Healthcare Claims Examiner: Medical Adjudication & Analysis
HealthCare Support
A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a minimum typing speed of 45 WPM, and knowledge of medical coding. This position offers an exciting opportunity for career advancement within a rapidly growing company. Interested applicants should contact Tyler at View phone number on click.appcast.io. #J-18808-Ljbffr Healthcare Support Staffing
- ...Description Intro: Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you have claims adjudication or facility claims experience in... ...issues/deficiencies. Adjudicates medical claims Verifies patient account, eligibility...MedicalContract work
$24 - $30 per hour
...Description & Requirements Medical Claims Examiner- Chatsworth Local... ...help us deliver exceptional healthcare support. In this role, you... ...for the accurate and timely adjudication of CMS 1500 and UB-04... ...processes, and claim review and analysis involving NCCI rules....MedicalHourly payWork at officeLocal areaRemote workFlexible hours$73.05k - $156.96k
...ready to make a real difference in healthcare? MIEC is searching for a dynamic claims professional to join our... ...play a pivotal role in protecting medical professionals and advancing patient... ...require advanced judgment, independent analysis, and strong facilitation skills....MedicalWork at officeRemote workFlexible hoursNight shift$103.12k - $177.88k
...group insurance underwriting, actuarial analysis, or strategic finance. Preferred Skills... ...lives and communities - and making healthcare simpler. We are a Fortune 25 company with... ...by a collective bargaining agreement), medical, dental, vision, short and long term disability...MedicalContract workTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week$27 - $32 per hour
Lead - Claims Examiner Department: Ops - Claims Ops Employment Type:... ...to continue to scale in the healthcare industry. This is a hybrid... ...minimize incorrect claims adjudication Coordinate potential recovery... ...working for either a Medical Group, IPA, MSO, or Health...MedicalHourly payFull timeContract workWork experience placementWork at office$100k
...meet the unique coverage and claims-handling needs of businesses.... ...Essential Responsibilities Adjudicate highly complex inland marine... ...Conduct in-depth investigation, analysis, and information gathering to... ...), denial of family and medical care leave, disability (mental...MedicalFor contractorsWork at officeLocal area$88.85k
...an alert: Authorization and Claims Analytics Data Analyst III Job... ...with substantial exposure to healthcare operations, managed care, or... ...gathering, data validation, analysis, and delivery of insights. Experience... ..., risk adjustment, or medical cost driver analysis....MedicalFull time$116k - $165k
...CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse... ...therapists and more than 100 other categories of medical service providers. This role will... ...this Medical Malpractice focused Complex Claims Consultant position, you will be responsible...MedicalFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$130k - $200k
...Los Angeles, CA, United StatesDepartment: Claims & ControlsBusiness Unit: ANA United... ...accountabilities:Manage and perform expert claims analysis and resolution assignments.Oversee claims... ...time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD,...MedicalFull timePart time$99.6k - $186k
...support profitable growth across industries like manufacturing, healthcare, technology, and real estate.What We’re Looking ForEffective... ...skillsCollaborative spirit and teamwork mindsetStrong risk/exposure analysis skills and underwriting acumenQualifications• Bachelor’s...Full timeTemporary work$61.8 per hour
OverviewUnder general supervision and medical direction, ensures prompt, efficient and accurate performance of laboratory testing services... ...to established criteria.Evaluates the acceptability of analysis prior to releasing patient results.Responsible for scheduled preventative...MedicalShift work- ...Developing Risk Assessment Work Plans and contributing to Sampling and Analysis Plans/Quality Assurance Project Plans.Successfully coordinating... ...on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D, disability benefits, paid time off...MedicalFull timeCasual workWork at officeLocal areaRemote workWorldwideFlexible hours
- ...Job Title Duration: 3+ months contract Responsibilities Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted providers...MedicalContract work
$24 per hour
...potential for the right candidate! The claims examiner reports directly to the claims manager... ...the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims... ...that are received from PHP affiliated medical groups and hospitals for HMO patients....MedicalContract workWork at office- ...Claims Examiner Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday... ...the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500... ...that are received from PHP affiliated medical groups and hospitals for HMO patients....MedicalContract workWork at officeMonday to FridayShift work
- ...seeking a Billing Specialist responsible for managing account payments, submitting claims, and following up with insurance companies. The ideal candidate should have experience in medical billing, strong communication skills, and an attention to detail. Responsibilities...Medical
$80k - $90k
...analyze Workers Compensation claims on behalf of our valued clients... ...due, while ensuring ongoing adjudication of claims within service... ...benefits offering including medical, dental vision, 401K on day one... ...troubleshooting, problem solving, analysis, and discretion; ability to...MedicalRemote jobFlexible hours$130k - $200k
Role description Arcadis seeks a Principal Claims Consultant with a broad and established... ...accountabilities Manage and perform expert claims analysis and resolution assignments. Oversee... ...‑time positions. These benefits include medical, dental, and vision, employee assistance...MedicalFull timeTemporary workPart time$15 - $20 per hour
...team, you will be processing FSA and HSA claims. You will review and research the claim and... ...read receipts, doctor bills, and basic medical paperwork. We have 3 different classes with... ...Follow up on pending documents involving analysis. Requirements Be computer literate able...MedicalPermanent employmentFull timeTemporary workRemote workWork from home$28 - $30 per hour
...Southern California to lead fulfilling lives. Position Overview The Claims Specialist - Quality Assurance and Compliance (QAC) manages... ...We Offer You for All Your Hard Work? Full benefits offered (Medical, Dental, Vision) FSA/Dependent Care FSA and Supplemental benefits...MedicalHourly payContract workWork at officeWorldwide- ...has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical and laboratory services... ...to independent professional and supervisory analysis/assessment of the most effective...MedicalFull timeWork experience placementWork at officeDay shift
- ...ensure the RN Case Managers, Clinic RN, Medical Assistants, and other clinic team members... ...opportunities, performing root cause analysis, evaluating care delivery processes, and... ...Bachelor's degree in nursing or other healthcare related field, preferred; professional experience...Medical
- ...Claims Examiner Days Location: 9557 Greenleaf Avenue, Whittier, CA Shift: Monday - Friday... ...the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500... ...identity, national origin, disability, or status as a protected veteran. Bestica HealthcareMonday to FridayShift work
- Astrana Health in Monterey Park, CA is seeking a Lead - Claims Examiner to oversee quality across claims processing and drive compliance.... ...ideal candidate has at least five years of claims experience in medical groups, IPA, MSO, or health plans, with strong knowledge of...MedicalWork at officeRemote work
- ...Healtcare Claims Analyst Location: Burbank,... ...to support participants, providers, and healthcare partners. This role handles claims processing... ...problem-solving skills. Knowledge of medical terminology, benefits, and eligibility....MedicalFull timeWork at officeLocal areaMonday to Friday
- ...ResponsibilitiesUnderwrite inland marine risks through detailed analysis of submissions, including loss history,... ...results, while maintaining awareness of claims activity and providing underwriting input... ...benefits package that includes multiple medical plans plus dental, vision and...MedicalFull timeTemporary work
$100k - $165k
...collaborate with other underwriters, operations, claims, marketing, and home office management as... ...process, with a solid background in risk analysis.Candidate must have ability to... ...ancestry, mental and physical disability, medical condition, genetic information, military...MedicalLocal areaHome office$95k - $130k
...within the underwriting narrative documenting the credit analysis; (2) accurate use of risk rating scoring models (aka Dual... ...comprehensive benefits.We offer eligible associates comprehensive healthcare coverage (medical, dental, and vision plans), a 401(k)-retirement savings...MedicalFull time$750 per month
...reviews for clients with multiple property holdings, including analysis beyond bank‑financed propertiesTransaction & Deal... ...give you peace of mind. Our benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term life insuranceShort...MedicalFull timeWork experience placementWork at officeLocal area3 days per week$149.52k - $175.9k
...financial modeling (historical and pro forma cash flow and credit analysis modeling; DCF, sensitivity modeling) to facilitate... ...give you peace of mind. Our benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term life insuranceShort...MedicalFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week
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