Medical Claims Clerk

Job DescriptionJob DescriptionMedical Claims ManagerWe are looking for a Claims Manager that supervises and manages day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with agreed quality and production standards. Process claims in a timely manner and complies with industry fair claims practices and...

Job SummaryThis position plays a critical role in ensuring the accurate and timely processing of medical and non-medical provider claims. The successful candidate will be responsible for adjudicating claims, submitting enrollments and disenrollments to Florida Medicaid and CMS, and maintaining the integrity of PACE's revenue and expense process.Key...

About the RoleWe are seeking a highly skilled Claims Manager to oversee the day-to-day operations of our claims department. As a key member of our team, you will be responsible for ensuring the timely and accurate processing of claims, while maintaining excellent customer service and adhering to industry standards and regulations.Key...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will play a critical role in analyzing and adjudicating routine claims, ensuring timely and accurate processing.Key ResponsibilitiesAnalyze and adjudicate routine claims, determining approval, eligibility, and identifying...

Job Title: Medical Claims ProcessorWe are seeking a highly skilled Medical Claims Processor to join our team at Lennar Homes. As a Medical Claims Processor, you will play a critical role in supporting the Director of Risk Management and Risk Manager in all aspects of the Corporate Risk Management program.Key Responsibilities:Analyze and manage Workers'...

About the RoleWe are seeking a highly skilled and detail-oriented Medical Claims Representative to join our team at Medusind. As a Medical Claims Representative, you will play a critical role in processing claims and medical records, ensuring accuracy and efficiency in our operations.Key ResponsibilitiesProcess claims and medical records with high accuracy...

Job OverviewAbout PayerFusion:PayerFusion is a premier service-oriented organization dedicated to delivering exceptional administrative solutions. As a licensed third-party administrator, we pride ourselves on attracting top-tier talent to ensure we consistently surpass our clients' expectations. Our innovative approach sets us apart in the healthcare...

Job SummaryWe are seeking a highly skilled Medical Claims Processor to join our team at Lennar Homes. As a key member of our Risk Management department, you will play a critical role in protecting the financial assets of our company.Key ResponsibilitiesAnalyze and manage Workers' Compensation, General Liability, Property, Builders Risk, and Auto...

Our client has an exciting opportunity for a Claims Manager to lead their Claims DepartmentIn addition to supervising the Claims personnel, the Manager's primary responsibility will be to ensure accuracy and to achieve cost containment on medical claims for the Company's customers Qualified candidates should have experience in a similar role and be able to...

Our client has an exciting opportunity for a Claims Manager to lead their Claims DepartmentIn addition to supervising the Claims personnel, the Manager's primary responsibility will be to ensure accuracy and to achieve cost containment on medical claims for the Company's customers Qualified candidates should have experience in a similar role and be able to...

Job DetailsJob Location Kendall Toyota - Miami, FL DescriptionWho We Are: Bean Automotive Group is a nationally recognized automotive group which champions Miami's rich automobile heritage. Our associates located throughout our 4 locations: Kendall Toyota, Lexus of Kendall, West Kendall Toyota and Lexus of West Kendall, make it our mission to deliver on...

Job DescriptionJob DescriptionReviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries.Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of...

Job Title: Claims AdjudicatorWe are seeking an experienced Claims Adjudicator to join our team at SNI Companies. As a Claims Adjudicator, you will be responsible for ensuring accurate and timely processing of medical and non-medical provider claims.Key Responsibilities:Adjudicate medical and non-medical provider claims, including tracking claims in the...

Claims and Insurance Coordinator As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across...

Job SummaryWe are seeking a highly skilled Medical Claims Collector to join our team at Baptist Health Enterprises. As a key member of our revenue cycle team, you will be responsible for collecting insurance payments and self-pay accounts, as well as training new collectors and coordinating agency projects.Key ResponsibilitiesCollect insurance payments and...

We are seeking a seasoned Claims Manager to lead our claims operations team in the Coral Gables, FL area. This is an on-site position with one of our top clients in the insurance services industry.In this role, you will oversee the day-to-day claims process, ensuring quality and compliance with industry standards and state regulations. Your leadership will...

Job Title: Claims AdjudicatorMiami Jewish Health is a leading provider of healthcare and living options for aging adults in the Southeast. We are seeking a skilled Claims Adjudicator to join our team.Job SummaryThis position is responsible for adjudicating medical and non-medical provider claims, submitting enrollments and disenrollments to Florida Medicaid...

We are looking to hire a Claims Manager in the Coral Gables, FL area. This is an on-site position available with one of our best clients in the insurance services industry.In this role, you will supervise and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Your leadership will be crucial in...

Job Title: Claims AdjudicatorSeeking an experienced Claims Adjudicator with hospital-setting experience to join our team at SNI Companies.Job Summary:This role will be primarily responsible for adjudicating medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS.The position is crucial to our revenue and...

Job SummaryWe are seeking a highly skilled Claims Processor to join our team at Insight Global. As a Claims Processor, you will play a critical role in analyzing and adjudicating routine claims, ensuring timely and accurate processing of claims.Key ResponsibilitiesAnalyze and adjudicate routine claims, determining approval, eligibility, and identifying...