Claims Processing Jobs in USA

DescriptionCompliance Coordinator (HCPM/DAIO)The Compliance Coordinator (Health Care Program Manager) provides management of the Recovery Audit Contractor (RAC) program along with other utilization review programs. The role is an expert at contract management internal planning coordinating with exte...

About CurativeCurative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

University of Iowa Health Cares department of Patient Financial Services is seeking a Revenue Cycle Coordinator for the Emergency Department at Medical Center North Liberty (MCNL) is a supervisory position that may have 8-15 direct reports that can be a mix of P&S and/or student positions and will s...

DescriptionCasualty Case Manager (MAS3/AHSO)This position manages complex cases to recover funding from external entities on behalf of Medicaid clients who experience personal injury events. This position manages a high volume of cases by investigating details thoroughly documenting information and...

Job Title: EDI Developer Work Schedule: Hybrid 3 Days Onsite / 2 Days Remote (Local Candidates Only) Interview Process: Virtual Interview Position Overview STAFFXPERT is seeking an experienced Senior EDI Developer/EDI Subject Matter Expert to support maintain and modernize the ACAPS hea...

ITS Senior EDI Developer - Immediate placement This is a very urgent requirement with immediate placement please apply for immediate consideration. Job Title: Senior EDI Developer Location: Indianapolis Indiana Interview: Phone/In-Person Duration: Long Term Job Description: This position...

Title: Claims Tester Location: Remote Duration: Long-term visa- independent visa holders Responsible for claims testing for MMIS health care projects. Drive the test strategy and process domain knowledge perform analysis of business requirements designs and develops test plans ensures quality proces...

Title: Senior Business Analyst Claims module Location: Remote Duration: Long Term Visa- Only Independent visa holders Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process domain knowledge performs analysis of business requirements designs and dev...

Title: Java Developer Location: Remote Duration: Long Term Visa- Only GC US Citizen Job Responsibilities The candidate will be responsible for designing coding and documenting Java based programs in support of mission critical high-performance Point-of-sale applications as well as other microserv...

About the role: Also known internally as a Sr Network Economics Analyst you will lead design implement and maintain provider reimbursement strategies including financial reporting for all Wellmark-contracted providers as well as multi-year agreements. This includes leading provider reimbursement ini...

Company DetailsBerkley One is a modern insurance provider for a modern generation of affluence. We serve clients who live dynamic adventurous lives and expect their insurance experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert indep...

DescriptionJob SummaryObtains accurate demographic financial and clinical information and enters into the computer system to create the medical and financial record. Applies financial guidelines to determine/collect patient liability. Performs other duties as assigned.ResponsibilitiesRegisters patie...

Withum is a place where talent thrives - where who you are a place of endless opportunities for growth. A place where entrepreneurial energy plus inclusive teamwork equals exponential results.Explore different industries. Learn new skills. Connect with our diverse teams of professionals to gain ins...

HJ Staffing is seeking an EDI Technical Analyst (Claims) to support analyze test and maintain EDI transactions integrations and data exchange processes for healthcare claims this role you will partner with business and technical teams to troubleshoot production issues develop technical documentatio...

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...

Job Title: Transportation Claims CoordinatorLocation: Fayetteville ARDuration: 6-Month ContractSchedule: Day Shift Monday through Friday 9:00 AM 5:00 PM CSTGuaranteed Hours: 40 Hours WeeklyPosition OverviewWe are seeking a detail-oriented and customer-focused Transportation Claims Coordinator to s...

Anticipated End Date:Position Title:Business Change ManagerJob Description:Business Change ManagerLOCATION: This is a hybrid role. You must be within a reasonable commuting distance from one of our eligible offices.HOURS: General business hours Monday through Friday.Hybrid 1: This role requires asso...

DescriptionPremier Disability Services a division ofInternet Brands.We are seeking qualifiedCorrespondence Representativesto join our high-volume call center team based in Minneapolis MN.About Us: Premier Disability Services is a growing company that is a full-service social security disability advo...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...