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Medical Claims Associate Jobs

Medical Claims Associate ( Remote)
By Others At United States
This is a fully remote position.
·Accurately code explanation of benefits
·1 – 2 years claims processing experience.
·A working knowledge of ICD10, CPT codes and HIPAA guidelines
Duties include but are not limited to:
·Receive pending claims for evaluation and processing
Medical Claims Reviewer, Associate (Remote U.s.)
By Acentra Health At United States
Required Technology Skills / Qualifications / Experience:
Comprehensive knowledge of medical coding systems, procedures, and documentation requirements.
Demonstrates basic knowledge of medical coding systems, procedures, and documentation requirements.
Are you an experienced Medical Claims Reviewer, Associate looking for a new challenge?
Knowledge of auditing concepts and principles.
Knowledge of statutory regulations and medical terminology.
Clinical Claims Specialist Medical
By Wellpath At United States
5 years in a correctional healthcare setting, hospital management, risk management, insurance, claims management, or similar experience required.
Experience with data management, statistics, analytics, process improvement methodology, and PC applications preferred.
Patient care, legal or claims management experience is preferred.
Take on special projects involving data gathering, report preparation, trend management, and escalation related to risk management.
Bachelor's degree is preferred. Health administration, management, business administration, claims management, insurance, or related field preferred.
Previously demonstrated ability and experience in providing leadership for self-directed work teams.
Medical Claims Analyst - Atrix Ally
By Cardinal Health At , $24.70 - $36.90 an hour
Extensive patient education/counseling to determine eligibility for Advocacy.
Manage the drug recovery application process
Demonstrates extensive knowledge and understanding of relevant clinical operations, products and services
Develops, plans and manages customer training programs in multi-site and/or complex environments
0 - 2 years of experience in related field preferred (open to fresh graduates!)
Strong Microsoft Office skills (Excel, Word, Outlook)
Medical Claims Representative Jobs
By Morgan Stephens At Irving, TX, United States

Morgan Stephens ofrecemos reclutadores que hablan Espanol

Medical Claims Analyst Jobs
By Alaffia Health At New York, NY, United States
FACILITY INPATIENT CODING/AUDITING EXPERIENCE REQUIRED
Knowledge of PHI/HIPAA compliance and standards
Minimum of 1 year of auditing experience
At least one of the following certifications is mandatory (CPC/COC/CIC/CRC/CPMA/RHIT/RHIA)
Combing through UB-04/IB's for any potential coding/billing violations
Auditing revenue codes against clinical documentation
Claims Associate Jobs
By TheBest Claims Solutions At Dallas, TX, United States

6+ Months of claims handling experience

Solid adjusting background with an understanding of policy coverage, customer service, and auto claims

Claims Associate Jobs
By Jetty At New York, NY, United States
1-2 years of work experience
Prior customer service experience a plus but not required
Experience with Google Suite, Britecore, Zendesk, or Snapsheet is helpful but not required
Reliable and consistent with the desire to provide an outstanding customer experience
Flexible remote work in any US location (keeping east coast hours)
Surety bond and renter's insurance claim intake
Claims Associate Jobs
By Loadsure At Connecticut, United States
Excellent time management and organisational skills
Background in Claims management or adjusting
Through the use of human-centric technology, we will be a global leader in end-to-end risk management.
Other duties as assigned by your manager
Minimum of 1-2 years of experience within a similar claims or insurance position
Strong analytical and communication skills
Medical Claims Specialist Jobs
By Privia Health At United States
Self-starter with great time management skills
Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives
Education: High School diploma preferred
Experience: 3+ years medical claims experience in a physician medical billing office; Medicaid experience preferred.
Must understand Explanation of Benefit (EOB) statements
Preference for experience working with athenaHealth’s suite of tools
Medical Associate Jobs
By Planet Pharma At United States

SUMMARY: In collaboration with the Medical Operations Manager/Associate Director, the Medical Operations Coordinator will provide operations support for all US Medical material (promotional and ...

Medical Claims Specialist-Unpostables Jobs
By Privia Health At United States
Experience in a people management function preferred
Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
High School Graduate, Medical Office training certificate or relevant experience preferred.
3+ years experience in a medical billing office.
Strong preference for experience working with athenaHealth’s suite of tools
Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
Death Claims Operations Summer Associate (Hourly)
By Equitable At , Charlotte, Nc $22 an hour
Communicate outstanding requirements to both financial advisors and beneficiaries via telephone calls and emails.
Background in Business Administration, Finance or Marketing.
Applies business insights: Applies knowledge of business and the marketplace to advance the organization’s goals
Build strong teams: Builds strong identity teams that apply their diverse skills and perspective to achieve common goals.
The associate's key responsibilities will include:
Support the onshore Death Claims Operation teams in the processing of claims.
Remote Claims Research Associate ($16.50 / Hour)
By Talentify.io At United States
1-2 years prior customer facing experience required
Excellent verbal and written communication skills
Establish fair market value of vehicles assisting insurers in claim settlement
Update vehicle information and determine the availability and price of new or used vehicles
Some outbound calling (non-sales related) required to automobile dealerships and adjusters
Maintain relationships with dealers and claim adjusters
Medical Business Associate Jobs
By Munson Healthcare At Traverse City, MI, United States
A minimum of one year experience successfully working with the public with minimal supervision.
Proficient in typing, Windows, and experience with multiple computer systems.
One year or 32 credits of college and/or training or equivalent experience in a related field.
The ability to work positively with all levels of clinical staff in completion of job responsibilities.
Experience with Blue Cross/Blue Shield, Medicare, Medicaid, and other insurance coverage.
Familiarity with ICD-9/ICD 10and CPT codes. eCW or other EHR experience desirable.
Medical Business Associate - Munson Milliken Medical
By Munson Healthcare At Traverse City, MI, United States
Manages recall, physician scheduling group inbox, message box, or any other special communication assignments as assigned.
Performs other duties and responsibilities as assigned.
Supports the Mission, Vision and Values of Munson Healthcare. Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC initiatives.
Demonstrates adherence to all policies and procedures.
Maintains a professional working relationship with staff members, ancillary services and medical staff.
Claims Associate (Contract) Jobs
By Kyte At United States
Comfortable working with google sheets and claims management software
Minimum 2+ years of claim processing experience
Experience working for a startup
Experience in the travel or mobility industry
Experience implementing new claims processes
Support, improve and reinforce claims processing quality standards and guidelines
Medical Claims Specialist Jobs
By Texas Children's Hospital At , Houston, 77001, Tx
MCO experience and Texas Medicaid experience strongly preferred
3 Years of claims processing experience required
Process group queues content at 98% average, within 30 days of receipt.
Review and process pended claims, within 5 days of initial review.
Respond to internal inquiries within 48 hours of receipt. Review, investigate and provide accurate and efficient follow-up.
Ensure Special Projects are completed accurately, in a timely and efficient manner.
Claims Manager - Medical Malpractice
By Polikov Recruitment Solutions At Atlanta Metropolitan Area, United States
Our client, an ‘A rated’ global Insurance Carrier, is looking to add a Healthcare/Medical Malpractice Claims Manager..
This is a hybrid role where there will be flexibility to work multiple days from home.
If you are interested in hearing more details please email your resume to Lindsay McLure at [email protected]
Claims Associate Jobs
By Loadsure At , Oakville, 06779, Ct
Excellent time management and organisational skills
Background in Claims management or adjusting
Through the use of human-centric technology, we will be a global leader in end-to-end risk management.
Other duties as assigned by your manager
Minimum of 1-2 years of experience within a similar claims or insurance position
Strong analytical and communication skills