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Remote Processing Transplant Claims Jobs
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 certification
Complex Claims Manager - Liability
of claims Required Qualifications College degree in business or equivalent work experience Five years of claims handling experience with commercial and multi-line knowledge Current knowledge of the Company industry and claims processing through...ongoing education Ability to make independent decisions with minimal supervision Extensive knowledge of Company and claims processes
Provider Accounts Manager
queues to ensure timely reimbursements Required Qualifications Bachelor's degree in Business Administration, Health Administration, Finance, or a related field 5+ years of experience in a professional healthcare setting, preferably in RCM and/or claims...processing Detailed knowledge of healthcare claims processing and revenue cycle management Medicare billing experience strongly preferred Proficiency in Microsoft Excel; SQL and Python skills preferred
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Remote Claims Analyst
Adjudicate medical healthcare claims requiring high-level review Maintain daily production requirements and quality scores Complete weekly pre-adjudication audit reports for payment accuracy Required Qualifications and Education 1-3 years of claims...processing experience, preferably from both payer and provider sides Knowledge of CPT and ICD coding Intermediate to advanced understanding of Microsoft Office products Thorough understanding of claims processing compliance requirements Ability to
Warranty Administrator
A Company is looking for a BMW Company Administrator responsible for overseeing all aspects of Company....Key Responsibilities Manage Company claims from start to finish, ensuring accurate and timely Company Review and validate Company claims for accuracy and completeness Coordinate with internal departments and external stakeholders to streamline
Medical Billing Claims Processor
A company is looking for a Patient Support Medical Claims Processing Representative (Home-Based)....processing required Medical Billing Certification required Coding Certification required Ability to interpret Explanation of Benefits (EOB)
Manager, Complex Claims
Responsibilities Serve as the subject matter expert for claims operations, regulatory requirements, and workflows Manage initiatives to improve key performance indicators and develop team workflows for consistent outcomes Lead the review of specialized claims...processing and conduct analysis to report on complex claims trends Required Qualifications A bachelor's degree or 4+ years of relevant experience 4+ years of experience in leading and developing direct reports in a claims environment 4+ years of
California Licensed Workers Compensation Adjuster
Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with all parties involved in the claims process Document claim activities and ensure compliance with policies and regulations Required
Senior Auto Liability Claims Adjuster
Key Responsibilities Manage and analyze claims exposure to determine appropriate resolutions Communicate effectively with all parties involved in the claims process Document claim activities and ensure compliance with policies and regulations Required
California Licensed Senior Claims Adjuster
Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively Engage with various parties to ensure effective communication throughout the claims process Document claim activity and provide exceptional customer
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