Jobs: claims adjudicator-work remotely

Job DescriptionJob DescriptionImagenet is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. We are looking for Claims Examiners to join our rapidly growing team in Tampa. Experience is preferred but not necessary. Candidates with the right aptitude and...

Position Overview This position is responsible for the data entry and system adjudication of provider claims including but not limited to professional, ancillary and facility claims. The position is responsible for the end-to-end processing of claims. Job Description Process claims involving medical and/or surgical services; screens for complete...

Do you like to problem solve and can't stop until you figure it out? Does working with insurance companies make your day? Want to find a company that values their employees? A company that REALLY values them Looking to find a company you'll be proud to be a part of? Ever had a position that involved patient billing or adjudicating accounts? If you answered...

Do you like to problem solve and can't stop until you figure it out? Does working with insurance companies make your day? Want to find a company that values their employees? A company that REALLY values them Looking to find a company you'll be proud to be a part of? Ever had a position that involved patient billing or adjudicating accounts? If you answered...

Job DescriptionJob DescriptionDo you like to problem solve and can’t stop until you figure it out? Does working with insurance companies make your day? Want to find a company that values their employees? A company that REALLY values them Looking to find a company you’ll be proud to be a part of? Ever had a position that involved patient billing or...

Do you like to problem solve and cant stop until you figure it out? Does working with insurance companies make your day? Want to find a company that values their employees? A company that REALLY values them Looking to find a company youll be proud to be a part of? Ever had a position that involved patient billing or adjudicating accounts? If you answered...

Claims And Benefits Adjudication Auditor Payment Integrity Full-time 1st shift Monday - Friday 8am - 5pm POSITION SUMMARY: This position is responsible for maintaining claims data quality through ongoing quality review and assessment of medical records to ensure appropriate procedures were received. Perform concurrent audits on accuracy of DRG, OPPS, PPS and...

Join our growing organization in making a difference. W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position - Weekend Coverage Needed -- Thursday to Monday OR Sunday to Thursday , 8 am to 4:30pm CST. This position must be located within driving distance to our pharmacy. Onco360 Pharmacy...

**Adjudication Analyst** at SmithRx Lehi, UT **Who we are:** SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and...

We are looking for experienced adjusters to handle daily claims for our carriers in Western Kansas. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurer’s reputation and...

We are looking for experienced adjusters to handle daily claims for our carriers in Nebraska. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurer’s reputation and...

We are looking for experienced adjusters to handle daily claims for our carriers in Western Kansas. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurer’s reputation and...

Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services·Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria· Review different lines of business to include Medicare, Medicaid and Commercial...

Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services·Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria· Review different lines of business to include Medicare, Medicaid and Commercial...

Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria Review different lines of business to include Medicare, Medicaid and Commercial...

Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services·Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria· Review different lines of business to include Medicare, Medicaid and Commercial...

Job DescriptionAnalyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services •Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria • Review different lines of business to include Medicare, Medicaid...

Job DescriptionJob DescriptionTitle: Pharmacy Adjudication Associate Dept: Billing and ReimbursementReports To: Adjudication ManagerLocation: RemoteShift: 2nd Shift 4PM - 12:30PM (With Shift Differential)Position SummaryThe primary goal of the Clarest Pharmacy Adjudication Associate is to understand and utilize all processes associated with adjudicated...

Job DescriptionJob DescriptionS&S Health is a premier healthcare administration company located in Cincinnati, Ohio. We offer self, level, and fully funded solutions that lower costs while improving outcomes with a consumer-centric experience. Our integrated benefits, services, and technology platform have been developed to serve the needs of Employers,...

PBM (Pharmacy Benefit Management) Analysts with Rx claim adjudication, eligibility, benefits, testing experience. PAYRATE: Max W2 rate is around $45/hr. Looking for W2 candidates only 100% TELECOMMUTE. OVERVIEW: OptumRx Core PBM Operations role is critical to M3P initiative. This role is responsible for development and execution of end-to-end client...