Medical Claims Review Expert

Claims Resolution Expert WantedWe are seeking a skilled Medical Claims Resolution Expert to join our team at MedPOINT Management. As a key member of our claims team, you will be responsible for resolving complex medical claims in a timely and efficient manner.Key Responsibilities:Review and analyze medical claims to identify potential issues and...

Job Title: Damage Claims ExpertAbout Us:At Wilshire Law Firm, we are committed to providing exceptional legal services to our clients. Our team of experts is dedicated to helping individuals resolve their property damage claims efficiently and effectively.Salary: $45,760 - $66,560 per year, depending on experience.Job Description:We are seeking a highly...

Job Description:The Hospital Claim Reviewer plays a critical role in ensuring the accuracy and integrity of Hospital claims paid by MPM. This position involves reviewing claims paid in Shared and Dual Risk Pools, monitoring and maintaining files audited, submitting disputes to outside entities, and collaborating with cross-functional teams to resolve issues...

Job Description:Key Responsibilities:Review and adjust medical claims to ensure accuracy and compliance with regulatory requirements.Research and resolve issues related to claims processing.Collaborate with internal teams to facilitate efficient claim resolution.Maintain accurate records and reports to track claim status and performance metrics.Stay...

Job Title: Medical Claims AuditorAbout the Role:This position is responsible for reviewing claims paid in Shared and Dual Risk Pools, monitoring and maintaining files audited, submitting disputes to outside entities, and ensuring accuracy and integrity of Hospital claims paid by MPM.Key Responsibilities:• Review, track, and analyze Risk Pool Summaries•...

Job OverviewWe are seeking a skilled Medical Claims Recovery Specialist to join our team at MedPOINT Management. The successful candidate will research and identify complex overpayments on previously processed claims for multiple product lines, assist in DOFR implementation projects, and review claim refunds and capitation deductions from various...

Job Summary:We are seeking a skilled Adjuster - Medical Claims Professional to join our team. This role will be responsible for accurately reviewing and adjusting medical claims in accordance with departmental policies and procedures.

Job OverviewWe are seeking an experienced Medical Claims Project Coordinator to join our team at Regal Medical Group in Southern California. As a key member of our operations team, you will be responsible for processing and releasing professional claims according to established policies and procedures.In this role, you will identify procedural and system...

Job Summary  We are seeking a skilled Medical Claims Project Coordinator to join our team at Regal Medical Group. As a key member of our staff, you will be responsible for processing and releasing professional claims according to established policies and procedures. This role requires strong analytical and problem-solving skills, as well as excellent...

Job DescriptionThe Medical Claims Analyst will be responsible for daily creation and submission of 837 files, correcting errors, and accurately reconciling submitted encounter data. Additionally, this role involves attending meetings, reviewing standard operation procedures, and performing other duties as assigned by management.

Job DescriptionThis is a fully remote contract opportunity with Momentum Resource Solutions. The estimated salary for this position is $85,000 - $110,000 per year, depending on experience.About the RoleWe are seeking a highly skilled and experienced Workers Compensation Claims Consultant to join our team. As a key member of our claims team, you will be...

We are seeking a highly skilled Claims Examiner to join our team at Sedgwick. As a Claims Examiner, you will play a critical role in analyzing complex claims and determining benefits due.Our ideal candidate will have five years of experience in claims management, with expertise in general liability claims. They will be subject matter experts in insurance...

Job SummaryMedPOINT Management is seeking a Medical Claims Coordinator to join our team. The ideal candidate will possess excellent analytical and problem-solving skills, with the ability to work independently in a fast-paced environment.The estimated salary for this position is around $65,000 per annum, based on industry standards and the company's...

Job Title: Personal Injury Claims Coordinator About LemonLaws by Prestige Legal Solutions, P.C.We specialize in lemon law cases and provide expert representation to our clients. Our team of experienced attorneys and support staff work diligently to ensure that our clients receive the best possible outcome in their personal injury cases. Estimated Salary:...

We are seeking a dedicated Medical Claims Advocate to join our team at MedPOINT Management. In this role, you will be responsible for advocating on behalf of our Members and Providers to ensure they receive the best possible service.The estimated salary for this position is $55,000 - $80,000 per year, depending on experience. As a Medical Claims Advocate,...

Job OverviewMedPOINT Management is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for managing the entire claims process from start to finish, ensuring accuracy and efficiency in our billing operations.About the RoleThe ideal candidate will have at least 5 years of experience in medical...

Key ResponsibilitiesAnalyze incoming adjustment requests to verify necessary information is available.Meet production standards of 20-100 claims as established by claims management.Adhere to MedPOINT Management's core value: Accountability, Community, Celebration, Integrity, Innovation & Collaboration.Perform other tasks as assigned by supervisor/manager.The...

Job OverviewAs a Medical Claims Auditor at MedPOINT Management, you will play a vital role in ensuring the accuracy and integrity of hospital claims paid by our company. The ideal candidate will have at least 2 years' experience with hospital claims processing and/or billing.

AXA XL is seeking a highly skilled Large Loss Claims Specialist to join our Construction Defect Claims team.We deliver on our claims promise by having the best systems, the best people, and the best partnerships in place. Our team handles complex construction defect claims, requiring the right balance of knowledge and skills. In claims, experience matters,...

About MedPOINT ManagementWe are a leading healthcare management company that specializes in medical claims processing. Our team is dedicated to providing exceptional service to our clients, and we are seeking a highly skilled Medical Claims Examiner to join our team.