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$18.27 - $25.72 per hour
...generated reports for in-process claims in order to identify and resolve errors prior to final adjudication. Alerts claims management to claims aging issues as well as provider billing problems. Maintains current knowledge of company members' benefits, policies/procedures,...SuggestedHourly payFull timeContract workWork at officeRemote workFlexible hours$49.93k - $97.36k
...impacting member ability to access health‑care services, provision of timely support from care management staff or other personnel, billing and communication support, and any other support needs related to the member experience. Ensures that member rights are upheld and...SuggestedRemote jobWork experience placementWork at office$80,750 - $109,250 per week
...Adjudicator Responsibilities for this position include working on personnel security cases assigned by the Government, reviewing and analyzing assigned case files, interviewing subjects, discussing cases with senior adjudicators, providing final written recommendations...SuggestedRemote workGeneral Dynamics
Chantilly, Loudoun County, VA1 day ago- ...ADJUDICATOR Adjudicator tasks shall include: Work on personnel security cases assigned by the Government. Each case will vary in the total tasks, time and effort required to provide the deliverable, which is a written recommendation to grant, suspend, disapprove, or revoke...SuggestedFor contractors
General Dynamics Information Technology
Chantilly, Loudoun County, VA4 days ago - ...Panama, Ecuador, Colombia, and Dubai, and employs over 700 employees of various nationalities. Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines,...SuggestedContract workWork at office
National Healthcare Solutions, Inc.
Miami, FLa month ago $51k - $55k
...identification and categorization of documents, entry of data, logs, reports and correspondence. Provides information regarding procedural, billing and case status questions; reviews stipulations, court orders, insurance policies, and other legal documents; disseminates...SuggestedWork experience placementWork at officeLocal areaAmerican Arbitration Association
New York, NY4 days ago- ...diagnosis codes preferred. Ability to calculate figures and co-insurance amounts. ESSENTIAL JOB RESPONSIBILITIES: Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services. Follow claims adjudication...SuggestedContract workLocal area
Gulfside Healthcare Services, Inc.
Land O Lakes, FL6 days ago - ...and procedures. Assists with crisis situations and emergencies as needed. Provide administrative support, including not limited to billing tasks, scheduling appointments, managing communications, and coordinating meetings. Facilitate client access to resources and...Suggested
Catholic Charities
Waukegan, IL1 day ago $20.36 - $24.97 per hour
...and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate...SuggestedHourly payTemporary workWork experience placementRemote workMonday to FridayFlexible hoursUNITE HERE HEALTH
Oak Brook, ILmore than 2 months ago- ...Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in... ...Medicaid is critical. Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies....SuggestedFull timeWork experience placementWork at office
Naphcare, Inc.
Birmingham, AL10 days ago - .... Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The purpose of the Claims Adjudicator III position is to successfully collaborate with the team Supervisor to provide direction and support to the team. This involves...SuggestedHourly payTemporary workWork experience placementWork at officeRemote workWork from homeMonday to FridayFlexible hours
UNITE HERE HEALTH
Oak Brook, ILmore than 2 months ago - ...NaphCare, Inc. is seeking an experienced Senior Claims Adjudicator to work on-site at our Corporate Office in Birmingham, AL. This role involves processing claims efficiently while demonstrating a commitment to customer service and accuracy. The ideal candidate will possess...SuggestedWork at office
NaphCare
Cincinnati, OH1 day ago $52k - $55k
...case management system (PRISM), correspond with parties, attorneys, and neutrals, and ensure accurate scheduling, documentation, and billing processes. This position is ideal for professionals with a background in customer service or legal support who are interested in...SuggestedWork at officeLocal areaAmerican Arbitration Association
Johnston, RI13 hours ago$48k - $52.5k
...tasks. Understands and applies respective rules and procedures for administering arbitration and mediation cases, including fee and billing policies; interprets and determines their appropriate application to assigned cases. Maintains and updates case files, records,...SuggestedWork experience placementLocal areaAmerican Arbitration Association
Dallas, TX1 day ago$23.5 - $24.5 per hour
...applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CFC’s corporate compliance & ethics program. Any offer...SuggestedFull timeLocal areaMonday to FridayCatholic Charities Family and Community Services
Rochester, NYmore than 2 months ago$20 - $22 per hour
...applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing, and documentation standards. All duties must be performed in accordance with CCFCS’s corporate compliance & ethics program. Any...Full timeContract workFor contractorsLocal areaImmediate startCatholic Charities Steuben/Livingston
Geneseo, NYa month ago- ...A leading healthcare technology company is seeking a Senior Claims Adjudicator to join their Birmingham, AL office. This on-site position is essential for processing claims accurately and efficiently, requiring five years of adjudication experience and an Associate Degree...Work at office
NaphCare
Birmingham, AL2 days ago $16.5 per hour
...applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing, and documentation standards. Any offer of employment will be contingent upon successful completion of a background check. CCDOR...Contract workPart timeCatholic Charities Finger Lakes
Geneva, NY17 days ago$19 per hour
...Claim Adjudicator Location: Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview: Key Responsibilities Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring compliance...Full timeRemote work- ...authorization/denial information from payers and provide clear and accurate communication on all accounts to ensure accurate and timely billing. Recognize and communicate any service delays to the Case Manager, Social Worker and/or Utilization Review Nurse. Utilize...Work experience placementWork at officeFlexible hours
Aya Healthcare
Melbourne, FL13 hours ago $43.33k
Adjudicator Agency 290 EMPLOYMENT SECURITY COMMISSION Supervisory Organization Employment Security Commission-Will Rodgers Memorial Office Building Job Type/Salary/Location Full-time Vacancies: Two Salary: $43,326.40 annual; $20.83 hourly Primary Working Hours: M...Hourly payFull timeWork experience placementWork at office- Protection Strategies Inc is hiring for the position of HHS Adjudicator in Washington, United States. This role involves reviewing and evaluating background investigations to determine individuals' suitability for employment, while adhering to established guidelines. The...
$1,250 per month
...Temporary Ballot Tabulation Center (BTC) Adjudicator As a Temporary Ballot Tabulation Center (BTC) Adjudicator, you facilitate the election process by reviewing voters' intent, processing ballots, duplicating damaged ballots, and performing data entry. Apply Today...Full timeTemporary workWork at officeLocal area$54.41k - $76.32k
...24-1592, 02024-1041, 02000-3202, 02000-2539, 02000-2214 Overview Disability Determination Services is hiring a Disability Claims Adjudicator to review and adjudicate Social Security Disability benefits claims. The role involves collecting and analyzing medical, psychiatric...Remote work3 days per week- Department UHC: Managed Care Job Summary The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The Lead... ...managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed...Contract workWork at office
- ..., New Hampshire, is seeking a Health Benefits Claims Examiner to join our team. This role is vital for ensuring accurate claims adjudication and involves reviewing various health plan documents. The ideal candidate has experience in healthcare or insurance processing and...
$18.27 - $25.72 per hour
WellSense Health Plan is looking for a Claims Processor to ensure accurate and timely claims processing. You will evaluate and interpret claims, maintaining quality and productivity standards, while working in a remote capacity. The position requires a high school degree...Remote job- HHS Adjudicator Position Overview: Reviews and evaluates background investigations to assess an individual’s character, conduct, and overall suitability for employment, as well as eligibility for access to classified information. Applies established guidelines and sound...For contractorsWork at officeFlexible hours
- Norwescap is looking for a dedicated Senior Adjudicator in East Brunswick Township to handle applications for energy assistance programs. This full-time position requires strong communication skills and proficiency in Microsoft Office 365, along with a focus on maintaining...Full timeWork at office
$18.27 - $25.72 per hour
WellSense Health Plan is seeking a Claims Processor to handle the accurate processing of claims at their remote facility. Candidates should have a high school diploma, with preference given to those with an Associate degree or relevant coursework. The ideal candidate will...Remote jobHourly pay
