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Medical Claims Examiner Jobs

36 jobs

« back Learn More (US)-Medical Claims Examiner Associate Job #: 635599 **Currently seeking to identify a highly motivated and qualified candidate for a Medical Claims Examiner** Length: 4 month Contract w/ extension Location: Olathe, Kansas The Project: Apex Systems, the 2nd largest IT staffing company, is seeking a Medical Claims Examiner to join a team in an enterprise, team-focused envi...
Business Summary: S&S HealthCare Strategies is a Third Party Administrator specializing in a full service health care delivery system. It was incorporated as a TPA in October 1994 by its principals. Our parent company, International Managed Care Strategies, established 1986, provided the foundation for S&S HealthCare Strategies' commitment to compassionate and timely health care services. We are ...
Manpower is currently hiring a Medical Claims Examiner for one of our clients in Olathe, KS! MAIN RESPONSIBILITIES: You will be responsible in handling Accident Medical Claims. You will verify coverage through interpreting medical insurance contracts, investigate compensability and pay/deny submitted medical bills. REQUIREMENTS: Some college is required At least two years experience in Insur...
Manpower is currently recruiting for a Medical Claims Examiner position for one of our clients in Olathe, Kansas! Job Responsibilities: Will verify coverage through interpreting medical insurance contracts, investigate compensability and pay/deny submitted medical bills Requirements/Qualifications: High School Diploma or GED Minimum of six months experience in the field or in a related area ...
The Judge Group is currently seeking a Medical Claims Examiner in N. Syracuse, NY! This job will have the following responsibilities: Ensures payments are processed according to contract terms Handles processing of PCP, Professional Fee and Hospital Claims Brings claims with unbundling, COB, and other TPL to the attention of managers Responsible for recognizing patterns/trends by provider and...
Processing and adjudication of Medicare and Medi-Cal professional and hospital claims. Knowledge of Medicare and Medi-Cal guidelines required. Candidate must have experience with CPT, ICD-9, ICD-10 and HCPCS codes. Processing and adjudication of all types of HCFA claims from physicians and ancillary providers as well as inpatient and outpatient claims. Familiarity with EZ-Cap is preferred. Pa...
Dell is looking for Healthcare Claims Examiners to join our team in Springfield, MO as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long term. The success of the candidate will directly affect the ...
Hello Job Seeker A Medical Claims Examiner is needed for a recognized industry leader, who is experiencing explosive growth in a billion dollar industry and continues and to receive industry awards and accolades as a pioneer in the field. The successful Medical Claims Examiner candidate will be proactive, highly motivated individual, who thrives in a fast paced, fun & collaborative environment. ...
Hello Job Seeker A Medical Claims Examiner is needed for a recognized industry leader, who is experiencing explosive growth in a billion dollar industry and continues and to receive industry awards and accolades as a pioneer in the field. The successful Medical Claims Examiner will be proactive, highly motivated individual, who thrives in a fast paced, fun & collaborative environment. Position: ...
Interested in working in a Medical Claims Examiner position in Olathe, KS with a dynamic and growing company? In this role our client is a fortune 500 company with room for growth and stability. We are looking for someone who is smart, dependable and driven. RESPONSIBILITIES AND DUTIES INCLUDE: • Personal Accident Medical Claim Examiner- candidate will verify coverage through interpreting medica...
Job Description: Are you an experienced Medical Claims Adjusters in the Annapolis, MD area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered “yes" to any of these questions – then this opportu...
Job Description: Job Description • Examining and entering basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelines, ensuring all mandated government and state regulations are consistently met. • Processing claims for multiple plans with automated and manual differences in benefits, as well as utilizing the system and written document...
Job Description: Responsibilities: Processing basic payments and/or claim denials for group health which includes benefits; demonstrating the highest levels of customer service, technical skills and professionalism to ensure mutually rewarding and continued provider relationships.- Examining and entering basic for appropriateness of care and completeness of information in accordance with accepted...
Title :Medical Claims Examiner Location : Olathe,KS Duration : 5 Months Contract High Possibility of extension Description Personal Accident Medical Claim Examiner- candidate will verify coverage through interpreting medical insurance contracts, investigate compensability and pay/deny submitted medical bills. Qualifications-ability to interpret insurance contracts, medical bill pq1yment backg...
Healthcare Opportunities Dell is looking for Customer Service Associate to join our team as part of this new exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long term. The success of the candidate will directly affect...
Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate l...
Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate l...
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Center...
Screen claims for completeness of necessary information. Verify participant/dependent eligibility. Interpret the plan benefits from the explanation of coverage (EOC)/various plan documents. Interpret plan and provider contracts. Follow adjudication policies and procedures to ensure proper payment of claims. Utilize established guidelines to evaluate diagnoses, procedures, services, and other submi...
Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...