Medical Claims Analyst
Virtual Vocations Inc
Detail-oriented and motivated, the full-time Medical Claims Analyst will manage DBA and War Hazards claims remotely, ensuring compliance and timely support for personnel on defense contracts while collaborating with global stakeholders. Key responsibilities Process "M" Case claims and claims open for recovery, ensuring accurate data entry and compliance Contact insureds, claimants, and medical providers for information and medical verifications to support claims processing Document medical report contents and maintain communication with the Team Manager regarding claim activities and issues Required qualifications College degree or equivalent education and experience Two or more years of experience as a Claim Clerk or similar role, with knowledge of claim processing Understanding of basic medical terminology and relevant medical tests for claimed conditions Demonstrated effective oral and written communication skills Customer-focused approach with the ability to understand and address customer needs
$65k
POSITION SUMMARY Proactively manage medical professional liability and general liability claims (including investigation and evaluation of liability and damages), monitor claims defense litigation, advocate on behalf of insured healthcare providers in claims and litigation...MedicalFull timeWork at office$3,500 per month
...In this dynamic remote role, you'll manage DBA and War Hazards claims, collaborate with global stakeholders, ensure compliance, and help... ...the world! Responsibilities Processes "M" Case claims (medical only) within area of payment authority up to, but not exceeding...MedicalRemote workWorldwide- ...country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course Includes Medical Terminology Introduction to HEDIS #J-18808-LjbffrMedical
- ...Conducts analysis around various claims payment processes to ensure accuracy of system configuration and provider payments. Investigates... .... EDUCATION: At least one year claims knowledge. Looking for medical claims experience for these position. Top Three: Claims...MedicalContract work
- ...Claims Analyst Job Title: Claims analyst Location: Omaha NE 68154 Duration: 12 months Job Description: Family Summary/Mission... ...through an integrated process of operational, quality, medical cost, and resource management meeting and/or exceeding member...Medical
- ...The Claims Analyst is responsible for investigating and managing primary litigation claims as assigned. This role involves developing a... ...to accurately reflect exposure of MagMutual/insured. Assign a Medical Advisor when required. Thoroughly, accurately, and timely document...MedicalWork at office
$25 - $29 per hour
...affiliates TPSC, SMM and TCOPS are the largest Plastic Surgery medical practice in the country. Our expanding team of top tier physicians... ...in a support role. Job Responsibilities Become an expert in the claim processing rules and protocols as defined in the Provider Manual...MedicalWork at office- ...Claims Reviewer Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500... ...written directions and work independently. Familiarity with medical terminology, CPT and ICD-10 coding is required. Computer and...MedicalHourly payWork at officeLocal area
$25 - $27 per hour
...Overview Insight Global’s client is seeking a detail-oriented Claims Analyst to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This individual will join a high-volume medical billing and revenue cycle team, focusing on insurance claim resolution...MedicalHourly pay- ...is currently seeking a dedicated, organized, and pro‑active Claims Analyst to join our Stop Loss team to provide technical support to our... ...employee welfare benefits or similar field. Preferred experience in medical billing. Strong organizational and time management skills to...Medical
- ...Position Summary The Claims Analyst performs billing, follows up on accounts and manages collections, maintains accounts receivable, assists... ...work environment Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time...MedicalLocal area
$120k - $135k
...independently, thinking critically to make contractual decisions on delay claims brought against the State. Responsibilities Perform review,... ...by the nature of their role. Benefits Employees have access to medical, dental, vision and basic life insurance, a 401(k) plan, and...MedicalFull timeContract workFor contractorsMonday to Friday- ...Benefits Pension Dental insurance Health insurance Paid time off Vision insurance Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding...MedicalWork at office
- ...disputes presented on Explanation of Benefits (EOB), entering denied claim into the DMT database, and escalating payment/variance trends to... ...of Benefits form (EOB). Understanding of UB-04 / 1500 forms Medical terminology Advanced business letter writing skills (Correct use...MedicalContract workMonday to FridayShift work
$15 per hour
...the plan designs and effectively apply that knowledge. Analyze claims as appropriate from first submission to finalizing. Maintain complete... ...Diploma/GED Three (3) years recent experience processing medical claims Skills/Abilities: Ability to maintain production and quality...MedicalHourly payTemporary workLocal area$70k - $80k
...makes sense to do so. Responsibilities As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst"), you'll perform quality review and evaluation of all... ...applying the appropriate contractual provisions to the medical facts and specifications of the claim Review and adjudicate...MedicalFull timeWork at officeRemote work$100k
...What You'll Do Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing... ...With Us Take advantage of excellent benefits, including medical, dental, vision, life, and disability coverage. Invest in your...Medical$299 - $653 per month
...Summary of Duties and Responsibilities Processes claims by reviewing filings, providing and gathering information, and preparing reports... ...Program: pre-tax transportation program Flexible Spending: Medical and Dependent pre-tax savings program Life insurance benefit: free...MedicalWork experience placementWork at officeFlexible hours$22 - $24 per hour
...including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private... ...and rewarding career! Job Description Are you an experienced Claims Analyst/Examiner looking for a new opportunity with a prestigious...MedicalPrivate practice- ...Architecture, and Enterprise Transformation. Role: Claims Analyst Location: Baltimore, MD (Onsite) Job Type: Contract-To-... ...records, and support day-to-day claims operations. Candidates with medical coding or healthcare claims experience will be given strong...MedicalContract work
- ...Claims Analyst Position Type Full Time Category Insurance Description Job Title: Claims Analyst Reports To: Supervisor of Claims This is... ...future claims. Brief Description of Duties: Review incoming medical, pharmacy vision and dental claims Determine and apply appropriate...MedicalFull time
$19 - $22.8 per hour
...or equivalent, with courses in accounting, business, coding or medical billing and English, preferred. Previous Medical Billing Experience... ...such as Epic, demonstrates competency in working conflicting claims, identifying system issues, and managing claim workload. Claim...MedicalHourly payFull timeWork at officeMonday to Friday- ...Description We are seeking a detail-oriented and self-driven Claims Analyst to join our growing Claims team. In this role, you will be a... ..., consistent with federal, state, and local laws. Supporting medical or religious documentation will be required where applicable...MedicalFor contractorsLocal area
- ...technologies. Benefits ~Competitive total rewards (base salary + bonus, if applicable). ~Customizable benefits package (3 medical plans with Health Saving Account company match). ~Generous paid time off for non-exempt team members, starting with 3 weeks + 13...MedicalFull timeFlexible hours
- ...Description Itero Group is seeking an experienced Business Analyst to support enterprise healthcare claims processing initiatives. This individual will partner... ...systems. Benefits ~Health & Wellness : Medical (BC-BS), dental, and vision plans to suit your needs....MedicalTemporary workRemote work
- ...The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder’s self-administered liability... ...understanding of all relevant laws and regulations, as well as related medical and legal terminology. Comprehensive understanding of...MedicalRemote work
$90k - $100k
...Summary The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder’s self-administered liability... ...receive comprehensive health and welfare benefits, including medical, prescription, dental, vision, life insurance, and disability...MedicalFull timeRemote work$64k - $92.6k
...Senior Claims Resolution Analyst Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older... ...fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care...MedicalRemote work$23.16 per hour
...various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and... ...insurance claims 3 years of experience with medical terminology Preferred: 3 years of experience in a Stop Loss Claims Analyst role. Skills Ability to communicate concise...MedicalWork at officeLocal area$50k
...responsibilities include investigation of Workers Compensation claims to determine either compensability of the claim. This role has... ...procedures pertaining to workers' compensation claims. Knowledge of medical terminology involved in complex claims. Strong negotiation...MedicalFull timeRemote workFlexible hours
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