Medical Claims Processor
2 months ago
We are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at Health Matching Account Services. As a Medical Claims Processor, you will be responsible for reviewing and processing medical claims in a timely and accurate manner, adhering to our company's policies and procedures.
Key Responsibilities- Claims Processing: Review and process medical claims based on policy provisions and established guidelines.
- Request Additional Information: Request additional information from members as needed to ensure accurate claims processing.
- Documentation: Document fully claims referred to senior staff for review and determination.
- Quality Standards: Maintain company production and quality standards.
- Training and Development: Participate in training and stay updated on healthcare regulations, medical terminology, and coding practices.
- Electronic Health Records: Navigate and maintain electronic health records (EHR) and billing software, posting payments to patient accounts.
- Insurance Verification: Check patient insurance coverage and eligibility before billing.
- Patient Inquiries: Handle patient inquiries about bills.
- Regulatory Compliance: Adhere to HIPAA regulations, ensuring patient confidentiality at all times.
- Company Policies: Adhere to the company's policies and procedures.
- Confidentiality: Maintain strict confidentiality of client, company, and personnel information.
- Commitment to Mission: Demonstrate a strong commitment to the mission and values of Health Matching Account Services.
- Attendance: Adhere to company attendance standards.
- Medical Terminology: Knowledge of medical terminology, diagnostic and CPT codes.
- Microsoft Office: Proficiency with Microsoft Office.
- Communication: Efficient communication skills with patients and healthcare companies.
- Medical Billing Software: Proficiency with medical billing software.
- Insurance Guidelines: Knowledge of ethical debt collection practices and insurance guidelines.
- Code Classifications: Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
- Certification: Medical Billing and Coding Certification.
- Experience: 1+ years of experience in medical billing and coding.
-
Claims Processor LPO
6 days ago
Texas City, Texas, United States SWBC Full timeAt SWBC, we are seeking a skilled Claims Processor LPO to join our team. As a Claims Processor LPO, you will be responsible for processing claim documents and inquiries related to insurance claims for multiple lines of business and complex coverage types.Key Responsibilities:Identify coverage and set up new claims in the claims system, assigning the...
-
Mortgage Claims Specialist
1 month ago
Texas City, Texas, United States SWBC Full timeJob Title: Mortgage Claims ProcessorSWBC is seeking a skilled professional to join our team as a Mortgage Claims Processor. In this role, you will be responsible for processing claim documents and inquiries related to insurance claims for multiple lines of business and complex coverage types.Key Responsibilities:Identify coverage and set up new claims in the...
-
Pharmacist (Full or Part Time)
2 weeks ago
League City, Texas, United States Walgreens Full timeJob Summary:As a pharmacist at Walgreens, you will play a critical role in providing high-quality patient care and services. Your expertise will be essential in ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies, and procedures.Key Responsibilities: Provide pharmacy...
-
Customer Service Representative
5 days ago
League City, Texas, United States Cellular Sales Full timeJob OverviewThe Consumer Support Representative will provide ongoing support to our sales force by conducting research, preparing reports, and handling information requests.Assist in several areas to maintain functioning work processes. Communicate and work with multiple areas of the organization including Sales Consultants, customers, and leadership....
-
Medical Billing Specialist
2 weeks ago
Horizon City, Texas, United States FYZICAL Therapy and Balance Centers Full timeJob OverviewFYZICAL Therapy and Balance Centers is seeking a highly skilled Medical Billing Specialist to join our team in Horizon City, TX. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely processing of medical claims, while providing exceptional customer service to our patients and stakeholders.Key...
-
Customer Support Specialist
1 week ago
League City, Texas, United States Cellular Sales Full timeAbout the RoleThe Consumer Support Representative will provide ongoing support to our sales force by conducting research, preparing reports, and handling information requests.Responsibilities include:Assisting in several areas to maintain functioning work processesCommunicating and working with multiple areas of the organization, including Sales Consultants,...
-
CHW Revenue Cycle Management Billing Specialist
2 weeks ago
Texas City, Texas, United States Galveston County Health District Full timeJob Title: CHW Revenue Cycle Management Billing SpecialistGalveston County Health District is seeking a highly skilled Revenue Cycle Management Billing Specialist to join our team. As a key contributor to our revenue cycle performance, you will be responsible for ensuring accurate and timely billing and reimbursement for our medical, dental, and behavioral...
-
Coding Policy Specialist
1 week ago
Texas City, Texas, United States Gainwell Technologies Full timeGainwell Technologies is seeking a skilled Coding Policy Specialist to join our team. As a key member of our organization, you will play a vital role in developing and documenting clinical and coding content standards. Your expertise will help us harness the power of technology to improve the health and well-being of our clients' members.Your Role in Our...
-
Experienced C/UNIX Developer
2 weeks ago
Texas City, Texas, United States Gainwell Technologies Full timeAbout the RoleWe are seeking an experienced C/UNIX Developer to join our team at Gainwell Technologies. As a key member of our development team, you will be responsible for designing, developing, and testing application development of Medicaid Payer Systems.Key ResponsibilitiesDesign and develop complex software solutions using C and UNIXLead development...
-
Experienced C/UNIX Developer
2 weeks ago
Texas City, Texas, United States Gainwell Technologies Full timeJob DescriptionWe are seeking a highly skilled Experienced C/UNIX Developer to join our team at Gainwell Technologies. As a key member of our development team, you will be responsible for designing, developing, and testing Medicaid Payer Systems.Design and develop complex software applications using C and UNIX.Collaborate with cross-functional teams to...
-
Pharmacy Care Technician Associate
4 weeks ago
Texas City, Texas, United States Optum Full timePharmacy Care Technician AssociateOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. We are seeking a highly skilled Pharmacy Care Technician Associate to join our team.The Pharmacy Care Technician Associate will make outbound calls to members and physicians to improve medication adherence...
-
Coding Policy Specialist
2 weeks ago
Texas City, Texas, United States Gainwell Technologies Full timeAbout the RoleWe are seeking a highly skilled Coding Policy Specialist to join our team at Gainwell Technologies. As a key member of our clinical content development team, you will play a critical role in developing and implementing clinical and coding content standards that drive decision-making and documentation for our Clinical Services, Quality, and...
-
Pharmacy Technician Leader
1 week ago
Texas City, Texas, United States Walgreens Full timeCustomer ExperienceDeliver exceptional customer service by engaging with customers and patients, resolving issues, and answering questions to ensure a positive experience.Model and share customer service best practices with team members to drive a distinctive and delightful customer experience, including interpersonal habits and Walgreens service...
-
Dentist - General TX Locum
2 weeks ago
Texas City, Texas, United States Della Infotech Full timeJob Title: Dentist - General TX LocumVeterans Evaluation Services (VES), a Maximus company, is a government contractor providing support to our nation's Veterans. We are seeking experienced dentists to perform dental exams on a PRN basis.Job Requirements:Must have own facility within ~100 miles of Wichita Falls, TX, or Lubbock, TXActive and unrestricted...
-
Experienced C/UNIX Developer
7 days ago
Texas City, Texas, United States Gainwell Technologies Full timeJob SummaryWe are seeking an experienced C/UNIX developer to join our team at Gainwell Technologies. As a key member of our development team, you will be responsible for designing, developing, and testing Medicaid Payer Systems. Your expertise in C and UNIX will be crucial in creating complex design documents and translating them into component-level designs...
-
Warrant Clerk
2 weeks ago
Texas City, Texas, United States Brazoria County, TX Full timeJob SummaryWe are seeking a highly organized and detail-oriented Warrant Clerk to join our team at Brazoria County, TX. As a Warrant Clerk, you will play a critical role in supporting the Sheriff's Office by preparing and processing various legal documents, including warrants, subpoenas, and protective orders.Key ResponsibilitiesPrepare and process legal...
-
Pharmacy Technician
2 weeks ago
Texas City, Texas, United States Lifelancer Full timeAbout the JobCareMetx is seeking a highly skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.Job SummaryUnder the general supervision of...
-
Pharmacy Technician
1 month ago
Texas City, Texas, United States Lifelancer Full timeAbout the JobCareMetx is seeking a highly skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.Job SummaryUnder the general supervision of...
-
Pharmacy Technician
1 month ago
Texas City, Texas, United States Lifelancer Full timeAbout the JobCareMetx is seeking a highly skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.Job SummaryUnder the general supervision of...
-
Claims Processor
4 weeks ago
South Sioux City, Nebraska, United States Great West Casualty Company Full timeJob Title: Claims ProcessorWe are seeking a skilled Claims Processor to join our team at Great West Casualty Company. As a Claims Processor, you will play a critical role in providing exceptional customer service to our insureds.Key Responsibilities:Investigate claims and determine coverageAssign cases to adjustersCommunicate with customers and...
-
Claims Processor
3 days ago
South Sioux City, United States Great West Casualty Company Full timeBe part of a team where every day you make a difference! We are looking for a new Claims Processor who will provide exceptional customer service.As a Claims Processor, you will take the first reports of accidents and initiate the claims investigation process. This position is the front line of our claims department and is crucial in setting the tone for...
-
Claims Processor
4 days ago
South Sioux City, United States Great West Casualty Company Full timeBe part of a team where every day you make a difference! We are looking for a new Claims Processor who will provide exceptional customer service.Before applying for this role, please read the following information about this opportunity found below.As a Claims Processor, you will take the first reports of accidents and initiate the claims investigation...
-
Claims Processor
4 days ago
South Sioux City, United States Great West Casualty Company Full timeBe part of a team where every day you make a difference! We are looking for a new Claims Processor who will provide exceptional customer service.Before applying for this role, please read the following information about this opportunity found below.As a Claims Processor, you will take the first reports of accidents and initiate the claims investigation...
-
Claims Processor
1 month ago
South Sioux City, United States Great West Casualty Company Full timeBe part of a team where every day you make a difference! We are looking for a new Claims Processor who will provide exceptional customer service.Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.As a Claims Processor, you will take the first reports of accidents and initiate the claims...
-
Insurance Processor
1 month ago
Iowa City, Iowa, United States GreenState Credit Union Full timeJob Title: Insurance Processor Job Summary: We are seeking an experienced Insurance Processor to join our team at GreenState Credit Union. As an Insurance Processor, you will be responsible for processing insurance claims, policies, and documents, as well as providing excellent customer service to our members. Responsibilities: * Process insurance...
-
Claims Processor
1 month ago
Rapid City, South Dakota, United States Avis Rent a Car-Rapid City Full timeJob SummaryWe are seeking a highly organized and self-motivated Claims Clerk to join our team at Avis Rent a Car-Rapid City. This individual will be responsible for streamlining the claims process from our operations to the administration level, working closely with Station Managers and the claims processing company.Key Responsibilities:Receive and process...
-
Warranty Processor
1 week ago
Oklahoma City, United States Hertz Full timeJob DescriptionThe Warranty Processor submits OEM coded warranty claims from the warranty writers into multiple warranty systems. The hourly rate for this opportunity is $17.00 per hour. *Exciting Announcement: Please note that as Hertz continues to focus on our purpose of advancing the way the world moves, our Oklahoma City location is moving as well! We're...
-
Warranty Processor
7 days ago
Oklahoma City, United States Hertz Full timeJob Description The Warranty Processor submits OEM coded warranty claims from the warranty writers into multiple warranty systems. The hourly rate for this opportunity is $17.00 per hour. *Exciting Announcement: Please note that as Hertz continues to focus on our purpose of advancing the way the world moves, our Oklahoma City location is moving as well!...
-
Warranty Claims Specialist
4 days ago
Oklahoma City, Oklahoma, United States Hertz Full timeThe Warranty Processor role at Hertz involves submitting OEM coded warranty claims from warranty writers into multiple warranty systems. This position requires attention to detail and organizational skills to ensure timely and accurate processing of claims.The ideal candidate will have experience in warranty processing or equivalent experience, as well as...
-
Medical Claims Specialist
4 weeks ago
Kansas City, Missouri, United States Medical Recovery Services Full timeJob Title: Medical BillerWe are seeking a highly skilled Medical Biller to join our team at Medical Recovery Services. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to third-party payers.Responsibilities:Utilize various billing systems and clearinghouses to perform data entry and prepare...
-
Warranty Claims Specialist
1 month ago
Oklahoma City, Oklahoma, United States Hertz Full timeJob Title: Warranty Claims SpecialistAt Hertz, we are seeking a highly organized and detail-oriented Warranty Claims Specialist to join our team. As a Warranty Claims Specialist, you will be responsible for submitting OEM coded warranty claims from warranty writers into multiple warranty systems.Key Responsibilities:Enter coded warranty claims into Reynolds...
-
Short-Term Disability Claims Processor
7 days ago
Bay City, Michigan, United States The Auto Club Group Full timeJob Summary:The Auto Club Group is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for handling complex claims, conducting thorough investigations, and providing excellent customer service to our members.Key Responsibilities:Review and analyze complex claims, including Personal Property, Commercial...
-
Medical Claims Analyst
5 days ago
Garden City, New York, United States Brown & Brown Full timeAt Brown & Brown, we are seeking a highly skilled Medical Claims Analyst to join our team. As a key member of our organization, you will be responsible for analyzing and managing medical claims data to ensure accurate and timely processing.The ideal candidate will have a strong understanding of healthcare benefits and claims administration, as well as...
-
Medical Claims Specialist
1 month ago
Oklahoma City, Oklahoma, United States Oklahoma Mental Health Council dba Red Rock Behavioral Health Services Full timeJob SummaryWe are seeking a skilled Medical Claims Technician I to join our team at Oklahoma Mental Health Council dba Red Rock Behavioral Health Services. As a Medical Claims Technician I, you will be responsible for researching insurance claim denials, determining their validity, and adjusting and resubmitting claims as necessary.Key...
-
Medical Claims Examiner
1 month ago
Oklahoma City, Oklahoma, United States Red Rock Behavioral Health Services Full timeJob SummaryWe are seeking a highly skilled Medical Claims Technician to join our team at Red Rock Behavioral Health Services. As a Medical Claims Technician, you will be responsible for researching insurance claim denials, determining the validity of the claim, and adjusting and resubmitting claims via multiple methods.Key ResponsibilitiesConduct thorough...
-
Medical Claims Specialist
2 weeks ago
Sioux City, Iowa, United States Cassena Care Full timeCassena Care is seeking a skilled Medical Claims Specialist to join our team of professionals.Responsibilities include:Collecting, entering, and processing primary and/or secondary claim information for multiple SNF locations.Monitoring verifications and authorizations obtained and ensuring complete service spans are covered.Providing business office manager...
-
Medical Claims Specialist
2 weeks ago
Jersey City, New Jersey, United States Edwards Health Care Services, Inc. Full timeMedical Claims RepresentativeGEMCORE's continued success has earned us national recognition with Inc. Magazine's list of America's Fastest-Growing Companies and with the Cleveland Plain Dealer as a Top Workplace. We are a rapidly growing multi-state family of companies headquartered in Hudson, OH.We are seeking a highly motivated Medical Claims...
-
Medical Claims Specialist
2 weeks ago
Kansas City, Missouri, United States High Risk Pregnancy Center of Kansas City Full timeWe are seeking a skilled Medical Claims Specialist to play a vital role in our healthcare revenue cycle. This individual will be responsible for ensuring accurate and efficient processing of medical claims and account revenue cycle.Key Responsibilities:Verify insurance eligibility and provide patient estimates for upcoming appointments.Follow up on unpaid or...
-
Medical Claims Specialist
7 days ago
National City, California, United States Prime Healthcare Full timeJob SummaryThe Medical Claims Specialist will be responsible for submitting claims to the appropriate intermediaries and ensuring that procedures and charges are coded in compliance with all payers, including Medi-Cal and/or Medicare regulations. This role requires strong analytical and problem-solving skills, as well as effective written and verbal...