Medical Claims Examiner Jobs

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105 Medical Claims Examiner jobs found on Monster.

Jobs 1 to 20 of 105
Job Description: Medical Claims Examiner III: $46,000 About the job This is a great role for someone who is looking for a challenging career, working for a great organization. Successful managed care organization seeks a professional Medical Claims Examiner III to support a busy office. Skills/Responsibilities Working knowledge of ICD-9, CPT14 & CMS 1500 forms 2-3 Years of experience as a Medical...
Company: Business Administrators and Consultants, Inc. Location: Reynoldsburg, OH Full Time - Optional 4 day flex work week Available Hours: 7:30 – 6:00 Monday through Friday Please send qualified resumes to ***** Position: Medical Claims Examiner in the Group Health Benefits Industry About the Job: The priority in this position is to accurately and promptly pay claims while maintai...
Job Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, duplication, unbundlin...
Job Description: Well-known company has an immediate need for a Medical Claims Examiner with at least 3 years of DIRECT health care claims processing experience in a managed care environment/health care setting. JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. Processing claims for all lines of business, including complex...
Medical Claims Examiner Reserve National Insurance Company, a Division of Kemper Corporation is seeking qualified candidates to fill a Medical Claims Examiner position. Job Responsibilities: Analyze & adjudicate professional and institutional medical claims according to the benefits available under individual health plans. Claims must be processed in a timely and accurate manner taking into consid...
Job Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, duplication, unbundlin...
GREAT OPPORTUNITY –MEDICAL BILLERS/MEDICAL ADMINISTRATIVE ASSISTANTS Irvine, CA Friendly environment and Growing Company! JOB SUMMARY: I. Position reports to Claims Supervisor in a production environment. Examiner will review, process and research all claims assigned including hospital, third party liability (TPL), health insurance payment demand (HIPD), flexible spending account (FSA), multiple s...
Hi Please go through the job description stated below.If you have the required skills and are available,send your resume and contact info to ***** Position : Claims Examiner Location : Harrisburg, PA 17112 Duration : 6+ months Rate: $11/h on W2 Description: The primary purpose of the job is to: Under direct supervision, reviews and adjudicates claims based on provider and healthplan cont...
Description: WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella. WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry...
Job Description: We are a large, well-known and reputable medical company in Ontario looking for a Claims Examiner II. This position is responsible for assisting and monitoring departmental activities to assure compliance and claims payment accuracy with all the regulatory agencies including CMS, DMHC, ERISA and HIPAA. Please send your resume in a Word format for consideration as we are looking to...
Company Confidential New York City, NY, 10016
Greater New York Mutual Insurance Companies (“GNY”) is a financially strong and growing A+ rated property/casualty mutual insurance Company, headquartered in New York City. We have additional offices in New Jersey, Connecticut, Massachusetts, and Maryland. Our Trainee Program offers a specific career path with an excellent starting salary and salary reviews every three months over the duration of...
International Medical Group, Inc. ® (IMG®) is a worldwide leader in designing, distributing and administering global healthcare benefits. IMG is a fast paced, growing company that offers a vibrant work environment and an exceptional benefits package. We are located just across from the Children’s Museum near downtown Indianapolis. We currently have an opening in our International Claims Department...
High growth visible position with top company. Salary $90,000 to $130,000 plus bonus plan; company paid full family coverage medical, dental, prescription and vision; matched 401(k); stock; tuition reimbursement and more. Investigate, evaluate, reserve, negotiate and resolve assigned serious and complex construction defect claims. Shall: * Develop strategies and negotiate claims to timely conclusi...
Claims Examiner Job Label:MAG28AE3-2 NAS is currently looking for a dynamic Claims Examiner to handle liability and reinsurance claims. The position does not involve medical billing or health insurance. The ideal candidate will be enthusiastic, analytical, customer-service oriented and have excellent communication skills. This position will be fast-paced, challenging and diverse with hands on inst...
Investigate, evaluate, reserve, negotiate and resolve assigned serious and complex construction defect claims. Shall: * Develop strategies and negotiate claims to timely conclusion. * Review and analyze construction contracts and documents and legal pleadings in order to identify coverage. * Evaluate liability and damages. * Identify and pursue all recovery opportunities * Identify suspicious clai...
Our world class facilities coupled with our exceptional staff make this opportunity one that should not be passed up. Comprehensive employment packages with medical, dental, 401(k), generous vacation time, and a starting salary up to $130,000 are only parts of the complete package that comes with joining a winning company such as this. Become part of one of the country's fastest growing insurance...
Handle, review and coordinate activities involved in complex long tail and latent type claims. Required experience includes, but is not limited to: Reviewing loss notices, interpreting policy coverage, establishing reserves, handling claims involving primary, excess, and umbrella coverage, coordinating defense counsel, expert witnesses, and generally supporting defense, evaluating liability and da...
Responsible for the day to day handling of large, complex Commercial General Liability claims according to established Best Practice Standards and Regulations. Activities: * Ensure and confirm or deny coverage. * Establish appropriate case reserves. * Identify subrogation opportunities. * Settle claims. High growth visible position with top company. Salary $90,000 to $130,000 plus bonus plan; comp...
Position Description The Claims Examiner performs all functions necessary to properly adjudicate Group Health claims in an automated environment in accordance with established company procedures and State Insurance Department regulations. In addition: - Standards for production and accuracy must be met and surpassed consistently. - Provides service to customers/clients via ability to communicate c...
Position Description The Claims Examiner performs all functions necessary to properly adjudicate Group Health claims in an automated environment in accordance with established company procedures and State Insurance Department regulations. In addition: - Standards for production and accuracy must be met and surpassed consistently. - Provides service to customers/clients via ability to communicate c...
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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner
(240 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool
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