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$121.79k - $158.32k
...is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Provider Billing Group Division of Supplier Claims Processing. About the Role As a Health Insurance Specialist (Claims Processing and Systems...ClaimsCenters for Medicare & Medicaid Services
Riverdale, MD6 days ago- Jobtailor is seeking a Business Analyst to analyze Medicare Fee-for-Service claims workflows in our New York area operations. You will collaborate with Clinical Claims, Provider Enrollment, EDI, and Contact Centers to translate business needs into system design and testing...Claims
- ...oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on... ...with strong emphasis on follow‑through, analytics, and process improvement in a fast‑paced environment. #J-18808-Ljbffr...ClaimsRemote workMonday to Friday
Tri-anim
Brooklyn, NY5 days ago - ...GH Multi Investments Inc. seeks Insurance Claims and Policy Processing Clerk in Pembroke Pines, FL to process routine insurance agency documentation related to new submissions, renewals, endorsements, cancellations, claims intake and policy servicing; review forms and...Claims
- ...Process and submit medical claims for Medicare, Medicaid, commercial insurance, and managed care plans Review claims for accuracy, completeness, and compliance prior to submission Follow up on unpaid, denied, or rejected claims and assist with appeals and corrections...ClaimsWork at office
Jobtailor
Richmond, VA1 day ago - Blue Cross and Blue Shield of Kansas City is seeking a claims processor to assess and process insurance claims of various products. You will interpret contracts, perform calculations, and coordinate with internal and external parties to ensure timely payment and accurate...ClaimsWork at office
- ...Insurance Claims Processor Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO's. Job Duties Monitor the progress of insurance claims from submission to payment. Identify and resolve...Claims
- ...to manage complete and accurate billing and collections for Medicare, Medicaid and other commercial payors. The role emphasizes strong... ...within a supportive team.Responsibilities include processing claims, posting payments, generating financial reports, resolving denials...Claims
$20 per hour
...Licensed Health Insurance Agents - Medicare About Sagility Sagility combines... ..., provider solutions, payment integrity, claims cost containment, and analytics. Sagility... ...with details shared during the interview process Additional bonus information provided...ClaimsHourly payWeekly paySeasonal workLocal areaRemote workWork from homeSagility
Cincinnati, OH16 hours ago- Jobtailor is seeking a Health Insurance Claims Auditor to conduct pre- and post-pay audits for Medicare/Medicaid, ensuring CMS compliance and high-quality processing. You will collaborate with delegated processors to correct errors before payments and support ad-hoc audits...ClaimsWork at office
- ...community by handling patient billing and insurance claims. You will pursue collection efforts and ensure timely billing for Medicare, Medicaid, Blue Cross/Regence and commercial... ...includes denials tracking, re-billing, and processing secondary/tertiary claims while maintaining...Claims
- ...A leading healthcare technology company is seeking a Senior Claims Adjudicator to join their Birmingham, AL office. This on-site position is essential for processing claims accurately and efficiently, requiring five years of adjudication experience and an Associate Degree...ClaimsWork at office
NaphCare
Birmingham, AL1 day ago $45k - $55k
...obtaining benefit information and verifying Medicare, managed care, and Commercial plan... ...and future strategies to bill customers, process payments, improve cash flow, and manage the... ...the branch to provide support to ensure claims are processed accurately and on time. Job...ClaimsComfort Care Home Care
Boca Raton, FL2 days ago- ...effective management of the revenue cycle process and ensures the accurate and timely... ...of sales to third party payers (including Medicare, Medicaid, Private Insurance, and other funding... ...and payment activity Verification that a claim is on file Follow up with the payer due...ClaimsWork at office
Tobii DynaVox
New York, NY2 days ago - ManhattanLife Insurance and Annuity Company in Louisville, KY seeks a Claims Quality Auditor to provide QA of processed claims. You will audit internal paperwork, ensure compliance with policy provisions, and support process improvements. This role emphasizes accuracy,...Claims
- ...are looking to add a Billing Specialist with New York Medicaid/Medicare experience based out of the Brooklyn, NY area. This is an on-... ...Advantage, or other insurance payers. Knowledge of claim processing, denials management, and billing software systems. Billing...ClaimsHourly pay
$50k - $70k
...attorneys, brokers, medical providers, and Medicare to create a seamless experience for our... ...revolutionizing the way funds from insurance claim settlements are administered after... ...new referrals. Influence the settlement process by offering value‑adds and complex case knowledge...ClaimsWork at office- ...populations across the ACA Marketplace, Medicare, and Medicaid.NeueHealth delivers clinical... ...responsible for the accuracy of the super bill/claim prior to transmission to payer, including... ...part of the super bill/claim validation process.Prepare and review super bill/claims...Claims
Centrum Medical Ventures
Miami, FL4 days ago - ...receives their equipment. Every authorization secured, every claim processed, and every reimbursement resolved helps ensure patients receive... ..., or prior authorizations preferred. Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly...ClaimsFull timeWork at officeMonday to FridayAfternoon shift
- ...all hospital and/or professional insurance claims. The position requires advanced knowledge... ...accurate recommendations for system or process changes to mitigate denials. The Specialist... ...for Financial Assistance based on Medicare/Medicaid benefits exhausted and delayed lower...ClaimsFull timeContract work
Bayhealth
Dover, DE2 days ago - ...in US providing services in Florida state, NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation...ClaimsContract workMonday to FridayShift workWeekend work
- ...Job Title Understands Medicare, Medicaid, Managed Care, and Commercial insurance fundamentals... ...work queues and/or reports to ensure claims are released and accepted by payers... ...communicates with external departments. Processes external department requests timely (e.g...Claims
- ...Responsible for the timely and accurate submission of Insurance claims Coordinate billing procedures and working payer edits in... ...timely refunds for Managers approvalKnowledge of the medical coding processes including CPT ICD10 and revenue codes are helpfulResponsible for...ClaimsFlexible hours
- ...Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years... ...state staff who are not analystsImprove processes, workflows, and documentation across... ...cost reports and with large Medicaid claims datasetsProficiency in SQL, Alteryx, PowerBI...ClaimsDaily paid
- ...and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.NeueHealth delivers clinical care to health... ...translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with...ClaimsWork at office
Centrum Medical Ventures
Miami, FL5 days ago - ...utilizing a variety sources to capture patient claim information. Validates and verifies data... ...with external entities involved in the audit process.Maintains knowledge to interpret, understand, and apply complex Medicare guidelines regarding claims denials and appeals...Claims
UC Health
Denver, CO3 days ago - ...is seeking a Reimbursement Specialist to analyze billing processes and maximize reimbursement from Medicare, Medicaid, and other payers. The role involves reviewing remittances, handling denied/underpaid claims, and coordinating appeals under general supervision. Responsibilities...Claims
Emergence Health Network
El Paso, TX6 days 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
$112k - $179k
...Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit... ...and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) customer... ...including data visualization tools, ETL/ELT processes, and cloud platforms.Drive adoption of...ClaimsContract workShift work$18 - $22 per hour
...Review Pharmacy Technician to handle formulary management, claims review, and Medicare operations from a fully remote setting. The role requires... ...two years of experience, plus familiarity with managed care processes and data entry. The position is contract-to-hire, based...ClaimsHourly payContract workRemote workActalent
United States3 days ago
