Medical Claims Specialist

Job Title: Medical Claims ExaminerWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims to ensure accuracy and compliance with industry guidelines.Responsibilities:Review and process medical claims to ensure accuracy and...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims, ensuring accuracy and compliance with industry guidelines.Key ResponsibilitiesReview and process medical claims, including professional and facility...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As a leading expert in senior healthcare, SCAN has been a mission-driven organization for over 45 years, committed to keeping seniors healthy and independent. Our team of talented professionals is passionate...

VirtualVocations is seeking a skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will be responsible for assisting customers with navigating auto loss claims through effective communication. You will conduct thorough investigations and assess claims to determine coverage and negotiate settlements. Additionally, you...

Job Title: Claims Loss Reporting SpecialistWe are seeking a highly motivated and detail-oriented Claims Loss Reporting Specialist to join our team at the Automobile Club of Southern California. As a Claims Loss Reporting Specialist, you will be responsible for providing legendary service quality and claims accuracy to our members.Key Responsibilities:Provide...

Job Title: Claims AssociateJob Summary:Cynet Systems is seeking a skilled Claims Associate to join our team. As a Claims Associate, you will be responsible for processing low-level workers compensation claims, determining compensability and benefits due, and administering action plans to resolution.Key Responsibilities:Process low-level workers compensation...

Job Title: Medical Claims ExaminerThis is an exciting opportunity to join our team as a Medical Claims Examiner in the greater Long Beach/Los Angeles area. As a key member of our Claims department, you will play a crucial role in ensuring the accuracy and efficiency of our claims processing.Responsibilities:Audit claims processing quality and develop reports...

Job Title: Billing ClerkWe are seeking a highly skilled and detail-oriented Billing Clerk to join our team at The Children's Clinic. As a Billing Clerk, you will be responsible for processing medical claims, managing insurance accounts, and ensuring accurate reimbursement for healthcare services.Key Responsibilities:Process medical claims in a timely and...

Job DescriptionRole OverviewThe Claims Examiner III is a critical role within the Advanced Medical Manage team, responsible for ensuring the quality and accuracy of claims processing. This position requires a strong analytical mind, excellent problem-solving skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAudit...

Job Title: Claims Audit ManagerAdvanced Medical Manage (AMM) is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will play a critical role in ensuring the accuracy and compliance of claims processing within our organization.Key Responsibilities:Prepares and coordinates the completion of complex regulatory and...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by AMM and contractual agreements.Key Responsibilities:Prepares and...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring the accuracy and compliance of claims processing in accordance with AMM policies and procedures.Key Responsibilities:Prepares and coordinates the completion of complex...

Job Title: Claims Audit ManagerJob Summary:We are seeking a highly skilled Claims Audit Manager to join our team at Advanced Medical Manage. The successful candidate will be responsible for ensuring the accuracy and compliance of claims processing, as well as providing expert guidance on Medicare and Medi-Cal claim payment rules and requirements.Key...

About the RoleWe are seeking a skilled Workers Compensation Claims Representative to join our team at Sedgwick. As a key member of our claims team, you will be responsible for processing low-level workers compensation claims, determining benefits due, and ensuring ongoing adjudication of claims within company standards and industry best practices.Key...

Job Title: Workers Compensation Claims RepresentativeSedgwick is a leading provider of workers' compensation and disability management solutions. We are seeking a highly skilled and motivated Workers Compensation Claims Representative to join our team.Job Summary:The Workers Compensation Claims Representative will be responsible for processing low-level...

VirtualVocations is seeking a highly skilled Claims Representative Sr to provide exceptional customer service to customers and retailer partners. The ideal candidate will possess strong communication skills, attention to detail, and the ability to manage multiple claims simultaneously. Key Responsibilities: \tManage inbound customer and retailer inquiries...

Job Title: Medicare Claims Appeals ClerkMorgan Stephens is seeking a highly skilled Medicare Claims Appeals Clerk to join our team.Job SummaryThe Medicare Claims Appeals Clerk is responsible for reviewing and resolving member and provider complaints, and communicating resolutions to members and providers (or authorized representatives) in accordance with...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Description:Job Summary:Cynet Systems is seeking a skilled Claims Associate to join our team. As a Claims Associate, you will be responsible for processing low-level workers compensation claims, determining compensability and benefits due, and ensuring accurate reserve management.Key Responsibilities:Process low-level workers compensation claims,...