Claims Adjudication Specialist: Efficient & Accurate
TCH Medical Center
TCH Medical Center is seeking a Claims Examiner to support our growing team. You will process and adjudicate claims for reimbursement to Providers based on our detailed claim processing procedures. You will thoroughly review, investigate, and adjudicate claims daily, aiming to resolve oldest claims within 30 days with high accuracy and efficiency, targeting 98% accuracy in audits. Examiners are expected to maintain clear documentation and complete special projects as requested. #J-18808-Ljbffr TCH Medical Center
$21 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...Specialist will adjudicate pharmacy claims, review claim responses for... .... Provides thorough, accurate and timely responses to... ...work independently, work efficiently to meet deadlines and be...SuggestedFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- Texas Children’s Health Plan is seeking a Claims Examiner to process and adjudicate claims for reimbursement to providers based on established procedures. You will review and research claims, ensuring adherence to guidelines and timeliness. Ideal candidates have a high...Suggested
- ...Claims Benefits Specialist We are searching for a Claims Benefits Specialist someone... ...you will investigate and accurately process claim appeals... ...and provide accurate and efficient follow-up Ensure Special Projects... ...the automation of the adjudication flow Investigate and...SuggestedFull timeWork at officeLocal areaShift work
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...contact for commercial clients, ensuring their needs are handled accurately and efficiently. Client Service & Account Support Act as the primary... ...Manage incoming requests related to policy coverage, billing, claims, and documentation Process certificates of insurance,...SuggestedFull time- ...Claims Examiner We are looking for a Claims Examiner, someone... ..., you will process and adjudicate claims received for reimbursement... ...The claims are processed accurately as defined by standard guidelines... ...care physicians, 3,200 specialists, and 70 hospitals. Texas Children...Hourly payFull timeLocal areaShift work
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- Aramco in Houston, TX is seeking a Demurrage and Claims specialist responsible for reviewing and processing freight, demurrage,... ...ship owners, and the finance group to resolve disputes efficiently and ensure accurate billing and payables. The role requires strong analytical...
- Jobtailor in Houston is seeking a Claims Adjudication Assistant to help process medical, dental and vision claims, ensuring accuracy while meeting quality and turnaround goals. Ideal candidates have at least 6 months in healthcare or insurance operations, proficiency with...
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...authority limits, to manage commercial claims with high complexity and exposure for a... ...and delivering high quality service in an efficient manner.Realizes and addresses subrogation... ...company protocols are followed, work is accurate and timely, all files are properly...Full timeWork experience placementWork at officeLocal areaShift work- ...department Enter, update, and maintain accurate information in company databases and... ...Track policy information, certificates, claims documentation, renewals, and other records... ...including Word and Excel Accurate and efficient data entry skills Strong...Work at officeImmediate start
- ...thriving organization! We are seeking an experienced Casualty Claims Specialist! The Casualty Claims Specialist will be responsible for... ...disposition of a loss. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim...Work at office
- BRSi is seeking a Biller responsible for the accurate and timely submission of claims to insurance carriers. The role involves reviewing and correcting claim discrepancies, ensuring compliance with HIPAA and organizational policies. Ideal candidates will have a High School...
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$19 - $20 per hour
...processing payments, and providing administrative support to ensure efficient daily operations. The ideal candidate is bilingual in English... ...customer insurance coverage and ensure policy information is accurate and current Enroll customers in insurance programs and...Temporary workWork at officeImmediate startMonday to Friday- Contract Conformance Specialist IVLocation:Houston, TX, Hybrid schedule 12 months High Level... ..., risk-informed, compliant, and efficient contracting outcomes.Specific AccountabilitiesIndependently... ..., and other facts needed to support accurate contract drafting and negotiation....Contract workWork at office
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...want to hear from you.The Senior Contract Specialist is responsible for ensuring the quality... ...service excellence, and ensure timely, accurate contract execution.This position also... ...utilization, and improving operational efficiency across the organization.Key...Full timeContract work- ...workflows, to ensure all policies are underwritten in the most efficient and effective manner while meeting service standards and... ...analyze necessary reports to perform underwriting analysis.Provide accurate instructions to rating.Prepare and deliver quote proposals to...Full timeRemote work
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- ...Accounts Recovery Specialist Revenue Cycle Management is looking... ...The role ensures timely and accurate recovery of revenue while maintaining... ...actions, including claim corrections, resubmissions, appeals... ...work queues accurately and efficiently Effective communication skills...Full timeTemporary workWork at office
- ...Description Job Responsibilities: Claims Deduction Management. Administrative... ...service Promotions Forms Management.Maintain efficient forms management process through... ...level staff. •Schedules work to ensure accurate phone coverage, monitors priority of calls...Full timeWork at officeAll shiftsShift workWeekend work
- Westlake is seeking an HR Operations Specialist to provide comprehensive administrative and... ...Resources department. The role improves efficiency across HR functions and exposes the incumbent... ...vendor invoices, handling unemployment claims, and maintaining HR content on...Contract work
- ...experienced Medical Billing and Insurance AR Specialist in Houston, TX. The role supports the Billing Manager by clarifying insurance claims, following up on accounts receivable, and... ...of payer portals are required for accurate claim processing. #J-18808-Ljbffr Ortholonestar
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- ...and detail-focused Contracts Specialist to support large-scale international... ...risk, and supports safe, efficient project execution. Core... ...interpretation, change control, claims, and closeout Ensure logistics... ...documentation is complete, accurate, and audit-ready Stakeholder...Contract workFor contractorsWork at office
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