Medical Claims Expert

Job TitleWe are seeking a highly motivated and organized individual to join our team as a Claims Analyst. This is an exciting opportunity to work in a dynamic and fast-paced environment where you will be responsible for handling various aspects of claims administration.Key ResponsibilitiesData entry of claimant information.Claim review and report...

Job SummaryWe are seeking an exceptional Class Action Claims Project Manager to join our team at RG/2 Claims Administration LLC. In this critical role, you will be responsible for overseeing complex claims administration projects, ensuring compliance with regulations, and providing exceptional client service.You will possess a Bachelor's degree, 7-10 years...

We have an exciting opportunity for a Claims Process Improvement Expert to join our team. This role involves analyzing FEP processes and identifying areas for improvement.Job Description:Analyze FEP procedures and regulations to identify areas for improvement.Develop workflow and system recommendations to enhance process efficiency.Support FEP audits,...

About the Job: Claims Process Improvement AnalystWe are looking for a highly motivated and detail-oriented Claims Process Improvement Analyst to join our team at Dale WorkForce Solutions. As a Claims Process Improvement Analyst, you will be responsible for analyzing and improving our claims processing workflows to ensure efficiency and effectiveness. This...

What We're Looking ForWe are seeking a detail-oriented and organized Pharmacy Claims Auditor to join our team at Conduent Payment Integrity Solutions. As a Pharmacy Claims Auditor, you will examine and interpret pharmacy records against submitted claim data for potential discrepancies.This is an excellent opportunity for individuals with a strong background...

RQIHUS is hiring a talented claims specialist to lead our specialty claims team.Job RequirementsThis role involves managing a team of claims professionals, leading due diligence efforts, and ensuring accurate reserves are set for potential acquisitions.The ideal candidate will have at least 7 years of experience in handling specialty claims or a combination...

Job OverviewNew Medical Management is a reputable company seeking a Medical Biller to join our team. This is an exciting opportunity for a professional with expertise in chiropractic and physical therapy billing, as well as familiarity with personal injury cases.The ideal candidate will have experience required in chiropractic and physical therapy billing, a...

We are seeking a highly skilled and motivated Compensation Claims Specialist to join our team at Trandon Associates, Inc. in Pennsylvania.The successful candidate will be responsible for reviewing and analyzing workers' compensation claims, conducting extensive legal research, and drafting client correspondence, discovery devices, summations, appeals, and...

At Healthcare Recruitment Counselors, we are seeking an experienced Medical Billing and Insurance Claims Specialist to join our team in Philadelphia, PA. This full-time position involves managing cases related to personal injury claims, working closely with attorneys and medical providers, and ensuring accurate and timely billing and fee...

Are you a detail-oriented and organized individual with a passion for healthcare? Do you have experience with coding software and analyzing data needs for reimbursement? If so, we encourage you to apply for the position of Clinical Documentation Expert at Mercado Medical Practice, LLC. This role offers a competitive salary of $70,000 - $90,000 per year,...

Job OverviewInsight Global Health is a leading healthcare organization seeking experienced Utilization Management nurses to join our dynamic team in Philadelphia.This role involves working with commercial and government payer patients, ensuring adherence to state and federal regulatory requirements. Our team conducts in-depth audits of vendors such as...

Job DescriptionWe are seeking a skilled Claims Processing Specialist to join our team at Dale WorkForce Solutions. The successful candidate will be responsible for reviewing and adjudicating electronic medical claims, ensuring timely and accurate handling in accordance with organizational policies and procedures.The ideal candidate will have experience in...

Apex Systems is a leading IT services company that supports top hospitals and healthcare institutions across the globe. We are currently assisting our client in the Philadelphia area with their search for an experienced Senior Claims Analyst.Job OverviewThis direct-hire role offers a unique opportunity to work directly on the payroll of our end client,...

Job Description: Medical Claims ExaminerWe are seeking a skilled Medical Claims Examiner to join our team at Dale WorkForce Solutions. As a Medical Claims Examiner, you will be responsible for reviewing and evaluating medical claims to ensure they meet the necessary criteria for payment. This role requires strong analytical and problem-solving skills, as...

ResponsibilitiesPrepare and submit patient claims to third-party payers, ensuring compliance with billing requirements.Review claims for completeness and accuracy, resolving any discrepancies or issues that arise.Collaborate with clinical staff to clarify procedures and diagnosis, ensuring accurate documentation and timely claim submission.Maintain accurate...

Alliance Cancer Specialists seeks a detail-oriented Billing Specialist to prepare and submit patient claims to third-party payers. As a key member of our Operations team, you will ensure compliance with payer-specific billing requirements and maintain accurate patient billing data. If you have experience in medical billing and payment specialist, we invite...

Lemieux & Associates LLC, a reputable investigative firm, is hiring an experienced SIU/Claims Investigator to join our team in the Philadelphia, PA area. As an SIU/Claims Investigator, you will be responsible for investigating and resolving complex claims, while maintaining high levels of professionalism and integrity.We offer competitive compensation...

Job OverviewWe are seeking a highly skilled Property Loss Claims Adjuster to join our team at Capstone ISG Inc. This is an exciting opportunity for an experienced professional to work in a fast-paced environment, managing multiple tasks while providing excellent service to policyholders and clients.Key Responsibilities:Conduct field investigations to resolve...

Healthfleet Ambulance is seeking a detail-oriented Medical Billing Specialist to manage our revenue cycle process.Job Description:The successful candidate will be responsible for ensuring timely and accurate claims submissions, as well as resolving any billing discrepancies or issues that may arise. They will possess excellent analytical skills and be able...

Job OverviewWe are seeking a skilled Medical Coding Specialist to join our team. This role involves working with healthcare providers to capture accurate and detailed data from medical documents, transforming it into coded information for use in billing and insurance claims.This position requires direct procedure coding experience, where the candidate will...