Claims Processing Specialist

POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...

Position Overview:This role is for a dedicated and experienced Claims Manager within a leading healthcare organization. The ideal candidate will be instrumental in overseeing the medical claims processing operations, ensuring accuracy and compliance with industry standards.About Us:We are a reputable healthcare network committed to delivering exceptional...

About Elevate Claims SolutionsWe are a leading provider of claims solutions, founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our partners, clients, and ourselves.Job DescriptionWe are seeking a highly skilled and experienced Property Claims Adjuster to join our team in San Antonio, Texas....

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.Key Responsibilities:Documentation Review: Conduct thorough reviews of...

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...

At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

Medical Claims AdjudicatorAs a Medical Claims Adjudicator at University Health, you will play a critical role in ensuring the accuracy and efficiency of medical claims processing.Key Responsibilities:Adjudicate medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.Maintain audit standards as defined by the...

POSITION OVERVIEWAccountable for the daily acquisition of grant and entitlement claims.Key Responsibilities:Conduct thorough reviews of clinical documentation for billing efficiency, ensure precise billing and tracking, and collaborate with clinics to rectify billing discrepancies and gather necessary information. Provide regular updates on critical...

Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...

Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...

POSITION OVERVIEW/RESPONSIBILITIES Serves as a vital resource within the Claims Department to enhance, evaluate, and optimize departmental efficiency. Recognizes opportunities for enhancement, documents operational workflows, investigates industry best practices, gathers relevant data, and collaborates with process stakeholders to facilitate improvements and...

Job Title: Customer Support: Fraud Investigation SpecialistLocation: Hybrid work modelSchedule: Two available shiftsMonday - Friday 10am - 7pmTuesday - Friday 10am - 7pm and Saturday 8am - 4:30pmJob Type: Long-term contract with potential for permanent placementCompensation: $17 - $19 per hourNumber of Openings: 3 - 5Overview:The primary role of the Fraud...

About Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals works tirelessly to ensure high-quality care for our diverse patient base.Position Overview:We are currently seeking a qualified and experienced Claims Manager to oversee our claims processing department. This permanent...

Job Overview:We are currently seeking a dedicated and experienced Claims Manager to join our esteemed healthcare organization. This role is pivotal in ensuring the efficient and accurate processing of medical claims within our dynamic team.About Us:As a leading healthcare provider, we are committed to delivering exceptional services to our diverse patient...

Job Overview:We are currently seeking a dedicated and experienced Claims Manager to join our esteemed healthcare organization. This role is essential in ensuring the efficient management of medical claims processing, contributing to our mission of delivering exceptional healthcare services.About Us:As a leading healthcare network, we are committed to...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, emphasizing a physician-led approach that prioritizes patient care. Our focus is on fostering health and wellness among our patients through comprehensive care management.The Senior Claims Examiner plays a crucial role in supporting our operations by meticulously reviewing,...

Job SummarySWBC Real Estate, LLC is seeking a skilled Claims Adjuster to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. Responsible for issuing settlement payments to the Named Insured.Key ResponsibilitiesGathers and assembles pertinent claim information by...

POSITION OVERVIEW AND RESPONSIBILITIES The Claims Auditor is accountable for the creation and upkeep of a comprehensive auditing framework for claims across various business sectors, aimed at enhancing claims processing protocols and assessing the quality of service provided to clients. This role involves pinpointing training requirements for processors and...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through innovative care models. Our focus is on enhancing the health and well-being of our patients by providing comprehensive support and services tailored to their needs.The Senior Claims Examiner plays a crucial role in our operations by delivering essential claims support....

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, focusing on a patient-centered approach that prioritizes well-being. Our commitment to excellence drives us to support our patients through tailored healthcare solutions.The Senior Claims Examiner plays a pivotal role in our operations by delivering comprehensive claims support....