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Medicare Claims Processor Jobs

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
Medicare Counselor (Pa Medi)
By Diakon Lutheran Social Ministries At Pottsville, PA, United States
Adheres to reporting requirements as defined by agency and PA State Department of Aging.
Responsible for providing Medicare Counseling within the PA MEDI programs.
Makes provisions for providing health insurance counseling to Medicare Beneficiaries and Medicare-eligible individuals.
Assists in the development and implementation of an outreach plan to raise awareness about PA MEDI services.
Records client data into National Data base.
Mandatory Covid-19 Vaccination Program-need covid vaccine card ot file for an exemption.
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
Claims Processor, Intermediate Jobs
By Blue Shield of California At California, United States
Requires basic job knowledge of systems and procedures obtained through prior work experience or education
Requires basic knowledge of systems and procedures and obtained through prior work experience or education
Knowledge of Medi-Cal and benefit plans
Be experienced in back-end processing; proficient in resolving complex edits using available documents/job aids with minimum direction
Experience front-end processing and difficult adjustments
Requires at least 3 years of experience
Licensed Medicare Consultant Jobs
By EMERGE At United States
Extensive benefits and PTO offered
Base salary of $21-25/hr (based on experience and licensures)
1-3 years experience selling Medicare health plans
Offer relevant information on several different carriers and plans
Bonus pay of $30-50 per enrollment
Active resident-state Health Insurance License (multiple states preferred)
Accounting Clerk- Medicare/Medicaid Claims Follow-Up 150 East 42Nd Street
By Mount Sinai Health System At United States
Experience: Excellent communication skills (oral and written)
Knowledgeable with the Patient Accounts System(s): Eagle, MEMS, Trac/On-Trac, Cirius, FSS, Cerner, Various Insurance Websites preferred.
Knowledge of Microsoft Excel and Word (35 WPM min).
Adheres to the Stratified Process Work Environment utilizing either the On-Trac or Trac system applications.
Analyzes accounts to resolve issues that result in billing and/or payment delays.
Prepares schedules on work findings, cash postings, global arrangements (splits) and all other schedule that is assigned.
Claims Processor I Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
1 year-of experience in a healthcare or insurance environment.
Our Comprehensive Benefits Package Includes
Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
High School Diploma or equivalent
Ability to use complex mathematical calculations.
Financial Claims Processor - Remote
By Dexian At Richmond, VA, United States
Remote - Must be within 100 miles of Richmond, VA
· 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
· 1+ year of Financial Services experience
· Knowledge of Microsoft and/or Google Suite products
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
Claims Auditor & Appeals Processor
By Planstin Administration At St George, UT, United States
Provide regular feedback to Claims Management concerning process improvement and/or training opportunities.
Provide regular feedback to Finance.
Knowledge and understanding of medical terminology, anatomy and both ICD-10 and CPT coding.
One or more years of experience working with insurance plans or self-funded options.
Two years' experience in medical claims processing.
Read and interpret Planstin plans to ensure payment accuracy.
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
Medicare Content Author Jobs
By Swingtech At Washington, DC, United States
Must have experience in technical writing and editing with demonstrated proficiency in communicating detailed Medicare- and/or healthcare-related content.
Experience working directly within or as a contractor to the Centers for Medicare & Medicaid Services is strongly preferred.
Experience in some capacity in training, e-learning development, or usability testing preferred.
Excellent verbal and written communication skills essential.
BA/MA in Communications, English, Journalism, Instructional Design, or a related field; or equivalent experience.
Experience with Iterative/Agile Development and 508 compliance a plus.
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