Claims Validation Jobs

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1000+ Claims Validation jobs found on Monster.

Jobs 1 to 20 of 11811
Description: Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have...
Description : The Claims Specialist is responsible for working with internal/external customers on the receipt, analysis, impact, resolution and posting/reporting of all contractual payments across multiple customer segments including Health Plans, PBMs, Part D, GPOs, Wholesalers, and State and Federal Government as well as maintaining all related documentation for those payments. In this role, t...
DRG Validators (3) Massachusetts teaching hospital On-site and / or remote To $110k The Confidential Search Company is an executive recruiting firm with over 25 years of experience specializing in the placement of healthcare administrative and financial executives, directors, managers and specialists. We have been engaged to conduct the search for 3 DRG Validators for a major Massachusetts tea...
Description: Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have...
Description: Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have...
Description: Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have...
Description: Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have...
Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...
Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...
Electrical Estimator Who the position will report to (name or position): Claims Manager: Sergio Arone List 5 to 8 primary position Duties and Responsibilities: Duties will include: Support to the Claim Manager in the evaluation of the Change Orders and claims received from the contractors in terms of physical quantities and scope of the works for the Electrical Discipline. Provide Support to...
Piping Estimator - Seamless Pipe Mill Construction Project Who the position will report to (name or position): Claims Manager List 5 to 8 primary position Duties and Responsibilities: Duties will include: Support to the Claim Manager in the evaluation of the Change Orders and claims received from the contractors in terms of physical quantities and scope of the works for the Piping Discipline....
Oversee specific unit personnel including Compensation Specialist, Associates and Assistants from multiple office locations. Responsibilities include overseeing the unit activities while developing and implementing strategies related to the quality and function of the claim operation in an efficient, cost effective manner. The Manager will also work closely with the MEMIC Underwriting and Loss Con...
Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. The ...
MedImpact San Diego, CA
Benefits Testing and Validation Analyst I If you’re interested in a career within a customer-focused, team-oriented environment that rewards innovation, quality, integrity and collaboration, MedImpact Healthcare Systems, Inc. welcomes your application. MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influe...
As a Validation Associate at our Tinley Park, IL location you will be responsible for investigating claims data to identify overpaid/incorrectly paid claims in order to initiate the activities needed to recover the overpayment; determine which insurance plan has the primary payment responsibility and which has the secondary payment responsibility; identify and validate potential overpayments or in...
UMass Memorial Medical Center Worcester, MA, 01601
DRG VALIDATOR Summary: Under the general direction of the Coding Services Manager, the Coding DRG Validator performs quality reviews of records coded by the coding staff. Validates the ICD-9-CM (International Classification of Diseases, Clinical Modification) codes ICD9 PCS and DRG (Diagnosis Related Group) assignments appropriateness to ensure consistency and efficiency in inpatient claims proces...
UMass Memorial Medical Center Worcester, MA, 01601
Summary: Under the general direction of the Coding Services Manager, the Coding DRG Validator performs quality reviews of records coded by the coding staff. Validates the ICD-9-CM (International Classification of Diseases, 9th Revision, Clinical Modification) codes and DRG (Diagnosis Related Group) assignments appropriateness to ensure consistency and efficiency in inpatient claims processing, dat...
BMC HealthNet Plan Boston, MA, 02298
The Coding Validation Program Manager manages the Coding Validation program in the Clinical Informatics Department including achieving defined productivity and quality metrics, overseeing program evaluation metric development and implementation, reporting program impact to VP of Clinical Informatics and CFO, responding to interdepartmental and provider inquiries and guaranteeing that all work is i...
UnitedHealth Group Inc. Tampa, FL, 33602
Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nati...
UnitedHealth Group Inc. Dallas, TX, 75201
Position Description: Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nati...

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Insurance Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool
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