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
- Randstad is seeking a Claims Examiner in Whittier, California. The successful candidate will report directly to... ...manager and be responsible for processing operations, adjudication, and payment of claims from affiliated medical groups and hospitals for HMO patients. Education...Medical
- ...Workers Compensation Claims Examiner Primary Purpose: To analyze complex... ...rehabilitation; to ensure ongoing adjudication of claims within service... ...principles including medical management practices and Social... ...troubleshooting, problem solving, analysis, and discretion; ability to...MedicalWork at officeLocal areaRemote work
- ...Medical Claims Examiner Top healthcare facility is hiring a medical claims examiner to work onsite in Whittier, CA! The claims examiner reports... ...responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are...Medical
$55.93k - $73.83k
...Claims Examiner At WelbeHealth, we are transforming the reality of... ...providing an all-inclusive healthcare option to the most vulnerable... ..., researching, and adjudicating claims in a complex managed... ...feels uniquely cared for. ~ Medical insurance coverage (Medical...MedicalWork at office$80k - $90k
Claims Examiner - Workers Compensation (HYBRID - West Hills, CA / 3 Days... ...due, while ensuring ongoing adjudication of claims within service expectations... ...benefits offering including medical, dental, vision, 401(k) on... ..., problem‑solving, analysis, and discretion; ability to...MedicalRemote jobFlexible hours$85k - $100k
Claims Examiner - Workers Compensation | Rancho Cordova, CA Are you looking... ...knowledge and experience to adjudicate complex customer claims in... ...benefits offering including medical, dental vision, 401K on day... ...troubleshooting, problem solving, analysis, and discretion; ability to...MedicalWork at officeFlexible hours- US Tech Solutions is seeking a Medical Claims Adjudication Specialist for a 3+ months contract. The role involves reviewing, adjudicating, and processing medical claims for HMO patients. Candidates should have at least 2 years of experience in claims adjudication within...MedicalContract work
- ...FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea... ...provider of HIV/AIDS medical care in the nation. Our mission... ...Contribution Profile The Claims Department is a dynamic department... ...that provides claims examination and adjudication for the organization’s...Medical
$84.24k - $126.36k
...Medical Malpractice Claims Examiner Huntington Hospital Employee Login Expectations: The Medical Malpractice... ...of relevant experience working in healthcare. Proven experience in the handling... ...liability claims preferred and in coverage analysis. LICENSES/CERTIFICATIONS: Preferred...MedicalFull timeShift work$100k
...the unique coverage and claims-handling needs of... ...VT. This role will be adjudicating our most complex construction... ...gathering, analysis and investigation to find... ...Licensed Claims Examiner (Based on state) Must... ...denial of family and medical care leave, disability...MedicalFull timeLocal areaRemote work$100k
...General Liability Bodily Injury Claims Specialist Argo Group is... ...Angeles and is focused on adjudicating commercial General Liability... ...detailed information gathering, analysis and investigation to find solutions... ...), denial of family and medical care leave, disability (...MedicalLocal area$29.37 - $34.18 per hour
...meet the unique coverage and claims-handling needs of businesses.... ...responsibilities will be split between adjudicating fast track claims handling... ...from prior experiences, with analysis of the issue. Learn and... ...), denial of family and medical care leave, disability (mental...MedicalHourly payContract workTraineeshipWork at officeLocal area- Australia-Employment is seeking a Healthcare Collections Representative in... ...processing of healthcare claims in a hybrid environment.... ...have over 5 years of claims examination experience and strong analytical... ...compensation is offered alongside medical benefits. #J-18808-Ljbffr...MedicalHourly payContract work
$151k - $181.25k
...meet the unique coverage and claims-handling needs of businesses.... ...Essential Responsibilities Adjudicate Garage Bodily Injury claims at... ...detailed information gathering, analysis, and investigation to find... ...restrictions), denial of family and medical care leave, disability (...MedicalFull timeLocal areaVisa sponsorshipWork visa$100k - $105k
Claims Team Lead - Workers Compensation (HYBRID - West... ...multiple teams of examiners and technical staff handling... ...guidance on claims adjudication and maintains regular... ...offering including medical, dental, vision, and 4... ...troubleshooting, problem solving, analysis, and discretion;...MedicalWork at officeFlexible hours$100k - $105k
Claims Team Lead - Workers Compensation (HYBRID - West... ...and experience to adjudicate complex customer claims... ...Oversees multiple teams of examiners and technical staff... ...benefits including medical, dental, vision, 401(k... ...troubleshooting, problem solving, analysis, and discretion;...MedicalWork at officeFlexible hours$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- ...Medical Claims Adjudication Specialist 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...MedicalContract work
- ...Claims Examiner – Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday -... ...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 officeMonday to FridayShift work
$34 per hour
...Claims Examiner III Location: Pasadena, CA (Hybrid considered after training... ...perm Position Overview: A healthcare IPA is seeking an... ...‑on claims examination and adjudication experience. Candidates must... ...a managed care, IPA, MSO, medical group, TPA, or health plan...MedicalHourly payPermanent employmentTemporary workMonday to Friday$80k - $98k
A leading claims management company is seeking a Workers Compensation Claims Examiner to analyze and adjudicate complex customer claims. The role is remote for applicants in Central... ...along with comprehensive benefits including medical, dental, and 401k from day one. #J-18808...MedicalRemote workFlexible hours$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities... ...information gathering, analysis and investigation to find solutions to issues... ...use restrictions), denial of family and medical care leave, disability (mental and physical...MedicalFull timeLocal area$28 - $30 per hour
...Claims Processor To evaluate and determine the appropriate path and to assist in the expedited... ...of claims, special projects and medical records from all sources. Oversees staff... ...determined by unit Supervisor regarding claims adjudication issues discovered in audit or through...MedicalHourly payFull timeContract workCasual workWork at officeRelocation packageFlexible hours- ...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 officeNight shift
- ...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
$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$101.18k - $120.46k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities... ...ensure their employees receive excellent medical care if they need it due to a work-... ...claims frequency and severity through data analysis and improved claim management....MedicalFull timeLocal area$101.18k - $119.78k
...the unique coverage and claims-handling needs of... ...City and is focused on adjudicating first and third party... ...severity through data analysis and improved claim management... .... Licensed Claims Examiner (Based on state) Must... ...denial of family and medical care leave, disability...MedicalFull timeLocal areaRemote work$27.69 per hour
...Claims Representative (IAP) - Workers Compensation Training Program By joining Sedgwick... ...and professional needs including medical, dental, vision & 401k. PRIMARY PURPOSE... ...judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related...MedicalTraineeshipWork at officeFlexible hours
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