Click to search for jobs

LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Protect Professionals Claims Management, a division of Protector Plans, is seeking a Medical Malpractice Claims Adjuster.
This can be a remote from home opportunity.
WHO ARE WE:
The Claims Team of Protect Professionals Claims Management, a division of Pr...

LOCATION: Remote – This is a home based, virtual position that operates Monday-Friday from 8:30am-5:00pm EST. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurat...

At MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champ...

APPEALS SPECIALIST
POSITION SUMMARY
The Appeals Specialist will be responsible for the organization and completion of all claim appeals received in the Appeal Department.
ESSENTIAL FUNCTIONS
* Logging/tracking all appeals received
* Reviewing appeal and supporting documentation
* Reviewing Summary Plan Documents to determine validity of appeal
* Composing appeal response le...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel.
This is a hybrid position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Receives claims, confirms policy coverage and acknowledgement of the claim
* Determines the v...

Overview
Under the general direction of Business Operations Manager or designee, the Medical Claims Examiner is responsible for processing professional and facility medical services claims by reviewing and inputting data into the claims payment system using standard policies, procedures and guidelines. This position will also be responsible for invoice adjudication/payments with contract terms...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $65,000.00 - $75,000.00 Salary/year Travel Percentage: None Job Shift: Day Job Category: Insurance
Claims Examiner I _ Medical Only
POSITION SUMMARY: At the direction of the Claims Supervisor (or designate...

Summary of Job
Support contract performance management of a large health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. Identify and analyze single issues and trends to determine root causes.
Provide recommendations for solutions to minimize errors and delays in systems and/or...

POSITION/JOB SUMMARY:
The Accounts Research Specialist are responsible for accounts research of physician services by researching denials for resolution and providing customer service to patients, insurance companies, third parties, providers and their offices. The employee will appeal denials appropriately, identify and report denial trends to management, notating on guarantor/patient accounts...

Summary of Job
Support contract performance management of a large health system. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. Identify and analyze single issues and trends to determine root causes.
Provide recommendations for solutions to minimize errors and delays in systems and/or process...

Overview
We have an exciting Medical Professional Claims Analyst career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a physician led organization, and one of the nation's largest providers of prenatal, neonatal and pediatric services.
Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innova...

An exciting opportunity exists to join the ProAssurance family of companies!
Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?
At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, l...

An exciting opportunity exists to join the ProAssurance family of companies!
Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?
At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity...

Employment Type:
Full time
Shift:
Description:
Remote position -
Seeking Claims processing with Medical Insurance
Minimum of 5 years experience in claims auditing, billing and/or coding.
Why MediGold?
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excel...

The range for this role is $99,000 - $142,000
Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 10% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.
In...

Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustain...

Employment Type:
Full timeShift:
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $16.1738-$24.1614)
Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate ...

Employment Type:
Full time
Shift:
Day Shift
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $16.8185-$25.2277)
Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for...