Medical Claims & Recovery Technician — Telework Eligible
Commonwealth of Pennsylvania
Commonwealth of Pennsylvania seeks a Medical Assistance Program Technician to support the Bureau of Program Integrity, Division of Third Party Liability, Recovery Section. You will review, analyze, and compute medical, cash, personal injury, and estate claims to ensure accurate, standards-based recovery efforts. The role emphasizes decoding and summarizing information, gathering details from facilities and agencies, and applying federal/state regulations to ensure timely and correct claim #J-18808-Ljbffr Commonwealth of Pennsylvania
- ...schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for... ...options available. Job purpose The Claims Recovery Examiner position will be reviewing, requesting... ...claims, finance, IT, provider network, eligibility, and others for claims and overpayment...Remote workMedicalWork at officeFlexible hours
- ...You, a fully remote MSO serving health plans and providers, seeks a Claims Recovery Examiner. You will review, request, and document claim refunds using Access, Excel, Word, Ez Cap, and related medical claims data. The role requires attention to detail and strong collaboration...Remote jobMedical
- ...duties of this position (Claims Examiner). To be... ...experience processing medical claims and applying comprehensive... ...- and medical cost-recovery practices. Note:... ...Incentive (CSI): Not approved Telework: This position may be... ...hoc telework Telework eligibility will be discussed...Remote workMedicalWork at officeRelocationRelocation package
- Gainwell Technologies is seeking a detail-oriented Medical Claims Recovery Specialist (Subrogation) in Tucker, GA. This onsite/hybrid role focuses on verifying eligibility, coordinating with clinicians and attorneys, and maintaining data accuracy in a fast-paced environment...MedicalWork at office
$24 - $25 per hour
The CWCOT Claims Processor is responsible for accurately and efficiently... ..., errors, and potential recovery opportunities. The CWCOT... ...determine claim accuracy and eligibility.Enter and maintain accurate claim... ...may include the following: Medical, dental & vision Critical...Remote workMedicalContract workTemporary work$20 per hour
...Medical Claims Specialist II (COB & Medicare Coordination) Remote Work Pay: $20/hr 5-Month... ...to ensure accurate claim payments and recoveries. Responsibilities Process and... ...Full-Time Location: Fully Remote Eligible States Candidates must reside in one...Remote workMedicalHourly payFull timeContract workWork at office- ...Hospital. The role includes leadership of the recovery team, development of patient-centered plans... ...position requires an unrestricted Texas medical license (MD/DO) with board eligibility or certification in psychiatry. Telework may be available; occasional travel and overtime...Remote workMedical
- ...capital and training, and medical staffing. Lawelawe... ...detailoriented Medical Claims Examiner professional... ...claims and healthcare cost recovery activities for a... ..., billing, insurance, eligibility, and case-related information... ...schedule and may telework from an approved...Remote workMedicalFull timeContract workFor contractorsWork at officeLocal areaMonday to FridayWeekend workAfternoon shift
$44.94k - $71.78k
Division or Field Office: Casualty Claims Division Department of... ...candidate is hired. Position may be eligible for an annual bonus payment.... ...work. Low contributions to medical and prescription premiums.... ...and in support of potential recovery. Establishes contact with all...Remote workMedicalFull timeTemporary workWork at officeWork from homeHome officeMonday to FridayAfternoon shiftWeekday work$67.32k - $104.81k
...Club Group as a Michigan PIP Claim Specialist , where you'll... ...limits or exclusions and possible recovery potential. Conduct... ...insureds, physicians’ offices and medical insurance carriers to obtain... ...required, the candidate must be eligible to acquire a State Adjuster’s...Remote workMedicalFull timeTemporary workPart timeWork experience placementLocal areaImmediate startWork from homeRelocationHome officeMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift$6,000 per month
Consultant Claims - CH08CEWe’re determined to make a difference and... ..., subrogation, and other recovery opportunities.Communicate claim... ...issues.Analyze claim facts, medical information, and other relevant... ...Loan Paydown Program - eligible to participate after 6 months...Remote workMedicalFull timeTemporary workPart timeFor contractorsWork experience placementWork at officeHome office3 days per week- Join us as a War Hazard Claims Examiner to grow your career at the forefront of Federal... ...claim documentation, including medical records, employment records, incident... ...and insurance policies, to determine eligibility for recovery under the War Hazards Compensation Act...MedicalWork at office
- ...DescriptionProSidian Seeks a Construction Claims Analyst | Construction... ...each month to the selected medical and dental plans, with the... ...with providers to offer eligible employees a range of medical... ...income protection during your recovery from a disability.-----------...Remote workMedicalFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$51k - $88.4k
...provided vehicle for travel to the claim sites. Grinnell Mutual... ...note that candidates must be eligible to work in the U.S. without Grinnell... ...confirm payment/ownership if recovery is made following claim... ...witnesses, body shops, counsel, medical professionals, and local...Remote workMedicalWork at officeLocal areaHome officeFlexible hoursNight shift$30.5k - $43.5k
...work flexibility, learning, and career development. Summary Medical Claims Recovery Specialist to manage all casualty and estate functions... ...accuracy, and support workflow progression. Verify beneficiary eligibility and maintain accurate documentation. Confirm and validate...MedicalFull timeContract workWork at officeFlexible hours- ...WorkFortune Best Workplaces in Financial Services & InsuranceSenior Recovery Claims Consultant | West Des Moines, IA (Hybrid)Senior Recovery... .... A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. WORK ENVIRONMENT REQUIREMENTS...MedicalFlexible hours
$20 per hour
...Job Description Medical Claims Specialist II (COB & Medicare Coordination) \n Remote Work... ...to ensure accurate claim payments and recoveries. \n \n Responsibilities \n \n... ...\n Location: Fully Remote \n \n Eligible States \n Candidates must reside in...Remote workMedicalHourly payFull timeContract workWork at office$30.5k - $43.5k
...often (in days) to receive an alert: Medical Claims Recovery Specialist (Subrogation) - Tucker, GA... ...program information to Medicaid-eligible individuals and their families via phone... ...orientation. To work effectively as a teleworker or hybrid employee, you must have...MedicalFull timeWork at officeMonday to FridayFlexible hours2 days per week- ...policies and procedures. A Claims Technician/HealthWest maintains general... ...accounting, patient registration, medical/behavior health billing or... ...valued. 4. Individuals in Recovery and individuals with... ...recruitment is to establish an eligible list from which to fill present...MedicalPermanent employmentWork experience placementWork at office
$115k - $130k
...Position Overview\n Moonlight Mental and Recovery Center is actively seeking a dedicated... ...environment. \n Familiarity with Electronic Medical Records (EMR) software to manage client... ...dental and vision insurance for you and eligible family members. \n Protection under a...Remote workMedicalFull timeFreelanceWork at officeWork from home- ...Fact Recovery Coordinator - Knox Provides case management services... ...members, other community and medical providers as appropriate, and... ...from worksites. Ability to telework during emergency health related... ...identity and employment eligibility within three days of original...Remote workMedicalWork at officeLocal area
- ...receive an alert: Litigated Claims Specialist (General Liability... ...maintaining appropriate indemnity, medical, and expense reserves.... ...contractual liability and third-party recovery. Effective verbal and... .... You may also be eligible for bonuses and merit increases...Remote workMedicalFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorship
$29.03 - $46.45 per hour
...Middle East, is seeking to hire an Insurance Recovery Analyst. Reporting to the Manager of... ...plans and policies then in effect, eligible employees may enroll in: a 401(k) plan,... ...well as participate in Company-sponsored medical, dental, vision, life, disability, accidental...Remote workMedicalHourly payWork at officeLocal areaFlexible hours$2,500 per month
...resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors... ...fraud issues, loss control and recovery in accordance with insurance policy... ...benefits currently available to eligible full-time employees. Training programs...Remote workMedicalFull timeTemporary work- ...resolves non-complex short term claims of low monetary amounts,... ...witnesses and members of the medical profession and other persons... ...fraud issues, loss control and recovery in accordance with insurance... ...benefits currently available to eligible full-time employees....Remote workMedicalFull timeTemporary work
$200k - $220k
...Manager (GIS, Disaster Recovery, Post-Disaster Rebuild... ...project changes, claims, disputes, and contract... ...Work Environment: Telework is optional Our Company... ...Perks:We offer multiple medical and dental insurance plans... .... Employees are also eligible for our employee...Remote workMedicalContract workFor contractorsLocal areaFlexible hours$70k - $100k
...Overview\n Marvin Behavioral Health & Recovery Center is excited to announce an... ...manages client and insurance accounts, claims processing, eligibility checks, and payment plans. \n Maintaining... ...treatment plans using our Electronic Medical Record (EMR) system. \n Scheduling...Remote workMedicalFull timeWork at officeWork from homeFlexible hoursAfternoon shift- ...Recovery Specialist Sanford Health, the largest rural health system... ...and research of third party claims. Works for the recovery of... ...them on notice of lien. Reviews medical charges to identify... ...time employees. Depending on eligibility, a variety of benefits include...Remote workMedicalFull timePart timeWork experience placementWork from homeShift workDay shift
- Gainwell Technologies in Florida is hiring a Medical Claims Recovery Specialist (Subrogation) to join a hybrid EST/CST team. The role processes probate and estate functions for Medicaid beneficiaries, including intake, claims review, asset investigation, court filings,...Medical
$59.3k
...for an accommodation or an alternative application process. Eligibility and Claims Clerk CENTRAL ADMINISTRATION, New York, NY, US 4 days ago... ...a wide range of health professionals to provide extensive medical and diagnostic services. We have an opening for an Eligibility...Medical
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