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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... 
    Claims
    Contract work
    For contractors
    Second job
    Local area
    Immediate start
    Monday to Friday
    Shift work
    Afternoon shift

    WPS Health Solutions

    Madison, WI
    16 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... 
    Claims
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Interim role
    Work at office
    Remote work
    Work from home
    Home office

    Indianapolis Staffing

    Indianapolis, IN
    3 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, NC
    3 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... 
    Claims
    Hourly pay
    Work at office
    Local area
    Flexible hours
    Afternoon shift

    GEICO

    Lizella, GA
    9 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... 
    Claims
    Full time

    ASSOCIATION FOR COMMUNITY AFFILIATED PLANS

    Washington DC
    11 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... 
    Claims
    Full time

    ASSOCIATION FOR COMMUNITY AFFILIATED PLANS

    Washington DC
    11 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... 
    Claims
    Minimum wage
    Local area
    Work from home

    CorVel

    Aurora, CO
    1 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... 
    Claims
    Full time
    Local area

    Joint Township District Memorial Hospital

    Ohio
    3 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.... 
    Claims
    Work at office

    Pacer Group

    Pomona, CA
    9 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... 
    Claims
    Contract work

    EXL

    Washington DC
    9 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... 
    Claims
    Hourly pay
    Contract work
    Work at office

    UCLA Health

    Los Angeles, CA
    5 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... 
    Claims
    Full time
    Work at office

    Benchmark Senior Living Nashua Crossings

    Stamford, CT
    9 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, WY
    2 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... 
    Claims
    Hourly pay
    Full time
    Work experience placement
    Remote work
    Shift work

    Medical University of South Carolina

    Charleston, SC
    1 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... 
    Claims
    Extra income

    Making Opportunity Count Inc

    Fitchburg, MA
    13 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... 
    Claims
    Full time
    Work at office
    Immediate start
    Remote work

    Spectraforce Technologies

    Phoenix, AZ
    1 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, OK
    3 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... 
    Claims
    Full time
    Part time
    Work at office
    Flexible hours

    MJHS

    New York, NY
    1 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... 
    Claims
    Hourly pay

    Centers Plan for Healthy Living

    Staten Island, NY
    3 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... 
    Claims
    Hourly pay
    Full time
    Live in
    Monday to Friday
    Flexible hours

    Conduent

    Springfield, MA
    5 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... 
    Claims
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours
    Weekend work

    Louisiana Healthcare Connections

    Crowley, LA
    3 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, MA
    9 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... 
    Claims
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Iowa City, IA
    2 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... 
    Claims
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Miami, FL
    16 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... 
    Claims
    Hourly pay
    Full time
    Local area
    Remote work
    Flexible hours

    CVS Health

    United States
    4 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... 
    Claims
    Local area

    GlaxoSmithKline

    Philadelphia, PA
    16 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... 
    Claims
    Hourly pay
    Work at office
    Remote work

    Clever Care Health Plan Inc.

    Huntington Beach, CA
    2 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... 
    Claims
    Hourly pay
    Full time
    Traineeship
    Work at office

    Medicare Joe

    Pawtucket, RI
    3 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... 
    Claims
    Hourly pay
    Contract work
    Work at office
    Local area

    Fallon Health

    Worcester, MA
    4 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... 
    Claims
    Full time
    Work at office
    Local area
    Monday to Friday
    1 day per week

    Ohio Staffing

    Mason, OH
    3 days ago