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- ...Job Title Provides support for provider claims adjudication activities including responding to providers to address claim issues, and... ...systems and collaborates with respective operational areas/provider billing to facilitate resolution. • Collaborates with the member...SuggestedWork at officeShift work
Molina Healthcare
Covington, KY2 days ago - ...Claims Adjudicator AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint... ...ensures the accuracy and timely processing of claims, coordinates bill payments, and collaborates with the Copay Assistance Department...SuggestedCasual workMonday to Friday
AmeriPharma
Laguna Hills, CA13 days ago $15.58 - $31.97 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 officeShift work- ...Billing Specialist II The Billing Specialist II is responsible for managing and processing specialty client billing, Canada billing, expense billing, and ACA benefit billing to support accurate and timely revenue generation for Judge. This role handles more complex...SuggestedFor contractors
disABLEDperson Inc
Conshohocken, PA11 hours ago $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$15.8 - $18.3 per hour
...monitoring and linkage to appropriate services both within LSSI and other community agencies. Complete and submit all necessary reports, billing, and documentation accurately and on time as required by agency and funding sources. Communicate with supervisor, work group and...SuggestedHourly payFull timePart timeFlexible hoursLutheran Social Services of Illinois
Galesburg, IL4 days 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, NY1 day 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
Chicago, IL4 days ago - ...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...SuggestedLocal area
Catholic Charities Community Services
Rochester, NY6 days ago $14 per day
...of worth, entitled to God’s gift of wholeness of life. Position Type: Contract role, paid monthly upon submission of required billing documents Location: Henderson County, KY and surrounding counties Compensation: • $14 a day per diem for each...SuggestedDaily paidContract workHome officeThe Methodist Home of Kentucky, Inc.
Henderson, KY4 days ago- ...progressively responsible experience in office and operations coordination; technical skills: financial systems management (EBS, KFS), billing and fee-for-service models, purchasing and procurement processes, financial reporting and reconciliation, data analysis and budget...SuggestedWork experience placementWork at officeRemote workFlexible hours
Michigan State University
East Lansing, MI5 days ago - ...Individual Family Support Plan (IFSP) requested by the state, etc. Completes required paperwork as needed for input into data and billing systems. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other...SuggestedFull timeTemporary workWorldwideNight shiftWeekend workAfternoon shift
University of Miami
Miami, FL2 days ago - Location: Peoria, IL (Travel as per client need) Job Type: Contract Job Description Certification: Needs Adjuster License in minimum 2-3 states but must be willing to get license in all 50 states. The more states licensed in the better. Key Skill: 7-10 Years of Warranty...SuggestedContract work
Ampstek
Peoria, IL13 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 hoursUNITE HERE HEALTH
Oak Brook, IL1 day ago$19 - $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...SuggestedFull timeContract workFor contractorsLocal areaImmediate startCatholic Charities Steuben/Livingston
Geneseo, NY2 days ago- ...Senior Claims Adjudicator Location US-AL-Birmingham ID 2026-28033 Category Accounting/Finance Position... ...is critical. Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies. Proficiency...Full timeWork experience placementWork at office
NaphCare
Birmingham, AL4 days ago - ...Claims Adjudicator The 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...Work at office
National Healthcare Solutions Group, Inc.
Miami, FL1 day ago - ...Disability Claims Adjudicator I (UMP) We continually strive for a workforce that reflects the growing diversity within the State of Illinois... ...Public Service Loan Forgiveness Program eligibility ~ GI Bill® Training/Apprenticeship Benefits eligibility for qualifying...Permanent employmentFull timePart timeApprenticeshipH1bWork at officeFlexible hours
Illinois Staffing
Springfield, IL12 hours 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 workDiverse Lynx
Tampa, FL4 days ago$23 - $26 per hour
...Senior Adjudicator $23.00-26.00/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, Universal Service Fund and any...Work at officeLocal areaFlexible hoursNORWESCAP
East Brunswick, NJ3 days ago$43.33k
...timeliness and quality measures as prescribed by the guidelines of the USDOL.Add potential issues when deemed necessary for the adjudication process (or release them).Enter claimant overpayments; ensure proper and complete documentation is in the file for the appeal process...Hourly payWork experience placementWork at officeState of Oklahoma
Brooklyn, NY2 days ago$43.33k
...The State of Oklahoma is seeking an Adjudicator for the Employment Security Commission. This full-time position involves ensuring due process for employers and claimants, conducting fact-finding, and making non-monetary decisions. Candidates should have at least 5 years...Full timeState of Oklahoma
Brooklyn, NY2 days ago- Amentum is seeking a Personnel Security Specialist in Springfield, Virginia. This position involves initiating background investigations and managing security documents from contractor applicants. The ideal candidate must have a High School Diploma, three years of relevant...For contractorsWork at office
Amentum
Springfield, VA12 hours ago - ...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...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work
National Guardian Life Insurance Company
Madison, WI5 days ago - ...Overview Interviewing and analytical work at an entry technical level for the Vermont Department of Labor involving the adjudication of eligibility issues for benefits under the Vermont Unemployment Compensation law. Duties include contacting claimants, employers, and...Work at officeRemote workFlexible hours
State of Vermont
Montpelier, VT2 days ago - ...Department: UHC: Managed Care Job Summary: The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The... ...managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed...Contract workWork at office
Loma Linda University Medical Center
Loma Linda, CA2 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 rules...Contract workLocal area
Gulfside Healthcare
Land O Lakes, FL5 days ago - Inspects services and maintains diesel locomotives in accordance with federal and company regulations, diagnoses diesel engine malfunctions and makes indicated repairs using hand tools, measuring instruments and sometimes machine tools. May assemble, repair and fabricate...
Well Sense Health Plan
Cincinnati, OH11 hours ago - ...University Health - San Antonio is looking for a qualified individual to perform adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid and related programs. The candidate will ensure compliance with departmental and regulatory requirements. Required qualifications...
University Health
San Antonio, TX3 days ago $20 per hour
...Ballot Adjudication Specialist Supports the ballot review process by using adjudication software to review ballots flagged for further evaluation and apply applicable election procedures, including NRS-based adjudication standards. This role requires careful judgment...Hourly payFlexible hoursShift workWeekend workPrideStaff
North Las Vegas, NV3 days ago
