Senior Claims Adjudicator - Medicare/Medicaid Expert
NaphCare, Inc.
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 NaphCare, Inc.
- ...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
- ...Description Job Description Senior Clinical Pharmacist... ...for the Plan’s Medicare Part D Coverage Determinations... ...as the subject matter expert for Opioid Part D... ...Centers for Medicare & Medicaid Services (CMS) as a high... ...Experience in the RX Claims system Board Certified...SeniorClaimsWork at officeImmediate startWork from homeFlexible hours
- 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
- ...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
$80k - $95k
...Description Job Description: Title: Senior Account Manager - Commercial Lines... ...or omissions. Serve as a subject matter expert for the account management team.... ...requests, policy administration, billing, claims, and coverage analysis. ~ Policy...SeniorClaimsFor contractorsRemote work$81.7k - $135k
...world. Tax - Indirect Tax - Sales and Use Lookback Review COE - Senior Will you shape the future or will the future shape you?... ...use tax recoveries Prepare and defend sales and use tax refund claims Participation on a motivated team of professionals...SeniorClaimsSummer holidayImmediate startFlexible hours- ...obtaining daily notifications and alerts from carrier websites, maintaining accurate account information in agency management system, claims advising, endorsements, evidence of insurance, auto ID cards, etc. Cultivates and maintains excellent communication and...SeniorClaimsTemporary workInternshipWork at officeLocal areaFlexible hours
- ...residents to resolution. Completes all necessary insurance claim requirements. Follows up on unpaid claims. Responds to... ...on an account. 10. Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors. Processes...ClaimsWork at office
- 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
$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- ...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
- ...state-of-the-art facilities?that are changing our world.?? As a Senior Subcontract Administrator for Advanced Manufacturing, you will... ...change orders. ~ Mitigate Subcontractor risk and assist with any claims or disputes. ~ Works independently, with guidance in only the...SeniorClaimsFor subcontractor
- ...Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #LI-TS1 #remote Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced...ClaimsRemote work
- ...transactions related to patient services. Responsibilities Payment Posting: Accurately post and reconcile payments from various sources. Claim Reconciliation: Collaborate with billing team to resolve payment discrepancies. Payment Verification: Confirm proper payment...ClaimsMonday to Friday
- ...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
- 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
- ...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
$52k - $62k
...people 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...- ...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
- ...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
- ...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
- ...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
- ...Healthcare, has an exciting opportunity for a Senior Provider Data Analyst position in... ...software Strong understanding of healthcare claims, provider, membership, financial, quality... ...-based care, provider contracting or Medicare Advantage Experience supporting executive...SeniorClaims
- ...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
- ...Product Manager / Product Owner – AI is responsible for end-to-end ownership of AI initiatives for a specific Line of Business or claims domain. This role partners directly with business stakeholders to define AI-enabled improvements to claims operations, cost control...ClaimsRemote work
- ...legal implications for accuracy and completeness (e.g., court documents, real estate documents, contracts, insurance, or benefits claims, mortgage or loan applications, tax forms, or other types of legal documents); Preparing files and other materials for shipping; Maintaining...ClaimsFull timeWork at office
$40k - $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 officeFlexible hours- ...a critical role in assessing damages, estimating repair costs, and delivering high-quality appraisals for auto and heavy equipment claims. Job Responsibilities: Conduct field inspections and appraisals of automobiles, commercial trucks, construction equipment, and...ClaimsFor contractorsFlexible hours
- ...functions, ensuring timely and accurate claims processing, and resolving issues related... ...required ~0-1 years of experience with Medicare preferred Knowledge, Skills and... ...including insurance reimbursement and claim adjudication. Proficiency in electronic health...ClaimsFull timeShift work
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