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909 Jobs

  • Claims Examiner - Workers Compensation

    ICONMA, LLC - United States
    ... Primary purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ...
  • Claims Examiner - Workers Compensation

    ICONMA, LLC - United States
    ... Claims Examiner - Workers Compensation Location: Anchorage, AK/Remote Duration: 3 months Description: Primary purpose: To analyze complex or technically difficult workers' compensation claims to ...
  • Lead Medical Claims Processor

    Moda Health - United States
    ... be better together. Position Summary T he Lead Medical Claims Processor assists the Supervisor(s ... issues to Claims Supervisor. Performs manual calculation/override of benefit to enter correct ...
  • Claims Examiner - Workers Compensation

    ICONMA, LLC - United States
    ... Claims Examiner - Workers Compensation Location: Remote Duration: 2-3 months Description ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work ...
  • Claims Examiner - Workers Compensation

    ICONMA, LLC - United States
    ... Description: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ...
  • Claims Examiner - Workers Compensation

    ICONMA, LLC - United States
    ... properly documented and claims coding is correct. Refers cases as appropriate to supervisor and ... To analyze complex or technically difficult workers' compensation claims to ...
  • HSP Team Lead

    AmeriHealth Caritas - Remote, United States
    ... LOB Supervisor Functions as a technical specialist for claims operations. Maintains a ... 's primary responsibility is supporting the daily claims process. Secondarily, they are responsible for ...
  • HSP Team Lead

    AmeriHealth Caritas - Remote, United States
    ... LOB Supervisor Functions as a technical specialist for claims operations. Maintains a ... 's primary responsibility is supporting the daily claims process. Secondarily, they are responsible for ...
  • Claims Specialist - AGL

    Crawford & Company - Virginia
    ... Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims ... on claims within delegated limited authority. Responsibilities Conducts ...
  • Claims Specialist - Workers Compensation

    Crawford & Company - Florida
    ... Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims ... on claims within delegated limited authority. Responsibilities Conducts ...
  • Collector II

    ICONMA, LLC - United States
    ... . Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the ... /or underpayments. Reports new/unknown billing edits to direct supervisor for review and ...
  • Workers Compensation Representative

    Allied Universal - United States
    ... recommendations on claims handling and seek direction from supervisor on open issues Communicate workers ... responsible for managing, reviewing, and processing workers compensation claims for the North America business ...
  • Claim Representative - Bodily Injury (Remote)

    Donegal Insurance Group - United States
    ... . Responsibilities and Duties Investigate, evaluate, and settle claims as assigned by the Supervisor ... Representative. As a member of our Claims team, this position is responsible for the handling casualty claims in ...
  • Service Writer

    ICONMA, LLC - United States
    ... work orders; provides quotes, develops claims, prepares repair plans, schedules work, and provides ... ; reviews plans with the Service Supervisor/Team Lead prior to customer contact. Works with the ...
  • Patient Accounts Representative

    United Musculoskeletal Partners - United States
    ... timely manner Follow-up on outstanding insurance claims Understand all aging reports ... immediate manager/supervisor and/or Administrator Job Type: Full-time Company: Pinnacle ...
  • Accounting Clerk II

    ICONMA, LLC - United States
    ... , reconciles accounts, and checks for accuracy. Verifies, sorts, posts, and checks claims, bills, invoices ... Accounting Supervisor. Performs light clerical duties within an accounting function. May type, match ...
  • Accounts Receivable (A/R) Specialist

    Lakeshore Bone & Joint Institute - United States
    ... Manager, the Accounts Receivable Specialist is responsible for filing insurance claims, denial management ... of all claims. Research unpaid and denied insurance claims in an expeditious manner to ...
  • Government Collector/Appeals Specialist - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

    University of Southern California - United States
    ... requirements to ensure prompt defect free claims for timely payment to minimize denials. Must have ... appropriately submit claims for payment. Work independently on inventory for account follow-up appeals and ...
  • Medicare Grievance Analyst

    ICONMA, LLC - United States
    ... Federal decisions are properly implemented. Assist the Supervisor and/or Manager in coordinating ... enterprise-wide systems including: claims payments, billing and enrollment, care management, medical ...
  • Supervisory Veterans Service Representative (Assistant Coach)

    Veterans Benefits Administration - United States
    ... includes ensuring the continuity of team supervision. This position is the assistant supervisor of one of ... the following: Providing quality assurance or auditor functions related to claims processing and ...
  • Supervisory Workers' Compensation Claims Examiner

    Office of Workers' Compensation Programs - United States
    ... , communications, fiscal operations, information technology, medical coding, claims adjudication, etc.) at the ... ' compensation claims under the FECA that fall within his/her area of jurisdiction. -Interact and meet with ...
  • Medical Claims Representative - Self-Pay Team - $1,000 Sign-on Bonus

    Atrius Health - United States
    ... a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a schedule ... Billing Supervisor. EDUCATION/LICENSES/CERTIFICATIONS High School diploma or equivalency ...
  • Supervisor Medicaid Services

    Moda Health - United States
    ... Supervisor Medicaid Services Job Title Supervisor Medicaid Services ... oversees encounter data processes and audits, claims/authorization audits and other specific audits as ...
  • Certified Dispute Analyst, CPC

    Zelis - United States
    ... responsible for researching and auditing medical records for complex, diverse, multi-specialty provider claims ... Research and audit medical records for complex and multi-specialty provider claims with an objective to ...
  • Clinical Authorization Specialist (Hospital) - USC Cancer Center LA - Full Timed 8 Hour Days (Non-Exempt) (Non-Union)

    University of Southern California - United States
    ... authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift ... disputed claims to obtain documentation to support ambulatory clinic consultation/ examinations, OT/PT ...
  • Clinical Authorization Specialist (Hospital) - USC Cancer Center LA - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

    University of Southern California - United States
    ... authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift ... disputed claims to obtain documentation to support ambulatory clinic consultation/ examinations, OT/PT ...
  • Analyst Claims EW

    AIG - United States
    ... that our clients acquire. The role of Claims Analyst aims to serve our clients by responding to their ... policies under supervisor review. The benefit to the business is mainly in productivity: (approx ...
  • Senior Utilization Review Consultant (O-5 Billet) Non-Supervisory

    Immigration and Customs Enforcement - United States
    ... select reimbursable health care services, medical claims review, and utilization review. Provides ... Financial Services Center (VAFSC), a third-party medical claims administrator, and offsite providers to ...
  • Credentialing Coordinator - Office of Integrated Credentialing - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

    University of Southern California - United States
    ... malpractice claims, licenses, certifications, training and affiliations. Assess content of responses to ... the supervisor in identification of reappointment names and dates Independently make ...
  • Supervisor, Medical Coding and Auditing

    Modernizing Medicine - United States
    ... . ModMed (https://www.modmed.com/company/) is hiring a driven Supervisor of Medical Coding & Auditing to join our positive, passionate, and high-performing RCM team. The Medical Coding and Auditing Supervisor ...
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