Register
Recruit Create CV

Insurance Claims Processor Jobs in Union, Arkansas

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.
Insurance Claims Specialist (Remote)
By DaVita Kidney Care At Denver, CO, United States
Address patient benefit-related denials, including phone verification of plan requirements, financial risk, as well as other factors that may impact reimbursement
Uses strong organizational skills to effectively manage large amounts of detailed information
Use critical and analytical problem solving skills to resolve issues
2+ years health care and medical billing/Full Revenue Cycle experience is required
Experience with healthcare insurance claims is preferred
Ability to research and problem solve, using analytical and critical thinking skills
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.
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
Patient Care & Insurance Claims Specialist
By University of California San Francisco At , San Francisco, 94143
Strong communication skills; includes verbal, written and active listening. Ability to clearly and concisely communicate.
Demonstrated interpersonal skills with diverse staff and patients. Demonstrated ability to develop working relationships.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Job Code and Payroll Title
004176 AMBUL CARE ADMSTN CRD 2
99 - Policy-Covered (No Bargaining Unit)
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.
Insurance Claims Specialist Jobs
By Women's Care At Tampa, FL, United States
Excellent multitasking, organizational, and time management skills
Working knowledge of various insurance benefits is preferred; a full onboarding training will be provided
Medical claims billing and/or coding experience preferred
Excellent verbal and written communication skills
Excellent attention to detail and follow through skills
Communicate with assigned insurance carriers regarding eligibility and status of pending claims
Logistics Coordinator - Claims And Insurance
By Intelliswift Software, Inc. At , Santa Ana $28 - $30 an hour
Preparing daily and weekly reports for management
Experience / Knowledge in SAP
Should have advanced MS Excel and MS PowerPoint knowledge and skills
Bachelor's Degree in Logistics, Supply Chain, Business, Finance or similar
2-3 years of work experience in a business or logistics environment.
Preferable: General knowledge of logistics and/or supply chain.
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