Claims Validation Jobs

1000+ jobs

Banner Staffing Services is searching for experienced Claims Validation Associates, to assist at our Banner Corporate offices in Mesa. This is a Registry Position which means it offers no guaranteed hours or benefits. BSS Registry positions do not guarantee hours, however for this position we are looking for candidates who may be available to work up to 40 hrs per week. This position is based t...

--- Banner Staffing Services is searching for experienced Claims Validation Associates, to assist at our Banner Corporate offices in Mesa. This is a Registry Position which means it offers no guaranteed hours or benefits. BSS Registry positions do not guarantee hours, however for this position we are looking for candidates who may be available to work up to 40 hrs per week. This position is ba...

DRG Validation Auditor (Remote) CGI Federal, a wholly owned subsidiary of CGI, and a leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for remote DRG Validation Auditors. As members of CGI Federal ‘s DRG Validation Team and working remotely, incumbents will be responsible for reviewing medical records to determine the accurac...

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 made ...

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 made ...

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 made ...

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 made ...

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 made ...

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 made ...

Description: Position 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. UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25,...

JOB VACANCY NOTICE Texas Lottery Commission P.O. Box 16630, Austin, Texas 78761-6630 Telephone: (512) 344-5000 Lottery Claim Center Specialist III Posting Number: 060815 Posting Date: 06/19/2015 Closing Date: 07/06/2015, 5:00 p.m. Salary: A13, $29,439 - $37,348/yr. Number of Vacancies: 1Full Time FLSA Status: Non-exempt / Customer Service Representative III(0134) Division: Lottery Opera...

ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Examine and validate electronic and paper claims, including adjustments, Non Par, C.O.B. and M.S.P. and other categories of claims as applicable, in a timely and accurate manner. 2. Prepare claims until its validation process for providers and members, on denial or adjusted claims. 3. Research and document results of claims; either for special considerat...

Senior Analyst, Claims Resolution Business Unit: COMMERCIAL OPERATIONS, NORTH AMERICA Division: SANDOZ Company/Legal Entity: Sandoz Inc Job Reference Code: 167348BR The Claims Resolution department is responsible for researching and processing all customer financial claims that are not rebate (commercial or government), return, or chargeback related. Primary responsibilities are to accurately...

RESPONSIBILITIES Process and review financial transactions such as providing data entry and ensuring the data integrity of the claims department. Participate in Home Office Audits, Internal Reviews and Claim Office Audits; including audit preparation work. Provide assistance in the daily processing of check requests for various bills/expenses. Process direct payments for various invoices relat...

Description: Position 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. UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25,...

Job Description Join our collaborative team of dedicated individualsand love what you do. Why Progressive? Were an organization that celebrates and rewards hard work each and every day, with a goal of being a company people can trust. Named a Top Workplace in Austin for 5 years in a row! Claims Representative - Centralized Auto - Metro Center call center - Southeast Austin As a Claims Represen...

Mondelēz International is a whole new company that has been reimagined with a single focus in mind: create delicious moments of joy by sharing the world’s favorite brands. Launched on Oct. 1, 2012, and employing around 100,000 people around the world, Mondelēz International comprises the global snacking and food brands of the former Kraft Foods Inc. While Mondelēz International is new, our brands...

Provide Business Analysis expertise around claims processing and systems support. Analyze current environment and assist in recommendations for future state. Contribute to vendor/system selection. Assist with system implementation. Requires strong product knowledge with one or more of the following: Group and Individual Life Insurance, Disability, LTC, AD&D Some travel to client various site may...

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Medical Claims Review Nurse to perform utilization/claims reviews with a focus on retrospective reviews. This position will report to the Inpatient Care Transition Manager. Primary duties: Review retrospective authorization requests/claims documentation within specified timeframes. Review authorization requests/c...

About Aon Aon plc (NYSE:AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 66,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global resources and t...