Healthcare Claims Examiner I - Impactful Adjudication
WebTPA
WebTPA, a GuideWell Company, is hiring a Claim Examiner to handle processing and adjudication for healthcare claims in an in-office setting in San Antonio, TX. You will perform claims research, verify medical necessities, and ensure accurate coverage under policy guidelines. The role requires 2+ years of related experience, knowledge of CPT/ICD-9 coding, HIPAA compliance, and strong communication skills. Training and full benefits are provided. #J-18808-Ljbffr WebTPA
- ...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... ..., in-office role requires 2+ years of healthcare claims experience, CPT/ICD-9 coding knowledge...SuggestedRemote jobFull timeWork at office
- WebTPA is seeking a Claim Examiner to handle processing and adjudication of healthcare claims in an in-office, full-time role. You'll perform CPT/ICD-9 based reviews, research claims, and ensure correct application of policy guidelines while maintaining strong accuracy...SuggestedFull timeWork at office
- ...Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years... ...- 4:30pm CST for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years... ...4:30pm Central Time for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...Claims Examiner & Support Specialist IWe are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims operations through accurate claims processing, provider... ...responsible for reviewing and adjudicating delegated claims, resolving inquiries...SuggestedWork at office
$22.5 per hour
...Claims Examiner - San Antonio, TX ($22.50/hr, Mon-Fri 8am-5pm) Adecco is hiring a Claims... ...REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and Medicare guidelines Strong understanding of healthcare terminology and claims processing...Hourly payTemporary workWork at officeLocal area$22.5 per hour
...Job Description Job Description Claims Processor / Customer Service Representative $22.50/hr | Temporary – Indefinite Assignment... ...Friday, 8:00 AM–5:00 PM Responsibilities: Process and adjudicate healthcare claims accurately and timely. Answer incoming calls from...Temporary workWork at officeMonday to Friday$85.04k - $162.55k
...part of what truly makes us special and impactful. We are proud to support active-... ...Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be... ...investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws...Full timeContract workH1bWork at officeRemote workHome office3 days per week- A healthcare company in San Antonio is seeking a Claim Examiner to manage and process healthcare claims. Candidates must have at least 2 years of relevant experience and a high school diploma or GED. The role requires knowledge of CPT and ICD-9 coding, and the ability to...Work at office
- ...POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by...
- ...POSITION SUMMARY/RESPONSIBILITIES Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims. Performs analysis of provider appeals and documents outcome determination via correspondence. Acts as a provider liaison...
$100k
...meet the unique coverage and claims-handling needs of businesses.... ...SD, or VT. This role will be adjudicating our most complex construction... ...complexity, potentially with major impact on departmental results.... .... Licensed Claims Examiner (Based on state) Must be licensed...Full timeLocal areaRemote work$101.18k - $119.78k
...meet the unique coverage and claims-handling needs of businesses.... ...York City and is focused on adjudicating first and third party commercial... ...potentially with significant impact on departmental results.... ...of a degree. Licensed Claims Examiner (Based on state) Must be licensed...Full timeLocal areaRemote work$100k - $125k
...rely on for tough filesWork Environment & FlexibilityHybrid role with flexibility across Houston, San Antonio, DFW, or AustinHigh-impact position with visibility across teams and leadershipOpportunity to work on a broad mix of transactions—not siloed or repetitive workWhy...Full time- ...Claims Examiner & Support Specialist Level I The Claims Examiner & Support Specialist Level... ...with established guidelines. Adjudicating claims according to the policies and regulatory... ...Handling incoming phone calls from healthcare providers and other stakeholders....Work at officeMonday to FridayFlexible hours
$37.66 - $44.33 per hour
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...anywhere in the United States. This role will adjudicate indemnity workers' compensation claims... ...technical complexity, with a direct impact on departmental results. Resolving issues...Temporary workFor contractorsLocal areaRemote work$37.66 - $44.33 per hour
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...Omaha, or Richmond (VA).This role will adjudicate indemnity workers' compensation claims of... ...higher technical complexity, with a direct impact on departmental results. Resolving...Temporary workLocal areaRemote work- ...complex nationwide commercial property claims, mentoring staff and overseeing experts... ...occasional travel may be required. You will adjudicate large first-party losses, supervise... ...review coverage, and negotiate settlements, impacting multi-state portfolios. #J-18808-Ljbffr...Remote job
- ...consistent delivery and execution of the Circle of Service process; tailoring a service plan for each client based on needs. Positively impacts and influences final account pricing and terms. Successfully sells the proposal. Responsible for, or influences, retention. Takes...Temporary workFlexible hours
$17 - $19 per hour
A global healthcare technology organization is seeking a W2 Contract Billing Specialist in San Antonio, Texas. The ideal candidate will have... ...least 2 years of experience in medical billing or healthcare claims. You will manage DME billing submissions and ensure compliance...Hourly payContract work- ...Casualty Attorney Represented team is currently hiring for Senior Claims Specialists to manage attorney represented and litigated auto... ..., we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.We...Currently hiringWork at officeLocal areaRemote workHome office
- ...Consultants of South Texas (PCCST) Job Summary: The Billing and claims Specialist will play a critical role in managing the... ...High school diploma or equivalent; additional education in healthcare administration or billing is a plus. Experience in a medical...Full timeMonday to FridayShift work
- ...Analyze complex problems pertaining to claim payments, eligibility, other insurance,... ...issues that are beyond the scope of claim examiners and senior claim examiners that affect claims... ...operations and reporting to assure auto adjudication. Perform in accordance with company...
$20 per hour
...initiatives related to the evaluation, processing, and handling of claims. Acts as a liaison between CalTex, claimants, vendors, agents... ...coverage for all relevant claims. Responsible for the claim adjudication process that includes the interpretation of warranty and...Hourly payFull timeFlexible hoursNight shiftWeekend work- ...Job Description Join our team as a Credit Operations Underwriter I, where you will have the opportunity to make a significant impact on our business results and customer satisfaction. As a Credit Operations Underwriter I in the Consumer Lending department, you will...Work at officeAfternoon shift
- JPMorgan Chase & Co. in San Antonio seeks a Credit Operations Underwriter I to impact business results and customer satisfaction. You will decision new and existing loan applications in a call center environment, focusing on accuracy, empathy, and timely decisions. The...
- ...FCE Benefits Administrators is seeking an experienced Senior Claims Processor (On-site) to oversee accurate and timely adjudication of complex healthcare claims. You will maintain high standards of quality, productivity, and compliance while handling a broad range of...
- Athens Administrators is seeking a full-time Claims Examiner I to support our Property & Casualty department in San Antonio, TX. The role involves investigating coverage, evaluating settlements, and managing claims from start to finish. The ideal candidate has a high school...Full timeWork at officeRemote work
$15k
...Exempt in all state except California Job Grade: 9 Position Summary Athens Administrators has an immediate need for a full‑time Claims Examiner I to support our Property & Casualty department. Employees who live less than 26 miles from the San Antonio, TX, or Lake Mary,...Full timeLive inWork at officeLocal areaImmediate startRemote workMonday to Friday1 day per week$63.59k - $121.53k
...other and our members. Be part of what truly makes us special and impactful.We are proud to support active-duty military spouses. USAA... ...responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability,...Contract workH1bWork at officeRemote workRelocation package3 days per week
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