Medical Claims Processor
Dane Street
Dane Street is seeking a Customer Service Representative to join our team in the United States. You will coordinate scheduling and reviewer selections for referrals within the Dane Street Network, acting as a central point of contact for clients, the technical team, and operations. This full-time role involves handling new cases, ensuring timely processing, assigning cases to physicians, and maintaining clear client communication. #J-18808-Ljbffr
$23 per hour
...position, 40 hours per week. Overview Our client is seeking a Claims Processor to review and adjudicate paper/electronic claims. Claims... ...pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations...MedicalFull timeContract workRemote work- ...attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community... ...when necessary. Mentoring Mentor and train new claims processors as needed. Requirements High school diploma or equivalent. Minimum...MedicalFull timeFor contractorsWork at officeRemote workMonday to FridayFlexible hours
- A health services company is seeking a Claims Processor to support the World Trade Center Health Program. In this mid-senior level role, you'll be responsible for processing complex medical claims with a focus on accuracy and compliance. The ideal candidate has a high...MedicalFull timeRemote work
- ...Job Title Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate... ...Minimum two (2) years experience entering and updating hospital or medical claims in a health insurance or benefits environment required...Medical
$22 - $28 per hour
...and affordable benefits, join us! We’re currently seeking a Claims Processor who will be responsible for processing insurance claims in a... ...Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting...MedicalRemote jobHourly pay$17 per hour
Job Title Claims Processor - Work from Home Overview Sagility, through its subsidiary BroadPath, is seeking experienced medical Claims Processors to join our remote team. In this role you will be responsible for the accurate and timely entry, review, and resolution of medical...MedicalHourly payWeekly payTemporary workRemote workWork from homeMonday to FridayFlexible hours- ...Responsible for active case management of Life claims Ensures claims are processed accurately within regulatory and company guidelines... ...commitments and deliverables are achieved Review and interpret medical records, utilizing resources as appropriate Complete financial...MedicalContract work
$72k - $141k
..., pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers. Our Healthcare Claims team is seeking Complex Claims Consultants to support varying segments such...MedicalFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work- ...business. Independent responsibility for managing medium and complex claims of assigned clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Acts... ...), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status...MedicalWork experience placementWork at officeLocal area
$18.45 - $21 per hour
...disposes of and settles the most complex and highest exposure claims with minimal supervision, including the investigation, determination... ..., obtain evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials...MedicalHourly payFull timePart timeLocal areaMonday to FridayFlexible hours- Sedgwick is seeking a remote Claims Adjuster - Liability to analyze and manage general liability claims. The ideal candidate will hold... ...schedule and a comprehensive benefits package that includes medical, dental, vision, and a 401(k) plan from day one. #J-18808-Ljbffr...MedicalRemote jobFlexible hours
- A community-focused medical practice in New Jersey is seeking a Workers' Compensation and Motor Vehicle Scheduling/Support Specialist. This full-time role emphasizes managing appointments, verifying insurance, and providing excellent patient service for work-related and...MedicalFull time
- Responsibilities To examine, adjust, defend, claims and lawsuits against our insureds Review and verify coverage for each claim, includes... ...documents, the insured’s business records, public records, medical records, property damage scopes, etc. Setting proper reserves...Medical
$32.3k - $65.7k
...Claims Assistant - NY Hybrid NEW YORK HEADQUARTERS - NEW YORK, NY 10118 Overview Position Type Full Time Category Admin - Clerical... .... Utilize the MCS portal to submit HIPAA authorizations for medical records, cancel requests, and import records received into the...MedicalFull timeWork at officeNight shift$50k - $54.19k
Claims Examiner I Job Ref: TE0175 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 10... .... Scope of Role & Responsibilities: Process claims involving medical and/or surgical services; screens for complete member/provider...MedicalFull time- ...with a wide range of health professionals to provide extensive medical and diagnostic services. We have an opening for an Eligibility... ...responsible for providing member/customer service in the areas of claims & eligibility. Following departmental workflows and policies/...MedicalTemporary workWork at office
- ...investigate and/or supervise outsourced investigations of CGL insurance claims and lawsuits, both bodily injury and property damage, arising... ...work product and organizational ethics, integrity, and complianceBenefits: Medical, 401KSalary commensurate with experience....MedicalFor contractorsShift work
- CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative... ...with room for professional growth. About the Role The Claims Verification Specialist is responsible for verifying patient information...MedicalFull time
$100k - $150k
...nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition... ...investigations and adjusting complex commercial general liability claims that are largely litigated, with exposures up to and exceeding...MedicalWork at officeRemote workWeekend work- Responsibilities Responsible for daily administrative tasks to support the Claims Department. Answer phones, route calls and take messages.... .... Utilize the MCS portal to submit HIPAA authorizations for medical records. Process Summons & Complaints. Share GNY’s files with...MedicalWork at office
$140k - $170k
...are seeking an experienced and highly skilled Complex Casualty Claims Specialist to join our claims team. This role is responsible for... ...170,000/year (based on experience) Annual bonus potential Full medical benefits Lucrative 401k with company match Responsibilities...Medical$54k - $64.47k
Claims Examiner II Job Ref: TE0165 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 1... ...skills are essential. In-depth knowledge of adjustment processing, medical terminology, CPT, ICD‑P, and revenue codes is required....MedicalFull timeWork at office- ...Claims Business Analyst Duration-6 – 12 months ++ Hybrid 3 Days a week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken... ...handling. ~ Strong experience with claims management and medical bill review solutions. ~ Experience with iterative and...Medical3 days per week
- ...Job Summary We are looking for a dedicated Senior Claims Analyst to join our team on behalf of our client. In this role, you will be responsible for the end-to-end management of medical professional liability claims. You will investigate incident particulars...MedicalTemporary workLocal areaNight shift
- ...in evaluating coverage, liability, and damages for each unique claim. You’ll collaborate across teams and with external stakeholders... ...employees. Benefits include performance‑based triannual bonuses, medical benefits paid at 100% for full‑time employees and 80% for eligible...MedicalFull timePart timeRemote work
$75k - $85k
Claims Examiner | No Fault- PIP | Lit Required | New York page is loaded## Claims Examiner | No Fault- PIP | Lit Required | New Yorklocations... ...negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions,...MedicalLocal areaFlexible hours$60.23k - $90k
## Claims Examiner Workers Compensation I NY experience requiredApplylocations: US Telecommuterposted on: Posted 9 Days Agojob requisition... ....* A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.Work environment requirements...MedicalFlexible hours$71k - $104k
...Under the direction of the Claims Team Leader, the Senior Workers’ Compensation Claim Representative investigates, evaluates, and resolves... ...and benefit entitlement Reviewing and approving medical bill payments or forwarding them for outside review, as necessary...MedicalFull timeContract workLocal area$55.13k - $110.64k
...our listed payroll approved states. Job Summary This Lost Time Claims Specialist, Workers’ Compensation manages indemnity claims, investigates... ...for work‑related injury and disease claims. The role supports Medical Only Claims Specialists and Claims Specialist Trainees and...MedicalTraineeshipWork at officeRemote workFlexible hours$105k - $120k
...Description Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Middle Market Casualty Team as a Claims... ...through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a...MedicalTemporary workWork experience placementWork at office3 days per week
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