Healthcare Claims Examiner I - Process & Adjudicate Medical Claims
WebTPA Employer Services, LLC
WebTPA is seeking a Claim Examiner to handle processing and adjudication of healthcare claims in an in-office, full-time role. You'll perform CPT/ICD-9 based reviews, research claims, and ensure correct application of policy guidelines while maintaining strong accuracy and customer service standards. The role requires at least 2 years of related experience, solid communication skills, and proficiency with standard Windows programs. Training is provided on-site at our San Antonio location. #J-18808-Ljbffr WebTPA Employer Services, LLC
- ...Claim Examiner PositionWebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience... ...Examiner, you will handle processing and adjudication for healthcare claims. This... ...for processing of claims (medical, dental, vision, and mental...MedicalFull timeTemporary workPart timeWork experience placementWork at officeMonday to Friday
- ...WebTPA, a GuideWell Company, is a healthcare third-party administrator with... ...2026 What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This... ...Responsible for processing of claims (medical, dental, vision, and mental...MedicalFull timeTemporary workPart timeWork experience placementWork at office
- A healthcare company in San Antonio is seeking a Claim Examiner to manage and process healthcare claims. Candidates must have at least 2 years of relevant experience and a high school diploma or GED. The role requires knowledge of CPT and ICD-9 coding, and the ability to...MedicalWork at office
$22.5 per hour
...Job Description Job Description Claims Processor / Customer Service Representative $22.50/hr | Temporary – Indefinite... ...| Monday–Friday, 8:00 AM–5:00 PM Responsibilities: Process and adjudicate healthcare claims accurately and timely. Answer incoming calls...MedicalTemporary workWork at officeMonday to Friday$22.5 per hour
...seeking a detail-oriented Claims Examiner to join our team. In... ...be responsible for processing and evaluating health... ...providing support to healthcare providers regarding... ...Qualifications Recent medical claims experience (... ...with medical claims adjudication Working knowledge...MedicalHourly payTemporary workWork at officeLocal areaMonday to Friday- ...RESPONSIBILITIES Performs review, analysis, and adjudication of all claim types including coordination of benefits and... ...required. Five years HMO, PPO, ASO claim processing experience is required. Thorough knowledge of medical terminology, ICD-9/CPT4 Coding, and general...Medical
- ...POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health... ...is required. Two or more years of experience claim processing and/or billing experience required. Specific knowledge...Medical
$85.04k - $162.55k
...Opportunity As a dedicated Injury Claims Examiner (Central to West regions),... ..., negotiating, and adjudicating claims in compliance with state... ...of human anatomy and medical terminology associated with... ...Compensation: USAA has an effective process for assessing market data...MedicalFull timeContract workH1bWork at officeRemote workHome office3 days per week- ...Claims Examiner & Support Specialist IWe are seeking a detail-oriented Claims... ...Specialist I to support healthcare claims operations through accurate claims processing, provider communication, and... ...responsible for reviewing and adjudicating delegated claims, resolving inquiries...Work at office
- ...reimbursement from each claim. This position will be... ...the electronic medical record (EMR) and billing... ...carriers based on claim adjudication. Follow up with payers... ...required to process the claim or refer to... ...Where Your Skills Drive Healthcare Forward! Are you a...MedicalWork at office
$50k
...managing the billing process, including handling denials... ...timely submission of claims, works to resolve... ...including claims denied for medical necessity, incomplete... ...Review adjudicated claims from Medicare,... ...biomedical discovery and healthcare within one visionary institution...MedicalBank staffFlexible hours- ...San Antonio, TX, seeks a Senior Claims Processor (On-site) to oversee adjudication of complex healthcare claims, ensuring accuracy,... ...compliance. You will review COB, process HRA claims, mentor staff, and... ...Candidates should have 3-5 years in medical claims processing and...Medical
- ...Flood Claims Examiner This is an intermediary level examiner position within Allcat's Flood... ...environment and easily acclimates to changes in process/systems for overall improvement of the... ...in the Comprehensive Benefits Package: Medical, Dental, Vision, Paid Time Off and Paid...MedicalWork at officeImmediate startRemote workMonday to Friday
$100k
...the unique coverage and claims-handling needs of... ...VT. This role will be adjudicating our most complex construction... ...the claims reserving process. Identifying loss... ...opportunities. Licensed Claims Examiner (Based on state) Must... ...denial of family and medical care leave, disability...MedicalFull timeLocal areaRemote work$17 - $19 per hour
A global healthcare technology organization is seeking a W2 Contract Billing Specialist in San Antonio, Texas. The ideal... ...high school diploma and at least 2 years of experience in medical billing or healthcare claims. You will manage DME billing submissions and ensure...MedicalHourly payContract work- ...Administrators is seeking an experienced Senior Claims Processor (On-site) to oversee accurate and timely adjudication of complex healthcare claims. You will maintain high standards... ...activities. Responsibilities include processing claims per plan provisions, reviewing...
- ...Benefit Administrators, Inc. is seeking a Senior Claims Processor to oversee accurate and timely adjudication of complex healthcare claims on-site in San Antonio. The role... ...productivity, and regulatory compliance. You will process a range of claim types, including HRA claims...
$110 per hour
...'s mission is to make mental healthcare work for everyone. Minimum... ...managing common psychiatric medication and treatment plans, and managing... ...need to worry about unpaid claims No-show protection: Rula... ...the insurance credentialing process. With your help, we can get you...MedicalFor contractorsPrivate practice- Guidehealth in San Antonio, TX is seeking a Medical Contact Center Representative to join... ...questions, and guide customers through healthcare processes with empathy and accuracy. As a trusted... ..., protect PHI, and collaborate with Claims, UM, and Care Management to ensure a smooth...MedicalFull time
- ...Summary: The Billing and claims Specialist will play a critical... ..., and ensure the timely processing of claims and payments. Key... ...equivalent; additional education in healthcare administration or billing is a plus. Experience in a medical front office role...MedicalFull timeMonday to FridayShift work
- ...investigate and manage long‑term disability claims, delivering timely, accurate benefit... ...service. This role partners with claimants, medical providers, employers, and internal... ...data; guiding customers through disability processes; maintaining clear #J-18808-Ljbffr...Medical
- A leading healthcare provider in San Antonio is seeking a Revenue Cycle... ...II to oversee the billing process in a hospital setting. This role... ...managing denials, ensuring claims are submitted accurately, and... ...should have at least two years of medical billing experience, with Epic...Medical
$16 - $20 per hour
...maintaining compliance with healthcare regulations. This paid position... ...check-in and check-out processes using dental practice management... ...benefits using systems ; process claims and follow up on outstanding... ...with accuracy by updating medical histories, treatment plans, and...MedicalHourly payWork at officeShift workDay shiftEarly shift- ...will report to the Chief Medical Officer for clinical... ...include the physical examination of pain, weakness, and... ...other records, reports, claims, and correspondence... ...participation in the examination process leading to... ...Pennsylvania, provides specialty healthcare services through more...MedicalFull timeLocal area
$50k
...Management Analyst manages disputed or denied claims by analyzing medical records and payer policies to recover... ...negotiations. The analyst supports process improvements, tracks appeals, and... ...education, biomedical discovery and healthcare within one visionary institution. As...MedicalContract workBank staffWork at officeFlexible hours- ...seeking an experienced Casualty Claims Specialist! The Casualty... ...are applicable for each claim. Process Bodily Injury, and coverage claims... ...MUST! Knowledge of legal and medical terminology. Excellent... ...skills. Ability to pass written examinations where required by state...MedicalFull timeWork at office
- ...Medical Collections Specialist (Hospital/Insurance Follow-Up)A healthcare organization is seeking experienced Medical Collections Specialists... ...follow-up and full-cycle claims resolution. This role focuses... ..., and tracersIdentify and process adjustments, refunds, and bad...MedicalWork at officeLocal areaRemote work
- ...seeking an experienced Casualty Claims Specialist! The Casualty... ...are applicable for each claim. Process Bodily Injury, and coverage claims... ...MUST! Knowledge of legal and medical terminology. Excellent... ...skills. Ability to pass written examinations where required by state...MedicalFull timeWork at office
- ...Ambulance Health & Wellness Healthcare Hospitals & Clinics... ...to translating clinical and claims data into actionable insights... ...improving outcomes and reducing medical cost trends. The VP will work... ...insights into decision-making processes. Hiring Manager Title...Medical
- ...manages millions of dollars in insurance claims every month, and we're growing. We're... ...dental insurance billing, including: Process and follow up on dental insurance claims... ...school diploma or equivalent Dental or medical office experience is a plus, but not required...MedicalHourly payWork at officeFlexible hours
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