Claims Processor Jobs

1000+ jobs

Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The purpose of this position is to delight our customers by resolving their issues through fast and accurate proble...

RESPONSIBILITIES: Kforce has a client seeking a Claims Processing Supervisor in Rancho Cucamonga, CA. Overview: Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits Responsible for providing leadership and direction to employees Directs the processing of insurance claims to meet operat...

HVHC Inc. is a privately-held, for-profit holding company for a portfolio of vision companies which includes, among other companies, Davis Vision, Inc., and Visionworks of America, Inc. Together the vertically integrated company is the third largest provider of managed vision care products and services, and the third largest operators of specialty optical retail stores in the United States. It is ...

Kelly Services has a Claims Processor position starting on June 1st at a healthcare company in Redding, CA. This is a 7 month assignment paying $19.25 Overview: Process health-plan related data in systems, while maintaining production and quality standards. Research and resolve problem claims when encountered. Report document discrepancies with suggested resolutions to appropriate departments. C...

CONFIDENTIAL Company Overview The Locator Services Group is a Boston-based firm specializing in a niche area of corporate financial and legal services. We use our unique expertise to pursue funds, which have been lost or abandoned due to mergers, acquisitions, corporate name changes, legal issues, clerical errors, or unclear ownership. Our clients include many of the largest corporations in the ...

Claims Processor Level IIneeded for aFull Time/Contractopportunity with Yoh's client located inSan Diego, CA. Top Skills Should You Possess: - Two - five (2- 5) years of Claims Processing Experience in a Acute Care Setting - Experience with UB04 and CMS-1500 claim forms - Experience in processing Health Plan Claims What You'll Be Doing: - Examine and process claims from the UB04 and CMS-1500...

Position Summary Under general supervision the Wellness Claims processor is responsible for processing Wellness benefit claims. Essential Functions Link and set-up Wellness and Physician consult claims in the work distribution system and policy administration system Process for payment, denial or request additional information for Wellness and Physician Consult benefit claims. Other duties as...

Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Positions in this function are responsible for all related aspects of claim system processes an...

Successful, growing Jessup Area Company has the immediate need for project-based Claims Processors. Pay rate is $13.50 p/h. Manpower benefits include Medical/Dental & Life Insurance and a 401(k). The Claims Processor will be evaluating claims based on established guidelines. Candidates must be able to commit to several weeks of training without any absences. Information learned during this time i...

Job Description Analyst will be responsible for manually reviewing submissions for reimbursement received from third parties contracted to make payments on behalf of client. Decisions will be made to pay, curtail or deny the reimbursements. Company Description American Mortgage Consultants, Inc. (AMC) is a Financial & Professional Services provider for Residential lending products. Established ...

PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is the second largest institutional pharmacy company in America. PharMerica operates more than 100 institutional pharmacie...

Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self D...

PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is the second largest institutional pharmacy company in America. PharMerica operates more than 100 institutional pharmacie...

Work from Home - Remote Roles & Responsibilities: - Analyze, review and adjudicate claims - Determine claim processing protocols and apply the correct policies to the claim. - Properly adjudicate claims based on your knowledge of covered benefits, insurance and provider contracts. - Verifying member eligibility, benefit coverage and researching or applying authorizations - Accurately documen...

Title: Tempe, AZ Medical Claims Processor Jobs Summary: We are hiring for a Medical Claims Processor job in Tempe, AZ. This opportunity will be responsible for processing and adjudicating incoming medical claims and deciding whether to pay or deny the claim. Experience working for an insurance provider in a claims processing position is a must. The company is looking to setup and interview candi...

Work from Home •2 to 5 years of relevant experience in insurance/healthcare industry •Experience working in a high volume manual claims adjudication environment, while meeting productivity & Quality targets •Experience in processing claims for inpatient, outpatient facility and professional services •Previous experience in coordination of benefits •Knowledge of Medical terminology •Knowledge...

Job Description: Leading area health insurer located just 5 minutes from Philadelphia International Airport seeks experienced Six Sigma Black Belt with proven background of effectiveness with process management/process improvement and who has experience working with either or both Medicare or Medicaid claims for high-paying contract role that can lead to perm. This position pays up to $80 per hou...

Summary: Anywhere in the US and must be willing to work from home, Training will be via WebEx Roles & Responsibilities: - Analyze, review and adjudicate claims - Determine claim processing protocols and apply the correct policies to the claim. - Properly adjudicate claims based on your knowledge of covered benefits, insurance and provider contracts. - Verifying member eligibility, benefit co...

- High school diploma or equivalent - Work in an office environment and adhere to the decorum of such an environment - Analyze, review and adjudicate claims - Determine claim processing protocols and apply the correct policies to the claim. - Properly adjudicate claims based on your knowledge of covered benefits, insurance and provider contracts. - Verifying member eligibility, benefit covera...

Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directe...