Medical Claims Examiner: Precise Adjudication & Coding
Benefit & Risk Management Services, Inc.
Benefit & Risk Management Services, Inc. is seeking a Claims Examiner I to ensure claims are coded and processed accurately and to meet production targets. The role involves reviewing policy data, adjudicating medical claims, applying plan guidelines, and gathering documentation for final payment determinations. The position requires strong communication and analytical skills, proficiency with ICD-10, CPT, and HCPCS codes, and the ability to work effectively in an office environment. #J-18808-Ljbffr Benefit & Risk Management Services, Inc.
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Medical Claims Examiner: Precise Adjudication & Coding in Brooklyn, NY vacancy
- ...GuideWell Company, is seeking a dedicated Claim Examiner to join our team in San Antonio, TX. You will handle processing and adjudication for medical, dental, vision, and mental health... ...healthcare claims experience, CPT/ICD-9 coding knowledge, and strong analytical and...SuggestedRemote jobFull timeWork at office
$40k - $44k
...Are UST HealthProof is looking for Claims Examiner II, reporting to the Claims Team... ...Examiner II is responsible for the adjudication of healthcare claims utilizing specific... ...physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10...SuggestedPermanent employmentFull timeWork at officeRemote work- ...weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will... ...for processing of claims (medical, dental, vision, and mental health... ...GED Knowledge of CPT and ICD-9 coding required. Knowledge of COBRA, HIPAA...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeRemote workMonday to FridayFlexible hours
- Molina Healthcare is seeking a detail‑oriented claims support professional in the United States, Kentucky region. The role involves... ...researching and resolving discrepancies, and ensuring timely adjudication and communication with providers. The candidate will collaborate...Suggested
$22 - $33.95 per hour
...accurate, and customer-centered claim information to call center callers... ...acknowledgement correspondence promptly and precisely. Handle incoming documents with strong coding accuracy and immediate... ...your career." \- Alicia L., Claims Examiner What we offer you Benefits and...SuggestedHourly payFull timeWork experience placementImmediate startRemote workFlexible hours- Sutherland is hiring a full-time permanent healthcare claims adjudicator. You will process medical claims via data entry, adjudicate to policy and regulatory guidelines, and maintain privacy according to HIPAA. The role emphasizes independence with support from knowledge...Permanent employmentFull time
- ...Position Summary The Workers' Compensation Claims Examiner is responsible for managing an... ...administrators, adjusters, defense counsel, medical providers, and loss control representatives... ...handling procedures, classifications, coding, and multi-state compliance...Work at office
$95k - $100k
...Services & Insurance Claims Team Lead - Workers Compensation... ...and experience to adjudicate complex customer... ...benefits offering including medical, dental vision, 401K... ...multiple teams of examiners and technical staff handling... ...accurate claim coding and documentation by examiners...Work at officeLocal areaFlexible hours- Concerotech in Missouri is seeking a Claims Processing Representative I to adjudicate dental claims of low to moderate complexity, ensuring accuracy and compliance with policies and regulations. You will research eligibility, provider status, and benefits, document determinations...
- Union Home Mortgage Corp. is seeking a Condo Underwriter to analyze condominium project documentation and render decisions based on salability to Agency and UHM guidelines. The role requires attention to detail, strong analytical skills, and proficiency with Excel and loan...
- Orthopedic Surgery - Independent Medical Examiner (IME) - New Jersey Orthopedic Surgery - Independent Medical Examiner (IME) - New Jersey 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Dane Street is expanding...Daily paidExtra incomeContract workWork at officeRemote work
$52 per hour
...stability of guaranteed full-time hours? If youre nodding your head yes, we want to speak with you! Gradient is hiring a Certified Medical Examiner to join our team! Key Details: Pay: $52/hour Location: Rotation between two locations (N. Portland & Clackamas) Schedule:...Full timePrivate practiceMonday to FridayShift work$25.65 per hour
## Claims Representative (IAP) - Workers Compensation Training ProgramApplylocations: US... ...financial and professional needs including medical, dental, vision & 401k.**PRIMARY PURPOSE... ...+ Documenting claims files and properly coding claim activity. Preparing detailed reports...TraineeshipWork at officeFlexible hours$85k - $95k
## Claims Examiner - Workers Compensation (On-Site Ontario, California)Applylocations: Ontario... ...Apply your knowledge and experience to adjudicate complex workers compensation claims in... ...comprehensive benefits offering including medical, dental vision, 401K on day one.**WORK...Work at officeLocal areaRemote workFlexible hours$80k - $125k
...! We are a fun, innovative and growing Claims team where you’ll get the opportunity to... ..., CT The Role: The Senior Claims Examiner adjudicates assigned claims within given authority... ...insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) Company...Permanent employmentTemporary workWork at officeRemote work2 days per week- Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes... ...understanding of employee benefits for medical, dental and vision plans. Adjudicates medical claims, applies coordination of...Work at office
- Sedgwick Claims Management Services Ltd is seeking a Claims Examiner for Non Subrogation in TX with Hybrid work options. The role focuses on analyzing claims, determining exposure, and ensuring timely adjudication to meet client service requirements. The ideal candidate...Flexible hours
$100k
...Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE... ...claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor...Local areaFlexible hours- Claims Examiner - Non Subrogation | Jurisdiction: TX | Licensing: TX - Hybrid page is loaded##... ...benefits due, while ensuring ongoing adjudication of claims within service expectations,... ...benefits offering including medical, dental vision, 401K on day one.**WORK...Work at officeWork from homeFlexible hours
- ...accuracy and completeness of claims, verifies insurance benefits... ...Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years).... ...Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up,... ...certification verification, physical examination, certain vaccinations and/or...Hourly payTraineeshipWork experience placementWork at office
- ...insurance verification, process charges, payments, denials and adjustments, send statements, establish payment plans, and assist with coding and front office billing issues. This role emphasizes accuracy, confidentiality, and collaboration with the office team to improve...Work at office
Hopeclnc
Brooklyn, NY4 days ago $44.38 per hour
...supervises Underwriting Consultants, Account Examiner 2 Supervisors, and Account Examiner 2's within the Classification, Claims Coding and Audit Review Units. Reviews... ...safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers...Full timeWork at officeWork from homeMonday to FridayFlexible hours- Workers Compensation Claims Examiner | VA Jurisdiction Experience Required | Remote page is loaded##... ...Apply your knowledge and experience to adjudicate complex customer claims in the context... ...benefits offering including medical, dental vision, 401K on day one.**WORK...Remote jobFlexible hours
$260k
Associate Medical Examiner - Central Lab Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...Full timeWork experience placementLocumWork at officeFlexible hoursWeekend work$85k - $110k
...guide every decision we make. The Senior Claims Adjuster will play a critical role in... ...stakeholders. Timely administration of statutory medical and indemnity benefits throughout the... ...knowledge and experience in claim adjudication, medical, and litigation management. Advanced...Work experience placementRemote work- Medical Management - Medical Review Examiner Nurse 135-1009 Tulsa, OK, USA Job Description Posted Saturday, August... ...for auditing provider and facility claims. Identifying issues related to and/... ...evaluate for clinical appropriateness, coding compliance and validity of charges....Work experience placement
- ...that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’... ...the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital...Local areaRemote work
- ...underwriting analysis to assess risks and determine appropriate coverage terms. Prepare and issue indications, quotations, and binders with precision and attention to detail. Monitor and manage the new business pipeline, ensuring timely follow-ups and conversions. Actively...Work at officeWorldwide
- ...receivables. Ensure compliance with underwriting principles and guidelines. Review and produce commitments, policies, and endorsements with precision. Coordinate document recording with attorneys and recording offices. Communicate with leadership regarding workflow, challenges,...Work at office
- Position Summary The Claims Processing Representative I is responsible for the independent adjudication of claims of primarily low to moderate complexity, ensuring accurate and timely processing in accordance with organizational policies, contractual obligations, and regulatory...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Claims Examiner: Precise Adjudication & Coding. Be the first to apply!
Related searches
- claims assistant Brooklyn, NY
- claims processor Brooklyn, NY
- claims resolution specialist Brooklyn, NY
- claim representative (remote) Brooklyn, NY
- claim specialist Brooklyn, NY
- claims analyst Brooklyn, NY
- medical claims analyst Brooklyn, NY
- insurance claims processor Brooklyn, NY
- remote medical claims processor Brooklyn, NY
- medical insurance claims specialist Brooklyn, NY