On-site Medical Claims Adjudicator
Alivi
Alivi is searching for a Medical Claims Examiner based in Miami, Florida. This role involves providing billing and claims management support, ensuring compliance with health plan, regulatory, and company guidelines. The ideal candidate should have at least 3 years of experience in healthcare insurance processing, particularly with Medicare. Responsibilities include adjudicating claims, resolving disputes, and maintaining accurate documentation. Proficiency in Microsoft Office is necessary. Alivi offers opportunities for growth and development in a collaborative environment. #J-18808-Ljbffr Alivi
- ...employees of various nationalities. Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing... ...benefits. Send claims for coverage analysis to the medical department in specific cases. Regularly generate and analyze...MedicalClaimsContract workWork at office
- ...team. This is an in-house counsel position, is full-time and on site in Coral Gables, Florida. The ideal candidate is a Florida... ...be expected to defend high exposure workers’ compensation claims. Medical deposition, hearing/trial and litigation docket management experience...WebsiteMedicalClaimsFull time
- ...team. This position is full-time and on site at their Coral Gables, Florida office.... ...incoming discovery. Reviews and analyzes medical records. Takes initiative to move case... ...paralegals, court personnel, clients, and claims staff. Strong typing and computer skills...WebsiteMedicalClaimsFull timeWork at office
$55k - $65k
...Location North Miami, FL (On-site, Monday-Friday) Who We Are At Paradigm,... ...ensuring the accurate and timely submission of claims to payers, maintaining compliance with... ...will have a strong understanding of medical billing practices and payer requirements....WebsiteMedicalClaimsMonday to Friday- ...ownership over assigned powered-land development sites from early-stage selection through... ...legal matters related to construction claims, liens, delays, defects, and site safety... ...benefits and wellness program that includes medical, dental, vision, life, and short-term and...WebsiteMedicalClaimsTemporary workWork at office
- ...Medical Assistant PCC Galloway Rd (Full Time, Days) Assists in examinations and treatment... ...and reconciliation, assist in completing claims forms, and answers patient questions in... ...Nursing Assistant (excluded in primary care sites) from Florida Candidates who do not...WebsiteMedicalClaimsFull timeWork at office
$73.92k - $110.88k
...Duties are performed telephonically or on-site, such as at hospitals for discharge... ...modifies as necessary. Interfaces with Medical Directors and Physician Advisors on development... ...Assists in problem solving with providers, claims or service issues. Minimum Requirements:...WebsiteMedicalClaimsFull timeWork at officeMonday to Friday$60k - $70k
...Location Miami, FL (On-site, Monday-Friday) Who We Are At Paradigm, we're revolutionizing... .... Core Responsibilities Ensure claims are processed in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines...WebsiteMedicalClaimsMonday to Friday- ...leader responsible for overseeing an on-site service team dedicated to delivering a best... ...complex or escalated billing, coverage, claims, eligibility, and related issues that require... ...service, employee benefits, claims, medical office, or related operational environments...WebsiteMedicalClaimsWork at office
$60k - $70k
...Location Miami, FL (On-site, Monday-Friday) Who We Are At Paradigm, we're... ...go-live checklist; target time-to-first-claim and time-to-first-payment goals Be the... ...field preferred What We Offer ~ Medical, dental, and vision benefits ~401k retirement...WebsiteMedicalClaimsMonday to Friday- ...existing and potential clients, via telephone and in person. Order medical records from providers and communicate with clients and... ..., Outlook, and type no less than 35 wpm. This role is on-site, which gives you the chance to be fully immersed in the work and...WebsiteMedicalClaimsFull timeLocal area
- ...preventative care and resource support for medical related needs. DETAILS... ...case management of Workers' Compensation claims. Provide support for Workers' Compensation... ...Hepatitis. Facilitates physician job site visits and Functional Capacity Examinations...WebsiteMedicalClaimsHourly payWork at officeMonday to FridayAfternoon shift
$67.5k - $86.67k
...receivable team responsible for resolving rejected and denied medical insurance claims through follow-up, appeals, and claim correction.... ...regularly scheduled meetings and daily communication with all work sites. Act as an effective supervisor with a positive attitude...WebsiteMedicalClaimsTemporary workWork experience placementWork at officeLocal areaImmediate startMonday to FridayFlexible hours3 days per week- ...help our customers and their patients to fulfill the dream of having a baby. Location: Miami (On-site) / Hybrid Position Summary The Receivables and Medical Claims Manager is an experienced leader who will not only manage a team of receivable and medical claims...WebsiteMedicalClaimsFull timeTemporary workRemote workWorldwideFlexible hours
$19.84 - $38.69 per hour
...drives timely issue resolution, electronic medical record (EMR) connectivity, and provider... ...portal adoption. - Conducts regular provider site visits within assigned region/service... ...customer service, provider services, or claims experience in a managed care or medical office...WebsiteMedicalClaimsHourly payWork experience placementWork at officeNight shift- ...position is intended to provide billing and claims management support to Alivi Specialty... ...Process Outsourcing (BPO) Services. The Medical Claims Examiner will ensure all claims... ...RESPONSIBILITIES Responsible for accurate and timely adjudication of professional and institutional claims...WebsiteMedicalClaimsContract workWork experience placementFlexible hours
$60.93 per hour
...Centers utilizing a web-based tool, schedules site inspections with the applicants and Site... ...delivery process. • Supports the claims process by reviewing and validating damage... ...related conditions, childbirth and related medical conditions, sexual orientation, gender...WebsiteMedicalClaimsFull timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours- ...and passionate Athletic Trainer at our client’s site in a PRN (as-needed) role. This position... ...plan and standing orders to respond to onsite medical emergencies Assist in managing Workers' Compensation cases through claim capture and follow-up Collaborate with client’...WebsiteMedicalClaimsReliefLocal areaImmediate start
- ...Investigation, Prior Authorization, Claims Assistance, and Appeals) and... ...remote interaction and on‑site training. This position is... ...submission, specialty pharmacy, medical benefit interpretation,... ...prior authorizations, claim adjudication and/or physician office or clinic...WebsiteMedicalClaimsWork at officeRemote work
- ...Regulatory Analyst 1 – UHealth conducts on-site audits and reviews consolidated records.... ...matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS1. Analyzes... ...comprehensive benefits package including medical, dental, tuition remission and more. UHealth...WebsiteMedicalClaimsFull timeContract workTemporary workWork at officeLocal areaRemote workWorldwide
$90k - $100k
...wrongfully denied and delayed insurance claims through the insurance carrier's internal... ...tasks to assist the Legal Department. On‑site with minimal travel time requirement. Qualifications... ...industry issues. Familiarity with medical and billing coding is a plus. Knowledge...WebsiteMedicalClaimsWork at officeFlexible hours- ...On-Site EMT / Paramedic Are you looking for a fulfilling job, andmost of alla chance... ...make money doing what you love! Amphibious Medics?an on-site first response, health, and safety... ...Experience with the workers' compensation claim process Instructor certification for...WebsiteMedicalClaimsFull timeWork at office
- ...accidents, equipment failures, personal injury claims, and damage to residential or commercial... ...walk, climb stairs and ladders, and sit. Site inspections may require that employees... ...the benefits we can offer you! ~ Medical, Dental & Vision ~ Life Insurance/Voluntary...WebsiteMedicalClaimsFlexible hours
- ...and field-based business processes. On-site in Linthicum, MD or Miami, FL. Job... ...Support the processing of billing-related claims or disputes, such as overcharges or undercharges... ...information or testing, family and medical leave, sexual orientation and gender identity...WebsiteMedicalClaimsContract workWork at office
- ...reviewing, coding, and abstracting outpatient medical records by accurately selecting and... ...OP Priority, Coding Review Needed, Failed Claims within our 2 day Billed Hold. Process all... ...assistance program Wellness program On‑site housing for select positions and more! #J...WebsiteMedicalClaimsHourly payDaily paidWork experience placement
$110k - $164k
...Our Mission As the world's number 1 job site*, our mission is to help people get jobs.... ...channels. Develop proof points, claims and positioning, setting our solutions apart... ...their pets, kids, and partners including medical, dental, vision, disability and life insurance...WebsiteMedicalClaimsWork experience placementLocal area$21 - $25 per hour
...by managing a caseload of personal injury claims and acting as a key point of contact for... ...cases. This is a full‑time position on‑site Monday - Friday at our office in Miami Lakes... ...steps. Educate clients about additional medical treatments (e.g., injections, surgeries,...WebsiteMedicalClaimsHourly payFull timeTemporary workWork at officeImmediate startMonday to Friday- ...advance notice, including working in off site locations, tents or having to come on site... ...worked within 72 hours and registration claim edits are kept at a minimum. Oversees,... ...comprehensive benefits package including medical, dental, tuition remission and more. The...WebsiteMedicalClaimsFull timeContract workTemporary workTraineeshipWork experience placementRemote work
- ...accidents, equipment failures, personal injury claims, and damage to residential or commercial... ...budgets, and explaining complex medical concepts in lay terms. Must be Board Certified... ...walk, climb stairs and ladders, and sit. Site inspections may require that employees...WebsiteMedicalClaimsHourly payPart timeWork experience placementWork at office
$72k - $82k
...proposal through to negotiation terms including site inspections (as relevant and appropriate)... ...Enjoy the flexibility of three medical plans to choose from, with company contributions... ..., or Signal. If you receive a message claiming to be from Perk that seems suspicious,...WebsiteMedicalClaimsWork at officeWorldwideRelocation packageFlexible hours3 days per week
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