Claims Processing Jobs in USA

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:The Medicaid...

Job Family:Medical AssistantTravel Required:NoneClearance Required:NoneWhat You Will Do:Receive triage and prioritize denied hospital claims based on timely filing requirements financial impact and payer response deadlines. Conduct root cause analysis to identify clinical documentation authorization...

Job Description SummaryThe MUSC Specialty Pharmacy operates across two operational sites: the Hollings Cancer Center (HCC) Outpatient Pharmacy and the MUSC Mail Order Pharmacy. Both locations are fully integrated within the health system and are dually accredited by URAC and the Accreditation Commis...

Transaction Processor Associate IILocation:ConnecticutPay Rate: $20.22 per hourEmployment Type: Full-Time TemporarySchedule: Monday through Friday with overtime evenings and occasional weekends as needed.Position OverviewWe are seeking a detail-oriented Transaction Processor Associate II to join a f...

Title: Claims Service Team LeaderState Role Title:Salary Non-SpecifiedHiring Range: Minimum starting salary $66923 commensurate with experiencePay Band: UGAgency: VA Workers Compensation CommLocation:RICHMOND HEADQUARTERSAgency Website: Type: General Public - GLead with Purpose. Support Victims. Str...

Job DescriptionThe OpportunityThe Student Athlete Injury Claims Coordinatoris responsible forthe administration and coordination of insurance claims related to student athlete injuries. This position serves as the primary liaison between student athletes athletic trainers University departments medi...

AIG Warranty delivers a full range of service solutions including warranty management administration extended service programs customer service support service network management claims processing services and service contract underwriting.With over 20 years of experience we are one of the warranty...

DescriptionMedical Assistance Specialist 3 (MAS3/AHSO) - ProjectThis posting will be used to fill multiple positions.This is a project position funded through June 30th 2028.This position is an excellent opportunity to gain state experience while doing rewarding work by helping provide comprehensive...

Title: Lead Business Analyst - Medicare Supplement insurance Medsupp insurance Location: Piscataway NJ Position type: W2 contract Overview: We are seeking an experienced Lead/Senior Business Analyst with strong expertise in the Medicare insurance domain (Medicare Supplement insurance all plans Med...

Job Description: Rx Claims SME Eden Prairie - MN; hybrid JD: 1. In depth knowledge on RxClaim Adjudication claims processing MedD claims 2. Deep knowledge of PBM concepts including drug pricing copays accumulators and Drug Utilization Review (DUR) 3. Knowledge on business & plan configuration...

Role: Rx Claims SME Location: Eden Prairie - MN; hybrid W2 Position Name Benefit Administration-PBM Pharmacy Claims...

Integrated Musculoskeletal Care Tallahassee FL 20-25 hrs/weekAre you an experienced medical biller or healthcare administrator looking for a flexible part-time role with meaningful patient impact IMC is hiring a Medical Billing & Patient Care Coordinator to support both our revenue cycle operation...

Anticipated End Date:Position Title:Claims Processor (Dearborn MI)Job Description:Claims Processor (Dearborn MI)Exemption Status:Non-ExemptReports to:Manager Claims ProcessorsJob Code: Salary Grade: Union Grade 4Virtual: This role enables associates to work virtually full-time with the exception o...

Primary Location: Work from Home - KYAddress: P.O. Box 909 Louisville KY 40201-0909 Shift: First Shift (United States of America)Job Description Summary: About UofL Health:UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 ph...

Analytica is seeking a Web Modernization Technical Lead to drive the technical software delivery and modernization of mission-critical healthcare systems supporting CMS. This role leverages hands-on solution development technical leadership and direct client engagement to deliver secure scalable and...

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but for more than seven decades weve been part of the national landscape with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South...

Anticipated End Date:Position Title:Medical Review Analyst IIJob Description:Medical Review Analyst IILocation: Any Elevance Health PulsePoint. Ideal candidate will reside within commutable distance to Norfolk VA; Costa Mesa CA; or Grand Prairie TX.Virtual: This role enables associates to work virtu...

U.S. - The best version of meBy playing this video you consent to Google/YouTube processing your data and using cookies Learn more.Position Description:The HRP Configuration Analyst is responsible for the end-to-end configuration maintenance and testing of benefit and claims processing rules within...

SummaryResponsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.DescriptionPosition Purpose:From the moment of login youll be focused on proactively...

Syms Strategic Group (SSG)is seeking a talented Senior Business Process AnalystLocation: RemoteDepartment: Veterans AffairsType:Full TimeMin. Experience:ExperiencedSecurity Clearance Level:Public Trust (MBI)Salary Range: $78167 - $103855If you have previously applied to Syms Strategic Group (SSG) th...