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
- ...Health Inc. is seeking an Operations Specialist for remote roles across the USA and India, supporting member and provider advocacy and claims operations in an omni-channel environment. The role blends real-time customer support with behind-the-scenes claims processing,...MedicalRemote 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
$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...MedicalHourly payRemote work$120k - $150k
...any basis prohibited by the laws that govern its operations. Sr. Claims Specialist, Cyber – Salary Grade H This is your opportunity... ...comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement...MedicalFull timeWork at officeRemote workWork from homeFlexible hours3 days per week$116k - $165k
...pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and... ...key customers. In this Medical Malpractice focused Complex Claims Consultant position, you will be responsible for the overall investigation...MedicalFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work- Trend Health Partners, Inc. is seeking a Claims Analyst to identify, analyze, and recover claim overpayments for commercial health insurance companies. This role involves collaborating with clients and team members to improve healthcare access while maintaining strong...Medical
$47.5 - $53.35 per hour
...Location New York, New York Shift: Day (United States of America) Description: Feel the Pride of a Mission-Driven Career Medical Analyst - (Professional Coding) - Central Billing Office Join the patient-inspired team at NewYork-Presbyterian and bring new meaning to your...MedicalHourly payWork at officeShift work$72k - $141k
...potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim...MedicalFull timeWork experience placementWork at officeLocal areaShift work- ...Education : High School Diploma or GED required. General Description Process claims involving medical and/or surgical services; screens for complete member/provider information Applies administrative policies when necessary, utilizing the claims processing manuals Authorizes...Medical
$77.5k - $141.4k
...Position Summary : To handle claims associated with GNY Custom book and other select accounts from inception to closure. To assure that... ...documents, the insured's business records, public records, medical records, property damage scopes, etc. Setting proper reserves timely...Medical$32.3k - $65.7k
...Claims Assistant - NY Hybrid • NEW YORK HEADQUARTERS - NEW YORK, NY 10118 Overview Position Type Full Time Category Admin -... .... Utilize the MCS portal to submit HIPAA authorizations for medical records, cancel requests, and import records received into the...MedicalFull timeWork at officeNight shift- ...Position Overview The Claims Examiner I is responsible for the data entry and system adjudication of provider claims. The incumbent... ...manner. Scope Of Role & Responsibilities Process claims involving medical and/or surgical services; screens for complete member/provider...Medical
- ...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
$100 per hour
...Claims Specialist | $100/hr Remote | Mercor This range is provided by Crossing Hurdles. Your actual pay will be based on your skills... ...Review: Review third-party documentation including police reports, medical records, and vendor estimates. Claims Drafting: Draft coverage...MedicalHourly payContract workFor contractorsRemote workFlexible hours- ...resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions Confirms coverage of claims by... ...counsel Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure Sets reserves...MedicalWork at office
- ...We are seeking an experienced specialist to manage high-exposure medical professional liability claims. This role is designed for a technical expert who can navigate complex litigation and indemnity strategies while maintaining a high level of service for our insured clients...MedicalFull timeWork at officeRemote workShift work
- ...Claims Advisor - U.S. Military Veterans Only Remote | 1099 Independent Contractor | Base Salary + Commission Company Description Veterans... ...guidance is provided to veterans. Review and analyze veterans' medical records, military service records, and other relevant...MedicalFor contractorsRemote workFlexible hours
$30 - $31 per hour
...Job Title : Claims Examiner/Claims Processor / Claims Adjudicator (Healthcare Insurance) Duration : 3-6+ months possibility for extension more Location... ...guidelines. The ideal candidate will have experience in medical claims processing and strong knowledge of coding systems...Medical$130k - $170k
...weekends, or holidays) ~ Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k), tuition... ...Companies is seeking a Trucking Specialist to join our P&C Casualty Claims team. Reporting to the Director of Claims, this role is responsible...MedicalWork at officeRemote workWeekend work$61.9k - $96.1k
...Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner,... ...through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a...MedicalTemporary workWork experience placement- ...The ideal candidate will have experience processing healthcare claims in a high-volume Claims Department. Must be computer literate and... ...essential. In-depth knowledge of adjustment processing, medical terminology, CPT, ICDP, and revenue codes is required. Proficiency...MedicalWork at office
$20 - $26 per hour
...Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission... ...), ensuring all documentation aligns with each insurer’s medical policies and guidelines. Verify that all patient and claim information...MedicalFull timePrivate practiceRemote workShift work- ...Job Title: Claims Examiner - Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview As a Claims Analyst specializing... ...validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions...MedicalTemporary workWork experience placementCasual workWork at officeRemote work
$60k - $75k
...Position Description E-J is seeking a Claims Assistant who will work closely with the Vice President of Risk Management & Compliance... ...Competitive compensation packages Comprehensive benefits, including medical, dental, vision, and a 401K plan Paid holidays and vacation...MedicalFor contractorsWork experience placementWork at officeLocal area$110k - $125k
...A3 from Moody's. Join Our Team You will be our US A&H Claims Specialist, reporting into the A&H Claims Manager. In this capacity... ...some of the benefits and perks we offer our employees: ~ Medical ~ Dental ~ Vision ~ FSA Medical and Dependent care ~ Health...MedicalTemporary workWork visaFlexible hours$125k - $155k
...Complex Claims Specialist-Miscellaneous Professional Liability Join our dynamic and forward-thinking Claims team! Here, you'll be... ...Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) ~ Company paid group term...MedicalTemporary workWork at officeLocal areaFlexible hours$10k
Strategic Comp is hiring a Senior Medical Only Claims Representative to work from home in the United States. The role focuses on investigating and managing medical-only claims with authority to reserve up to $10,000. Must handle claims across MD, NJ, and PA, with PA being...MedicalWork from home- ...Sedgwick is seeking a Liability Claims Associate for a remote role (Central or Eastern Time Zone) in NY or HI licensing preferred. You... ...claims teams, and process documentation with clients and medical contacts. The position emphasizes integrity, collaboration, and...MedicalRemote workFlexible hours
- ...their goals. In short, We Enable Possibility.Position SummaryThe Claims Division is seeking a team member to join the Claims Operations... ...our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive...MedicalFull timeTemporary workWork experience placementWork from home
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