Medical Claims Jobs
Unique opportunity for medical professionals with experience in medical administration, claims and benefits, auditors and analysts. This is basically reviewing and editing medical audits and reviews completed by others on the review board to make sure all documentation is complete and accurate. Must have Excellent Writing and Grammar Skills, Computer Skills, Type 60 wpm, attention to detail and mu...
-Medical claims processors needed for the White Plains office: *Processing medical claims *Claims Processor, Medical Billing, Customer Service or Call Center experience in the insurance industry or Banking background *Team Player working in a group *Ability to meet quotas *Results driven *Excellent written and verbal communication skills *Excellent benefits *Ability to work independently *College...
POSITION SUMMARY Investigates claims by interviewing employers, injured workers, medical providers and witnesses Gathers information, determines compensability and resolves all claim issues within state guidelines. Coordinates light-duty availability by communicating with medical providers, employers and injured workers With only general supervision, develops and carries out a plan of action for r...
Randstad is currently recruiting for claims processors to work for a medical insurance company in the down town Akron area working 8:30 am to 5 p.m. The job includes: · Processing all types of claims promptly and accurately to ensure company service standards and prompt pay standards and regulatory requirements are met. · Maintain a working knowledge of the claims processing system, imaging system...
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...
Ajilon Professional Staffing in Cincinnati, Ohio is searching for a Medical Claims Processor with excellent customer service skills. This Medical Claims Processor job is located in the Forest Park area in Cincinnati, Ohio. If you are looking for an opportunity to work in an upbeat and casual environment this may be the entry level job opportunity for you. This position is a contract to hire positi...
Job Description: This position is responsible for auditing medical claims for accuracy and compliance with industry laws and contractual language on behalf of clients. Candidate must possess a strong understanding of medical coding rules and guidelines. Must displays a high degree of independent judgment and professional skepticism. Primary Responsibilities: - Review medical claims for accuracy an...
Director of Medical Claims The Director Claims Reconciliation is responsible for directing the claims analysis and reconciliation financial functions of the company in accordance with the policies and practices of the company. This position will be responsible for resolute and proactive direction of the claims analysis and reconciliation process while maintaining the exceptional level of professio...
Job Description: Excellent opportunity to get started in a new career. Looking for a candidate with Medical Insurance verification background. This position will require research for unpaid claims, and resolve issues for proper reimbursement. Qualified candidate must possess strong follow up, and excellent phone skills as well. Apply today! We are an equal employment opportunity employer and will...
Remote Claims Processor/Accounts Receivable/Billing Our Client is seeking an experienced Medical Claims Processor/Accounts Receivable/Billing. Great opportunity to work remotely to handle the billing. Our client is seeking individuals that have experience working for an insurance company such as Aetna, Humana or other major health plan companies. The company is located in ST. Louis, and would like...
Job Description: Well-known company has an immediate need for a Medical Claims Examiner with at least 3 years of DIRECT health care claims processing experience in a managed care environment/health care setting. JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. Processing claims for all lines of business, including complex...
Our client is actively looking for medical claims auditing professionals in St. Petersburg to start immediately at one of the major medical facilities in the area! The facility has a backlog of medical claims needing auditing, so they need experienced medical auditing professionals with a grasp of medical claim terminology to join their team. 2+ years of medical claims auditing DRG Code Knowledge...
HC004289: Company Confidential Pasadena, TX Bilingual Preferred SEEKING FULL-TIME BILLING/CODING MEDICAL CLAIMS FOR PCP PASADENA CLINIC. MONDAY-FRIDAY, BETWEEN THE HOURS OF 8:00AM-5:00PM. MEDICAL ASSISTANT EXPERIENCE. FAX RESUMES TO 281-998-0589. NO CALLS PLEASE....
Medical Billing Reps/Claims Research Rep Looking for experienced Medical Billing Rep and Claims Research candidates. Knowledge of spreadsheets, 45-50 wpm, multi-tasked, good cust. service skills, medical billing experience, clinical background and Worker's Comp background a plus. Strong computer/customer service skills, payment posting, patient/insurance billing. Bilingual a plus (English/Spanish)...
Job Title: Medical Claims Examiner Position Summary: Are you an experienced Medical Claims Examiner in the Greater Ontario area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your claims examining career by joining a company that provides on-going training and development? Are you interested in working for a company that offers competitive sa...
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, patient collections when needed, researchin...
ASRC Federal InuTeq provides information security, enterprise architecture, software development and health IT solutions to federal government customers. Our employees embrace innovation and are committed to a culture of continuous, standards-driven process improvement and assimilation of industry best practices. Successful candidates will have a career in medical claims processing/medical billing...
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, duplication, unbundling, and medical codin...
Company Confidential Los Angeles, CA
Medical Examiners (Claims) Monday-Friday, 20 hours per week (Evenings / Nights) Must have at least 5+ years of recent Medical Claims experience Must meet hourly production standards Requirements Experience with HMO, Managed Care, Medicare, Medi-Cal, Commercial, Senior, DRG/RCC rates, ICD-9, anesthesia claims, in-patient claims, SNF, DME, dialysis, chemo, stop loss or case rates, COB, outpatient su...
In this newly created role as a Sr. Data Analyst, Medical Claims, you will utilize your strong medical claims data background in leading the efforts related to supporting our enterprise data and analytics strategy. As the subject matter expert, you will lead and coordinate teams, manage the intake of medical claims data, investigate and resolve data issues as well as provide medical reference info...
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Answers for Medical Claims Jobs
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Where do medical billing/claims people work?
Im studying medical billing/claims at PCDI, but im not sure where to look for a job.Can someone help?
Benefit/failed DWP medical?
Boyfriend failed a DWP medical.he"s appealing & awaiting a mandatory reconciliation.had no money for 5 wks.told to get a sick note of his GP.did so.told not good enough as didn't state his health had ...
How to get a job im Medical Claims and Billing?
I got my certificate in Medical Claims and Billing in October 2007 and can not get a job or and interview.I would love to work from home as a medical biller so i can take care of my young son. But eve...
Can I claim jsa if I leave my job .?
I'm in a job just now but thinking about leavening because I have a frozen shoulder I need to get a new job with no lifting can I go on jsa ? Or will I get sanction for leavening my job ? I do have a...
Is there any LEGIT home based job for reading medical reports,transcript,claims,billing, Can someone...
Health care, home based jobs,medical
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
Prepares work to be accomplished by sorting, organizing, and recording insurance applications and claims forms.
Updates existing insurance policies and claims by adjusting policyholder and claimant information; recalculating premiums; adding reinstatements; calculating and authorizing refunds, adjustments, and payments.
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