Medical Claims Processor
22 hours ago
We are seeking a highly skilled Medical Claims Processor to join our team at TEKsystems. As a Medical Claims Processor, you will be responsible for reviewing and analyzing medical claims for eligibility and benefits, as well as adjudicating claims per the Fund's benefit plan.
Key Responsibilities:- Work closely with peers to ensure the goals and duties of the Claims Department are met efficiently, accurately, and pleasantly.
- Review and analyze medical claims for eligibility and benefits.
- Adjudicate medical claims per the Fund's benefit plan.
- Maintain knowledge of all Fund benefits.
- Provide excellent customer service to claimants and providers.
- Manage inbound calls from members to verify eligibility and coordinate non-emergent transportation.
- Listen and obtain information from callers in a professional, systematic, and organized manner.
- Acquire and maintain in-depth knowledge of, and adhere to, established Protocols and Procedures.
- Assume responsibility for self-development and career progression.
- Maintain flexibility in efforts to provide quality service to our members and help achieve business and operational goals.
- High School graduate or GED equivalent.
- 2+ years of medical billing or collections experience.
- Working knowledge of healthcare industry, insurance claims, and associated medical terminology.
- Strong customer service aptitude.
- Working knowledge of Microsoft Office and Adobe Acrobat products.
- Strong communication skills.
- Medical, dental, and vision benefits.
- Critical Illness, Accident, and Hospital benefits.
- 401(k) Retirement Plan.
- Life Insurance (Voluntary Life & AD&D for the employee and dependents).
- Short and long-term disability benefits.
- Health Spending Account (HSA).
- Transportation benefits.
- Employee Assistance Program.
- Time Off/Leave (PTO, Vacation or Sick Leave).
-
Medical Claims Processor
3 days ago
St Louis, Missouri, United States Lifelancer Full timeAbout the JobWe are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at Lifelancer. As a key member of our Patient Support team, you will play a critical role in ensuring the smooth processing of medical claims.Job ResponsibilitiesReceive and review medical claims from healthcare providers and patients, ensuring all...
-
Claims Processor
3 days ago
St Louis, Missouri, United States Volt Full timeClaims Processor Job DescriptionVolt is seeking a skilled Claims Processor to join our team in St. Louis, MO. As a Claims Processor, you will play a critical role in preparing, sending, and following up on paperwork, as well as contacting lien holders for loan information and documents.Key Responsibilities:Prepare and send paperwork in a timely and accurate...
-
Claims Processor
1 month ago
St Louis, Missouri, United States AAA Missouri, AAA Careers Full timeClaims ProcessorThis is an entry level position within the claims operation, supporting claims personnel in all disciplines. Performs duties that ensure compliance with government regulations, processes paperwork, issues payments, may answer incoming phone calls and make outbound calls to customers and vendors. Enters data into various systems. Processes...
-
Medical Claims Consultant
6 days ago
St Louis, Missouri, United States GBS - Global Full timeAbout the RoleWe are seeking a highly skilled Medical Claims Consultant to join our team at GBS - Global. As a key member of our Medical Audit Team, you will be responsible for performing and supporting audits to ensure compliance with contractual, regulatory, and custom plan guidelines.Key ResponsibilitiesManage and perform audits of medical, dental,...
-
Claims Analyst
3 weeks ago
St Louis, Missouri, United States Amerifleet Transportation, Inc. Full timePosition OverviewAt Amerifleet Transportation, Inc., we prioritize a positive workplace culture. We value employee feedback and actively implement suggestions to enhance our environment.As a Claims Specialist, your primary responsibilities will include reviewing and assessing claims and associated expenses, processing new claims, and finalizing outstanding...
-
Liability Claims Specialist
2 weeks ago
St Louis, Missouri, United States Enterprise Holdings Full timeAbout the RoleAs a Liability Claims Adjuster at Enterprise Holdings, you will play a critical role in handling claims that result from accidents that take place during the rental process. Our ideal candidate is a career-minded individual with an appetite for knowledge and research, who is able to manage assigned claims from start to finish.Key...
-
Insurance Claims Examiner
2 weeks ago
St Louis, Missouri, United States Enterprise Holdings Full timeAbout the RoleAs a Liability Claims Adjuster at Enterprise Holdings, you will play a critical role in handling claims that result from accidents that take place during the rental process. Our ideal candidate is a career-minded individual with an appetite for knowledge and research, who is able to manage assigned claims from start to finish.Key...
-
Invoice Processor
2 months ago
St Louis, Missouri, United States Ascent LLC. Full timeCompany DescriptionAscent, LLC is a leading provider of comprehensive solutions for the planning, design, engineering, development and operation of data centers and other mission critical facilities. Headquartered in Saint Louis, MO, Ascent specializes in powerful, efficient and technologically advanced mission critical facilities and offers clients a broad...
-
Claims Processing Specialist
3 weeks ago
St Louis, Missouri, United States Mercedes-Benz of St. Louis Full timeJoin the team at Mercedes Benz of St. Louis as a Claims Processing Specialist. We provide a competitive salary, comprehensive benefits, and a remarkable workplace that features a modern, climate-controlled environment. As a family-owned and operated dealership, we pride ourselves on knowing each team member personally. Experience with luxury automotive...
-
Claims Resolution Analyst
3 weeks ago
St Louis, Missouri, United States Amerifleet Transportation, Inc. Full timePosition OverviewAt Amerifleet Transportation, Inc., we prioritize a vibrant workplace culture. We actively seek input from our team to enhance our operations, and we value your suggestions.As a Claims Specialist, your primary responsibilities will include evaluating and processing claims and expenses, managing new claims, and finalizing outstanding ones...
-
Claims Resolution Analyst
2 weeks ago
St Louis, Missouri, United States Amerifleet Transportation, Inc. Full timeJob OverviewAt Amerifleet Transportation, Inc., we prioritize a collaborative and engaging workplace culture. We value input from our team members and actively implement their suggestions for improvement.As a Claims Specialist, your responsibilities will include evaluating and processing claims, managing expenses, and collaborating with various internal...
-
Field Adjuster for Property Claims
3 weeks ago
St Louis, Missouri, United States American Family Insurance Full timeAbout Us:At American Family Insurance Claims Services (AFICS, Inc.), we are on a mission to enhance our claims operations, ensuring that our customers remain at the forefront of our efforts. Our goal is to safeguard and restore the aspirations of our clients during their most challenging times. Our Approach:We are harnessing our industry knowledge, advanced...
-
Claims Service Representative 3
2 months ago
St Louis, Missouri, United States AAA Missouri, AAA Careers Full timeClaims Service Representative 3 - HO PROP COORDDo you want to use your customer service skills in a role where you can make a difference in people's lives? Are you looking for more than just a job, but a career with endless opportunities for growth? Come join our passionate Property Claims TeamAs a member of our Property Field Claims Team, you will play a...
-
Field Claims Adjuster for Catastrophic Property
2 weeks ago
St Louis, Missouri, United States American Family Insurance Full timeJob Overview:As a Field Claims Adjuster specializing in catastrophic property claims, you will play a crucial role in investigating and managing property and casualty claims. Your responsibilities will include determining liability, gathering pertinent information, reviewing coverage details, coordinating appraisals, and facilitating the settlement of...
-
Insurance Claims Processing Specialist
3 weeks ago
St Louis, Missouri, United States Washington University in St. Louis Full timeScheduled Hours 40 Position Overview This role is responsible for conducting follow-up activities related to insurance billing and collections, managing a minimum of 30 claims daily; making collection calls, ensuring the accuracy and completeness of claims, and liaising with insurance providers and collection agencies to expedite payments for medical...
-
Claims Service Representative 2
2 weeks ago
St Louis, Missouri, United States American Automobile Association Full timeJob SummaryWe are seeking a highly skilled Claims Service Representative 2 - Early Response to join our dynamic organization. As a key member of our team, you will be responsible for providing exceptional service to our insured members, ensuring their claims are handled efficiently and effectively.Key ResponsibilitiesCommunicate with Insureds and Claimants:...
-
Medical Collections Specialist
2 weeks ago
St Louis, Missouri, United States The Law Offices of Jay B Umansky PC Full timeJob DescriptionWe are seeking a highly skilled and experienced Medical Collections Specialist to join our team at The Law Offices of Jay B Umansky PC. As a Medical Collections Specialist, you will play a critical role in our firm's efforts to recover outstanding medical debts on behalf of our clients.The ideal candidate will have a strong background in...
-
Medical Collections Specialist
2 weeks ago
St Louis, Missouri, United States The Law Offices of Jay B Umansky PC Full timeJob DescriptionWe are seeking a highly skilled and experienced Medical Collections Specialist to join our team at The Law Offices of Jay B Umansky PC. As a Medical Collections Specialist, you will play a critical role in our firm's efforts to recover outstanding medical debts on behalf of our clients.The ideal candidate will have a strong background in...
-
Medical Imaging Specialist
3 weeks ago
St Louis, Missouri, United States Mercy Full timePosition OverviewAt Mercy, we are dedicated to a mission of healing through compassionate care and outstanding service. We are seeking a Medical Imaging Specialist to join our team, where your unique skills and talents will be valued and utilized to their fullest potential. Incentives Offered:We provide a Loan Repayment Assistance Program that can offer up...
-
Medical Administrative Assistant
2 weeks ago
St Louis, Missouri, United States BCforward Full timeAbout the RoleBCforward is seeking a highly skilled Care Management Support Coordinator II to join our team. As a key member of our operations team, you will play a critical role in supporting the delivery of high-quality care management services to our clients.Key ResponsibilitiesSupport administrative care management activities, including performing...