Medical Claims Jobs
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Search Results - Medical Claims Jobs
US Tech Solutions, Inc.-Canton (MA)
Job Summary:
The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing medical claims, identifying appropriate medical records and providers, and documenting follow...
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Robert Half-Los Angeles
A Hospital in Los Angeles is in the need of a Medical Claims Auditor. The Medical Claims Auditor must have experience with clinical trials. The Medical Claims Auditor is responsible for interacting with outside insurance agencies, patients...
roberthalf.com -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Irving
Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations...
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Shrewsbury (MA)
Overview:
Under the general direction of Business Operations Manager or designee, the Medical Claims Examiner is responsible for processing professional and facility medical services claims by reviewing and inputting data into the claims payment...
icims.com -
Privia Health-Houston
We seek a highly organized Ancillary AR Manager (medical claims biller) with years of experience in the healthcare industry, specifically laboratory medicine. Under the direction of the Manager of Revenue Optimization & Training, the Ancillary AR...
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Robert Half-East Hartford
We are in search of a Medical Claims Representative based in East Hartford, Connecticut, United States. This role lies within the healthcare industry and offers a short-term contract employment opportunity. The selected individual will be tasked...
roberthalf.com -
EDI Staffing-Coral Gables
Our client has an exciting opportunity for a Medical Claims Manager to lead their Claims Department. This is an onsite position, based in Coral Gables, FL.
The Claims Manager oversees the claims and repricing departments, ensuring efficient...
resume-library.com -
Houston
in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate...
tiptopjob.com -
2 similar jobs: Dallas, San Antonio
Macpower Digital Assets Edge Private Limited (MDA Edge)-Atlanta
activities, and developing reports on region/business unit performance. As a Senior Financial Planning and Analysis Analyst you will supports general FP&A and outside medical claims.
Essential Responsibilities:
Practices self-leadership and promotes...
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NFP, an Aon company-Woodbury (NJ)
of medical claims. This full-time position requires using your extensive knowledge, expertise, and experience to review claims data and medical documentation to identify and project future medical risks for underwriting purposes.
Essential Duties...
Blue Shield of California-Oakland
experience with medical claims payment, payment integrity, corporate recovery, provider operations/relations, provider network management, inventory management, workforce productivity measurement
Pay Range:
The pay range for this role is: $ 118800.00...
USAA-Tampa
on moderately complex bodily injury claims or catastrophic PIP/MP medical claims.
• Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
• Clearly documents...
Houston Methodist Hospital-Houston
indicators.
• Provides leadership to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and exceed service-level goals and contract requirements.
SERVICE...
Leidos-Trevose
system or civilian managed care medical/administrative environment
• Experience in a medical or clinical environment
• Experience with MHS Genesis or civilian healthcare computer system and in processing medical claims
• Experience in a customer...
SSM Health-Madison
through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties.
• Serves as primary ambulatory pharmacy...
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