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$95.4k - $208.3k
...healthcare organization based in Los Angeles is seeking a Claims Manager for their Medicare Advantage Plan. This role involves managing a team of... ...examiners and auditors, ensuring efficient claims adjudication processes, and enhancing workflows. The ideal candidate will have...Claims$95.4k - $208.3k
A healthcare organization in Los Angeles seeks a Claims Manager experienced in Medicare Advantage. You will lead a team responsible for managing claims processes ensuring operational excellence. The ideal candidate has a Bachelor's degree and over five years in claims...Claims$95.4k - $208.3k
A healthcare service provider in Los Angeles is seeking a Claims Manager to lead a team of examiners and support staff. This role focuses on enhancing claims adjudication processes and ensuring compliance with regulatory standards. The ideal candidate will have extensive...Claims- ...(Automated Inline Mailing Systems) for processing of automated mail. This role is a 2nd shift... ..., veterans, Guard and Reserves and Medicare beneficiaries Working in a continuous performance... ...small to large businesses. We process claims and provide customer support for...ClaimsContract workFor contractorsImmediate startMonday to FridayAfternoon shift
- ...website privacy policy, click on this .The Accounting Technician/Medicare Claims Overpayment Processor identifies, investigates, and recovers... ...skills, knowledge of medical terminology and claims processing, and the ability to maintain organized records and report on...ClaimsWork experience placementSecond jobWork at office
- ...Accounting Technician/Medicare Claims Overpayment Processor Under general supervision, performs a variety of routine to moderately complex... ..., reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging...ClaimsFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaMonday to FridayShift work
- Medicare And/or Medicaid Risk Adjustment Experience Required Location: Louisville, Kentucky... ...accommodation is granted as required by law. Process Expert II The Process Expert II supports... ...in a high-volume managed care operation (claims, customer service, enrollment, and...ClaimsTemporary workWork at officeLocal area2 days per week1 day per week
- ...Senior Insurance Process Improvement Analyst Onsite (San Antonio, TX; Phoenix, AZ; Colorado Springs, CO; Tampa, FL; Chesapeake, VA... ...We are seeking a Senior Insurance Process Improvement Analyst Claims Optimization to join our Optimization team, focused on improving...Claims
Millenium Group
Plano, TX4 days ago - ...or 2:00 PM - 10:30 PM) Job Summary Processes and ensures the accuracy and timely... ...care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP'... ...Responsibilities Generate and submit claims to insurance providers. Verify the accuracy...ClaimsLocal areaHome officeAfternoon shift
Trilogy Healthcare Services
Louisville, KY1 day ago - ...Loss team. This role involves building a high-performing team of total loss adjusters, shaping workflow processes, and driving innovation within the insurance claims sector. Candidates should possess over 5 years of experience in auto claims leadership, exhibit strong knowledge...Claims
- ...cycle. You will manage eligibility, coding, claims, and accounts receivable while ensuring effective communication with Medicare and other payers. Ideal candidates should... ...a strong understanding of insurance claims processing. This role emphasizes accuracy and independence...Claims
- ...Claims Receipt Processor Ametros is changing the way individuals navigate healthcare... ...attorneys, brokers, medical providers, and Medicare to create a seamless experience for our... ...the expected turnaround time for processing receipts. # Performing other clerical...ClaimsHourly pay
Ametros
Wilmington, MA2 days ago - ...Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on... ...system to ensure accurate claims. Medicare Claims Process Medicare RTP claims and denial reports on a daily basis....Claims
- A health insurance provider located in Kansas City is seeking a Claims Processor to assess claim information and ensure efficient processing of insurance claims. This role includes responsibilities such as processing claims for dental and medical products, performing claim...ClaimsWork at office
- ...clinical finances related to state Medicaid/Medicare programs, including MassHealth and other... ...incumbent will assist the Billing and Claims Manager with effectively managing the... ...Medicaid programs. This position requires processing of claims and pre-authorizations on a...ClaimsWork at office
- ...based, locally owned health plan specializing in Medicare, serving Miami‑Dade and Broward Counties. With... ..., on-site role located in Miami, FL, for a Claims Specialist. The Claims Specialist will handle the review, processing, and resolution of insurance claims to ensure...ClaimsFull timeLocal area
- ...dependable Billing Specialists (Commercial and Medicare) to join our integrated care team in... ...charges for correct coding prior to claim submission, ensuring compliance with all... ...respect and confidentiality. Receive and process credit/debit payments and set-up payment...ClaimsFull timeWork at officeWeekday work
Health Ministries Clinic
Newton, KS4 days ago - ...Accounts Receivable Process Analyst BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable... .... Complete follow up process to ensure full adjudication of claims. Identifies adjustments throughout the month for assigned...ClaimsWork from home
BrightSpring Health Services
Valdosta, GA1 day ago - ...into a long-lasting and rewarding career! Job Description Claims Processing: investigate insurance claims; properly resolve by follow-up... ...receiving payment. Update patient files for insurance information, Medicare status, and other changes as necessary or required....ClaimsPrivate practice
$24 - $26 per hour
...attorneys, brokers, medical providers, and Medicare to create a seamless experience for our... ...the way funds from insurance claim settlements are administered after settlement... ...Healthcare experience with knowledge of claims processing is a plus. The estimated salary...ClaimsHourly payWork at office$25 - $29 per hour
...attorneys, brokers, medical providers, and Medicare to create a seamless experience for our... ...revolutionizing the way funds from insurance claim settlements are administered after... ...variety of audiences. Oversee the bill payment process, including detailed review and validation...ClaimsHourly payWork at office3 days per week- Overview Job Title: Insurance Claims and Policy Processing Clerk Job Type: Contract Location: Remote Job Summary Join our customer's dynamic team as an Insurance Claims and Policy Processing Clerk, where your expertise in insurance operations will help shape the future...ClaimsContract workRemote workFlexible hours
- ...knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial:... ...keystrokes in the electronic transmission of claims, including the correction of claims with... ...and initiates refund and adjustment process in accordance with internal controls. Answer...ClaimsRemote jobFull timeWork at office
- ...insurance billing and verification, denial processing, appeal submission and EOB review. This... ...for resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities... ...of all payers MCR, MCR ADVG, Medicaid, Medicare Advantage, and Commercial payers....ClaimsWork at officeLocal area
- ...hiring for an Auditing Specialist. The role involves auditing claims processes, preparing trend analysis summaries, and recommending process... ..., alongside 2+ years in claim processing within Medicaid/Medicare systems. Strong organizational and communication skills are essential...Claims
- ...healthcare company in Miami is seeking a Senior Claims Review and Adjusting professional. Responsibilities include managing claims processing, ensuring compliance with regulations,... ...experience, and extensive knowledge of Medicare/Medicaid claims policies. This...Claims
- A healthcare technology company is seeking a Claims Analyst to compose and clarify policies and procedures for the Claims team. The role involves processing Medicare Part D claims and acting as a liaison to internal partners. Strong communication skills and the ability...Claims
- ...Arizona, for a role focusing on implementing and maintaining claims databases. The ideal candidate will have extensive knowledge of Medicare payment methods and experience with SQL, QNXT, and claims processing. This role requires strong analytical skills and the ability...Claims
- ...multilingual are strongly encouraged to apply. Medicare Billing Requirement Candidates must be... ...to complete the Medicare enrollment process. Responsibilities Provide direct... ...personnel to ensure authorizations and claims are processed appropriately Provide...ClaimsExtra income
Making Opportunity Count Inc
Fitchburg, MA3 days ago - ...coding, and other teams. This role primarily processes subpoenas and statutory attorney... ...probate accounts requiring Statements of Claim, and billing dispute accounts. Process... ...WC, commercial insurance, Medicaid, and Medicare. Apply account adjustments in accordance...ClaimsFull timeWork at officeWorldwide
