Medical Claims Jobs
Title: Medical Claims Processor Jobs in Tempe, AZ 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 cand...
Title: Medical Claim Auditor in Clifton, OH. Summary: We have a job opening for a Medical Claim Auditor in Clifton, OH. This position will be responsible for auditing claims and medical records to identify errors. The Medical Claim Auditor job duties and responsibilities include: • Perform routine and complex audit of claims • Investigate claims data and/or medical records to identify payment erro...
Judge Healthcare is currently hiring a Medical Claims Processor for a great Healthcare Client in San Diego, CA. This is a contract assignment that will run until June.Position Summary: Responsible for verifying Medi-Cal eligibility; determining coordination of benefits (COB); processing Fee For Service (FFS) and Child Welfare Services (CWS) provider claims; answering provider questions; providing...
Job_Other_Compensation: Up to $46000.00 Job Description: A reputable company within the health care industry is ACTIVELY seeking a Claims Examiner. This individual will be responsible for processing and releasing medical claims. It is highly preferred that this individual is able to identify, research, report and resolve any issues. Claims examining experience is highly preferred. Company is ACTIV...
MEDICAL INSURANCE CLAIMS COLLECTOR Texan Eye is a multi-location, multi-physician ophthalmology practice. We are recruiting for an Medical Insurance Claims Collector for our central billing office. The position requires previous experience in medical coding, medical insurance claims resolution and the medical insurance claims appeal process. The position is full-time, M-F/8-5, includes a competiti...
Progressive is a forward-moving organization that continuously revolutionizes the insurance industry. Our employees have the chance to work in a diverse, dynamic atmosphere that thrives on innovation, technical expertise and creative solutions. Join a team of enthusiastic people who change the insurance industry one big idea at a time. Medical Representative Trainee (PIP Claims) Working as a Medic...
Corporate headquarters of a top rated national healthcare company located in Tennessee desires an experienced medical malpractice claims professional. Reporting to the Director of Claims, this position is responsible for the claims handling and reserving for assigned multi state workload. Essential duties include: Conducts claim discussions and investigations in a timely and competent manner and d...
Job_Other_Compensation: Up to $14.00 Job Description: WE ARE SORRY BUT CLAIMS PROCESSORS WILL NOT BE CONSIDERED FOR THESE POSITIONS. We are currently seeking a strong MEDICAL Collector for one of our positions in the Oldsmar/Palm Harbor area. Resume must reflect a minimum of 3 years experience in collections of PHYSICIAN claims (insurance follow up, denials, correcting and rebilling claims, patien...
Medical Claims Processor Southside TPA currently hiring a medical claims processor for a permanent full-time position. Candidate will be responsible for, but not limited to, the following: -Process Medical, Dental, and Optical claims utilizing ICD-9 and CPT codes - Provide customer service regarding claims, eligibility, payment inquiries and benefit quotes Candidate must have the following experie...
MEDICAL CLAIMS ANALYST This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information Salary Negotiable Associates degree and two (2) years experience with medical billing or claims processing, knowledge or billing and/or collections rules and regulations or High School diploma and four (4) yrs. experie...
JOB SUMMARY Provide clerical and technical assistance to Senior Claims Examiners and administer Medical Only claims, ensuring timely processing of claims and payment of benefits, managing and directing medical treatment, and setting reserves. PRINCIPAL DUTIES AND RESPONSIBILITIES Incumbent must have the skills, ability and judgment to perform the following essential job duties and responsibilities...
Job_Other_Compensation: Up to $18.00 Job Description: Well-known company has an immediate need for a Medical Claims Examiner with at least 4 years of DIRECT health care claims processing experience in a managed care environment. JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. Processing claims for all lines of business,...
Job_Other_Compensation: Up to $16.00 Job Description: An awesome Medical Claims Processing opportunity with a stable, global health care organization that offers tremendous career path. A great hourly salary in a fun and energetic office. Two years of processing claims experience required. Experience with UB04 and HCFA 1500 billing forms are a must! If you think you have the energy and drive to wo...
Job_Other_Compensation: Up to $13.00 Job Description: Claims Processors Process claims accurately and in a timely manner and to assist with claims inquiries while maintaining production and quality standard. Qualification: 2 years medical billing or claims processing experience Knowledge of CPT-4, ICD-9, and HCPCS codes Knowledge of CMS 1500 and/or UB04 forms Knowledge of IDX system preferred Duti...
Medical Claims Examiner Reserve National Insurance Company, a Division of Kemper Corporation is seeking qualified candidates to fill a Medical Claims Examiner position. Job Responsibilities: Analyze & adjudicate professional and institutional medical claims according to the benefits available under individual health plans. Claims must be processed in a timely and accurate manner taking into consid...
Job_Other_Compensation: Up to $19.00 Job Description: Medical Company has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, dupli...
Job_Other_Compensation: Up to $13.00 Job Description: Well known Health Care Company is looking for a Mail Clerk who has medical/claims background. You will handle various clerical duties including sorting and stamping mail, filing, data entry, and entering claims data into system. Must have Health Care and claims background for this position! Must be proficient with Word and Excel 2007. Email res...
Job_Other_Compensation: Up to $20.00 Job Description: Medical Company has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, dupli...
A New Strategy In Claims Management Professional Medical Services (PMS) opened for business on July 1, 1991 with the dream of providing the highest quality third party small balance outsourcing services to Healthcare Providers at a comparable cost to self-management. Over the past twenty-one years of service to clients that dream has become reality. PMS has achieved a reputation throughout the hea...
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 ourselves...
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Are there any parents who can help me?
I haven't worked other than odd and end jobs cleaning houses in over a year & a half since I had a high risk pregnancy with my daughter.All I wanted to do is stay home with her and not miss anything h...
Medical examiner position that is stay at home and legitimate.?
I would like to find a medical examiner, job or something like that. That is a work from home position and a legitimate position. Not asking for a huge amount of money. There must be a company that hi...
What's the difference between medical claims and billing specialist and a medical billing and coding...
What is the difference between medical claims and billing. And medical billing and Coding? Also can anyone tell me about the. U.S career institute? I started a Certificate course there for medical cla...
Do you know any websites that require Medical Claims & Billing Jobs from home?
I would like to start work as soon as possible, and I would like to know if they are any home-based Medical Claims & Billing Jobs.
How could I migrate some of my work experience to a different profession?
I've worked in medical billing for close to 20 yrs. Any ideas how I could migrate my experiences to another profession. I'm going back to college for Criminal Justice. But I need to work. My exper...
Insurance Career Tools
Claims/Policy Processing Clerk
$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Claims/Policy Processing Clerk
Processes insurance claims and policies by performing related duties.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Administrative Writing Skills
Helps policyholders by answering questions and responding to requests.
Verifies insurance policy applications and claims forms by reviewing completeness and accuracy; resolving discrepancies and problems; contacting applicants, agents, or claimants for clarification or additional information; referring questions to policy underwriters and claims adjusters.
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