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$15.58 - $31.97 per hour
...CURRENTLY RESIDE IN KENTUCKY Provides support for provider claims adjudication activities including responding to providers to address claim... ...and collaborates with respective operational areas/provider billing to facilitate resolution. Collaborates with the member...SuggestedHourly payWork experience placementWork at office$85k - $100k
...calendars, track deadlines, and coordinate litigation schedules Maintain docketing accuracy and proactively follow up on key dates Billing & Time Entry Enter and review attorney time entries for accuracy and compliance Assist with billing by reviewing/editing...SuggestedFull timeWork at officeLocal areaAdams & Martin Group
Denver, CO15 days ago- ...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...SuggestedFull timeContract workLocal area
Gulfside Career
Remote16 hours ago $86.8k - $198k
...to solve some of our clients’ most complex problems—and find solutions that keep our nation safe. As a Undersea Warfare Wargame Adjudicator, you'll bring your tactical expertise to work alongside thought leaders supporting war games. You'll use your skills and expertise...SuggestedFull timeContract workPart timeWork at officeLocal areaRemote work$20.51 - $20.91 per hour
...related to the type of work of the position as necessary. Provides high-level customer service; assists customers with complex billing issues, service complaints, account discrepancies and payment installment arrangements. Responds to inquiries and requests from...Suggested$19.25 - $19.75 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...SuggestedFull timeCatholic Charities Family and Community Services
Rochester, NY19 days ago$60k - $75k
...mediations, and trials. This position also supports the day-to-day operations of the practice by assisting with client intake, billing and time entry, travel coordination, document management, legal research, and processing litigation-related invoices and expenses....SuggestedFull timeWork at officeFlexible hoursProcopio Cory Hargreaves
Del Mar, CA19 days ago- ...more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. ADJUDICATOR Job Location: Division of Employment and Rehabilitation Services (DERS) Unemployment Insurance Administration (UIA) 1789 W. Jefferson...SuggestedHourly payFull timeTemporary workPart timeWork at officeRemote workWork from home
Arizona State Government
Phoenix, AZ3 days ago - ...Bachelor's Degree or an equivalent combination of education and related experience in personnel security. Five (5) years of experience adjudicating suitability and security background investigations. Successful completion of an accredited Basic and Advanced Suitability...SuggestedFor contractorsWork at officeFlexible hours
Protection Strategies
Washington DC1 day ago $1,500 per month
...We are adding a Claims Adjudicator to our team! Who We Are: Since 1909, National Guardian Life Insurance Company (NGL) has been one of America's most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products...SuggestedHourly payWork at officeLocal areaRemote workFlexible hoursNational Guardian Life Insurance Company
Madison, WI2 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 Health Care Solutions
Miami, FL2 days ago - ...Senior Claims Adjudicator Location US-AL-Birmingham ID 2026-30871 Category Accounting/Finance Position... ...is critical. Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies. Proficiency...SuggestedFull timeWork experience placementWork at office
NaphCare
Birmingham, AL1 day ago - ...Resource Solutions, Inc. (GRS) is seeking an enthusiastic, motivated, and talented individual for the position of Personnel Security Adjudicator. Job Description: Summary: The Personnel Security Adjudicator will perform adjudications support and administrative...SuggestedFor contractorsWork at office
Global Resource Solutions, Inc.
Washington DC5 days 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
Shoreview, MN1 day ago$18 per hour
...growth, innovation and collaboration. Overview The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or... ...preferred. Six (6) months of medical claims processing/medical billing experience, customer service experience preferably in a...SuggestedHourly payFull timeContract workWork at officeIndependent Health
Buffalo, NY3 days ago- ...up on calls forwarded to PS voicemail. # Assist with the collecting of monthly legal and language interpreter records for Fiscal billing/payment if authorized # Help update incoming Intake Reports and complete data entry notes/attach intake data to ensure compliance...Work experience placementWork at officeFlexible hours
Central Boston Elder Services Inc
Roxbury, MAmore than 2 months ago - ...does a typical day look like? (daily tasks) Computer based administrative work. Preferred background/prior work experience? Insurance billing or verification Priority soft skills Organization, attention to detail. Education/Experience: ~ High school Diploma...Work experience placement
SGS Consulting
Californiamore than 2 months ago - ...Individual Family Support Plan (IFSP) requested by the state, etc. Completes required paperwork as needed for input into data and billing systems. Bilingual in English and Spanish preferred. This list of duties and responsibilities is not intended to be all-inclusive and...Full timeWorldwideNight shiftWeekend workAfternoon shift
$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 CCFCS’s corporate compliance & ethics program. Any...Full timeImmediate startMonday to FridayCatholic Charities Family and Community Services
Rochester, NY26 days ago$18.39 - $29.79 per hour
...and discharges planning, Coordinating with external agencies and internal departments for referrals and continuity of care. Ensuring billing is completed. Qualifications Certifications: , Education: Bachelor's Degree, Work Experience: Behavioral health - 2+ years...Full timeWork experience placementLocal areaShift workCarle Health
Normal, IL15 days ago$18.5 per hour
...Home Energy Assistance Adjudicator R E Campus S07 - Bridgeton, NJ 08302 Salary Range $18.50 - $18.50 Hourly Position Type Full Time Education Level High School Travel Percentage Up to 50% Description Job Title: Home Energy Assistance Adjudicator Hours: 8:3...Hourly payFull timeWork at officeMonday to FridayWeekend work$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....Full timeLocal areaMonday to FridayCatholic Charities Family and Community Services
Rochester, NY19 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, NY20 days ago- VIP Universal Medical Insurance Group (VUMI) is seeking a detail-oriented Claims Adjudicator to review and process health insurance claims. The ideal candidate possesses at least 2 years of experience and is bilingual in Spanish or Portuguese. Responsibilities include ensuring...Work at office
- Xcelerate Solutions is seeking a Personnel Security Analyst / Adjudicator - Junior in McLean, Virginia. This entry-level role involves adjudicative support, case management, and compliance with federal standards for national security information. Candidates should have...
- Sun Life in the United States is seeking a Case Specialist, Supplement Health Claims to manage initial liability claims across Critical Illness, Cancer, Hospital Indemnity and Accidental lines. You will review data, analyze eligibility, and coordinate with claimants, employers...
- City of New York’s Office of Administrative Trials and Hearings (OATH) seeks Judicial Hearing Officers to join the Hearings and Appeals Divisions. JHOs decide whether to sustain or dismiss civil summonses and must manage hearings, review evidence, and issue written decisions...Remote jobHourly payWork at office
- ...Healthcare Division in Fremont, California, is seeking a Medical Claims Examiner for a full-time role. The position requires reviewing, adjudicating, and processing professional and institutional medical claims with accuracy and in a timely manner. The ideal candidate will...Full time
- A leading healthcare staffing firm in San Fernando, CA is seeking an experienced Claims Examiner to join their team. This role requires 1-3 years of experience in processing managed care health claims, with responsibilities including analyzing claims, reviewing authorizations...
- Centivo is seeking a Claims Adjustor to join our team remotely in the United States. You will adjudicate and process healthcare claims for self-funded employer groups, reviewing edits and ensuring benefits align with SPD and client funds. Responsibilities include routing...Remote job
