Medical Claims Collector

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 Lloyd StaffingLloyd Staffing is a leading provider of staffing solutions for the healthcare industry. We are committed to delivering exceptional service and support to our clients and candidates.Job SummaryWe are seeking an experienced Insurance Claims Specialist to join our team. The ideal candidate will have a minimum of 2 years of experience in...

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...

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...

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...

Job Title: Claims AdjudicatorMiami Jewish Health is a leading provider of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid-town Miami, and is home to our support departments like Finance, Accounting, Human Resources, Marketing and more.Job SummaryThis position is primarily responsible...

Job Summary:The Claims Examiner is responsible for investigating, evaluating, and resolving general liability claims. This role involves conducting thorough investigations, analyzing coverage, and negotiating settlements. The ideal candidate has a strong background in both claim types and excels in handling complex cases. Key Responsibilities:- Conduct...

Job Title: Claims AdjudicatorMiami Jewish Health is a leading provider of healthcare services 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, ensuring accurate capitation reimbursement from Medicaid and Medicare....

About PayerFusionWe are a leading third-party administrator in the healthcare industry, dedicated to delivering exceptional service to our clients. Our innovative approach and commitment to excellence have earned us a reputation as a trusted partner in the industry.We are seeking a highly skilled and experienced Claims Examiner to join our team. As a Claims...

About the RoleWe are seeking a highly skilled Claims Operations Manager to join our team at PayerFusion. As a Claims Operations Manager, you will be responsible for supervising and managing day-to-day claims operations, including claims evaluation, adjudication, and customer service in accordance with agreed quality and production standards.Key...

Position OverviewEDI Staffing is seeking a skilled Healthcare Claims Supervisor to oversee our Claims Department. This role is pivotal in ensuring precision and cost efficiency in medical claims processing for our clients.Key Responsibilities:Leadership: Direct the claims and repricing teams to maintain optimal workflow.Client Communication: Regularly update...

Position Overview:King's Insurance Staffing is looking for a dedicated Workers' Compensation Claims Supervisor to lead our claims team in the Northeast Region. This role involves supervising a group of five Claims Examiners who manage both lost time and medical-only claims from initiation to resolution. The supervisor will be tasked with allocating claims to...

Liability Claims SpecialistLocation: Florida (Hybrid after 90-Day Orientation)Job Type: Full-TimeCompany Overview:CAREERXCHANGE, Inc. is a premier insurance provider focusing on general liability and medical malpractice claims throughout Florida. Our organization is committed to offering extensive risk management solutions while prioritizing exceptional...

Job SummaryCAREERXCHANGE, Inc. is seeking a highly skilled Claims Management Specialist to join our team of professionals. As a Claims Management Specialist, you will play a critical role in managing and resolving a variety of general liability claims, with a particular emphasis on cases involving medical malpractice and other complex scenarios.Key...