Claims Management Coordinator

Job SummaryMedPOINT Management is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for accurately reviewing and processing medical claims in accordance with regulatory guidelines and company policies.Key ResponsibilitiesReview and verify incoming provider claims to ensure all necessary information is...

Position Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. This role is essential for ensuring the accurate processing and evaluation of provider specialty claims.Role Summary:The Claims Examiner will be responsible for the meticulous review, input, and adjudication of provider specialty claims,...

Job Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. Please review the details below to understand the responsibilities and qualifications required for this role.Position Summary:The Claims Examiner will be responsible for the meticulous evaluation, input, and adjudication of provider specialty claims,...

Job DescriptionAbout the CompanySERVPRO Global DRT is a leading provider of remediation and restoration services, offering best-in-class solutions for emergency and reconstruction needs 24/7. Our goal is to minimize disruption to our clients' lives and restore their properties to their original condition.Job SummaryWe are seeking a highly skilled Claims...

Job OverviewSummary:Effectively manage, evaluate, and process provider specialty claims, including UB04 forms, in accordance with external regulations, internal protocols, and contractual obligations. A solid grasp of medical terminology is essential. Extensive knowledge of Commercial, Medicare, and Medi-Cal coding is required. Basic computer proficiency is...

Position OverviewThe Healthcare Claims Analyst plays a crucial role in the evaluation and processing of claims, ensuring compliance with external regulations and the contractual commitments of MedPOINT Management and its healthcare partners. This position involves thorough research, review, and communication with provider services to resolve claim-related...

Job SummaryWe are seeking a highly detail-oriented and organized Claims Processor to join our team at MedPOINT Management. As a Claims Processor, you will play a critical role in ensuring the accurate review and processing of claims in accordance with regulatory requirements and organizational standards.Key ResponsibilitiesVerify the completeness and...

Job SummaryMedPOINT Management is seeking a skilled Healthcare Claims Auditor to join our team. As a key member of our Claims Department, you will be responsible for ensuring the accuracy and compliance of claims processes.Key ResponsibilitiesAudit daily processed claims through random selection, utilizing system-generated reports to identify trends and...

Position OverviewThe role of a Healthcare Claims Analyst encompasses the evaluation and processing of claims, ensuring adherence to industry regulations and contractual obligations. This position requires investigating and resolving complex claims issues while proposing improvements to existing processes. The analyst also acts as a crucial resource for the...

Job SummaryMedPOINT Management is seeking a highly skilled Claims Processor to join our team. As a Claims Processor, you will play a critical role in ensuring the accurate review and processing of claims in accordance with regulatory requirements, internal standards, and contractual obligations.Key ResponsibilitiesAccurately review all incoming claims to...

Job SummaryMedPOINT Management is seeking a highly skilled Claims Processor to join our team. As a Claims Processor, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key ResponsibilitiesReview and verify incoming claims to ensure compliance with regulatory requirements and internal standards.Process...

Join Our Team as a Personal Injury Claims CoordinatorWilshire Law Firm is on the lookout for a dedicated and knowledgeable Personal Injury Claims Coordinator to enhance our team.As an integral part of our Personal Injury Pre-Litigation division, you will oversee a substantial caseload of pre-litigation claims, ensuring our clients receive the rightful...

Claims Recovery Analyst Job DescriptionOverviewThe selected candidate will play a crucial role in pinpointing and rectifying significant overpayments related to processed claims across various service lines. This position will also involve supporting the execution of DOFR initiatives and associated workflows. The Claims Recovery Analyst will leverage...

Job OverviewThe Hospital Risk Claims Specialist plays a crucial role in managing hospital-related risk claims, ensuring compliance with external regulations and the contractual commitments of Health Plans and/or Hospitals/IPAs. This position involves thorough research, review, and communication with provider services to resolve claims-related issues...

Job OverviewPosition Summary:A Healthcare Claims Quality Auditor plays a crucial role in ensuring the integrity of claims processing and adherence to regulatory standards, in alignment with the contractual commitments of Health Plans and Hospital Clients. This position involves investigating, reviewing, and liaising with provider services regarding claims...

Job OverviewThe Supervisor of EDI Claims at MedPOINT Management plays a crucial role in overseeing the daily operations of the EDI Claims team. This position involves guiding team members, assessing performance, and enhancing workflows to ensure efficiency and accuracy in claims processing.Key ResponsibilitiesDirect and manage the timely processing of...

Job OverviewPosition Summary:The Claims Operations Support Specialist plays a crucial role in facilitating the daily functions of the claims department. This position is designed to assist various sub-departments within Claims Operations, ensuring seamless workflow and efficiency.Key Responsibilities:• Digitally archive claims and relevant documents into...

Job OverviewWe are looking for a dedicated Personal Injury Claims Coordinator to support our legal team. This role involves assisting clients who have suffered injuries from various incidents, including vehicular accidents, slips and falls, and other personal injury cases. This position offers a hybrid work model, requiring in-office attendance two days a...

Position OverviewWe are seeking a dedicated Claims Operations Coordinator III to join our team at Kaiser Permanente. This role is essential in ensuring the smooth processing of health insurance claims.Key ResponsibilitiesManage the adjudication process for health insurance claims, ensuring compliance with regulatory standards.Address and resolve disputes,...

POSITION SUMMARYThe Claims Assessment Specialist plays a crucial role in ensuring the precise and prompt evaluation of both paper and electronic claims submitted in CMS 1500 and UB-04 formats. This role involves processing all claims and relevant correspondence in alignment with Medicare and Medi-Cal regulatory standards, contractual obligations, and...