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Remote Claims Processing Jobs
Claims Processing Specialist
A company is looking for a Claims Processing Specialist who will review invoices and Company medical documents to determine coverage in compliance with the current Underwriter's policy.
Medical Claims Processing Representative
A company is looking for a Patient Support Medical Claims Processing Representative....processing required Medical Billing Certification required Coding Certification required HIPAA certified
Medical Claims Processing Representative
A company is looking for a Patient Support Medical Claims Processing Representative....processing is required Medical Billing Certification is required Coding Certification is required HIPAA certification is necessary
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Claims Processing Specialist
Key Responsibilities Review claims to determine coverage and ensure documentation aligns with policy provisions Process paper claims and enter them into the system for evaluation Handle claims dispositions and rectify issues to prevent delays Required...Qualifications 2+ years of experience in claims processing, insurance, or a related field Prior experience with paper claims processing and understanding of regulatory requirements Familiarity with utilization management (UM) processes Experience
Medical Biller Claims Processing Representative
A company is looking for a Patient Support Medical Claims Processing Representative....processing Medical Billing Certification Coding Certification HIPAA certification
Wisconsin Licensed Claims Examiner
A company is looking for a Claims Examiner to manage insurance claims processing....Key Responsibilities Enter and process insurance claims received electronically or in written form Evaluate claims and verify policyholder information to determine claim eligibility Investigate claims, negotiate settlements, and process payments as
Client Implementation Analyst II
A company is looking for a Client Implementation Analyst II (EDI) to manage electronic setup and testing of IT projects related to Client Claims Processing....processing and HIPAA EDI protocols Ability to create SQL queries for analyzing EDI data within an Oracle database Experience with tools such as MS Office, Service Now, and JIRA
Claims Processing Operations Lead
A company is looking for a Claims Processing Operations Lead.
Veterinary Claims Processing Specialist
A company is looking for a Document Process Specialist - Associate. Key Responsibilities Enter and import documents and policy information into the policy management system for processing Analyze Company medical records and input claim line items accurately Route claims based on situation
Medicaid Appeals Specialist
compliance with timelines Prepare appeal summaries and correspondence, ensuring accuracy and adherence to regulatory requirements Required Qualifications High School Diploma or equivalency Minimum 2 years of operational managed care experience Health claims...processing background, including coordination of benefits and eligibility criteria Familiarity with Medicaid claims denials and appeals processing
