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
- ...Manager This is a full-time position on-site Monday - Friday at our office in Miami... ...client communications and case activity Medical Treatment Coordination Monitor and... ...Communicate with insurance adjusters regarding claim status, coverage information, and...WebsiteMedicalClaimsFull timeTemporary workWork at officeImmediate startMonday to Friday
$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- ...health care. Since 1949, Mount Sinai Medical Center has remained committed to... ...handle issues such as medical necessity, claims denials, bundling issues and charge capture... ...assistance program Wellness program On-site housing for select positions and more!...WebsiteMedicalClaimsWork at office
$70k
...Paralegal Temp-to-Hire Opportunity Kendall, Florida (On-Site) A busy and highly respected Insurance Claims company in Kendall is seeking an experienced Legal... ...Experience in claims management, insurance defense, medical malpractice, risk management, litigation, or related...WebsiteMedicalClaimsPermanent employmentTemporary workWork at office- ...exists to provide essential support to the claims process to ensure corporate client... ...other internal stakeholders or areas cross sites. Knowledge, Skills and Abilities/Attitudes... ...international healthcare services and medical billing practices. Comfort with Microsoft...WebsiteMedicalClaimsWork experience placement
- ...On-Site EMT/Paramedic Are you looking for a fulfilling job, and—most of all—a 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
- ...phone messages. * Prepares and administers medications to patients as directed by provider. *... ...reconciliation, assist in completing claims forms, and answers patient questions in... ...Nursing Assistant (excluded in primary care sites) from Florida * Must have a minimum of 3...WebsiteMedicalClaimsFull timeWork at office
- ...and passionate Athletic Trainer at our client’s site in a PRN role (as needed). 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
- ...team. We are currently hiring for three full-time, on-site positions within our firm. If you thrive in a fast-... ...strong consideration Opening Bodily Injury (BI) claims Communicating with insurance adjusters and medical providers Requesting and organizing medical...WebsiteMedicalClaimsWeekly payFull timeCurrently hiringWork at office
$17 - $24.26 per hour
...patients and their families, doctors and other medical personnel. Supervision is received from... ...of asset protection techniques, creates claims for order errors and damaged goods.... ...you want to apply to our internal career site, please click HERE ( Current Contingent...WebsiteMedicalClaimsHourly payFull timeWork at officeImmediate startFlexible hoursWeekend workAfternoon shift- ...Medical Claims Examiner This position is intended to provide billing and claims management support to Alivi Specialty Networks and... ...And Responsibilities Responsible for accurate and timely adjudication of professional and institutional claims according to state...WebsiteMedicalClaimsContract workWork experience placementFlexible hours
$145.47k - $196.81k
...information in cases where the site has specifically requested... ...authorization, appeal, and/or claims resolution* Educate offices using... ...-administered (buy and bill/medical benefit) products* Bilingual... ...verification, claim adjudication, physician's offices or clinics...WebsiteMedicalClaimsWork at officeRemote workWork from homeHome officeFlexible hours2 days per week3 days per week$5,000 per month
...City of Miami Gardens Documents & Forms site. Required documentation Proof of Employment... ...of Miami Gardens Veterans Preference Claim Form City of Miami Gardens Resident Preference... ...from the hiring process. Medical Examination Conducted by a licensed physician...WebsiteMedicalClaimsFull timeRelocation package$17.9 - $24.96 per hour
...that would impact revenue, work on patient claims, follow up on denial and rejection... ...skills. Familiar with Managed Care Contracts, Medical Terminology, ICD-10, and CPT Codes. Knowledge... .... Provide support to RCM Manager, Coder, Site Office Managers and CBO Vendor in order...WebsiteMedicalClaimsHourly payFull timeWork experience placementWork at office$100k - $120k
...This position is required to work at client site 5 days per week. Role... ...flow projections, task/confirmation lists, claims analysis, overall assessment of the program... ...part time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD,...WebsiteMedicalClaimsFull timePart timeFor contractorsImmediate start- ...are a third-party administrator (TPA) of medical benefits, including medical management.... ...continuum. Performs duties telephonically or on-site such as at hospitals for discharge... ...providers related to access to care, vendors, claims or service issues, etc. Minimum...WebsiteMedicalClaimsFull timeTemporary workWork at officeLocal areaMonday to Friday1 day per week
- ...continuum. Performs duties telephonically or on-site such as at hospitals for discharge... ...and modifies as necessary. Interfaces with Medical Directors and other health professionals... ...related to access to care, vendors, claims or service issues, etc. Minimum Requirements...WebsiteMedicalClaimsFull timeWork at officeLocal areaMonday to Friday
- ...initiatives. This position is full-time and on site in Miami, Florida. Responsibilities... ...incoming discovery. Review and analyze medical records. Take initiative to move case files... ...coordinating with expert witnesses and claims staff. Project management capabilities...WebsiteMedicalClaimsFull timeTemporary workWork at office
- ...preventative care and resource support for medical related needs. DETAILS Competitive... ...case management of Workers' Compensation claims. Provide support for Workers’ Compensation... ...and Hepatitis. Facilitates physician job site visits and Functional Capacity Examinations...WebsiteMedicalClaimsHourly payWork at officeMonday to FridayAfternoon shift
- ...administrative and operational oversight of the Medical, Dental, and Behavioral Health... ...Medical, Dental, and Behavioral Health clinic sites to ensure efficient, high-quality service... ...processes and support efforts to reduce claim denials and improve reimbursement performance...WebsiteMedicalClaimsWork at office
- ...Medical Assistant - Pediatric Cardiology (Full Time, Days) Assists in examinations and... ...and reconciliation, assist in completing claims forms, and answers patient questions in reference... ...Assistant (excluded in primary care sites) from Florida Candidates who do not...WebsiteMedicalClaimsFull timeWork at office
$17.68 per hour
...carrying out security-related procedures, site‑specific policies, and, when appropriate,... ...Access exclusive technology to view and claim additional shifts for extra income. Career... ...: Access retirement savings plan, medical, dental, vision, basic life and AD&D, and...WebsiteMedicalClaimsExtra incomeFull timeLocal areaShift work$22.26 per hour
...carrying out security‑related procedures, site‑specific policies, and when appropriate,... ...to our exclusive technology to view and claim additional shifts to earn more. Career Growth... ...to a retirement savings plan, plus medical, dental, vision, basic life and AD&D, and...WebsiteMedicalClaimsFull timeLocal areaShift work- ...ensuring timely reimbursement, reducing claim denials, and maintaining compliance with... ...Certified Professional Coder (CPC), Certified Medical Reimbursement Specialist (CMRS), or... ...Experience working within a multi-state or multi-site ABA or behavioral health organization....WebsiteMedicalClaimsContract work
$15 per hour
...carrying out security‑related procedures, site‑specific policies, and, when appropriate,... ...to exclusive technology to view and claim additional shifts to earn more. Career Growth... ...to a retirement savings plan, plus medical, dental, vision, basic life and AD&D, and...WebsiteMedicalClaimsFull timeFor contractorsLocal areaShift work- ...Non - Management Work setting : on-site Benefits ~ Health Insurance ~ Dental... ...emergency situations (e.g., evacuations, medical emergencies, natural disasters).... ...luggage storage, providing guests with proper claim tickets for their luggage. CRITICAL...WebsiteMedicalClaimsHourly payTemporary workPart timeWork experience placementLocal areaImmediate startShift work
$65k - $82k
...certain roles, access to market leading medical and emotional and mental health benefits,... ...strategic objectives. This role is based on‑site in in office five days a week.... ...for dealing with sensitive, or critical claims situations Ability to prioritize multiple...WebsiteMedicalClaimsTemporary workFor contractorsFor subcontractorWork at office$17.5 per hour
...carrying out security-related procedures, site‑specific policies, and/or emergency... ...to our exclusive technology to view and claim additional shifts to earn more. Career Growth... ...access to a retirement savings plan, plus medical, dental, vision, basic life and AD&D, and...WebsiteMedicalClaimsFull timeLocal areaShift work$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
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