Claims Processing Jobs in USA

Job Title: DispatcherLocation: Bentonville ArkansasContract Duration: 6 MonthsSchedule: Monday Friday 8:00 AM 5:00 PMGuaranteed Hours: 40 Hours per WeekPay Rate: $18.00/HourPosition OverviewWe are seeking a detail-oriented Dispatcher to support transportation and logistics operations in a fast-pac...

DescriptionWe are seeking a highly skilled and strategic Business Solution Architect to lead the design of innovative compliant and competitive solutions for federal and state healthcare opportunities.This role partners with capture systems engineers and proposal teams to translate complex healthcar...

DescriptionHealthPartners is hiring an RN Medical Coverage Policy Consultant. The Consultant is responsible for the development maintenance review and implementation of medical policies/criteria which support clinical decision-making coverage for services that are rooted in scientific evidence prove...

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This is a full-time (40/hrs week) Monday...

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquires may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This is a full-time (40/hrs week) Monday...

Department InformationSTATE OF COLORADO RESIDENCY REQUIRED AT TIME OF APPLICATION NOTE: This announcement may be used to fill multiple openings.Envision yourself working at HCPFThe State of Colorado strives to create a Colorad...

About the OpportunityWe are seeking a hands-on Chief Technology Officer (CTO) to lead technology strategy product architecture and engineering execution for an early-stage AI-powered healthcare payments company.This is a unique opportunity to join a funded startup at the ground floor and play a crit...

Join Us as a Hospital Billing Specialist!Full Time 40 hours onsite in Auburn MAThe Hospital Billing Specialist is responsible for leading inpatient psychiatry hospital billing and ensuring accurate timely reimbursement from insurance payors. This role will oversee all the billing for the Vistas whic...

DescriptionBenefitsAs a Billing Specialist youll join a team and be a part of a culture thats dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance 401(k) licensure/certification reimbursement tuition reimb...

All about usYou likely know us as an insurance company but thats just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. Its a mission we take seriously.We also work with entities throughout the state to c...

All about usYou likely know us as an insurance company but thats just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. Its a mission we take seriously.We also work with entities throughout the state to c...

Site: The Brigham and Womens Hospital Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service st...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

Are you a proven sales leader who thrives at the intersection of cloud innovation and healthcare transformation Amazon Web Services (AWS) is seeking a Senior Sales Leader to lead our US Healthcare and Life Sciences (HCLS) Payors this role you will build lead and develop a high-performing team of Se...

Anticipated End Date:Position Title:Business Change Manager Sr. / Sr. Test LeadJob Description:Business Change Manager Sr. / Sr. Test Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week fostering collaboration and connectivity while providing flexibility to support product...

Job Title: Application Interface Engineer Location: Baltimore Maryland (Hybrid) Can do Only W2 No C2C Job Summary: We are seeking an experienced Application Interface Engineer to design develop and maintain enterprise integration solutions that enable secure and reliable communication between inter...

Job Title: Microsoft SQL Server Developer / Architect Location: Baltimore Maryland (Hybrid) Can do Only w2 No C2C Job Summary: What Youll Do Design and maintain enterprise database architectures that support complex business applications high-volume transactions reporting environments and long-term...

Supervise the daily operations of the Provider Data Management team including workload distribution performance management and staff developmentEnsure provider demographic credentialing and contract data is accurately entered and maintained in all systemsDrive the performance of the team by monitori...

Experience/Technical Skills required: This role involves collaborating with business and technical stakeholders to analyze develop and test system enhancements within a government agency environment particularly related to Medicaid Claims Processing and infrastructure.Position Overview:Assist in the...

SummaryProvides direction and guidance to customer service claims processing and/or appeals staff for multiple operational areas.DescriptionLogistics: Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday in...