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Medical Claims Specialist jobs

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MEDICAL CLAIMS REVIEW COORDINATOR-SAN ANTONIO, TX

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...

CompanyOptum
AddressSan Antonio, TX
CategoryHealthcare
Salary$43.9K - $55.6K a year
Job typeFull-time
Date Posted a month ago See detail

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...

a month ago seen See more...

Benefits/Claims Specialist

Berlitz Languages

Princeton Junction, NJ

$20 - $27 an hour

Previous medical billing experience. Experience working with insurance claims. Understanding SPDs and be able to explain to our employees how claims are paid based on our coverage....

2 months ago seen See more...

AR Hospital Claims Specialist (Full Time)

Corrohealth

Remote

$18 - $21 an hour

Resolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved. Review medical...

2 months ago seen See more...

Front Office Medical Specialist

Rest Technologies Inc.

Spring, TX

$15 - $18 an hour

401(k) matching. Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. Clinic. Sleep Medicine. 8 hour shift. Monday to Friday. List down 3 character references (Indicate the names, contact numbers, a...

2 months ago seen See more...

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...

2 months ago seen See more...

Claims Specialist

Reso

West Palm Beach, FL

From $15 an hour

4 hour shift. In-person. Office....

2 months ago seen See more...

Claim Specialist -Auto/Fire -Hybrid

State Farm

Bloomington, IL

$55,029 - $79,230 a year

An annual bonus based on individual and enterprise performance Annual merit increases 401(k) contribution Paid Time Off (PTO), plus: 5 days of Life Leave to take care of yourself and your family, Paid Volunteer Time, and an Annual...

2 months ago seen See more...

Remote Default VA MI Claims Specialist, I

Carrington Mortgage Holdings, Llc

United States

$19.50 - $21.50 an hour

Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and requirements. Review, follow-up, and ensure the timely and accurate completion of all regular scheduled...

2 months ago seen See more...

Claims Specialist

Expedite Technology Solutions

Nashville, TN

$19 - $21 an hour

Determine individual and family eligibility for our Clients care programs. Assist in coordinating and communicating schedules to internal/external Clients. Conduct client interviews, collect facts and information, and compile cas...

2 months ago seen See more...

Senior Claims Specialist

Corvel Corporation

Norristown, PA

$58,282 - $93,870 a year

Receives claim, confirms policy coverage and acknowledgement of the claim. Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with s...

2 months ago seen See more...

Senior General Liability Claims Specialist

Corvel Corporation

Charlotte, NC

$58,282 - $93,870 a year

Receives new claims, confirms coverage and meets 24 hour contact requirements. Renders a Liability determination on each claim in accordance with statutory requirements and Service Handling Instructions. Investigates simple to com...

2 months ago seen See more...

Associate Claims Specialist-Workers Compensation

Liberty Mutual

Las Vegas, NV

$49,000 - $90,000 a year

Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to...

2 months ago seen See more...

Claims Specialist

Corvel Corporation

Acton, MA

$50,593 - $81,593 a year

Receives claims, confirms policy coverage and acknowledgment of the claim. Determines validity and compensability of the claim. Establishes reserves and authorizes payments within reserving authority limits. Manages non-complex an...

2 months ago seen See more...

Employee Benefits Claim Specialist

Tcig Pacific Insurance Service

Westlake Village, CA

$50,000 - $70,000 a year

401(k). 401(k) matching. Dental insurance. Flexible schedule. Health insurance. Paid time off. Vision insurance. Work from home. In-person. Westlake Village, CA 91362: Relocate before starting work (Required)....

2 months ago seen See more...

Combat Medic Specialist

U.s. Government

Lewisville, TX

$45,000 - $60,000 a year

401(k). 401(k) matching. Dental insurance. Employee discount. Flexible schedule. Health insurance. Paid time off. Vision insurance. 8 hour shift. Monday to Friday. Are you the between the ages of 18-34? Do you have a valid Birth C...

2 months ago seen See more...

Claims Specialist

Wayne Wiles Floorcoverings, Inc.

Fort Myers, FL

$20 - $22 an hour

Must be proficient in Microsoft Excel and Word. Must be able to proof text accurately. Must be a fast learner with excellent work ethic. Ability to work in a fast-paced environment and meet daily deadlines. Attention to detail and...

2 months ago seen See more...

Front Desk Medical Specialist

South Hills Eye Associates Ltd

Canonsburg, PA

$32.2K - $40.8K a year

The Medical Front Desk Specialist is responsible for greeting patients on the telephone and in the office, making them feel welcome, and ensuring a successful visit. This means making realistic appointments and smoothing patient r...

2 months ago seen See more...

Parts Warranty Claims Specialist

Airtow Trailers

Wapakoneta, OH

$79,000 a year

Processes and manages Warranty Claims in a timely and efficient manner. Work with the Materials Manager to stock and manage trailer parts inventory. Provide technical assistance and support to customers regarding parts and warrant...

2 months ago seen See more...

Senior Claims Specialist - General Liability

Crum & Forster

Morristown, NJ

$70.3K - $89K a year

Receives claims assignments. Verifies and determines applicability of coverage. Determines the method and extent of investigation for each claim as required by company Best Practices. Reviews and manages outstanding files, as assi...

2 months ago seen See more...

Claims Specialist - Bodily Injury - Remote

Crum & Forster

Morristown, NJ

$63.5K - $80.4K a year

Receives claims assignments. Verifies and determines applicability of coverage. Determines the method and extent of investigation for each claim as required by company Best Practices. Reviews and manages outstanding files, as assi...

2 months ago seen See more...

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...

2 months ago seen See more...

Long Term Disability Claims Specialist - National Remote

Unitedhealthcare

Dallas, TX

$48,300 - $94,500 a year

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjudicating...

2 months ago seen See more...

Claims Specialist - Crop

Qbe

Texas, United States

$70,000 - $104,000 a year

Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals. Accurately document, proces...

2 months ago seen See more...

Workers Compensation Claim Specialist

Farm Bureau Financial Services

West Des Moines, IA

$48.4K - $61.2K a year

College degree or equivalent plus 2+ years of Workers Compensation Claims experience is required. Must have or obtain a solid understanding of work comp law/cases in Iowa, and have managed claims in other states. Strong negotiati...

2 months ago seen See more...

Senior Claims Specialist- TPA Workers' Compensation

Axa

Exton, PA

$92,500 - $182,000 a year

Active direction of high-value workers compensation claims venued throughout the United States for assigned clients in our US Risk Management, Construction Primary Casualty, or other supported underwriting teams. Effectively coo...

2 months ago seen See more...

Workers Compensation Lost Time Claims Specialist

Corvel Corporation

Glen Allen, VA

$50,593 - $81,593 a year

Analyzes and processes workers compensation claims by investigating and gathering information to determine the exposure on the claim. Negotiates settlement of claims up to designated authority level and makes claims payments. Pro...

2 months ago seen See more...

Workers’ Compensation Claims Specialist II – Lost Time Adjuster

Davies Us Llc

United States

$65,000 - $70,000 a year

Analyze the claim exposure to determine the proper course of action and to appropriately settle or close the claim in accordance with state, company and client policy and procedure. Build and maintain rapport with client contacts...

2 months ago seen See more...

Technical Claims Specialist, Workers Compensation

Amtrust Financial Services, Inc.

Dallas, TX

$81.2K - $103K a year

Serve as a technical lead and subject matter expert in the development and execution of Technical Claims training programs. Partners with Instructional Designer and department leadership to analyze learning and skill gaps within c...

2 months ago seen See more...

Claims Specialist - Workers Compensation

Crawford & Company

Minneapolis, MN

$49.7K - $63K a year

Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the invest...

2 months ago seen See more...

Claims Specialist-Roofing and Construction

Hd Roofing And Construction

Longwood, FL

$18 - $24 an hour

Must maintain data clienteles in position to homeowner refer losses. Clienteles is primarily homeowners but may also include community business owners, schools and municipalities. Serve as primary contact with Insurance adjusters,...

2 months ago seen See more...

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What should I search to find Medical Claims Specialist jobs?

People who searched for Medical Claims Specialist jobs also searched for Physician Specialist, Community Support Specialist, Account Specialist, Disaster Recovery Specialist, Transportation Specialist, Medical Laboratory Technician, Emergency Management Specialist, Engagement Specialist, Program Support Specialist, Scheduling Specialist, Customer Relations Specialist, Member Services Specialist, Payroll Support Specialist, Medical Assistant Senior, Staff Specialist, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What are the top cities open Medical Claims Specialist jobs?

There are open Medical Claims Specialist jobs in several cities including Phoenix, Hartford, Seattle, Houston, Anchorage, Downers Grove, Columbus, Loveland, Bryan, Glen Allen, Long Beach, Folsom,

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