Financial Claims Examiner Jobs

1 - 20 of 343 Jobs

Bilingual Medical Claims Examiner, English and Spanish - GJob Title - Bilingual Medical Claims Examiner, English and Spanish - G

Next Step SystemsCompany Name - Next Step Systems

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Tucson, Arizona, USA

Full-time

Bilingual Medical Claims Examiner, English and Spanish, Tucson, AZ The responsibilities of the Bilingual Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider types and lines of business, reviewing and resolving rejected and/or denied claims, conducting research and analysis of claims and facilitating resolution of specific claims issues. The Bilingual Claims Examiner is also responsible for monitoring copays, deductibles, ins

Medical Claims Examiner - GJob Title - Medical Claims Examiner - G

Next Step SystemsCompany Name - Next Step Systems

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Tucson, Arizona, USA

Full-time

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider types and lines of business, reviewing and resolving rejected and/or denied claims, conducting research and analysis of claims and facilitating resolution of specific claims issues. The Medical Claims Examiner is also responsible for monitoring copays, deductibles, insurance verification, and authorizat

Claims Processor/ ExaminerJob Title - Claims Processor/ Examiner

SmartIMS Inc.Company Name - SmartIMS Inc.

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Remote

Contract

Claims Processor / Examiner Remote You will be processing both simple and complex corrections that will require research to determine next steps for correction. What youll be doing You will review, research and process simple and increasing complex corrections for the retirement plan and retirement plan participants. You will obtain needed information by communicating effectively with internal/external stakeholders while maintain a professional demeanor in all interactions. You will identify, re

QNXT TesterJob Title - QNXT Tester

HirekeyzCompany Name - Hirekeyz

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Remote

Contract

Role: QNXT Tester Location: Remote Duration: Contract Job Description: Need Strong Tester in Healthcare experience. Must have Skills: QNXT Medicaid/Medicare Enrollment/Claims/Provider/Billing/Finance.

SAP FS-CD DeveloperJob Title - SAP FS-CD Developer

Mergen IT LLCCompany Name - Mergen IT LLC

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Dallas, Texas, USA

Contract, Third Party

Role: SAP FS-CD Developer - Senior Level Location: Plano,Texas ( office 4 days per week) We are seeking a dedicated SAP Developer - Senior Level. The Sr developer selected for this position will be responsible for leading a team on a multi-year Payments Modernization journey on SAP as a Payment engine to provide scalable and compliant payment capabilities for our members. The developer will be responsible for development in SAP and for building integration with other systems that send and recei

IT SPECIALIST (SYSADMIN/CUSTSPT)Job Title - IT SPECIALIST (SYSADMIN/CUSTSPT)

USAJOBSCompany Name - USAJOBS

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Camp Pendleton North, California, USA

Full-time

Duties You will provide systems administration, configuration, and database management and information systems by managing, operating, and coordinating with enterprise network managers for the installation, integration, and maintenance of software/hardware. You will establish new user profiles, manage all organizational end-user computer assets; oversee regular and corrective maintenance on installed equipment; and install and maintain computers/laptops and peripherals. You will implement operat

Skilled Nursing Facility Business Office ManagerJob Title - Skilled Nursing Facility Business Office Manager

Touchstone CommunitiesCompany Name - Touchstone Communities

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Del Rio, Texas, USA

Full-time

Del Rio Nursing and Rehabilitation - Del Rio, Texas Business Office Manager Qualifications/Job Functions: The ideal candidate will have knowledge of the following: Accounts Receivable, Collections, Medicaid/Medicaid in healthcare setting. All private pay (includes applied income & co-insurance) collections.On hold unbilled claims are less than .25% of 3rd party (non-private) revenue and/or not aged greater than 30 days Medicaid Pending A/R balances over 120 days do not exceed 25% of the total

GENERAL ENGINEERJob Title - GENERAL ENGINEER

USAJOBSCompany Name - USAJOBS

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Washington, District of Columbia, USA

Full-time

Duties You will serve as the Lead Test Engineer for an Integrated Test Team (ITT). You will be responsible for completion of all integrated testing; provide planning, design, execution, data reduction, analysis, and reporting of integrated testing; establish and track test requirements. You will participate in engineering technical reviews and program cost reviews, assist in the maintenance of the Program integrated master schedule, maintain and report T and E metrics, integrating test issues an

Manager, Claims Operations - Auto Non-Injury Core/Complex (Tampa)Job Title - Manager, Claims Operations - Auto Non-Injury Core/Complex (Tampa)

USAACompany Name - USAA

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Tampa, Florida, USA

Full-time

Why USAA? Let's do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to give back to those who did. We're working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. They're what guides everything w

Manager, Claims Operations - Auto Non-Injury Complex (Colorado Springs)Job Title - Manager, Claims Operations - Auto Non-Injury Complex (Colorado Springs)

USAACompany Name - USAA

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Colorado Springs, Colorado, USA

Full-time

Manager, Claims Operations - Auto Non-Injury Complex (Phoenix)Job Title - Manager, Claims Operations - Auto Non-Injury Complex (Phoenix)

USAACompany Name - USAA

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Phoenix, Arizona, USA

Full-time

Director, Claims Operations - PropertyJob Title - Director, Claims Operations - Property

USAACompany Name - USAA

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San Antonio, Texas, USA

Full-time

Analyst - Operations SupportJob Title - Analyst - Operations Support

VerizonCompany Name - Verizon

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Tulsa, Oklahoma, USA

Full-time

When you join Verizon Verizon is one of the world's leading providers of technology and communications services, transforming the way we connect around the world. We're a human network that reaches across the globe and works behind the scenes. We anticipate, lead, and believe that listening is where learning begins. In crisis and in celebration, we come together-lifting up our communities and striving to make an impact to move the world forward. If you're fueled by purpose, and powered by persis

Insurance Operations AnalystJob Title - Insurance Operations Analyst

Kforce Technology StaffingCompany Name - Kforce Technology Staffing

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Palm Beach Gardens, Florida, USA

Contract

RESPONSIBILITIES: Kforce has a client that is seeking an Insurance Operations Analyst in Palm Beach Gardens, FL. Job Overview: The Insurance Operations Analyst will support the workflow process with regard to Palms Insurance Company Limited insurance and Palms Specialty Insurance Company, including reinsurance business underwriting, claims, and accounting. This role will ensure accurate Bordereaux data submitted on time, ingestion into the system and correspondence with internal (underwriting s

Program Manager - HealthcareJob Title - Program Manager - Healthcare

TQUAL SOLUTIONSCompany Name - TQUAL SOLUTIONS

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Remote

Contract

TQUAL is looking for a Senior Healthcare Program Manager to work as a contractor for our direct client in NY. The ideal candidate is an experienced program manager with healthcare payer / TPA experience who excels in client interaction and can effectively oversee strategic programs or projects that involve multiple workstreams/departments. They are skilled in managing initiatives from start to finish, leading cross-functional teams, and ensuring ongoing program success. They are adept at guiding

Project Planning & Scheduling Specialist IJob Title - Project Planning & Scheduling Specialist I

AECOM Corp. - WorldwideCompany Name - AECOM Corp. - Worldwide

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Austin, Texas, USA

Full-time

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating in

Observational Research Manager - US RemoteJob Title - Observational Research Manager - US Remote

Amgen IncCompany Name - Amgen Inc

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Remote or District of Columbia, USA

Full-time

HOW MIGHT YOU DEFY IMAGINATION? You've worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in thi

INTERDISCIPLINARYJob Title - INTERDISCIPLINARY

USAJOBSCompany Name - USAJOBS

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Remote or Portsmouth, Virginia, USA

Full-time

Duties You will serve as the media manager for the Installation Environmental Program. You will provide leadership in technical areas, training, and advising professionals from other disciplines on environmental requirements. You will be responsible for overall integrity of natural resources law enforcement programs including but not limited to coordinating with security and other appropriate personnel. You will review projects to determine environmental impacts to determine level of National En

Project Planning & Scheduling Specialist IIJob Title - Project Planning & Scheduling Specialist II

AECOM Corp. - WorldwideCompany Name - AECOM Corp. - Worldwide

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Austin, Texas, USA

Full-time

Skilled Nursing Facility Business Office ManagerJob Title - Skilled Nursing Facility Business Office Manager

Touchstone CommunitiesCompany Name - Touchstone Communities

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Del Rio, Texas, USA

Full-time

Del Rio Nursing and Rehabilitation - Del Rio, Texas Business Office Manager Qualifications/Job Functions: The ideal candidate will have knowledge of the following: Accounts Receivable, Collections, Medicaid/Medicaid in healthcare setting. All private pay (includes applied income & co-insurance) collections. On hold unbilled claims are less than .25% of 3rd party (non-private) revenue and/or not aged greater than 30 days Medicaid Pending A/R balances over 120 days do not exceed 25% of the total