Claims Processing Jobs in USA

Job Qualification: Role/Responsibilities Execute and coordinate QA/QE activities across two application teams simultaneously Design develop and maintain test plans test cases and test scripts for functional regression and integration testing Perform manual and automated testing for web-...

Job ID: NC-796545 () Hybrid/Local EDI Automation Tester with BA HIPAA X12/837i/839/NCPDP Claims HP ALM JIRA SQL functional/integration/regression/web testing Agile experience Location: Raleigh NC (NCDHHS-AM) Duration: 13 Months Skills: Experience in developing and executing test scripts related to X...

Job Title: IT Senior BA/Testing Lead (Hybrid) Location: Raleigh NC Duration: 12 Month Job Description: The client is seeking a Senior QA/ Tester to perform QA and Testing work related to support the Managed Care Transition Project. This position is responsible for the following activities rela...

Purpose: The XIT Account Representative is responsible for managing the application customization and training aspects of an Xpeditor (Claims Management) addition to the Quadax proprietary claims processing software (Xpeditor) the XIT Account Representative is responsible for implementing the relat...

Position SummaryThe Claims Technical Review Specialist Sr provides advanced quality review of claims processing and delivers practical training to improve team effectiveness and efficiency in accordance with Company guidelines client needs and regulatory requirements.Has minimum necessary access to...

Position Summary:Coordinates the processing of clinic and/or hospital patient accounts ensuring that transactions are properly reflected on all accounts. This includes insurance claim submission as well as claim denial management.Excellence in Practice:Submit claims to insurance payer in a timely an...

Job DetailsLead Enrollment & Revenue Cycle SpecialistJob DescriptionThe Lead Enrollment & Revenue Cycle Specialist supports the Revenue Cycle operations by serving as a key resource to staff and assisting supervisory personnel with daily workflow coordination and process oversight. This role combine...

Posting SummaryRutgers the State University of New Jersey is seeking a Director Patient Financial Services in the Finance Department of Rutgers University Behavioral Health Care. The Director plans organizes staffs directs and controls accounts receivable management patient care billing insurance ve...

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 liablity. Performs other duties as assigned.ResponsibilitiesRegisters patien...

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...

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 liablity. Performs other duties as assigned.ResponsibilitiesRegisters patien...

Poudre Valley Rural Electric Association is seeking aRisk Management & Compliance Administrator who wants an exciting work atmosphere and to be a part of a team dedicated to exceptional service.The Risk Management & Compliance Administrators primary purpose is overseeing and coordinating activities...

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 physician requested labwork and EKGs industry pre-employ...

Healthcare Professional Insurance Background - Remote (#R10255)Location: RemoteEmployment Type: Full-TimeHourly Rate: $35.00/hour About Greenlife Healthcare Staffing:Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-ti...

DescriptionTerros Health is pleased to share an exciting and rewarding opportunity for a Full Time Billing Specialist II based out of our administrative Central Ave officein Phoenix AZ. Reporting to the Director of Claims and Credentialing the ideal individual is flexible compassionate and professio...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:Sentara Independence in Virginia Beach is looking to hire a Performance Measurement Specialist II.This is a hybrid position 2 days onsite and 3 days remote.The position is responsible for the execution of operations random and focus audits. A...

OverviewInsurance Appeals Associate Revenue Integrity and UtilizationFull Time 80 Hours Per Pay Period Day ShiftCovenant Health Overview:Covenant Health is the regions top-performing healthcare network with 10hospitalsoutpatient and specialtyservicesandCovenant Medical Group our areas fastest-growin...

DescriptionWork Schedule:This is a full time 1.0 FTE position. Shifts will be schedule Monday-Friday and additional schedule flexibility will be discussed in the interview. Hours may vary based on the operational needs of the department. This is a hybrid position. When on site you will work at 7974...

Job Description: Customer service representativePosition Overview:We are seeking a highly motivated and customer-focused individual to join our team as customer service representative. You will be responsible for providing exceptional customer service and support to clients visiting our body shop fa...

The Business Project Senior Advisor will report to the Cigna Pharmacy Business UM Operationalization team and play a critical role in leading and supporting high-profile initiatives and complex issue resolution. This role requires deep expertise in pharmacy and medical claims prior authorization (PA...