Medical Claims Adjudication Specialist

About PayerFusion: We are a leading third-party administrator providing innovative solutions for the healthcare industry. Our commitment to excellence has earned us a reputation as a trusted partner for clients seeking top talent.We are currently seeking an experienced Medical Claims Specialist to join our team. This is an in-person on-site role requiring...

About the RoleThe estimated annual salary for this position is $46,560 - $49,920 based on a 40-mile radius of Miami.This hybrid role involves working from home or at our headquarters. The ideal candidate will have expertise in medical terminology, healthcare billing practices, and data analysis.Job ResponsibilitiesAdjudicate professional and institutional...

About PayerFusionWe are a leading service-based company and 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.Job SummaryWe are looking for a highly qualified Claims Examiner for in-person on-site work with...

Job OverviewWe are seeking an experienced Claims Manager to join our team in Coral Gables, FL. area in Miami.Salary and BenefitsThe estimated salary for this role is $60,000 - $80,000 per year, depending on experience. In addition to a competitive salary, we offer a range of benefits, including major medical, dental, vision, 401k, and statutory sick pay...

Job Title: Medical Claims ExaminerPayerFusion is seeking an experienced Claims Examiner for in-person on-site work with a background in the Commercial Health Insurance Industry.Responsibilities and QualificationsProcess hospital claims using UB-04 and physician claims collections using CMS 1500, with expertise in claims adjudication, coding, and coverage...

We're excited to offer a challenging and rewarding role as a Dental and Medical Claims Analyst at PayerFusion. As a key member of our team, you'll have the opportunity to grow and develop your skills in a fast-paced environment.About Us:We're a service-based company committed to delivering exceptional results for our clients. With a focus on innovation and...

Job OverviewWe are seeking an experienced and detail-oriented Medical Claims Specialist to join our team at JJ Billing Services Inc. in Doral, FL.The ideal candidate will have a strong understanding of medical billing procedures and the ability to multitask efficiently.

PayerFusion is seeking an experienced Health Insurance Claims Coordinator to join our team. As a Health Insurance Claims Coordinator, you'll play a critical role in ensuring that medical and dental claims are processed accurately and efficiently.About Us:We're a licensed third-party administrator dedicated to delivering innovative solutions for the...

About Secure Eclaims LLCSecure Eclaims LLC is a top benefits management company in Puerto Rico and South Florida, known for its innovative care management model that integrates provider, payor, and member needs to deliver high-quality, cost-effective care while achieving significant cost savings.Job Summary:We're looking for a skilled Healthcare Claims...

Key ResponsibilitiesThis Medical Claims Examiner role involves ensuring timely and accurate reimbursement for covered medical services.The ideal candidate will have expertise in Correct Coding (CCI) Edits, CMS guidelines, and Medicare/Medicaid fee schedules. A self-starter with strong analytical and problem-solving skills is required for this...

Discover Your Career in Property Insurance Claims:Kandell, Kandell & Petrie, P.A. is a leading law firm specializing in property insurance claims. As a Property Claims Specialist, you will be responsible for preparing responses to interrogatories and requests for production, coordinating with attorneys/law clerks, and conducting client interviews.About Our...

Job OverviewWe are seeking a skilled Medical Claim Analyst to join our team at Secure Eclaims LLC in Puerto Rico and South Florida. As a key member of our cost containment team, you will play a vital role in reviewing medical and surgical billings for reasonable and necessary charges.

Job OverviewWe are a licensed third-party administrator seeking an experienced Medical and Dental Claims Processor to meet and exceed our client's expectations. Our innovative approach sets us apart from industry-wide solutions.

Job OverviewWe are seeking a skilled Medical Billing Specialist to join our team at KIDZ Medical Services.As a Medical Billing Specialist, you will play a critical role in ensuring the accuracy and completeness of patient health information for data retrieval, analysis, and claims processing.

Job DescriptionAs an Insurance Claims Specialist at Carlos Luis - State Farm Agent, you will play a critical role in delivering exceptional service to our customers. Your strong communication and interpersonal skills, combined with your ability to multitask and work under pressure, make you an ideal candidate for this position.You will be responsible for...

Job SummaryWe are seeking a detail-oriented professional for our team as an Insurance Verification Specialist at Marcos Consulting Group Inc.Main Responsibilities:Ensure that each patient's insurance coverage is verified correctly and promptly prior to treatment.Directly contact payers by phone to address any concerns or questions related to insurance...

Job OverviewKandell, Kandell & Petrie, P.A. is a reputable law firm with over 85 years of experience handling property insurance claims in the Gulf Coast states.We are seeking a highly organized and detail-oriented Property Insurance Claims Specialist to join our busy property insurance practice.Key ResponsibilitiesCoordinate and schedule client and adjuster...

About the RoleWe are looking for a talented Insurance Claims Specialist to join our team at Insurance Litigation Group PA. As a critical member of our Lead Center team, you will be responsible for making outbound calls to potential clients, answering inbound calls and webchats, and walking prospective clients through the sign-up process with our firm.Our...

Job Summary:We are seeking an experienced Claims Manager to join our team at PayerFusion. The successful candidate will have a strong background in medical claims administration and excellent leadership skills. If you are a motivated and results-driven professional looking for a challenging opportunity, we encourage you to apply.Key Responsibilities:* Manage...

Job Description: We are seeking an experienced Insurance Claims Professional to join our team at Insurance Litigation Group PA. As an Insurance Claims Professional, you will be responsible for working with clients to resolve their property damage claims, handling client inquiries, and providing excellent customer service. The ideal candidate will have 2+...