Skip to main content

Claims Processor Jobs

1000+ jobs

The HMO Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility between group, health plans and contracted hospitals for accurate processing of claims. The HMO Claims Examiner is supervised directly by the Claims Manager and has regular interaction with patients, insurance provid...

General Overview: Screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. May include initial entry claims or claims which have suspended. Translate foreign language claims into English using software and code appro...

The Institutional Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility between group, health plans and contracted hospitals for accurate processing of claims. Qualifications High School Diploma or equivalent. Course work and knowledge of medical terminology preferred. Two year...

The EDI Claims Processor job duties and responsibilities are considered to be mid-level in difficulty of processing information of functional claims operations. The nature of the interactions, tracking and reporting conditions in a multi-tasking manner characteristic of coordinating differing elements within the job to create process efficiencies. The position is designed to handle unique changes ...

About Us: We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: ...

About Us: We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: ...

General Overview: Screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. May include initial entry claims or claims which have suspended. Translate foreign language claims into English using software and code appro...

Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the needs of high-risk, vulnerable New Yorkers, improving their quality of life. Each day, more than 18,000 VNSNY employees — including nurses, rehabilitation therapists, soci...

Job Requisition Number 6644BR Business Title Intermediate Processor – Claims Medicare Secondary Payer Processor Posting Location El Dorado Hills Work Schedule Full Time Employment Type Regular Term Employee There's never been a better time to join Blue Shield! Looking for a chance to do meaningful work that touches millions? Come join the hardest working, not-for-profit health plan in Califor...

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...

Transaction Processor - Medical Claims Processor( Job Number: 15020862) Description Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their rea...

Back to Jobs Senior Requirements Analyst w/Health Claims Processing Location: Washington, DC, Washington, DC Job # 3623617 Date Posted: 03-12-2014 (function(d, s, id) {var js, fjs = d.getElementsByTagName(s)[0];if (d.getElementById(id)) return;js = d.createElement(s); js.id = id;js.src = //connect.facebook.net/en_US/all.js#xfbml=1;fjs.parentNode.insertBefore(js, fjs);}(document, 'script', 'fa...

Call Center Rep I-Medical Claims Processor - (CNX00011717) Description Concentrix is seeing individuals looking to start or continue their career as a Medical Claims Processor at at our Wade Hampton Facility. These positions will be processing Medicare Claims for a leading Healthcare client. · 1+ Years of high volume, Medical Claims processing in a business setting experience is preferred · Hi...

Check out the following fantastic career opportunity! POSITION TITLE Claims Processor II OVERVIEW AND REPORTING RELATIONSHIP With general supervision and some use of independent judgment and discretion, this position receives, researches and processes escalated and complex benefits claims cases as well as claims cases that were previously mishandled. In addition, incumbents may be assigned to ...

Claims Processor Located in Clearwater,FL Growing insurance company in Clearwater is currently hiring a Claims Processor.Previous experience processing Medicare claims required. Claims intake, processing mail, logging information into AS400, data entry, strong attention to detail and excellent computer skills needed. MS Excel. Please respond to ***** for immediate c...

Claims Processor Job Code: 10028 Primary Location: Bakersfield, CA, USA Job Type: Full-time Category: Claims/Underwriting Job Description: Teamwork. Integrity. Dedication. Together, we make a difference. If you are a career-minded, service-driven professional looking to join a fast paced organization then you have come to the right place. AAA is a member service organization affiliated wit...

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.Our claims operations, including our Claims Business Process Analysts, are the focal point of handli...

Claims Processors (Diamond/Xcelys) – Remote Role About DB Healthcare IT DB Healthcare IT, focused solely on healthcare IT domain, partners with Providers, Payers and established healthcare consulting practices to provide them with qualified consulting resources. We have been very successful in providing project directors, program managers, analysts, interface engineers, training and go live cons...

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...

We are currently recruiting for a contract Mortgage Claims Process job in Houston, TX. The client is well-respected in the mortgage industry and they are located in Spring, TX area. Candidates should have at least 3-5 years of real estate claims experience and preferably have in depth knowledge of 2010 HUD-1 documents. The pay range for this position is $17-20/hr., depending on experience. Mortga...