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
$84.24k - $126.36k
...Medical Malpractice Claims Examiner The Medical Malpractice Claims Examiner is responsible for the investigation... ...of relevant experience working in healthcare. Proven experience in the handling... ...claims preferred and in coverage analysis. LICENSES/CERTIFICATIONS:...MedicalFull timeShift work- ...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
$23 - $28 per hour
...Job Description Healthcare Claims Examiner Location: El Monte, California Ultimate Staffing is actively... .... This role focuses on ensuring the accurate adjudication and resolution of a broad range of medical claims while maintaining compliance with...MedicalHourly payLocal areaMonday to Friday- Job Title: Medical Claims Examiner Overview: We are seeking a detail-oriented Medical Claims... ...to review, evaluate, and process healthcare claims in accordance with plan guidelines... ...ensuring accurate and timely claims adjudication while maintaining compliance and high...MedicalWork at officeLocal area
$80k - $98k
...Insurance Workers Compensation Claims Examiner | West Hills, CA (Remote 3... ...knowledge and experience to adjudicate complex customer claims in... ...containment principles including medical management practices and... ...troubleshooting, problem solving, analysis, and discretion; ability to...MedicalWork at officeLocal areaRemote workFlexible hours- ...Care Pharmacy is hiring a Claims Examiner in Los Angeles, CA. The ideal... ...years of experience in medical claims processing with a focus... .... Responsibilities include adjudicating claims per company policies... ...challenging and rewarding career in healthcare services. #J-18808-Ljbffr...Medical
- Nahse is seeking a Claims Examiner in Los Angeles, CA. The role involves accurately adjudicating claims following company guidelines and ensuring compliance with CMS and... ...Candidates should have three years of experience in medical claims processing, especially in specialty...Medical
- A healthcare organization is seeking a Claims Examiner in Los Angeles, California. The role involves adjudicating medical claims in compliance with company policies, ensuring accuracy, and maintaining productivity standards. Candidates should have three years of experience...Medical
$151k - $181.25k
...Technical Garage Bodily Injury Claims Specialist Argo Group is... ...in Denver and is focused on adjudicating commercial Garage Bodily Injury... ...information gathering, analysis and investigation to find solutions... ...), denial of family and medical care leave, disability (mental...MedicalLocal area$100k
...meet the unique coverage and claims-handling needs of businesses.... ...broad authority, you will: Adjudicate highly complex inland marine... ...in-depth investigation, analysis, and information gathering to... ...restrictions), denial of family and medical care leave, disability (...MedicalFor contractorsWork at officeLocal area- ...Claims Business Analyst Duration-6 – 12 months +++ Hybrid... ...CLAIMS ~7+ years of business analysis experience, with 3+ years... ...experience with claims management and medical bill review solutions.... ...HELPFUL, pbm, medical bill mngt, etd to adjudicate a wc claim...Medical3 days per week
$111.38k - $132.5k
...Senior Workers' Compensation Claims Adjuster Argo Group is an... ...Rockwood, PA. This role will be adjudicating workers' compensation claims... ...employees receive excellent medical care if they need it due to a... ...frequency and severity through data analysis and improved claim management...MedicalLocal area$100k
...General Liability Bodily Injury Claims Specialist Employment Type:... ...Angeles and is focused on adjudicating commercial General Liability... ...detailed information gathering, analysis and investigation to find... ...restrictions), denial of family and medical care leave, disability (...MedicalFull timeLocal area$26 per hour
*Job Title: Claims Compliance Auditor* *Job... ..., benefit analysis, and authorization... ...strategies to reduce adjudication errors while tracking... ...and return to examiners when appropriate... ...configuration within a healthcare environment *... ...following: * Medical, dental & vision...MedicalContract workTemporary work$107.98k - $169.33k
...for large complex cases based on thorough analysis of experience, location, demographics,... ...expertise, knowledge, and proficiency in Medical Stop Loss Underwriting. For candidates... ...improving lives and communities - and making healthcare simpler. We are a Fortune 25 company...MedicalFull timeContract workTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- A prominent healthcare institution in Los Angeles is seeking a Claims Examiner to adjudicate medical claims accurately while adhering to company policies. The ideal candidate will have at least three years of experience in processing various specialty claims and familiarity...Medical
$26.49 - $40.99 per hour
...and 3rd party material damage claims leading to the proper... ..., Detail-Oriented, Financial Analysis, Material Estimating, Multitasking... ...provisions of the Family and Medical Leave Act (FMLA) and telling... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing...MedicalContract workWork at officeRemote workVisa sponsorshipWork visa- ...Claims Examiner – Days Must have listed claims reimbursement experience. Must have DOFR.... ...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....MedicalMonday to FridayShift work
$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- ...Job Summary: The Claims Examiner is responsible for processing UB-92 and HCFA-1500 claims from affiliated medical groups and hospitals for HMO patients. This includes operation, adjudication, and payment functions, reporting directly to the claims manager. Location...MedicalContract workMonday to FridayShift work
- ...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 Ensure...MedicalContract work
- ...Role: Join MedPOINT Management as an EDI Claims Specialist and play a crucial role in... ...exceptional service and support to our healthcare partners. Responsibilities: Process and... ...Strong knowledge of HIPAA regulations and medical billing practices. Proficient in EDI software...MedicalRemote work
- ...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
$86k - $92k
...seeking an experienced Senior Liability Claims Specialist to join a growing claims team... ...investigative, negotiation, and coverage analysis skills, along with the ability to manage... ...Review police reports, witness statements, medical documentation, and other claim-related materials...MedicalRemote work- ...Job Description The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines as outlined... ..., and procedures. Acquires and adjudicates medical claims for processing; reviews scanned, EDI,...MedicalContract work
$50k - $55k
...Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF... ...Performs coverage, liability, and damage analysis on all claims assignments. Performs other... ...is offered including but not limited to, medical, dental, vision, 401k and matching, PTO,...MedicalContract workWork at officeFlexible hours$100k - $120k
...Liability) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex,... ..., troubleshooting, problem solving, analysis, and discretion; ability to handle work-related... ...is offered including but not limited to, medical, dental, vision, 401k and matching, PTO,...MedicalContract workWork at officeLocal areaFlexible hours$20 - $32 per hour
...Claims Examiner I-III Location: Pasadena, CA (Remote/Hybrid available... ...Opportunity Industry: Healthcare / Managed Care / IPA Job... ...have prior healthcare claims adjudication experience, preferably within a managed care, IPA, medical group, or health plan...MedicalHourly payFull timeContract workRemote workMonday to Friday$27.69 per hour
...Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers... ...financial and professional needs including medical, dental, vision & 401k. PRIMARY PURPOSE OF... ...judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related...MedicalTraineeshipWork at officeFlexible hours$130k - $200k
...Principal Claims Consultant Arcadis is the world's leading company delivering sustainable... ...: Manage and perform expert claims analysis and resolution assignments. Oversee... ...part time positions. These benefits include medical, dental, and vision, EAP, 401K, STD, LTD,...MedicalFull timePart time
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