Long Term Care Health Insurance Claims Processor
By Insurance Administrative Solutions, L.L.C. At United States

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving ...

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 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.
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
Business Analyst / Claims Insurance
By Stratus At United States
Work with developers, QAs, project managers, to define requirements and translate into data flows.
Experience writing technical requirements for database mapping in SQL.
Insurance/Reinsurance industry experience and knowledge with an understanding of the terminology, business functions (Claims) and business processes.
Detailed claims processing knowledge and experience.
Conduct requirements definition for Claims solutions (both functional and technical).
Collaborate closely with business stakeholders to understand their business requirements, informational needs, and data sources.
Medical Claims Processor Jobs
By NLB Services At 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
Years of Experience: 2.00 Years of Experience
Healthcare Claims Processor Jobs
By Reqroute, Inc At 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
Medical Claims Processor I - Remote (Ak, Az, Fl Id, Or Wa)
By Moda Health At United States
6-12 months data entry or medical office experience preferred
Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
Professional and effective written and verbal communication skills
Experience with Facets platform a plus
Identify all the duties and responsibilities
Medical, Dental, Vision, Pharmacy, Life, & Disability
Insurance Claims Manager Jobs
By UG2 At United States
A minimum of 3 years of overall experience in insurance claims management, with a focus on general liability claims.
Generate detailed reports from the carrier’s claims management system to aid transparency and decision-making.
Monitor general liability insurance policies to ensure risk management needs are met, providing suggestions for improvements.
Familiarize with and effectively utilize relevant technology tools and software, aiding in efficient claims management and service delivery.
Bachelor’s degree in Business Administration, Risk Management, Insurance, or a related field.
A comprehensive understanding of claims management principles and practices.
Medical Claims Processor I - Remote (Ak, Az, Fl Id, Or, Tx, Wa)
By Moda Health At United States
6-12 months data entry or medical office experience preferred
Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
Professional and effective written and verbal communication skills
Experience with Facets platform a plus
Identify all the duties and responsibilities
Medical, Dental, Pharmacy and vision coverage
Insurance Claims Processor Jobs
By Randstad USA At United States
Provide accurate and prompt information to management, employees, and clients.
Assist management by sending letters, making copies and making reservations, when requested.
Building and expanding on skills by engaging in educational opportunities.
Willingness to continue building skills through educational opportunities.
Minimum of 2 years’ experience in a related field
Strong problem solving, critical thinking, interpersonal, verbal & written communication skills.