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$20.72 per hour
...(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... ...for small to large businesses. We process claims and provide customer support for beneficiaries...ClaimsContract workFor contractorsSecond jobLocal areaImmediate startMonday to FridayShift workAfternoon shiftWPS Health Solutions
Madison, WI16 hours ago$150k - $206.3k
...Director, Process Improvement Become a part of our caring community and help us put health... ...provides direction and management to the claims processing vendor for claims... ...military health care delivery system, and/or Medicare reimbursement. ~ Experience with data analysis...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeIndianapolis Staffing
Indianapolis, IN3 days ago- ...Medicare Claims & Appeals Specialist Overview: Seeking an experienced Medicare Claims professional with strong exposure to the grievance and appeals process . This role is highly case-driven, with daily work varying by claim type and complexity. The ideal candidate...Claims
TEK Connexion
Durham, NC3 days ago - ...Great Culture, Great Rewards and Great Careers. Title Processing Specialist – Macon, GA Salary: $17.81 per hour / $37,133 annually... ...policyholders in all 50 states after their vehicles have been claimed as total losses. Accidents and natural disasters are traumatic...ClaimsHourly payWork at officeLocal areaFlexible hoursAfternoon shift
GEICO
Lizella, GA9 hours ago $154.13k - $254.3k
...A prominent health plan provider is seeking a Director of Claims to oversee the direction and management of medical claims processing while ensuring compliance with regulatory standards. The ideal candidate will have at least five years of healthcare administration experience...ClaimsFull timeASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Washington DC11 hours ago$154.13k - $254.3k
...health plans and the largest not-for-profit Medicare-Medicaid plan in the country. In its 29... ...: Reporting to the Senior Director, Claims, the Director, Claims is responsible for... ...and oversight of all medical claims processing, provider disputes & appeals, quality assurance...ClaimsFull timeASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Washington DC11 hours ago$51.81k - $83.55k
...The medical cost projection, also known as a Medicare Set-Aside (MSA) report, is part of a workers' compensation or liability claim settlement. The Medical Allocator will rely... ...unrelated to claim/s in settlement process Required to read extensively. Required...ClaimsMinimum wageLocal areaWork from homeCorVel
Aurora, CO1 day ago- ...Accounts Representative - Medicare Biller Job Category: Clerical/Admin Requisition Number: ACCOU001868... ...Hours of Job Duties and Key Responsibilities Processes and follows up on all Medicare claims until proper reimbursement is received. Works denials...ClaimsFull timeLocal area
Joint Township District Memorial Hospital
Ohio3 days ago - ...Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement. Familiarity with payer guidelines such as Medicare, Medi-Cal and commercial payers Strong communication... ...to detail and ability to analyze claim denials and payment variances....ClaimsWork at office
Pacer Group
Pomona, CA9 hours ago $70k - $80k
...Auditor conducts hospital charge audits on claims paid at percent of billed charges to... ...to payer policy, industry standards and Medicare Guidelines. The nurse will also be responsible... .... Report any problems in the audit process to Manager for resolution. Comply with...ClaimsContract workEXL
Washington DC9 hours ago$30.36 - $43.49 per hour
...and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient... ...resolve complex claim issues as well as train others on claims processes and workflows. Salary Range: $30.36 - $43.49/Hourly...ClaimsHourly payContract workWork at officeUCLA Health
Los Angeles, CA5 hours agonew- ...Stamford, CT, is seeking a full time SNF Medicare Biller for our Boutique Skilled Nursing neighborhood... ..., Word, and Outlook. Proficiency with claims management software systems.... ...reimbursement methods, and the claims appeal process. ~ Knowledge of and ability to follow...ClaimsFull timeWork at office
Benchmark Senior Living Nashua Crossings
Stamford, CT9 hours ago - ...6% of hospitals rated by the Centers for Medicare and Medicaid Services. We believe that our... ...rejected, incorrectly paid and denied claims as requested./liliHelps to maintain a professional... ...informed of changes in authorization process, insurance policies, billing requirements...Claims
Wyoming Staffing
Sheridan, WY2 days ago - ...supervision, the Government Collector resolves unpaid Medicare accounts, submits adjusted claims as needed for overpayments and completes compliance projects... ...40 Work Shift Job Description Prepares and processes payments for vendor invoices and other financial...ClaimsHourly payFull timeWork experience placementRemote workShift work
Medical University of South Carolina
Charleston, SC1 day ago - ...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, MA13 days ago - ...someone to start ASAP Key technologies: Medicare Medical Necessity Appeals and... ...Appeals and Grievances Area Nice to haves: Claims knowledge or experience. Know salesforce... ...Health Plan operations and business unit processes, workflows and system requirements, including...ClaimsFull timeWork at officeImmediate startRemote work
Spectraforce Technologies
Phoenix, AZ1 day ago - ...applicable lines of business, including Medicare Advantage, Marketplace, and Commercial products... ...pharmacy, quality improvement, claims, and network management, to support coordinated... ...care utilization management and appeals processes preferred. Ability to work...Claims
CommunityCare
Tulsa, OK3 days ago $35.04k
...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans,... ...update requests and demographic-related claim denial inquiries are handled appropriately... ...non-par providers, under the file update process, for the Data Maintenance Team, as needed...ClaimsFull timePart timeWork at officeFlexible hoursMJHS
New York, NY1 day ago$19.49 per hour
...care agencies, DME suppliers) regarding claim decision and payments across all Centers... ...evaluate and identify opportunities to drive process improvements that positively impact... ...Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members...ClaimsHourly payCenters Plan for Healthy Living
Staten Island, NY3 days ago$18 per hour
...Mailroom Processing Clerk Onsite: Must live in or near Springfield, MA $18 per hour 8:00am- 4:30pm Monday- Friday with Overtime Opportunities... ...on Saturdays. Sort, prepare, and scan up to 2,000 insurance claims and related documents daily. Enter claim data into client...ClaimsHourly payFull timeLive inMonday to FridayFlexible hoursConduent
Springfield, MA5 hours agonew$221.3k - $420.5k
..., high-quality services to Medicaid and Medicare members, as well as to individuals and families... ...including committee structure, processes, and membership. Conduct regular rounds... ...utilization and health care quality. Reviews claims involving complex, controversial, or...ClaimsFull timePart timeWork at officeRemote workFlexible hoursWeekend workLouisiana Healthcare Connections
Crowley, LA3 days ago- ...Mass Advantage is a Medicare Advantage health plan, located in the heart of Worcester County... ...seamless integration and performance of claims, enrollment, customer service, and... ...will lead cross-functional teams, optimize processes, and deliver operational excellence to support...Claims
Central Mass Health LLC
Worcester, MA9 hours ago $186.2k - $363.09k
...and maintains the integrity of the appeals process, both internally and externally. •... ...improvement teams. • Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory... .... • Conducts retrospective reviews of claims and appeals and resolves grievances related...ClaimsWork experience placementWork at officeLocal areaMolina Healthcare
Iowa City, IA2 days ago$186.2k - $363.09k
...Job Summary As a Medical Director for Medicare Programs, you will provide essential... ...the integrity and operation of the appeals process, both internally and externally. Investigate... .... Conduct retrospective reviews of claims and appeals, resolving grievances...ClaimsWork experience placementWork at officeLocal areaMolina Healthcare
Miami, FL16 hours ago$17 - $31.3 per hour
...talent for our Service Advocate role in our Medicare Stars Member Advocacy Center. Aetna... ...also requires performing a review of member claim history to ensure accurate tracking of benefit... ...Medical billing and claims process experience Bilingual preferred Education...ClaimsHourly payFull timeLocal areaRemote workFlexible hoursCVS Health
United States4 days ago- ...presentation skills Experience with patient claims data and patient flow modeling... ...Should you require any adjustments to our process to assist you in demonstrating your strengths... ..., please visit the Centers for Medicare and Medicaid Services (CMS) website at...ClaimsLocal area
GlaxoSmithKline
Philadelphia, PA16 hours ago $20 - $25 per hour
...of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year... ...for assisting with the enrollment process. They support the onboarding of new members... ...or concerns regarding enrollment through claims, call tracking, or e-mail. • Creating and...ClaimsHourly payWork at officeRemote workClever Care Health Plan Inc.
Huntington Beach, CA2 days ago$21 per hour
...a Customer Service Representative at Medicare Joe , youll be the first point of contact... ...our mission is to simplify the Medicare process and serve every client with clarity, compassion... ...and resolving escalated issues Handle claim and carrier concerns with efficiency and...ClaimsHourly payFull timeTraineeshipWork at officeMedicare Joe
Pawtucket, RI3 days ago$21 - $22 per hour
...sponsored health insurance programsincluding Medicare, Medicaid, and PACE (Program of All-... ...Additionally, supports the authorization process by receiving incoming faxed/mailed/emailed... ...member's medical services or the providers' claims. Interprets and triages information to...ClaimsHourly payContract workWork at officeLocal areaFallon Health
Worcester, MA4 days ago$65.6k - $103.32k
...Clinical Review Nurse I - Medicare Part A This role enables associates to work virtually... ...making medical determinations as to whether a claim meets the benefits the member carries.... ...will be discussed as part of the hiring process. The health of our associates and...ClaimsFull timeWork at officeLocal areaMonday to Friday1 day per weekOhio Staffing
Mason, OH3 days ago
