Register
Recruit Create CV

Medical Claims Processor Jobs

Quality Assurance Claims Processor
By PENNYMAC At Moorpark, CA, United States
Higher in range - Experience and skills add value above typical requirements of the role
Lower in range - Building skills and experience in the role
Mid-range - Experience and skills align with proficiency in the role
Maintain and update various databases to meet departmental and QA requirements
Must have experience with auditing and/or filing claims for FHA, VA and/or USDA adhering to the Investor/Insurer’s guidelines
Retirement benefits, life insurance, 401k match, and tuition reimbursement
Health Insurance Claims Processor / Adjudication (Medicare)
By Insurance Administrative Solutions, L.L.C. At Town & Country, FL, United States
Honesty, as well as respect, for the company and its policies & procedures is crucial. EDUCATION and/or EXPERIENCE REQUIRED:
Experience with Medicare Supplement preferred. Benefits:
Interpret contract benefits in accordance with specific claim processing guidelines.
Good oral and written communication skills
Good PC application skills and typing to 30 wpm with accuracy and clarity of content.
Previous health/Medicare/prescription claims adjudication experience a plus.
Claims Processor, Government Team
By UF Health At Gainesville, FL, United States
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.
Minimum high school graduate or equivalent.
Claims Processor - Remote | Wfh
By Get It Recruit - Healthcare At Phoenix, AZ, United States

Welcome to the exciting world of the healthcare industry! Join a dynamic team that is passionate about caring for people. We value diversity, equity, and inclusion, and we invite you to be a part of ...

Claims Processor - Remote
By Dexian At Richmond, VA, United States
Knowledge of Microsoft and/or Google Suite products
Must be able to effectively manage work and remediate claims in a fast paced, customer oriented environment
Utilize investigation skills and document findings
Gain extensive knowledge of Regulation E Become an expert in MasterCard chargeback rules
Meet performance expectations related to productivity, effectiveness and customer experience
Remote - Must be within 100 miles of Richmond, VA
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.
Claims Processor Jobs
By Turo At Phoenix, AZ, United States
Previous startup experience strongly preferred
BS / BA or equivalent preferred or an Associate degree with 2+ years of work experience
Competitive salary, equity, benefits, and perks for all full-time employees
Cell phone, internet and Fringe benefit stipend
You will provide claims support to internal and external customers.
Provide exceptional customer service for Turo hosts, guests, external vendors, and Claims Associates.
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 Bill Processor - Remote | Wfh
By Get It Recruit - Healthcare At Dublin, OH, United States

We are seeking a dedicated Remote Bill Processor to join our team and contribute to our fast-paced and thriving organization. If you are looking for an engaging role where you can showcase your skills ...

Medical Bill Processor (Remote) 2023-1284
By Managed Care Advisors (MCA) At Dublin, OH, United States
Codes provider bills in accordance with claims management system notes and program guidelines
Compares provider network status and qualifications with service provided.
Keys pre-coded billing data into the system.
Identifies and escalates complex bills per documented guidelines.
Performs other duties as assigned.
Supports the organization's quality program(s).
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
Medical Claims Processor Jobs
By GeBBS Consulting At District of Columbia, United States
2+ years experience in claims processor.
Experience working in a high volume, fast paced environment.
GeBBS Consulting screens applicants through a combination of over-the-phone, video and in-person meetings.
GeBBS Consulting will never ask a candidate for payment of any kind as part of the hiring or onboarding process
Medical Claims Processor Jobs
By nTech Workforce At Fairfax, VA, United States
Education Level: High School Diploma or GED
Experience: less than one-year experience processing claim documents/billings experience
This position is 100% remote.
· 1+ year of Claims processing, billing, or medical terminology experience.
Under direct supervision, reviews and adjudicates paper/electronic claims.
Determines proper handling and adjudication of claims following organizational policies and procedures
Medical Claims Processor Jobs
By nTech Workforce At Maryland, United States
Experience: less than one year experience processing claim documents/billings experience
Education Level: High School Diploma or GED
1+ year of Claims processing, billing, or medical terminology experience
Determines proper handling and adjudication of claims following organizational policies and procedures.
5%: Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
Needs to be a Team Player
Health Insurance Claims Processor / Adjudication (Medicare)
By Insurance Administrative Solutions, L.L.C. At Clearwater, FL, 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 ...

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)
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
Claims Processor Ii (Hybrid)
By Builders Mutual At , Remote
High School diploma and 1-3 years of work experience in an office setting, or an equivalent combination of education and experience.
Proficient verbal and written communication, organizational, interpersonal and problem-solving skills.
Proficient in the use and knowledge of MS Office software
Skills to get the JOB done RIGHT:
Process first-party claims by company policy and applicable federal and state regulations
Monitor rental reservations and communicate with body shops for first-and third-party customers
Medical Claims Processor (Home-Based)
By IQVIA At , Phoenix, Az $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)

Are you looking for an exciting opportunity to join a fast-paced medical claims processing team? We are looking for a motivated individual to join our team and help us process medical claims quickly and accurately. If you have a passion for accuracy and a desire to help people, this could be the perfect job for you!

Overview A Medical Claims Processor is responsible for processing medical claims for insurance companies, healthcare providers, and other organizations. They review and verify patient information, process claims, and ensure that claims are paid accurately and on time. Detailed Job Description A Medical Claims Processor is responsible for processing medical claims for insurance companies, healthcare providers, and other organizations. They review and verify patient information, process claims, and ensure that claims are paid accurately and on time. They must be familiar with medical terminology and coding, and must be able to interpret insurance policies and regulations. They must also be able to communicate effectively with patients, providers, and insurance companies. Job Skills Required
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and regulations
• Ability to interpret and analyze medical claims
• Excellent communication and customer service skills
• Attention to detail and accuracy
• Ability to work independently and as part of a team
• Proficiency in computer software programs
Job Qualifications
• High school diploma or equivalent
• Previous experience in medical claims processing
• Certification in medical coding (preferred)
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and regulations
• Ability to interpret and analyze medical claims
Job Experience
• Previous experience in medical claims processing
• Experience working with medical billing software
Job Responsibilities
• Review and verify patient information
• Process medical claims
• Ensure that claims are paid accurately and on time
• Communicate with patients, providers, and insurance companies
• Resolve any discrepancies or issues with claims
• Maintain accurate records and documentation