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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$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$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$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 Community Services
Rochester, NY3 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 DC2 days ago - ...Claims AdjudicatorThe Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and regulatory requirements. The claims adjudicator ensures that all claims...SuggestedWork at office
National Healthcare Solutions Group, Inc.
Doral, FL5 days ago - ...Claims AdjudicatorNaphCare 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.Proficiency...SuggestedFull timeWork experience placementWork at office
NaphCare
Birmingham, AL4 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...SuggestedContract workPart timeCatholic Charities Finger Lakes
Geneva, IL5 days ago$18 per hour
...growth, innovation and collaboration. Overview The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or... .... Six (6) months of medical claims processing/medical billing experience, customer service experience preferably in a healthcare...SuggestedHourly payContract workWork at officeIndependent Health
Buffalo, NY2 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
San Francisco, CA17 hours ago$20.36 - $24.97 per hour
...Claims Adjudicator II UNITE HERE HEALTH serves 200,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants...SuggestedHourly payTemporary workWork experience placementRemote workMonday to FridayFlexible hours$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...SuggestedHourly payFull timeWork at officeMonday to FridayWeekend work$1,500 per month
...Job Description Job Description 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...SuggestedHourly payWork at officeLocal areaRemote workFlexible hoursNational Guardian Life Insurance Company
Madison, WI13 days 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.
Chesapeake, VA5 days ago - ...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. This position...SuggestedFull timeTemporary workWork at officeLocal area
- ...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 $43.26k - $64.9k
...tracks, and follows up on need for re-authorizations, processes patient registration, and obtains required information. May process billing/reimbursement forms and other department records. Maintains logs and reports; performs simple calculations as needed. Assists with...Daily paidFull timeTemporary workPart timeWork at officeFlexible hoursShift work- ...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, MA4 days ago - Unite Here Health is seeking a Claims Adjudicator II in Oak Brook, IL. The role involves reviewing and inputting medical claim data, determining eligibility, and adjudicating medical, disability, vision, and dental claims. Ideal candidates have 3-5 years in medical claim...Remote job
- 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...
- RiverTech is seeking a Personnel Security Specialist IV to provide adjudication support for Federal Adjudicators, making suitability and national security recommendations under EO, CFR, and related guidelines. The role is hybrid with in-office work required in the DC/MD...Work at office
- 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
- MetroPlusHealth in New York, NY seeks a Claims Examiner I to handle data entry and system adjudication of provider claims, ensuring accurate and timely disposition within guidelines. The role requires attention to detail, knowledge of CPT/ ICD-p, and revenue codes, with...
- Wellcove is seeking a Claims Adjudicator to manage outbound calls and adjudicate US health claims. You will review medical reports, calculate claim amounts, and determine action per guidelines to resolve denied or underpaid claims. You will work remotely, requiring strong...Remote job
- A leading staffing agency is seeking a Supplemental Health Claims Examiner in Lombard, IL. This role involves analyzing and processing claims for Hospital Indemnity, Critical Illness, and other insurance products. The ideal candidate should have a degree and strong analytical...Hourly pay
- Mayvin is seeking a Personnel Security Specialist/Adjudicator to support the U.S. Marshals Service. Based in Arlington, VA, this full-time role focuses on adjudication of background investigations and reinvestigations, requiring strong analytical skills and federal security...Full time
- Take2 Consulting, LLC in McLean, Virginia seeks a dedicated Personnel Security Specialist to support federal security adjudication and accreditation processes. You will apply national security policies to critical clearances while collaborating with a skilled team to develop...
- USCIS is seeking an Asylum Officer to adjudicate asylum applications, conduct credible/reasonable fear screenings, and handle other benefit determinations within the asylum program. The role requires evaluating complex information, applying immigration laws, and making...
- Mayvin is seeking a Personnel Security Specialist/Adjudicator in Arlington, VA to support the Office of Security Programs for the U.S. Marshals Service. The role involves reviewing investigations, evaluating eligibility, and documenting adjudication recommendations to determine...Work at office
$150k - $300k
Your Path to Becoming an Administrative Law Judges, Adjudicators, and Hearing Officer Follow this step-by-step pathway from high school to your career as an Administrative Law Judges, Adjudicators, and Hearing Officer. YOUR SELECTED CAREER Administrative Law Judges,...ApprenticeshipCasual workInternshipWork at officeRemote workAfternoon shift
