Claims Processing Jobs in USA

We are on the lookout for an experienced Technical Product Owner to lead the redevelopment of a complex Salesforce Service Cloud case management and dispute resolution platform. This role will drive the transition from a heavily customized legacy system containing over 100000 lines of custom code...

The ideal candidate will be responsible for verifying patient insurance benefits obtaining prior authorizations and referrals and ensuring accurate and timely claims submission. Duties include posting payments managing appeals working accounts receivable (A/R) processing medical record requests and...

At Experian Health our employees can shape more than products they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management identity management patient engagement and care management for hospitals physician groups labs pharmacies...

GENERAL SUMMARY: Under direction of the Claims Manager the Claims Specialist is responsible for performing all levels of claims processing and RESPONSIBILITIES:Claims submission to Commercial plans AHCCCS and Regional Behavioral Health Authority (RBHA) both contracted and non-contracted for final...

Job Description:At Bank of America we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients teammates communities and shareholders every day.Being a Great Place to Work is core...

Job Description: Summary:The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation and/or inpatient coding and has a high level of understanding of the current MS-DRG and APR-DRG payment systems. This position i...

Claims AdjusterInsurance Administrative SolutionsClearwater FLAbout Insurance Administrative Solutions Insurance Administrative Solutions L.L.C. (IAS) an Integrity company is headquartered in Clearwater Florida. IAS is a third-party administrator providing business process outsourcing for insurance...

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...

Position: Freight Claims Specialist Exempt/Non-Exempt: Exempt FUNCTION OF THE JOB To support Transportation and its customers throughout the company for assigned duties related to freight claims management. Coordinate and communicate between Transportation 3rd Party carriers Distribution Centers (DC...

SummaryThe Market People Partner serves as a trusted HR advisor and leader for the NAPA People (HR) team in their assigned area to implement high impact people initiatives. Reporting to the Director People they partner closely with leaders to develop strategic alignment and guidance on core People f...

Job Title: Billing & Insurance Specialist (Primary Care)Status: Full-TimeLocation: ABF Healthcare Services Inc.Immediate Opening Must Have Primary Care Billing ExperienceAbout ABF Healthcare Services Inc.ABF Healthcare Services Inc. is a patient-centered primary care organization committed to deliv...

Job Title: Billing & Insurance Specialist (Primary Care)Status: Full-TimeLocation: ABF Healthcare Services Inc.Immediate Opening Must Have Primary Care Billing ExperienceAbout ABF Healthcare Services Inc.ABF Healthcare Services Inc. is a patient-centered primary care organization committed to deliv...

Job Description: Summary:The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. This position is responsible for the building and maintaining of favorable relationships with these entities; coordinating internal resources; ensuring...

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics:PGBA one of BlueCross BlueShields South Carolina subsi...

SummaryManages the daily activities of a multi-functional area. Responsible for monitoring productivity attendance and quality of work produced. Responsible for motivating associates to meet individual and departmental goals.DescriptionLogistics:PGBA one of BlueCross BlueShields South Carolina subsi...

10 - 14 years of experience in ServiceNow technology Extensive experience with ServiceNow platform specifically with FSO and CSM involving Financial Service Data Model for Banking / Insurance ServiceNow scripting experience using JavaScript HTML CSS XML and REST/SOAP Web Services. Understanding and...

Build the Future with Us EquipmentShare is Hiring a Claims SpecialistAt EquipmentShare were not just filling a role were assembling the best team on the planet to build something thats never been built before. Were on a mission to transform an industry thats been stuck in the past by empowering con...

DescriptionSchedule: Days: M-FJob Location Type: RemoteYour experience mattersAt Lifepoint Health we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and communities.More about our teamAn Accou...

Claims Analyst Health Life & Disability$60K-$80K Full time Hybrid / In-Office (101/Cave Creek) or Remote USA**Were looking for a detail-oriented Claims Analyst who thrives on hands-on data work. Youll analyze health life and disability insurance claims to uncover trends identify cost drivers and...

Employment Type:Full timeShift:Description:Position Purpose: Retail Pharmacy Technician within the scope of the Ohio Administrative Code will provide timely accurate cost effective and patient-centric pharmaceutical care under the direct supervision of a Registered Pharmacist.What You Will Do:Will a...