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MEDICAL CLAIMS ADJUSTER

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...

CompanyCvs Health
AddressTallahassee, FL
CategoryHealthcare
Date Posted yesterday See detail

Medical Claims Adjuster

Cvs Health

Tallahassee, FL

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...

Medical Claims - Call Center Representative

Scufcw Trust Fund

Cypress, CA

Handle all general telephone and walk-in inquires including but not limited to status, complaints, eligibility, benefits, etc.2. Perform other job related duties/special projects as assigned.Qualifications: High School diploma or...

Medical Claim Resolution Specialist - Digitech - Remote

Sarnova

Dublin, OH

401(k), remote work

Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers. Review claims that have been put on hold, working to identify causes and address issues causing them to remain...

Medical Claims Analyst (On-site)

Aspirion Health Resources Llc

Las Vegas, NV

Active listening Ability to multi-task Exceptional phone etiquette Strong written and oral communication skills Effective documentation skills Strong organizational skills Service orientation Reading comprehension Critical thinkin...

Medical Claims Billing Specialist - Orthopedic

Privia Health

United States

Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.. Denial management - investigating denial sources, resolvi...

Customer Service Rep - (Medical Claims)

Nesco Resource

Remote - Maryland, United States

Up to $18.00 •

The position is responsible for daily claims management and is recognized as a general technical expert in the health benefits program. Requirements: There is a firm start date 6/3/2024.Claims and Customer service is priority for...

AR Manager (Medical Claims Billing)

Privia Health

United States

Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.. Denial management - investigating denial sources, resolvi...

Medical Claims Biller-Unpostables

Privia Health

United States

Unpostables management-researching and resolving records that have not been matched to athenaNet related charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges). Reconcil...

Senior Medical Claims Examiner/Auditor

Jobot

Los Angeles, CA

Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...

Medical Claims Auditor

Bcforward

Aiken, TX

Carefully examine Medical Claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. Apply appropriate coding guideli...

Medical Claim Analyst

Crawford & Company

Boise, ID

at Crawford & Company in Boise, Idaho, United States Excellence In Everything We Touch Position Summary + GREAT WORK FROM HOME CAREER OPPORTUNITY! + With the team managers guidance, provides input on the completion of status repor...

Medical Claims Specialist/ Appeals

Innova Pain Center

Pearland, TX

$17 - $19 an hour

Billing and Coding Claims for inpatient and outpatient services. Work Aging Claims appeals and follow up. Data Entry. Medical Records request for processing of claims. Scanning EOB's and ERA's. Returning patient billing phone call...

Medical Claims Review Coordinator-San Antonio, TX

Optum

San Antonio, TX

$43.9K - $55.6K a year

Research and resolve UM inventory accordingly to meet productivity and quality standards to include:. Claims reports with reconciliation needs. Information received through Right Fax. Information received through email. Or any oth...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

Supervisor Billing and Follow-up (Hospital Medical Claims Billing) - PFS (Remote)

Trinity Health

Michigan, United States

$26.88 - $40.32 an hour

Monitors and tracks colleague activities against established performance standards and provides immediate feedback to achieve performance improvement.Other duties as needed and assigned by the Manager.Maintains a working knowledge...

Medical Claims Analyst

Cornerstone Staffing

Fort Worth, TX

Responsible for contacting providers by phone, fax or email to verify/update/correct all pertinent information required to request documentation. Ensures contact information is validated by speaking to highest member of departmen...

Medical Claims Consultant 3

Mitchell International

Remote

$58,345 - $83,200 a year

Experience: Mitchells Medical Claims Consultants are Registered Nurses and will typically have at least 3 years clinical experience and one year as a reviewer. Written Abilities: Proficient grammar, sentence structure and written...

Client Relationship Manager - Medical Claim/Bill Review

Alaffia Health

Remote

$90,000 - $110,000 a year

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...

Medical Claims/Risk Mgr / Admin Legal

Hartford Healthcare

Hartford, CT

Full time, in-office position, located in Hartford.Position Responsibilities: Interacting with claimants, insureds, attorneys, risk management and underwriting. Verifying coverage information and/or resolving cov...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Nanuet, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Nyack, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

New York, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

White Plains, NY

Required to work on-site at the White Plains, New York location. . Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary cri...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Port Chester, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Hartsdale, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Mount Vernon, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Greenwich, CT

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst

Stafford Communications Group

New York, NY

Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary criteria to determine validity of claim. Understand the Anthem JAA wor...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Yonkers, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Rye, NY

Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...