arizona, United States SOUTHWEST BREAST AND AESTHETICS LLC Full timeJob Title: Medical BillerAt Southwest Breast and Aesthetics LLC, we are seeking a highly skilled Medical Biller to join our team. As a Medical Biller, you will play a critical role in ensuring the accurate and timely processing of medical claims.Key Responsibilities:Accurate and timely data entry of electronic and/or hardcopy medical claimsInput billings and...