Medical Claims Examiner

3 days ago


New Hyde Park, New York, United States TemPositions Full time
Medical Biller Job Description

We are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a crucial role in ensuring accurate and timely submission of medical claims to insurance companies.

Responsibilities:
  • Claim Review and Submission: Review submitted claims for accuracy and completeness, and submit them to insurance companies in a timely manner.
  • Follow-up and Research: Conduct timely follow-up and research on all unpaid claims with insurance companies to resolve any issues or discrepancies.
  • Appeals and Correspondence: Work on insurance appeals and corrected claims correspondence to ensure accurate payment for our clients.
  • Portal Utilization: Utilize all available portals for claim information to stay up-to-date on claim status and resolve any issues promptly.
  • Appeals and Disputes: Create and submit appeals and corrected claims packets, and other disputes, as necessary, to ensure accurate payment for our clients.
  • Pre-authorizations: Assist with obtaining pre-authorizations when needed to ensure timely payment for our clients.
Qualifications and Skills:
  • Education: High school diploma required.
  • Experience: Minimum of 5 years medical billing experience, with at least 1 year of out-of-network billing experience.
  • Communication and Interpersonal Skills: Excellent communication and interpersonal skills required.
  • Computer Proficiency: Must be computer proficient and able to utilize various software systems.

We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.



  • New Hyde Park, New York, United States TemPositions Full time

    Medical Biller Job DescriptionWe are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a crucial role in ensuring accurate and timely submission of medical claims to insurance companies.Responsibilities:Claim Review and Submission: Review submitted claims for accuracy and completeness, and submit them...


  • New Hyde Park, New York, United States AcctPositions Full time

    We are seeking an experienced Medical Biller to join our team at AcctPositions. As a Medical Biller, you will play a crucial role in ensuring the accuracy and timeliness of medical claims submissions.Responsibilities:Review and verify the accuracy of submitted claimsConduct timely follow-up and research on unpaid claims with insurance companiesWork on...


  • New Hyde Park, New York, United States TemPositions Full time

    Medical Biller Job DescriptionWe are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a crucial role in ensuring accurate and timely submission of medical claims to insurance companies.Responsibilities:Claim Review and Submission: Review submitted claims for accuracy and completeness, and submit them...


  • New Hyde Park, New York, United States Tempositions, Inc. Full time

    Job SummaryWe are seeking an experienced Medical Biller to join our team at Tempositions, Inc. in New Hyde Park, Long Island. As a Medical Biller, you will play a crucial role in ensuring accurate and timely submission of medical claims to insurance companies.Key ResponsibilitiesReview and verify submitted claims for accuracy and completenessConduct timely...

  • Claims Examiner

    2 days ago


    New York, New York, United States Sedgwick Full time

    About the RoleWe are seeking a skilled Claims Examiner to join our team at Sedgwick. As a Claims Examiner, you will be responsible for analyzing and processing claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

  • Claims Examiner

    3 days ago


    New York, New York, United States Sedgwick Full time

    About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their employees, customers, and assets while minimizing business interruptions.Job SummaryWe are seeking a skilled Claims Examiner to join our team in Syracuse, NY. As a Claims Examiner, you...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc.Key Responsibilities:Examine and adjust general liability claims to ensure fair and timely resolutions.Conduct thorough investigations of claims, reviewing policy terms, conditions, and...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc.Key Responsibilities:Examine and adjust general liability claims and lawsuits to achieve an amicable resolution.Review insurance policies to determine coverage and investigate claims to gather necessary...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc.Key Responsibilities:Examine and adjust general liability claims to ensure fair and timely resolutions.Conduct thorough investigations of claims, reviewing policy terms, conditions, and...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in insurance claims handling, with a focus on general liability claims.Key Responsibilities:Examine and adjust general liability claims to...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. in NYC. As a key member of our Property & Casualty Insurance team, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in insurance claims handling, with a focus on general liability claims.Key Responsibilities:Examine and adjust general liability claims to...


  • New Hartford, New York, United States Utica National Insurance Group Full time

    About the RoleWe are seeking a highly skilled Complex Claims Examiner to join our team at Utica National Insurance Group. As a key member of our claims team, you will be responsible for handling and resolving complex claims with a high level of technical expertise.Key ResponsibilitiesInvestigate and Resolve Complex Claims: You will be responsible for...

  • Auto Claims Examiner

    4 weeks ago


    New York, New York, United States Brown & Brown Full time

    Auto Claims Examiner Job DescriptionBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. We are seeking a skilled Auto Claims Examiner to join our team in Garden City, New York. As a leading provider of claims administration, risk management & loss control, underwriting &...


  • New Hyde Park, New York, United States TemPositions Full time

    Medical Biller Job DescriptionWe are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a critical role in ensuring the accuracy and timeliness of medical claims submissions.Responsibilities:Review and verify medical claims for accuracy and completenessConduct thorough research and follow-up with...


  • New Hyde Park, New York, United States TemPositions Full time

    Medical Biller Job DescriptionWe are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a critical role in ensuring the accuracy and timeliness of medical claims submissions.Responsibilities:Review and verify the accuracy of submitted claimsConduct thorough research and follow-up with insurance...


  • New York, New York, United States GNY Insurance Companies Full time

    Job SummaryGNY Insurance Companies is seeking a highly skilled Liability Claims Examiner to join our team. As a key member of our claims team, you will be responsible for handling complex claims associated with GNY Custom book and other select accounts from inception to closure.Key Responsibilities:Conduct thorough investigations and reviews of claims to...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in handling premises liability claims and a deep understanding of tort/insurance law in the jurisdiction.Key Responsibilities:Examine,...


  • New York, New York, United States C. Winchell Agency, Inc. Full time

    Senior General Liability Claims ExaminerAt C. Winchell Agency, Inc., we are seeking a highly skilled Senior General Liability Claims Examiner to join our team. As a key member of our claims department, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key Responsibilities:Examine...


  • New York, New York, United States Swoon Full time

    Swoon is seeking an experienced Workers Compensation Claims Examiner to assist on claims investigations and take charge of settlement negotiations. The ideal candidate will have at least 3 years of relevant claims and workers compensation experience, a Bachelor's Degree, and an Active NY Insurance Adjusters' License. Key responsibilities include analyzing...