Medical Claims Specialist
Jobtailor
Independent Health is seeking a claims adjudication specialist to review and process medical, facility, professional, member-submitted, pharmacy and dental claims. You will adjudicate based on policies, examine payments, and resolve related issues. Required are a high school diploma (medical office certificate or college degree preferred) and at least 6 months of medical claims processing experience, with CPT/ICD-9 coding knowledge and proficiency in data entry and Microsoft Office. #J-18808-Ljbffr
- ...Onco360 is seeking a Pharmacy Medical Billing Specialist in Buffalo, NY. The role focuses on researching billing policies, processing claims, and ensuring accuracy across payer types while maintaining patient privacy and compliance. The ideal candidate will have 1–3 years...Suggested
- ...bills. Summary of role: We are seeking a detail-oriented Claims Process & Training Specialist to design, document, test, and train claims workflows... ...and/or TPA environment, with a strong understanding of medical claims processing and adjudication. 3 years demonstrated...SuggestedWork at officeWork from home
- ...colleagues. When you join the Dent team, you can take advantage of a variety of benefits: ~ Work-Life Balance (no overnight shifts) ~ Medical, Dental & Vision Plans ~ Life Insurance ~401(k) Retirement Plan ~ Critical Illness, Accident, & Legal Plans ~ Wellness...SuggestedLocal areaMonday to FridayShift work
$85k - $95k
...Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Litigation Adjuster to join our growing Claims Legal Team at our Corporate Headquarters in Buffalo, New York. The Litigation Adjuster will focus on auto and premises liability...SuggestedTemporary workWork at officeFlexible hours2 days per week- A medical device and equipment company seeks a driven Medical Sales Representative to promote and sell products in the Buffalo area. Responsibilities include territory management, customer development, and establishing strong relationships with healthcare providers. Candidates...SuggestedImmediate start
- ...Mobile Medical Assistant / Phlebotomist – Per Diem, In-Home ServicesLocation: Various U.S. locations (local travel within designated geographic area)About the Role: IQVIA's In-Home Clinical Solutions team seeks a qualified and dedicated Mobile Medical Assistant / Phlebotomist...Hourly payDaily paidFull timePart timeLocal areaImmediate startWorldwideFlexible hours
$19.18 - $22.3 per hour
...completion of forms, releases, etc. Clearly and accurately records data in the Electronic Health Record including vital signs and medical/family/social history Performs routine tests, including but not limited to; urine pregnancy tests, HIV tests, blood draws, urine...Full timeWork at officeMonday to FridayFlexible hoursAfternoon shift- Hemodialysis Technician Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance...Immediate start
$35.11k - $49.17k
...Experience/Education/Skills: Certified Nurses Aide (CNA) preferred. Previous patient care experience preferred. Knowledge of medical terminology preferred. Computer literate preferred. Bilingual (English & Spanish) preferred. PATIENT CARE Assists in...Full timePart timeSummer workShift workNight shift$120k - $135k
...then Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State... ...well-being. Your security. Your future. Employees have access to medical, dental, vision, and basic life insurance, a 401(k) plan, and...Full timeContract workFor contractorsWork at officeMonday to Friday- ...to evaluate and improve how AI systems handle clinical reasoning. You'll design evaluation methods that test AI performance on real medical problems where clinical expertise makes the difference. Design systematic evaluation frameworks for medical AI systems Create...Remote workFlexible hours
- ...membersRequirementsAccredited High School diploma, general education development ("GED") credential, or equivalentComfortable around blood, needles, and medical equipmentPhysically able to work long shifts on your feetWilling to float between local clinics if neededFlexible schedule...Local areaShift workDay shiftAfternoon shift
$20 per hour
...of a team that is dedicated to improving the delivery and quality of healthcare to our Urgent Care patients, while being part of a medical community in which you are supported in your growth as a medical professional.Salary:Starting at $20.00 per hourAt WellNow Urgent Care...$18.5 - $29 per hour
...Accredited High School diploma, general education development ("GED") credential, or equivalent Comfortable around blood, needles, and medical equipment Physically able to work long shifts on your feet Willing to float between local clinics if needed Flexible...Minimum wageLocal areaFlexible hoursShift workDay shiftAfternoon shift$27.02 - $41.85 per hour
...Corporate Risk Management policies. Interpret risk and apply pricing policies to account for unusual situations; identify questionable claim patterns whether occurring on an in-force account or a prospect. Maintain accurate book management details, including concession...Casual workWork at officeLocal area- ...least 22 days annually, prorated in the year of hire.Parental Leave: Six weeks of paid leave at 100% of your salary.Comprehensive Medical Coverage: Includes employer contributions to HSA for High Deductible Health Plan participants.Dental and Vision Coverage: Ensuring...Full timeTemporary workPart timeWork visaFlexible hours
- ...systemsAssist with troubleshooting screening or equipment issuesSupport setup, breakdown, and transport of screening equipmentAssist with medical emergencies (e.g., fainting, hypoglycemia, seizures, syncope, cardiac arrest), including initiating emergency response and...For contractorsReliefFlexible hoursEarly shiftWeekday work
$22.25 - $24.49 per hour
...developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: ~ Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours ~ Best-in-class well-being programs ~ Annual, no-cost...Full timePart timeWork experience placementWork at officeFlexible hoursShift work$21.5 - $23.05 per hour
...developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: ~ Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours ~ Best-in-class well-being programs ~ Annual, no-cost...Full timePart timeWork experience placementWork at officeMonday to FridayFlexible hours- ...Perform other duties as assigned.This is What It TakesMinimum RequirementsHigh School diploma or GED.Three (3) months' experience in a medical or health care environment or equivalent combination of education and experience preferred.Completed documentation of training...Full timeTemporary workWork at officeFlexible hoursShift workWeekend workAfternoon shift
$23.1 - $24.75 per hour
...developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: ~ Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours ~ Best-in-class well-being programs ~ Annual, no-...Full timePart timeWork experience placementWork at officeMonday to FridayFlexible hoursWeekend work- ...duties as assigned.This is What It TakesMinimum RequirementsHigh school diploma, or equivalent (GED).Three (3) months' experience in a medical or health care environment or equivalent combination of education and experience preferred.Completed documentation of training...Full timeTemporary workWork at officeImmediate startFlexible hoursShift workWeekend workAfternoon shift
$85k - $115k
...schedule unless an exception has been granted by Upper Management. Why us? Benefits offered by Premium Mortgage: Insurance: Medical, Dental, Vision, Company Paid Life Insurance Time Off: Paid Time Off, Sick Time, Federal Holidays, Birthday PTO Additional...Full timeFor contractorsLive outWork at office- ...Package includes Paid Time Off Days, Paid Holidays, Hybrid Work Schedule, Retirement Plan with Employer Match, 100% Single Employer Paid Medical, Dental, Vision, Life Insurance, Education Assistance, Various Voluntary Benefits, Wellness Program Including Mental Health...
$100k
...has a direct effect on the Department’s ability to meet their Service Level Agreements. Train new lending officers and junior Loan Specialists that allow for consistency and quality in the department’s operations. Supervisory/ Managerial Responsibilities: May mentor...Hourly payFull time$27.02 - $41.85 per hour
...Corporate Risk Management policies.Interpret risk and apply pricing policies to account for unusual situations. Identify questionable claim patterns whether occurring on an in-force account or a prospect.Maintain accurate book management details, including concession...For contractorsWork at officeLocal area$120k - $135k
...Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State... ...well-being. Your security. Your future. Employees have access to medical, dental, vision, and basic life insurance, a 401(k) plan, and...Full timeContract workFor contractorsMonday to Friday- ...Claims Business AnalystAs a Claims Business Analyst, you will be responsible for triaging operational issues and leading projects and tasks to completion. You will use your claims adjudication experience and TPA background to triage operational concerns, vendor issues...Work at office
$18.68 - $20.39 per hour
...-related duties as assigned. Qualifications High school diploma or equivalent required. Minimum twelve (12) months experience in a medical or health care environment preferred or equivalent combination of education and experience. For Centers located in CA the following...Local area$23.1 - $24.75 per hour
...financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours Best-in-class well #J-18808-Ljbffr Quest DiagnosticsFull timePart timeMonday to FridayWeekend work
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