Medical Claims Specialist

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...

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 essential in ensuring the efficient management of medical claims processing, contributing to our mission of delivering exceptional healthcare services.About Us:As a leading healthcare network, we are committed to...

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 SummaryArgo Group is seeking a highly skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for medical claims, denying claims that are ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...

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 SummaryArgo Group is seeking a highly skilled Medical Claims Adjuster to join our team. As a Medical Claims Adjuster, you will be responsible for determining whether coverage exists for insureds, denying claims ineligible for benefits, and thoroughly investigating claims by interviewing injured workers, employers, and medical providers.Key...

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...

POSITION OVERVIEW/RESPONSIBILITIES Serves as a vital resource within the Claims Department to enhance, evaluate, and optimize departmental efficiency. Recognizes opportunities for enhancement, documents operational workflows, investigates industry best practices, gathers relevant data, and collaborates with process stakeholders to facilitate improvements and...

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...

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...

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 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:The Medical Accounts Receivable Specialist plays a crucial role in the analysis, research, and resolution of complex customer accounts related to healthcare billing. This position involves handling high volumes of accounts receivable, addressing order entry discrepancies, and managing disputes tied to contractual agreements with various...

Join Our Team as a Claims AdjusterAt Sedgwick, we prioritize the well-being of our colleagues, fostering a culture of support and care. A career with us means flexibility and the opportunity to focus on what truly matters in your life. It’s a chance to engage in meaningful work every day, backed by a commitment to your mental, physical, financial, and...

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...

About the RoleAs a Senior Claims Adjuster, you will play a critical role in ensuring the financial security of USAA's members by effectively managing and resolving bodily injury and UM claims. This position requires a high level of expertise in claims handling, negotiation, and settlement, as well as excellent communication and interpersonal skills.Key...