Claims Operations Specialist

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.Key Responsibilities:Documentation Review: Conduct thorough reviews of...

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...

Job Overview:We are currently seeking a dedicated and experienced Claims Manager to join our esteemed healthcare organization. This role is pivotal in ensuring the efficient and accurate processing of medical claims within our dynamic team.About Us:As a leading healthcare provider, we are committed to delivering exceptional services to our diverse patient...

POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...

Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...

About Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals is focused on providing top-notch care to our diverse patient base.Why Join Our Team? Attractive Salary Range Comprehensive Benefits Package including health, dental, and vision coverage Opportunities for Professional...

At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...

Medical Claims AdjudicatorAs a Medical Claims Adjudicator at University Health, you will play a critical role in ensuring the accuracy and efficiency of medical claims processing.Key Responsibilities:Adjudicate medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.Maintain audit standards as defined by the...

Job Title: Customer Support: Fraud Investigation SpecialistLocation: Hybrid work modelSchedule: Two available shiftsMonday - Friday 10am - 7pmTuesday - Friday 10am - 7pm and Saturday 8am - 4:30pmJob Type: Long-term contract with potential for permanent placementCompensation: $17 - $19 per hourNumber of Openings: 3 - 5Overview:The primary role of the Fraud...

Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...

Overview:Oversee the credentialing and re-credentialing processes for healthcare providers and retail locations to guarantee timely active status. Investigate outstanding claims associated with credentialing challenges. Update and maintain the MVC website information for all service points. Facilitate the enrollment of new facilities and practitioners for...

Position Overview:This role is for a dedicated and experienced Claims Manager within a leading healthcare organization. The ideal candidate will be instrumental in overseeing the medical claims processing operations, ensuring accuracy and compliance with industry standards.About Us:We are a reputable healthcare network committed to delivering exceptional...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, emphasizing a physician-led approach that prioritizes patient care. Our focus is on fostering health and wellness among our patients through comprehensive care management.The Senior Claims Examiner plays a crucial role in supporting our operations by meticulously reviewing,...

About Us:We are a leading healthcare organization committed to delivering exceptional medical services. Our dedicated team of professionals works tirelessly to ensure high-quality care for our diverse patient base.Position Overview:We are currently seeking a qualified and experienced Claims Manager to oversee our claims processing department. This permanent...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through innovative care models. Our focus is on enhancing the health and well-being of our patients by providing comprehensive support and services tailored to their needs.The Senior Claims Examiner plays a crucial role in our operations by delivering essential claims support....

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, focusing on a patient-centered approach that prioritizes well-being. Our commitment to excellence drives us to support our patients through tailored healthcare solutions.The Senior Claims Examiner plays a pivotal role in our operations by delivering comprehensive claims support....

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through a physician-led approach. Our mission is to enhance the health of our patients by ensuring they receive the necessary care from compassionate professionals. We collaborate with various Medicare Advantage health plans and are committed to expanding our services.The Senior...

Job OverviewOptum is a worldwide leader in healthcare solutions, leveraging technology to enhance the well-being of millions. The contributions made by our professionals significantly impact health outcomes by linking individuals with essential care, pharmacy benefits, data, and resources necessary for optimal health. Our culture is rooted in diversity and...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, ensuring they receive the necessary care from compassionate professionals. Our innovative care model focuses on enhancing the health of our patients while collaborating with various Medicare Advantage health plans.The Senior Claims Examiner plays a pivotal role in our operations...