Claims Data Entry Processor
By AlohaCare At , Honolulu, 96814

data classification assigned to this job title.Requirements:

Claims Processor Ii- Medi-Cal (Remote)
By Inland Empire Health Plan At , Rancho Cucamonga
ICD-9 and CPT coding and general practices of claims processing. Prefer knowledge of capitated managed care environment.
Major Functions (Duties and Responsibilities)
Major Functions (Duties and Responsibilities) Cont
Two (2) years experience in examining and processing medical claims; professional or institutional.
Medicare/Medi-Cal experience preferred. Claim adjustments, provider appeals and/or disputes preferred.
Microcomputer skills, proficiency in Windows applications preferred. Excellent communication and interpersonal skills, strong organizational skills.
Payment Processor Ii Jobs
By LERETA, LLC At Dallas, TX, United States
Minimum of 1-year mortgage servicing experience; specifically, in the procurement and payment of property taxes
1+ years clerical and/or office experience
Excellent mathematical and analytical skills
Knowledge of Real Estate Settlement Procedures Act (RESPA) and Consumer Financial Protection Bureau (CFPB) regulations
Performs basic clerical duties such as copying, scanning and filing of property tax and other documentation
Initiates and submits check requests for agency fees and penalties
Claims Processor, Government Team
By UF Health Shands Hospital At , Gainesville, 32608, Fl $17.70 - $21.15 an hour
Minimum Education and Experience Requirements:
College education may be substituted for experience.
Prefer some college-level business, finance or accounting courses.
Experience in Blue Cross, Medicare, Medicaid and/or other third-party payer billing or collections preferred.
Must have above average math skills and be proficient on a calculator.
Experience with computerized insurance billing system and Microsoft programs preferred.
Receptionist/Payment Processor Jobs
By Mid Atlantic Finance Company At Houston, TX, United States
Excellent organizational and communication skills.
Excellent speed and accuracy in data entry and balancing.
Exceptional Internal (teamwork) and External Customer Service Skills.
Full Time (40-hour work week) Monday thru Friday
Medical, Dental, Vision Insurance, Employer paid Life Insurance
401(k) plan with Employer Match
Loan Payment Processor Jobs
By Conduent At Plano, TX, United States
Basic Knowledge of MS Office, including Excel, Outlook & Word
Basic knowledge of Accounting Principles, including debit and credit functions
Experience in bookkeeping or banking is highly preferred
Ability to reconcile financial transactions
High school diploma or GED
Thorough understanding of how financial transactions are completed in multiple TFS systems
Payment Processor Jobs
By The HT Group At Austin, TX, United States
High School education or GED required
Knowledge of debit/credit accounting practices
Strong comprehension and analytical skills
3+ years of experience in processing payments highly preferred
Knowledge in risk assessment and quality control
Ability to work under strict deadlines
Medical Claims Processor Jobs
By ISI Professional Services At Waco, TX, United States
One (1) year experience processing, researching and adjudicating medical claims.
Understand electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system.
Essential Job Functions & Responsibilities
The MCP is responsible for the accurate and timely processing of medical claims.
Researches and processes claims according to business regulation, internal standards and processing guidelines.
Verifies the coding of procedure and diagnosis codes.
Payment Processor - Full Time 8Am - 5Pm
By Moore County Hospital District At Dumas, TX, United States

Typing competency of 35-40 wpm

Medical Claims Processor (Home-Based)
By IQVIA At , Dallas, Tx $18 an hour
Recognize operational challenges and suggest recommendations to management, as necessary.
Claim processing and data entry experience preferred
Processing patient reimbursement claims (i.e., medical claims processing, data entry) and interpreting pharmacy labels and pharmacy receipts
Call Center experience of at least 6 months required
Experience in medical claim processing preferred.
Contract Remote Role – Location (Open to Remote US)
Claims Processor Jobs
By Tesla At , Austin, Tx
Remains current on requirements and legislation for assigned state(s).
Provides support for unit claims associates and managers. Acts as a point of contact for internal/external customers.
Delivers an outstanding customer service experience to all internal, external, current, and prospective nationwide customers.
May perform other responsibilities as assigned.
3-5 years directly related work experience.
Reviews and determines payment of minor, undisputed and/or limited authorization claims. Assigns all other claims to appropriate adjuster.
Payment Processor Jobs
By Crescent Bank At Carrollton, TX, United States
Workplace flexibility for eligible positions
All the insurance programs you’d expect- health, dental, vision, life, disability, + more.
Multiple types of paid time off
Retirement program with company contribution
Ensures quality resolution of problems and/or errors on customer accounts.
Research missing or missed posted payments and make appropriate corrections.
Typing Claims Processor In Amarillo, Texas - Remote | Hybrid
By Get.It Recruit - Administrative At Amarillo, TX, United States

We are seeking motivated and detail-oriented individuals to join our dynamic team as Dental Claims Processors. In this role, you will have the opportunity to navigate various computer systems, ...

Payment Processor - Remote
By Safe-Guard Products International LLC At , Atlanta, 30328, Ga
High School Diploma or equivalent combination of education and experience required
Strong knowledge & understanding of forms manager and ability to review terms & conditions on all contracts.
Must have strong computer skills and the ability to troubleshoot and service policy issues.
Strong analytical and problem solving skills. Superior verbal/written skills and communications skills.
Strong interpersonal skills essential, Ability to handle complex situations. Exercises sound judgment when interacting with customers.
Examines process, calculates and pays claims
Claims Processor Ii (Part-Time)
By BlueCross BlueShield of South Carolina At Greenville, SC, United States
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
5 years-of experience processing and adjudicating claims
CES, CORDS, OR AMMS experience
Knowledge of mathematical and statistical concepts
Payment Processor Jobs
By NYC Careers At , Manhattan $47,418 - $69,462 a year

Proficient with various ACS payment systems tools such as AITPM, PMRS, and FMS3.

Claims Processor Ii Jobs
By BlueCross BlueShield of South Carolina At , Nashville, 37214
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
5 years-of experience processing and adjudicating claims
Knowledge of mathematical and statistical concepts
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
Disability Claims Processor Jobs
By Kaiser Permanente At , Bakersfield, 93309 $25.95 - $29.53 an hour
Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.
One (1) year relevant experience in health care industry.
Preferred experience with processing disability claims with EDD and release of Information processing.
This is a hybrid on-site/remote position processing Disability claims with EDD and fulfilling requests for Release of Information
Screens disability claims, interviews patients, locates and orders medical records.
Abstracts medical information and diagnoses using ICD-9 codes.
Fraud Claims Processor Jobs
By Dexian At Greater Richmond Region, United States
ACH background & Reg E Experience (In depth Reg E principal knowledge)
2+ years of Banking or financial experience (ideally experience managing claims in high pace environment)
Experience in a high volume environment dealing with claims and meeting defined metrics
Review any claims that are flagged and need to be reviewed or any claims that were not automated
Work with leads in the case issues come up that need to be approved
Stability/ longevity in previous roles
Claims Processor Ii Jobs
By BlueCross BlueShield of South Carolina At Nashville, TN, United States
2 years of experience processing, researching, and adjudicating claims
Strong organizational, analytical and judgment skills
Strong oral and written communication skills
5 years-of experience processing and adjudicating claims
Knowledge of mathematical and statistical concepts
Examine and process complex or specialty claims according to business/contract regulations, internal standards and examining guidelines
Payment Integrity Claims Administrator
By 6 Degrees Health Dx At Portland, OR, United States
Manages incoming manual claims from multiple clients to our secure server
Other responsibilities or projects as assigned
3-5 years of healthcare experience
Excellent verbal and written communication skills
Strong internal and external communication skills, both verbal and written
Must be able to operate computers and phones to support position requirements
Claims Processor Iii- Medi-Cal (Remote)
By Inland Empire Health Plan At , Rancho Cucamonga, Ca
Major Functions (Duties and Responsibilities)
Major Functions (Duties and Responsibilities) Cont
Three (3) years experience in adjudicating medical claims.
Microcomputer skills, proficiency in Windows applications preferred. Eexcellent communication and interpersonal skills, strong organizational skills required.
Data entry involving computer keyboard and screens, filing and copying of records and/or correspondence.
A reasonable salary expectation is between $48,110.40 and $59,425.60, based upon experience and internal equity.
Claims Processor Ii (W@H South Carolina)
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Continuing education funds for additional certifications and certification renewal.
Two years of experience processing, researching and adjudicating claims.
Strong organizational, analytical and judgment skills.
Strong oral and written communication skills.
Ensures that claims are processing according to established quality and production standards. Corrects processing errors by reprocessing, adjusting, and/or recouping claims.
High School Diploma or equivalent
Processor, Claims Ii Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Our Comprehensive Benefits Package Includes
401(k) retirement savings plan with company match
Fantastic health plans and free vision coverage
Paid annual leave — the longer you work here, the more you earn.
Onsite cafeterias and fitness centers in significant locations
Wellness programs and a healthy lifestyle premium discount
Payment Processor Jobs
By CDC Small Business Finance At United States
Minimum of 1 year experience in handling loan or payment processing
Experience with various types of principal and interest calculations
Responsible for processing and recording payment accurately, timely and efficiently in Ventures
Board new loans and post disbursements in Ventures
Sets up ACH for newly funded loans
Processes loan payments (ACH NACHA import and manual entry of checks)
Payment Processor Jobs
By ADT Commercial At Lawrence, KS, United States
We compensate based on experience
Full benefits on the 1st of the month after 31 days of employment:
Minimum of one (1) year of customer service experience required
Technical aptitude, problem solving skills
Prepare Daily Cash Report and reconcile to AR posting.
Support the maintenance of Lockbox, ACH, and Credit Card payments.
Claims Processor (English Speaking)
By Carrot Fertility At United States
1-3 years of relevant work experience including claims submission/processing experience
Excellent verbal and written communication skills
Problem-solving skills to analyze, troubleshoot and resolve issues
Structured thinker and love checking things off your to-do list
An innovative spirit to push the boundaries
Ability to thrive in a fast-paced, results-oriented environment
Claims Processor (English Speaking)
By Carrot Fertility At San Francisco, CA, United States
1-3 years of relevant work experience including claims submission/processing experience
Excellent verbal and written communication skills
Problem-solving skills to analyze, troubleshoot and resolve issues
Structured thinker and love checking things off your to-do list
An innovative spirit to push the boundaries
Ability to thrive in a fast-paced, results-oriented environment
Claims Processor Ii Jobs
By Premera Blue Cross At United States
Review, process, and resolve moderately complex claims in accordance with contracts and policies.
Research claims through the utilization of reference materials and on-line tools.
Responsible for accurately coding claims through the system.
Translate data into information acceptable to the claims processing system including follow up on pended claims.
Maintain all appropriate claims files and perform follow-up on pended claims.
Prepare claims for return to Provider or Subscriber when additional information is needed.
Claims Processor I (On-Site)
By BlueCross BlueShield of South Carolina At Florence, SC, United States
Strong analytical, organizational and customer service skills.
Strong oral and written communication skills.
Proficient spelling, punctuation and grammar skills.
One year-of experience in a healthcare or insurance environment
Research and process claims according to business regulation, internal standards and processing guidelines
Verifies the coding of procedure and diagnosis codes
Medical Claims Processor Jobs
By Reqroute, Inc At Texas, United States
• COB and benefit summary knowledge
• Pay or deny claims according to the benefit summary
• Priority will be given to those with knowledge of the QNXT systems and application
• Knowledge of Medicaid, Medicare or commercial claims processing
• Experience with claims or customer service in medical field
• Review membership eligibility for determination
Payment Processor Jobs
By State of North Carolina At Raleigh, NC, United States
Minimum Education And Experience Requirements
Excellent verbal and written communication skills
Strong interpersonal and customer service skills
Ability to work well in a fast-paced payments processing environment
Ability to adapt effectively to changes in work priorities
Ability to key 7,000 KPH with 95% accuracy
Medical Claims Cob Processor Remote (Ak, Az, Fl, Id, Or, & Wa)
By Moda Health At United States
Professional and effective written and verbal communication skills.
Good analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed.
Good organizational abilities and the ability to handle a variety of functions .
Knowledge and understanding of Moda Health administrative policies affecting claims and customer service.
Responds and follows up using FACETS, Content Manager and E-mail.
Medical, Dental, Vision, Pharmacy, Life, & Disability