Medical Claims Examiner Jobs

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Job Description: Medical Claims Auditor: $42,000 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 to support a busy office. Skills/Responsibilities: -Working knowledge of ICD-9, CPT4, UB92/1500 forms & HCPCS -3 Years of experience as a Med...

QualCare, Inc., a successful and progressive managed care organization, is currently seeking a: Senior Medical Claims Examiner As a Senior Medical Claims Examiner, you will have the challenging responsibility of processing and adjudicating paper, electronic and scanned claims in order to meet targeted ratios. Additional responsibilities include adjudicating complicated claims as well as acting a...

Company Confidential
Atterro has an exciting new career opportunity with a reputable company in the Bedford, TX area. This position is contract to hire with a competitive salary! The Claim Examiner is responsible for the accurate and timely processing of medical claims. The candidate is expected to provide courteous and prompt responses to customer inquiries and to communicate professionally with peers, supervisors, ...

Investigates, evaluates, handles and disposes of assigned Medical Professional Liability claims in a timely and cost effective manner in accordance with the client contract, general tort statutes/case law and company guidelines in multiple jurisdictions or territories within several states. Also responsible to establish and maintain a partnership through occasional visits with client staff, defens...

Seeking a detail oriented person with minimum of 1 year experience processing medical claims using an image processing system in either a TPA or self pay environment, proficient in Microsoft Word and Excel. Excellent communication and interpersonal skills required to facilitate courteous, prompt, and professional customer service with Society Members and medical providers. Knowledge of ICD-9, ICD-...

MDX Hawai'i is a health care third party administrator offering clients services such as access to our provider network, care coordination, claims processing and customer servicing. Together with our parent company, Medical Data Exchange (MDX) of California, we offer a variety of state-of-the-art physician-directed products, including Practice Management Solutions. We have over 25 years of experie...

AppleCare Medical Management was formed in 1996. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors—but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent phys...

JOB SUMMARY: 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. JOB RELATIONSHIPS: The HMO Claims Examiner is supervised directly by the Claims Manager and has regular interact...

Prospect Medical is searching for a qualified: Claims Examiner III SUMMARY Responsible for consistently and accurately adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Examiner III will review, research and process complex claims. Handle recalculation of claims due to incorrect ...

Claims Examiner Lipman Insurance Administrators (LIA) is an industry leader in the administration of employee benefit plans. The company was founded in 1976, and over the past 35 years has grown to be one of the most respected third party administrators in the country; currently administering to the daily needs of approximately 17,000 active and retired Taft Hartley Plan participants and their de...

WC Claim Examiner Rocky Hill, CT Position Summary/Overview: This position will be responsible for performing workers’ compensation claims adjudication and investigation. It will also be responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines. This position will be handling CT claims and performing other tasks ...

Safety National is an alternative market insurance provider that offers a broad range of risk funding products through insurance agents and brokers. Founded in 1942, Safety National is the leading provider of excess workers’ compensation coverage to self-insured employers and groups nationwide, and has provided that type of coverage longer than any other company in the United States. The company c...

Job Description: We have a great direct hire opportunity for a Claims Examiner here in the East Bay. The position requires at least (2) years of prior Claims Processing experience, the faculty to multi-task; as well as, to have commendable communication skills. Claims must be processed accurately and timely. This position works within the Claims Department and requires experience in on-line claim...

This position is responsible for accurately processing Medicare claims and adjustments in a timely manner. Tasks can include to research, contact, correct, initiate and adjudicate pended claims and adjustments. Supportive documents and medical information are used to determine payment or denial of services based on CMS regulations and medical policy. Ability to process claims in the FISS. Qualifi...

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 Claims Examiner is responsible for accurate and prompt payment of claims, in addition to reporting of statistic...

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) Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, ne...

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) Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, ne...

Company Confidential
Major Medical Malpractice Insurance Company located in Midtown, NYC is seeking a candidate for available Examiner Trainee position. Candidates with a health care and/or legal background (education or experience), strong oral and written communication skills and analytical ability will qualify for our extensive hands-on training program. May, 2015 graduates are welcome to apply. We offer competitiv...

Job Description: About the Job: Are you looking to join a dynamic fast growing company with over 20 years in the insurance industry with a solid reputation? A local insurance company is seeking to expand their claims team with an experience claims examiner. This opportunity is perfect for someone who is computer proficient, has great communication skills, and can demonstrate innovation and the w...

The Long Term Care Division in Austin is currently searching for a Claims Examiner. The person hired for this position will review and process long term care insurance claims, as well as obtain and review necessary forms licenses, assessments, plans of care, medical records, and other documentation necessary to determine claim eligibility. Investigates and maintains claims. Ensures that claims pa...