Claims Processing Jobs in USA

Help the companies transforming healthcare coverage move fasterpowering everything from claims modernization to member experience with cloud and AI. Run a territory like a business with real ownership executive access and the chance to shape how health insurers and payors adopt next-gen tech.This ro...

Advanced Programmer Mainframe / COBOLLocation: Remote Duration: 9 MonthsJob SummaryWe are seeking an experienced Mainframe Programmer to support Medicaid systems development and maintenance initiatives. This role involves making coding enhancements to COBOL and ADS programs within IDMS database env...

Are you an experienced medical claims processor This could be the opportunity for you!What youll be doing...At NWA we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medic...

Are you an experienced medical claims processor This could be the opportunity for you!What youll be doing...At NWA we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medic...

Salary/Position Classification$43170-$48300 annual40 hours per week100% Remote Work Availability: NoHybrid Work Availability: NoPurpose of PositionThe medical coder understands and translates medical information and patient diagnoses into medical code using various classification systems. The medica...

Location: Irving TX (7651 Esters Blvd Suite 200) In-Office Schedule: Monday Friday 8:00 AM 5:00 PMCompensation: $90000 - $95000 base salary comprehensive benefitsAt Liquid Environmental Solutions (LES) we are the nations leading force in non-hazardous liquid waste management dedicated to protect...

Job Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneWhat You Will Do:The AdvancedReimbursement Analystwill identify document and collect managed care Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients. Perform any and all related job duti...

Position #23174:Nutrition Services Field SupervisorLocation:Nutrition ServicesHours:8 Hours per Day 260 Days per YearSalary:$32.15 - $36.97Open Date:05/14/2026 Application Deadline/Close Date:05/20/2026 at 10:00PM OR until filled.This is an off-schedule non-bargaining position.JOB DESCRIPTIONAssi...

Position/Program InformationTYPE OF RECRUITMENTOpen Competitive - EmergencyFILING DATEApplications will be accepted on Friday May 15 2026 from 8:00 a.m. to 5:00 p.m. (PT). Applications must be received before 5:00 p.m. (PT) to be accepted.REPOSTING INFORMATION:This announcement is being reposted to...

Job iD: SC-11021 () Remote (EST) Mainframe COBOL Developer with MVS JCL IDMS/Network CA-ADS Changeman CICS VSAM Sas MMIS/Medicaid/Medicare Claims processing MQ Endevor Xpeditor experience Location: Location: Columbia SC (Clemson University) Duration: 9 Months Work Location: Role is 100% remote Candi...

Position: Mainframe COBOL Developer (IDMS/DB2/CICS) Location: Columbia SC (100% Remote) Duration: 9 Months with extension Agency: Clemson University Position ID: 10984 Client: State of SC Note: Need USC/GC on W2 Only Special Requirement: A new position to assist with knowledge transfer and...

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...

DescriptionPsychiatric Nurse Practitioner - Assertive Community TreatmentNew Hire Retention Bonus and Relocation Assistance Available!Our adult and youth Assertive Community Treatment (ACT) programs are seeking a Psychiatric Nurse Practitioner. This position is responsible for providing comprehensiv...

SummaryResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return deny or pay claims following organizational policies and...

The Director of Configuration Benefit Administration is responsible for design implementation and deployment of benefit configuration structure in order to support product and regulatory needs. This role implements the configuration structure within Healthfirsts technology platforms to administer be...

The Hospice Clinical Manager has direct responsibility for patient care services provided by the Home Health program. Acts as alternate Nursing service line leadership. This position serves as a pivotal point in communication with field staff support staff referral sources other managers/departments...

The Hospice Clinical Manager has direct responsibility for patient care services provided by the Home Health program. Acts as alternate Nursing service line leadership. This position serves as a pivotal point in communication with field staff support staff referral sources other managers/departments...

Job Title: Full Time Billing and Claims SpecialistReports to: Director of OperationsDescription: The Billing and Claims Specialist plays a key role in supporting the financial operations of Behavioral Health Clinic (BHC) by managing the full lifecycle of insurance claims and patient accounts. Thi...

Process SpecialistJob Description:Infosys McCamish Process Specialist BPMAs a Process Specialist you willmonitor incoming work requests for instruction accuracy and completenessand beresponsible for working with the client to supplement or clarify incomplete or ambiguous will be intensely involve...

DescriptionThe Auto Claim Manager for Total Loss will be responsible for overseeing the management and processing of Total Loss and Theft & Fire Personal Line and Commercial Auto Claims ensuring that all claims are handled efficiently and effectively. This role involves leading a team in investigati...