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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...

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate’s location from the company's office, with the preferred location in the Midwest.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for...

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 remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Receives claims, confirms policy coverage and acknowledgement of the claim
* Determines the v...

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate's location from the company's office, with the preferred location in the Midwest.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for ...

Company Overview
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing cli...

Company Overview
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing cli...

Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence is calling a Sr. Professional Liability Medical Claims Manager who will:
Inv...

We are seeking a Medical Claims Examiner ready to expand on their established career to partner with our client to impact and support patients in need!
Out-of-state applicants are welcome to apply, and must have Anthem Blue Cross Systems claims processing experience.
If you seek in-depth training, a positive office culture & career expansion. Then we look forward to connecting with you!
Bil...

Job Details
Level: Entry Job Location: Atlanta Office - Atlanta, GA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $40000.00 - $45000.00 Salary/year Travel Percentage: None Job Shift: Day Job Category: Admin - Clerical
Claims Examiner I / Medical Only (Workers' compensation)
This is a remote position. Must have a GL or FL Workers...

Call Center Representative - Medical Provider Claims Support
Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for Call Center Representatives to join our team!
What you'll be doing?
* Answer incoming provider calls and assist them with questions regarding claim status and other billing concerns.
* Thor...

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 ...

Crum & Forster Company Overview
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recogni...

Job Title: Administrative Assistant t [Must have Medical Claims Exp]
Location: Nashville, TN/REMOTE
Duration: 12+ Months
The position is remote, with the exception of the first day of employment.
The first day of employment is anticipated in person in Nashville, TN for laptop deployment and onboarding. Travel to Nashville, TN is not reimbursable.
The Tennessee Department of Health, Division o...

Job Description
Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expert...

LOCATION: Remote
GENERAL STATEMENT OF JOB
The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure providers receive timely and accurate payment. Supervision of claims adjudication through continuous monitoring and quality control measures. Finalize claims processed electronically ...

Job Description
Job Description
Job Summary
Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints, legal requests, or identified internally by Molina. Identifies...

This is a remote position.
Position Overview
The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect manner. This position will resolve claims according to Best Practice...

Are you driven to keep people safe? That's what we do every day at MEM Insurance.
We've created a casual, values-driven work culture that's making a positive impact on the way people live and work. This is a place where you can grow with confidence - because that's what safety and success really mean to us.
SUMMARY:
The Litigation Specialist is an advanced-level position responsible for managin...

This is a remote position.
Position Overview
The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna Field Staff and the third party administrator. This role will require investigation of claims and insurance that our third party administrator is managing the claims in an effect manner. This position will resolve claims according to Best Practices...