Medical Claims Specialist Jobs

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1000+ Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 6300
Job Purpose: Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. Duties: * Determines covered medical insurance losses by studying provisions of policy or certificate. * Establishes proof of loss by studying medical documentation; assembling additiona...
Medical Claims Management, QA Specialist Expanding company seeking professionals to provide pro-active medical management services. Dane Street is a leading provider of Peer Review and IME services to the Worker's Compensation, Pharmacy, Disability, Auto and Group Health marketplaces. We are seeking self starters who are eagerly seeking a new opportunity to become part of a growing, exciting hig...
Stable medical equipment provider that works with hundreds of healthcare providers to help facilitate the care of over 150,000 patients per year. One of our key functions is to ensure timely and complete payment from third party payors. We are looking for a Claims Resolution Specialist to perform activities that maximize insurance reimbursement and promote faster payment. We want a hardworking te...
Company Confidential Fort Lauderdale, FL, 33312
Fast growing medical-billing company now hiring. We are in need of reliable and teachable employees to fill several full-time positions immediately and grow with the company. Positions include medical billers, claims follow-up specialists and administrative assistants. Offering competitive salaries along with performance based bonuses and the stability of 9-5, M-F office hours. We pride ourselv...
Corporate Job Bank has an immediate need for more than 10 Claims Resolution Specialist. The position is located in North Scottsdale and the work hours are from 7:00 am to 3:30 pm, Monday through Friday. Contractors will be working with medical claims that were denied for payment by insurers. Our contractors will be reviewing the denied claims and contacting the insurance companies to determine rea...
Company Confidential New York City, NY, 10010
Medical Receptionist / Insurance Claims Follow Up in Specialist Office -Full time (9:00am-5:00pm) -Gramercy Area -Benefits included Job Description: -Extensive medical collection experience -Calling insurance companies and patients regarding outstanding bills -Insurance verification and authorization -Insurance claims follow up and collection -Follow-up of insurance company rejections and...
Summary: Management of claim files that have been resolved by Stipulations leaving the future medical part of the claim opened by performing the following duties. Essential Duties and Responsibilities: Authorization of conservative treatment. Understand the Permanent disability rating system to ensure proper payment of benefits. Monitor payment of Stipulations Award and proper calculation of ...
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Commercial Insurance has an immediate opening for a Worker’s Compensation Associate Claims Specialist/Claims Specialist. As a Worker’s Compensation Claims Specialist, your primary responsibility is to manage the medical and disability for injured workers in compliance with claim handling guidelines, programs and procedures. ...
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! The Workers Compensation Senior Claims Case Manager works within a Claims Service Team, using the latest technology to manage an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role int...
Job Description: If you read this post and have some of these qualifications please send your resume immediately! The opportunity is fast moving with a great company looking to acquire professionals who can contribute and grow with the company. Medical Claims Specialist Examiner Job Responsibilities: Serves medical insurance customers by examining and resolving medical claims; documenting acti...
General Description: Manage within company standards and best practices complex and problematic high visability workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim. Essential J...
Stable and established company is growing and diversifying! This is a ground floor opportunity to have an impact in a new business unit. This highly visible role reports directly to the Corporate VP of IT. This company is currently doing business in 5 states and has an aggressive plan to grow that. They truly value work life balance and offer a 40 hour work week with very little call time. Positi...
We are expanding our presence in Florida as we continue our growth in the US. We are looking for career-minded individuals with proven Bodily Injury Claim experience at this time. As a Claim Specialist on our BI Team, you will handle a pending of Personal and Commercial Automobile Casualty losses which includes minor to high severity Bodily Injury, uninsured and underinsured motorists claims. Res...
Analyst –Liability Claims Responsible For: Investigation, analysis and resolution of premises, products, and auto liability claims. Key accountabilities of the Analyst –Liability Claims include, but are not limited to: Premises liability, products liability and auto liability claims investigation. Direct interaction with all parties involved in incidents that may give rise to claims, including...
Spherion Wilmington, DE
Do you have experience processing claims? Are you available Monday through Friday on first shift? If so, SPHERION has a GREAT opportunity for you!! Our West Madison client has multiple openings to put your experience to use in their beautiful office! This position has full-time hours, Monday through Friday. POSITION SUMMARY Review high level, complex medical claims for accuracy and completion ...
Do you have experience processing claims? Are you available Monday through Friday on first shift? If so, SPHERION has a GREAT opportunity for you!! Our West Madison client has multiple openings to put your experience to use in their beautiful office! This position has full-time hours, Monday through Friday. POSITION SUMMARY Review high level, complex medical claims for accuracy and completion ...
Rapidly expanding medical billing company is looking to fill a position for a claims specialist. The ideal candidate would have: -Strong ability to negotiate with insurance carriers -Strong follow up skills -Expertise in deciphering Explanation of Benefits (EOB's) -Ability to work with a team in a fast pace environment -Knowledgeable of substance abuse related ICD-9 and CPT 2014 codes -Prove...
Cameron Craig Group Syracuse, NY
Home FAQ Create A Profile/Sign In Find a Job Your Email Friend's Email Subject Your Email Enter the number in the image to the right Send Email * MEDICAL CLAIMS SPECIALIST Syracuse, NY 1-26-15 new job! Apply Location SYRACUSE, NY Salary $27,000 - $31,200 Hourly $13.00 - $15.00 Job Type Direct Hire Date Jan 24, 2015 Job ID 02139644 POSITION INFORMATION: Medical Claims Speci...
Manage within company standards and best practices complex and problematic high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim. Create action plans discuss...
Systems Technology Intl-sti New York, NY
Location : SYRACUSE, NY MEDICAL CLAIMS SPECIALIST POSITION INFORMATION: Medical Claims Specialist (In an out-patient health care, medical/clinical setting). CPC / Certified Professional Coder certification is a plus but not required. SCHEDULE: Full-time, 40 hours work week, Monday through Friday (approximately) 8:30 am to 5:00 pm. QUALIFICATIONS: One year of minimum work experience as a Medica...

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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
(241 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

Popular Medical Claims Specialist Articles

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