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Claims Processing Jobs

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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 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...

Claims Specialist III - Medical Claims Processing-1502383 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare...

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...

We have a CLAIMS PROCESSOR II job with one of our most respected mortgage industry clients located in SPRING, TX. Candidates should have at least 2 years of mortgage industry experience preferably in accounts payable and/or accounts receivable. The pay range for this position is $17-18/hr DOE. This is an OPEN-ENDED CONTRACT/TEMPORARY opportunity This position requires overtime and Saturday’s. P...

Are you a medical processing superstar? Want to work with one of the fastest growing companies in the Valley? Then Ajilon Professional Staffing is looking for you! This centrally located company has incredible growth and would be a fantastic opportunity for the right people. We are in need of Medical Claims Processors right away. Responsibilities include: Processing payments from EOB's to accoun...

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...

Claims Processor Job in Houston, TX We currently have a temporary to hire opportunity for a Claims Processor job available in the northwest part of Houston, TX. We are seeking a candidate with at least a minimum of 2 years in mortgage servicing claims or 4 years dealing with loan servicing. Our client is looking for candidates to be highly detail oriented, and proficient in MS Word, Excel, and Ad...

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...

Medical Claims Processor Job in Phoenix, AZ Our client in Central Phoenix has 6 openings for Medical Claims Processors. This position is responsible for investigating and resolving basic to complex claim matching and correction issues. This is a temp-to-hire position with great advancement potential. If you meet the qualifications below- APPLY NOW! Medical Claims Processor duties and responsibil...

Medical Claims Processor Job in North Phoenix, AZ Ajilon Professional Staffing is currently looking to fill multiple Medical Claims Processor Jobs in Phoenix. Fast, accurate, and upbeat individuals will excel in this opportunity. 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 ins...