Medical Claims Processor
$25.5 - $35.5 per hourNorthwest Administrators
Are you an experienced medical claims processor? This could be the opportunity for you! What you'll be doing... At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired you will: Process medical claims accurately, thoroughly and according to plan requirements Follow up on claims needing additional information Refer problem claims to a supervisor and/or auditor for review Monitor “inbox” to ensure that claims and referrals are handled timely Special projects as assigned Located in our Seattle, WA office. Who you are... Organized. Able to juggle and prioritize workloads, have strong analytical skills Experienced. Knowledgeable about medical claims processing, minimum 1 year Communicator. Strong verbally and in writing including interpersonal skills Service Minded. Passionate about customer service--delivering it like you expect to receive it Detailed. Attentive to detail with excellent problem-solving skills Technically Savvy . Proficient with technology, intermediate level Excel and Word Who we are... Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com) If hired, you can expect... Union scale wages, raises every 6 months, starting at $25.50/hr. up to $35.50/hr. Employer provided/fully funded Defined Benefit Pension Up to 8.6 days of Paid Leave and 10 Holidays Strong team environment with good work-life balance NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at View email address on click.appcast.io to request accommodation. #J-18808-Ljbffr
- Redirect Health in Phoenix, AZ is hiring a Medical Claims Processor to ensure claims are reviewed accurately and processed efficiently, reducing stress for families seeking care. You will serve members, providers, and internal teams, resolve issues, and help protect the...MedicalHourly payWork at office
$19.26 - $24.99 per hour
...for your spouse and children. No monthly premiums No surprise medical bills Most team members avoid tens of thousands of dollars... ...We simplify to focus on what matters About This Role Medical Claims Processor helps ensure claims are handled accurately and thoughtfully,...MedicalContract workWork at office$43k - $59k
...and affordable benefits, join us! We're currently seeking a Claims and Appeals Processor who will be responsible for processing insurance claims in... ...the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting...MedicalHourly payTemporary workWork at officeRemote workHome officeFlexible hours- .... Coverage begins your first day of work. Low contributions to medical and prescription premiums. We currently pay up to 97% of employees... ...Under close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability...MedicalFull timeTemporary workWork at officeRemote workWork from homeHome officeMonday to FridayAfternoon shiftWeekday work
$50k - $55k
## Claims Representative, AutoApply: Seven Hills, OH: Telecommuter RI: Telecommuter TX: Telecommuter IN: Telecommuter DE: Full time:... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalFull timeContract workWork at officeLocal areaFlexible hours- ...Description \n About the Company \n \n CitiMed is a unique medical facility that provides exclusive healthcare amenities to our... ...requirements, we strongly encourage you to apply! \n \n Claims Verification Specialist (Entry Level) \n \n We're looking for...MedicalFull time
- Sentry is seeking a Claims Representative - Liability in Stevens Point, WI. You will investigate claims, verify coverage, evaluate liability, and negotiate settlements while coordinating with medical providers and repair services. This role focuses on fair resolutions within...Medical
$80k - $90k
...Claims Assistant About E-J: The E-J Group is active in all facets of electrical contracting, bringing experience, expertise, and... ...compensation packages Comprehensive benefits, including medical, dental, vision, and a 401K plan Paid holidays and vacation...MedicalFull timeFor contractorsWork experience placementWork at officeLocal area- JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will... .... Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures...MedicalWork experience placement
- ...available to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include:... ...negotiate commercial auto claims. Review police reports, legal and medical bills, etc. Review coverage, analyze liability, and determine...MedicalRemote jobFull timePart timeWork experience placementWork at officeWork from home
$31.45 - $37.74 per hour
Overview To review, research, and resolve claims for all Medi-Cal claim types within established productionand quality standards, including... ..., researches, and resolves pended claims for Medi-Cal types: medical, ancillary,long term care, CHDP, encounter data, other coverage...Medical- Claim Specialist needed to combat rising healthcare costs and empower health plans! The Phia Group is a service-oriented consultant that... ...- our talented and committed team. Until recently, surprise medical bills were a leading cause of financial distress and bankruptcy...MedicalWork at office
$15.73 - $20.6 per hour
Overview The Claims Specialist, under the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received from patients and/or HCPs across a broad product suite. An individual in this role is expected to meet or exceed...MedicalWork at office$19 - $23 per hour
...Configure,implementand administer a robust claims quality and auditingprogram Establish... ...properreimbursements Work closely with delegated claim processor to ensure errors are reviewed and... ...within the health insurance industry or medical healthcare deliverysystem 2 years’...MedicalHourly payFull time- The Claims Assistant will support the claims staff in the set-up and administration of workers’ compensation claims/case management and... ...is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health...MedicalMinimum wageFull timeWork at officeLocal areaFlexible hours
- ## Claims RepresentativeApply: Miami, Florida: Full time: Posted 4 Days Ago: JR02499**GROW YOUR CAREER WITH US** At Norwegian Cruise... ...data. Prepares correspondence and reports as necessary. Files medical reports, accident reports and other pertinent data in the respective...MedicalFull timeWork experience placement
- ...clientele includes Fortune 500 and FTSE 100 companies Job Title: Claims Examiner Job Type: Full Time Grade: H1 Function/Department:... ...Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information. Ensure that...MedicalFull timeWork experience placement
- Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements... ...claim. Comprehensive understanding of employee benefits for medical, dental and vision plans. Adjudicates medical claims, applies...MedicalWork at office
$60k - $80k
...valued and growth is encouraged, CRC Group could be the place. The Claims Assistant role is responsible for providing administrative and... ...and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged...MedicalFull time- Currently, Chubb is seeking a Workers Compensation Lost Time Claims Examiner in our Alpharetta office. MAJOR DUTIES & RESPONSIBILITIES... ..., national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age...MedicalFull timeTemporary workWork at officeLocal areaImmediate start
- ## Claims SpecialistApply: Remote: Remote - USA: Grand Rapids, MI, USA: Full time: Posted Yesterday: R26\\_0000003413Built on meritocracy... ...well-being of our teammates, including:* *Health Benefits*: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance* *...MedicalHourly payFull timeRemote workWorldwide
- Claims Examiner - JHP page is loaded## Claims Examiner - JHPlocations: Philadelphia, PAtime type: Full timeposted on: Posted Yesterdayjob... ...under general supervision, the Claim Examiner adjudicates medical claims, in accordance with Health Partners' policies and procedures...MedicalDaily paidFull timeTemporary workPart timeFlexible hoursShift work
- ...this position.****POSITION SUMMARY:** At the Direction of the Claims Supervisor and/or Manager, manages all aspects of complex and litigated... ...requires considerable interaction with clients, claimants, Medical providers, Attorneys, vendors, Nurse and Vocational Case...MedicalWork at officeLong distance
$18.46 - $38.46 per hour
## Claims TechnicianApply: Henderson NV: Omaha NE: Full time: Posted Today: R0024074What part will you play? If you’re looking for a... ...submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related...MedicalFull timeLocal areaWork from home$62.4k - $107.25k
...moderate complexity and moderate exposure Workers Compensation claims in multiple jurisdictions. The position will have increased responsibility... ...to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or...MedicalLocal areaWork from home- ...and navigating complex situations? MEM Insurance is seeking a Claims Representative to join our collaborative and mission-driven Claims... ...with Nurse Case Managers and external vendors to oversee medical case management, including lifetime care planning and permanent...Medical16 hoursPermanent employmentTemporary workApprenticeshipFlexible hours
$36 - $40 per hour
...This position manages workers’ compensation and auto liability claims, supporting safety initiatives and insurance claims activities.... ...discussions and communication with employees, supervisors, HR Benefits, medical providers, and other stakeholders involved in the WC process....MedicalHourly payFor contractorsWork at officeFlexible hours- UnitedHealth Group is seeking a Senior Recovery Resolution Analyst to validate provider claims against medical records and apply coding guidelines in post-payment reviews. You will audit CPT/HCPCS codes, determine payment accuracy, and collaborate with teams while maintaining...MedicalRemote job
- Washington Regional in Fayetteville, AR is seeking an Insurance Claims Analyst to review, process, and analyze medical insurance claims for accuracy and compliance, reporting to Insurance Billing Manager. The role verifies patient information, reviews billing and coding...Medical
$48.2k
AF Group in Wisconsin, USA is recruiting for an entry-level professional claims handler specializing in medical and indemnity benefits. The role requires evaluating compensability, reserves, and settlements within authority, while adhering to state laws and internal standards...MedicalWork at office
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