Senior Claims Adjudicator - Medicare/Medicaid Expert
NaphCare
A leading healthcare technology company is seeking a Senior Claims Adjudicator to join their Birmingham, AL office. This on-site position is essential for processing claims accurately and efficiently, requiring five years of adjudication experience and an Associate Degree or equivalent. The role emphasizes customer service and attention to detail. NaphCare offers excellent benefits, including health insurance starting on day one, tuition assistance, and a supportive corporate environment for employee growth. #J-18808-Ljbffr
- Overview Senior Claims Adjudicator NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate... ...claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for...SeniorClaimsFull timeWork experience placementWork at office
- ...provision of billsof materials, estimated engineering hours, etc.) • Commercial awareness and support project management in issuing claims (new/change in scopeof work, cost impact, time impact, risk quantifications, etc.) Your Background: • 5+ years within the...SeniorClaimsFor contractorsWorldwide
- Description The Senior Underwriter is responsible for underwriting energy accounts independently within delegated authority, making... ...articulate coverage differences and risk appetite.Collaborate with Claims, Actuarial, Engineering, Legal and UW Support; participate in...SeniorClaimsLocal area
- ...successfully negotiate in difficult situations with agents and brokers.CPCU designation.What is a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial, sales, product, or finance experience.What Is in It for You?Health Insurance: Employees and...SeniorClaimsFull timeLocal area
- ...Senior Project Controls ManagerThe Senior Project Controls Manager at Quanta Power Solutions is responsible for leading project controls... ....Lead schedule risk analysis and scenario planning.Support claims analysis, delay analysis, and recovery planning when required.Mentor...SeniorClaimsFor contractorsLocal area
- ...Balfour Beatty is seeking an experienced Senior Quantity Surveyor to join our Regional Building... ..., and key stakeholders, providing expert commercial support throughout the project... .... Preparing, submitting, and negotiating claims where required, protecting Balfour Beatty...SeniorClaimsContract workFor subcontractorRemote work
- ...Level Experienced (Non-Manager) Exemption Non-Exempt Senior Technician What we’re looking for: We are seeking an... ...from NextGen Security’s HR department shall not be deemed to form part of any Engagement for which the Agency may claim remuneration....SeniorClaimsFull timeContract workLocal area
- ...residents to resolution. Completes all necessary insurance claim requirements. Followsup on unpaid claims. Responds to... ...on an account. Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors. Processes remittance...ClaimsWork at office
- ...updates in billing software, timely follow-ups, and adherence to collection procedures. You will prepare, review, and submit insurance claims, handle inquiries, and coordinate with insurance companies on payment discrepancies. The position requires detail-orientation and...Claims
$171.6k - $392.1k
...experiences emerging as the most critical "hot spot" alongside claims, underwriting, policy, and billing. Our ambition is to be the C‑... ...and go‑to‑market asset creation - while building and sustaining senior client relationships and serving as a trusted advisor on transformations...SeniorClaimsWork experience placementSummer holidayFlexible hours- Job DescriptionElectrical Subject Matter Expert/Principal EngineerStep into a pivotal role at Dewberry - where your expertise will drive... ...to resolve Electrical engineering conflicts.Consultation with senior leadership on development and implementation of growth strategies...Contract workFor contractorsWork at officeLocal area
- ...INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance... ...knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you...Claims
- Noland Health Services in Birmingham, AL is seeking a billing/collections specialist to manage insurance billing, follow up on unpaid claims, and communicate with patients and payors. Responsibilities include processing remittances, auditing accounts, and maintaining...ClaimsWork at office
$15 - $21.95 per hour
...auditing monthly statements, processing charge tickets and insurance claims and preparing various reports. Sets up new patient accounts... ...concerns or questions to UAB's Assistant Vice President and Senior Title IX Coordinator. The Title IX notice of nondiscrimination...ClaimsHourly payWork at office- ...Field Claims Professional Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim...Claims
- ...Claims Trainee Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation...ClaimsTraineeship
$40k - $60k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at office$92k - $126.5k
...change orders Mitigate Subcontractor risk and assist with any claims or disputes. Works independently, with guidance in only the most... ...complex situations. No direct reports. Supervises the work of less senior subcontract administrators who assist with the purchasing...SeniorClaimsFull timeFor subcontractor$17 per hour
...Medicare Member Advocate I The Medicare Member Advocate I will assist members with questions... ...recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing... ...member inquiries regarding eligibility, claims, general coverage questions, Primary Care...ClaimsHourly payCasual workWork at officeImmediate startWork from homeFlexible hoursWeekend workAfternoon shift- ...for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and... ...knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you...Claims
- ...functions, ensuring timely and accurate claims processing, and resolving issues related... ...reimbursement required 0-1 years of experience with Medicare preferred Knowledge, Skills and... ...insurance reimbursement and claim adjudication. Proficiency in electronic health records...Claims
- ...keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take appropriate action including completion of submissions, reconsiderations, appeals, and denial management to ensure payment...ClaimsFull timeWork at officeLocal area
$100 per hour
...leading LLM companies. Offer Details Pay rate: $100+/hour (depends on role and candidate expertise). Assessment: Shortlisted experts complete an evaluation before selection. Assignments: Contract roles with defined start/end dates; up to 40 hrs/week. About...Hourly payContract workRemote workFlexible hours- ...Role Overview Turing invites Legal Experts to join projects that fine-tune AI models like ChatGPT. If you enjoy applying legal reasoning, analyzing complex cases, and providing clear, structured feedback, this is your chance to put your expertise to work in a new way....FreelanceRemote workFlexible hours
$16 - $18 per hour
...operational processes. Our in-house team includes revenue cycle experts, software developers, and process improvement specialists. We... ...financial operations of our clinics by helping ensure payments, claims, and patient accounts are accurate and up to date. This is an entry...ClaimsWork at officeMonday to Friday- ...Credentialing Manager will also oversee the first 30 days of claims for newly enrolled providers before delegating the billing... ...5 years of credentialing experience required. Knowledge of Medicare and Medicaid is a must. Attention to detail. Knowledge of Microsoft Office...ClaimsFull timeWork at office
- ...achieve individual sales goals to support the store's sales and profit objectives, provide superior customer service, and take on other senior-level responsibilities within a store. Essential Functions (not all-inclusive): Generate sales to exceed personal sales...Work experience placementLocal area
$45k - $55k
...sleep well so they live well is at the core of what we do. The right mattress matters, and so does the right career. Our Sleep Experts® are at the heart of what we do: helping customers find their dream mattress and get better sleep. By joining our team, you’ll get...- ...on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA).Ensures... ...situations change.Completes and follows up with paperwork when claims are disputed for non-payment.Collects necessary documents to...ClaimsWork at officeLocal area
$50k - $75k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications:...ClaimsFor contractorsWork at office
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