Jobs: hi claims adjudicator
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Claims Adjudicator
4 days ago
Laguna Hills, United States AmeriPharma Full timeJob DescriptionJob DescriptionSalary: Why Join Us?We're a rapidly growing company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. At AmeriPharma, you'll...
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Claims Adjudication Specialist
Found in: Talent US C2 - 6 days ago
New York, United States MetroPlusHealth Full timePosition 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...
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Claims Adjudicator II
2 days ago
Aurora, United States UNITE HERE HEALTH Full timeJob DescriptionJob DescriptionLooking for a way to influence the health and healthcare of many?If so, we’d love to hear from you Our mission-driven organization is focused on the “Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.UNITE HERE HEALTH serves 190,000+ workers...
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Tampa, United States Imagenet LLC Full timeJob 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...
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Remote Medical Claims Adjudicator
6 days ago
Aurora, United States Managed Care Staffers Full timeJob DescriptionJob DescriptionDirect Hire F/T Remote Medical Claims Adjudicator Needed (Excellent Union Benefits)Our client, a busy and growing Taft Hartley Labor Fund Union located in Aurora, Illinois has an immediate staffing need for an experienced Medical Claims Adjudicator. This is a remote position, but candidates must live within a commutable distance...
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Claims Adjudicator II
7 days ago
Aurora, United States UNITE HERE HEALTH Full timeJob DescriptionJob DescriptionLooking for a way to influence the health and healthcare of many?If so, we’d love to hear from you Our mission-driven organization is focused on the “Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.UNITE HERE HEALTH serves 190,000+ workers...
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Pharmacy Technician: Claims Adjudication Specialist
Found in: Lensa US P 2 C2 - 4 days ago
Gretna, United States CONSONUS PHARMACY SERVICES Full timeJob Description Job Description 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...
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Gretna, United States Consonus Pharmacy Full timeJob 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...
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Claims And Benefits Adjudication Auditor
Found in: Lensa US P 2 C2 - 7 days ago
Daytona Beach, United States Florida Health Care Plans Full timeClaims 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...
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Claims And Benefits Adjudication Auditor
Found in: Lensa US P 2 C2 - 7 days ago
Daytona Beach, United States CareerBuilder Full timeClaims 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...
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Adjudication Specialist
Found in: Lensa US P 2 C2 - 7 days ago
Nashville, United States Upperline Health Full time**Thanks for visiting our Career Page. Please review our open positions and apply to the positions that match your qualifications.** **Adjudication Specialist** * Nashville, TN * Full Time * Entry Level Upperline Health launched in 2017 and is the nations leading comprehensive and coordinated lower extremity healthcare organization. Upperline Health...
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Workers Compensation Claims Specialist
4 days ago
Everett, United States Stop Claims Corp Full timeJob DescriptionJob DescriptionFast growing corporation looking for a dynamic team member, that can establish strong working relationships with co-workers, clients & negotiate the myriad of issues with all matters Labor & Industries and/or Self- Insurance Claims.Claim adjudication of L&I Industrial Insurance state fund and/or self-insurance...
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Property Claims Manager
Found in: Careerbuilder One Red US C2 - 7 days ago
West End, PA, United States K2 Claims Services, LLC Full timeK2 Claims Services, LLC, a subsidiary of K2 Insurance Services, LLC, is seeking a full-time Property Claim Manager to join the K2CS team.K2 Claims Services, through its affiliated insurance companies and agencies, continues to expand its product offerings and distribution by developing new insurance programs and increasing the number and geographic...
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Claims Processor
21 hours ago
Fort Wayne, United States Physicians Health Plan Of Northern Indiana, Inc Full timePosition Purpose: This position examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines. May be assigned multiple clients with several lines of coverage.Primary Responsibilities:To perform this job successfully, the individual must be able to perform each essential...
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Workers Compensation Claims Team Lead | Honolulu, HI
Found in: Talent US C2 - 6 days ago
Honolulu, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
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Pharmacy Adjudication Associate
4 days ago
Farmingdale, United States Clarest Health Full timeJob 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...
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Claims Examiner
2 days ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...
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Claims Adjudicatior
Found in: Careerbuilder One Red US C2 - 5 days ago
Aurora, CO, United States TEKsystems Full timeTEKsystems has an exciting new claims adjudicator opening with one of the larger healthcare payers in the nation. Please apply if you have 3+ years of claim adjudication experience and are looking to begin a career with a national companyDescription:Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using...
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Claims Adjudicatior
5 days ago
Aurora, United States TEKsystems Full timeTEKsystems has an exciting new claims adjudicator opening with one of the larger healthcare payers in the nation. Please apply if you have 3+ years of claim adjudication experience and are looking to begin a career with a national companyDescription:Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using...
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Medical Claims Examiners
Found in: Jooble US O C2 - 4 days ago
San Antonio, TX, United States Consultis Full timeConsultis, a premier Technical and Professional Recruiting Firm with the single focus of pairing the right candidate with the right employment opportunity is currently searching for a Medical Claims Manager for a Direct Hire opportunity (FTE) with a fast-growing healthcare company in San Antonio, Texas. Key Responsibilities: * Oversee Managed Care Claims...