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- ...Claims Adjudicator The Claims Adjudicator facilitates the claims adjudication process through effective claims management. The incumbent will ensure claim accuracy, bill payors, and coordinate with the Copay Assistance Department as necessary. Duties and Responsibilities...Suggested
AmeriPharma
Laguna Hills, CA21 hours ago $21.65 - $38.37 per hour
Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching... ...and collaborates with respective operational areas/provider billing to facilitate resolution. Collaborates with the member...SuggestedHourly payWork experience placementWork at office- A healthcare company is seeking a Claims Adjudicator in Laguna Hills, California, to manage the claims adjudication process, ensuring claim... .... Responsibilities include troubleshooting claim issues, billing payors, and documenting patient medication coverage. This role...Suggested
$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$29 - $32 per hour
...Monday to Friday, 8:30 AM - 5:00 PM Job Summary The Claims Adjudicator is responsible for overseeing the claims adjudication process... ...the accuracy and timely processing of claims, coordinates bill payments, and collaborates with the Copay Assistance Department...SuggestedHourly payCasual workMonday to Friday$19 per hour
...Claim Adjudicator Location: Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview: Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring compliance with company...SuggestedFull timeRemote workDiverse Lynx
Tampa, FL2 days ago$18 - $19 per hour
...Claims Adjudicator Immediate need for a talented Claims Adjudicator. This is a full time opportunity and is at Tampa, FL (Onsite). Please review the job description below and contact me ASAP if you are interested. Pay Range: $18 - $19/hour. Employee benefits include...SuggestedFull timeImmediate startPyramid Consulting
Tampa, FL2 days ago$19 per hour
...Job title: 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...SuggestedFull timeRemote workDiverse Lynx
United States4 days ago$80.75k - $109.25k
...Trust/Other Required: None Job Family: Intelligence Operations and Analysis Job Qualifications: Skills: Adjudicating, Analytical Thinking, Investigation, Security Clearances, Written Communication Certifications: None Experience:...SuggestedTemporary workFor contractorsImmediate startRemote workWorldwideFlexible hoursGeneral Dynamics Information Technology
Chantilly, Loudoun County, VA4 days 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, IL1 day ago$49.5k - $52k
...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
Chicago, IL3 days 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 the agency’s corporate compliance & ethics program....SuggestedFull timeLocal areaMonday to Friday- ...prescribed manner and complete paperwork prescribed by the Department. Completes required paperwork as needed for input into data and billing systems. Bilingual in English and Spanish preferred. Qualifications Bachelor’s Degree in psychology, social work, health...SuggestedFull timeNight shiftWeekend workAfternoon shift
- ...Responsibilities include handling day-to-day case administration via the proprietary case management system, ensuring accurate documentation and billing processes, and effective communication with diverse stakeholders. Candidates should have an associate's degree or equivalent...Suggested
- Essential Duties/Responsabilités: Job Duties: # Coordinates with claimants, employers and agency staff to make senior level eligibility determinations on the basis of objective fact finding and legal analysis. These determinations must meet stringent timeliness...SuggestedSeasonal workWork at officeLocal area
Calculated Hire
Indianapolis, IN3 days ago $21 per hour
...Job Description Job Description Senior Adjudicator $21.00/hour | 40 hours per week Summary/Objective: Norwescap is seeking a dedicated Senior Adjudicator who will be responsible for adjudicating applications for the Low-Income Home Energy Assistance Program...Work at officeLocal areaFlexible hoursNorwescap
Phillipsburg, NJ25 days ago- A healthcare corporation in Bellevue, WA is seeking an experienced claims support professional to assist with provider claims adjudication. Responsibilities include analyzing and resolving claims issues, providing customer service to providers, researching claims, and...Hourly pay
$18 per hour
A leading technology service provider is seeking a Remote Claims Processing Associate to handle various tasks including processing claims, reviewing policies, and ensuring compliance with regulations. The ideal candidate will have 1-3 years of experience in healthcare claims...Remote job$21.65 - $38.37 per hour
A leading healthcare company in Cincinnati seeks a Claims Support Specialist to assist with provider claims adjudication. Responsibilities include resolving claims issues, providing customer service, and analyzing data. Candidates should have at least 2 years of experience...Hourly pay$90k - $100k
...Adjudicator/Personnel Security Specialist Watermark is seeking an Adjudicator/Personnel Security Specialist to review and analyze Tiers 1-5 background investigations, assess pre-employment eligibility in accordance with 5 CFR 731, and utilize systems such as e-QIP,...Hourly payContract workWork experience placementWork at officeLocal area- ...seeking knowledgeable, experienced, and passionate individuals with professional dance training and expertise to join our team as adjudicators. Ideal candidates are professionals with experience across all dance styles who are committed to excellence, integrity, and...Seasonal workWeekend work
- ...Self-Insurance Workers' Compensation Adjudicator 3 (WCA 3) The Department of Labor & Industries is seeking a Self-Insurance Workers'... ...disability management, claims risk management/loss control, medical billing, medical insurance, paralegal personal injury services or...ApprenticeshipImmediate start
GovernmentJobs.com
Olympia, WA1 day ago $48.34k - $51.18k
...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...Work at office- A leading healthcare provider in Dallas is seeking an individual to support provider claims adjudication activities. This role involves resolving claim issues, collaborating with operational teams, and providing outstanding customer service to providers. Candidates should...
$21.65 - $38.37 per hour
A leading healthcare provider is seeking a Claims Support Specialist in Salt Lake City, UT. The role involves resolving provider claims issues, providing excellent customer service, and managing defects in claims processing. Candidates should have at least 2 years of experience...Hourly payWork at office- A leading global technology services provider is seeking a Remote Claims Processing Associate. This role involves processing claim forms, reviewing policies, and ensuring compliance with HIPAA regulations. The ideal candidate should have at least 3 years of experience in...Remote job
- A healthcare organization in Kentucky is seeking a Claims Support Specialist to assist with provider claims adjudication activities. The ideal candidate will have at least 2 years of experience in claims or customer service, effective communication skills, and the ability...Hourly pay
$42.5k - $48.93k
A governmental department in Raleigh, North Carolina is currently seeking an Adjudicator to manage unemployment insurance claims. The role involves determining eligibility, investigating claims, and ensuring accurate documentation based on legal guidelines. Candidates should...Remote jobFull time- ...Personnel Security Specialist to provide technical expertise and interpret security policy guidance. The role involves serving as an Adjudicator for PIV card requests and reviewing investigation reports to determine clearance eligibility. Candidates should have 3-5 years of...
- A government agency is seeking Immigration Services Officers to adjudicate applications for immigration benefits. This role requires strong analytical skills, public service dedication, and the capability to work closely with various stakeholders in the U.S. immigration...Remote job
