Medical Claims Examiner

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...

About Insurance Administrative SolutionsWe offer a business process outsourcing solution that helps insurers optimize administrative workload, bolster their industry expertise, leverage emerging technologies, and streamline operations.Our highly collaborative team environment offers each of our employees a place where they can excel.We're looking for a...

Job DescriptionJob DescriptionWe are looking for a detail-oriented Claims Examiner to join our team and help ensure the accuracy and efficiency of our claims processing. Job Summary: The Claims Examiner will be responsible for reviewing, analyzing, and processing claims to ensure compliance with company policies and regulations. The ideal candidate will have...

Job SummaryThis position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. The position is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for...

Job DescriptionJob DescriptionWe are hiring an experienced Claims Examiner to work with a very successful company in the Coral Gables, FL area. We are interested in bringing an examiner into the claims department to resolve balance billing and appeals sent by clients, patients, and/or providers. This is an in-office position, working full time in Coral...

Job DescriptionWe are seeking a detail-oriented Claims Examiner to review, analyze, and process claims to ensure compliance with company policies and regulations.Key Responsibilities:Review and evaluate claims submitted by policyholders to determine eligibility and coverage.Analyze documentation and assess the validity of claims based on company policies 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...

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...

About Secure Eclaims LLCSecure Eclaims LLC is a leading benefits management company serving Puerto Rico and South Florida.Job OverviewWe are seeking a highly skilled Medical Claim Analyst to join our team. The selected candidate will be responsible for reviewing medical/surgical billings, examining coding of operative reports, and performing hospital length...

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 SummaryThis position is primarily responsible for reviewing and processing medical and non-medical provider claims, ensuring accurate reimbursement from Medicaid and Medicare. The role is critical to the revenue and expense process, requiring strong analytical and communication skills.Key Responsibilities* Review and adjudicate medical claims, including...

Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. Position is key to all revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for...

Job Summary We are seeking a skilled Medical Claims Adjudicator to join our team at SNI Companies. As a key member of our revenue and expense process, you will be responsible for adjudicating medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. This position is crucial to our organization's success,...

Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. Position is key to all revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment for...

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 Details Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS Position is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client...

Casualty Claims Examiner – Lakeland, FLSalary Range: $51,000K - $95,000K commensurate with experience and location/job marketHybrid structure: Work schedule is 4 days in-office/month Training Schedule (4 – 6 weeks): Monday – Friday, 8am – 4:30pm; 4 days in office/1 day remote Work Schedule: Monday – Friday, 8:00am – 4:30pm; 4 days in...

Baptist Health Enterprises is seeking a highly skilled Medical Claims Collector to join our team. This is a full-time, remote position.The ideal candidate will have a strong background in insurance collections and a proven track record of successfully resolving medical claims disputes.In this role, you will be responsible for:Conducting thorough...