Claims Processing Jobs in USA

Bring YOUR energy to Alliant Energy!At Alliant Energy our purpose is to serve customers and build stronger communities. We are passionate about powering beyond the market challenges of today while powering whats next in energy. When our employees say I am energy it means they take pride in the work...

Posting Date04/29/26Application Deadline05/01/26Pay Range$23.40 - $38.75 hourlySalary offers are based on the candidates equivalent experience and internal equity with other employees within the same job classification. The position is eligible for overtime compensation for all hours worked over 40...

We are recruiting for a mission-driven Sr Business Intelligence Specialty Analyst - Denver Health Medical Plan (* Weekly Hybrid Schedule Requirement *) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for life...

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carol...

SummaryResponsible for establishing and maintaining certification and/or preparation review and/or maintenance of healthcare provider files in support of provider directories accurate/timely claims adjudication and provider billing.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carol...

Job DetailsThe Delegated Vendor Program Manager is responsible for the strategic oversight and operational performance of HHAeXchange as a primary delegated partner for Jefferson Health this role you serve as the central point of contact for the HHAX platform ensuring it effectively supports the di...

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 an...

Job Title: Special Investigation Unit Investigator II Location: Los Angeles CAJob description The Special Investigation Unit Investigator II is the journeyman level Investigator position for the Special Investigations Unit (SIU). This position conducts complex independent investigations of alleged f...

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...

Assured is on a mission to modernize insurance. Claims processing (i.e. should we pay this claim) while often overlooked is the foundation of the entire industry. Its currently highly manual involving phone calls faxes and gut instinct costing tens of billions of dollars a year. We can do better.At...

Employment Type:Full timeShift:Description:Why MediGoldMediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. Were dedicated to providing excellent customer service cost-effective care and exceptional healthcare cover...

DescriptionPosition: Revenue Cycle CoordinatorRate Range: $24 up to $27.80 based on education and related experienceSchedule: Monday-Friday daylight hours (Full Time)Location: Homestead PAJOB SUMMARY: The Revenue Cycle Coordinator as a team member of Devereux/TCVs Fiscal Department will be responsib...

Position Summary...What youll do...About the TeamOur Claims Management team is dedicated to delivering fair timely and empathetic resolution of workers compensation and general liability claims ensuring compliance with all regulatory requirements. We operate collaboratively leveraging expertise and...

Title: Onsite Support & Hardware EngineerLocation: Brooklyn NYDepartment: ProjectsJob Type: Full-TimeReady to Escape the IT Grind Come Build Something Greater with My IT Crew.AtMy IT Crew we believe every team member deserves a voice. Since 2016 weve been a leader in the Managed Service Provider (MS...

To Qualify You MustClearlyDemonstrate:Required Experience and/or Education:36 mos. exp. managing medical-only &/or lost-time claims serving as primary decision maker to include making initial determination of claim having overall responsibility & accountability of claim & management of claim to desi...

Millimans Seattle Health Practice supports clients in the healthcare industry including health plans government payers providers and reinsurers. We arelooking for aSenior Software Architecttodesign implement andmaintainsoftware products and toolsas well asworkingwith clients and stakeholders to prom...

Job Title: Project Delivery Manager US Health Insurance Job Location:Piscataway NJ Position type: W2 contract Job Overview: We are seeking a highly skilled Project Delivery Manager with expertise in the US health insurance industry to lead the planning execution and delivery of healthcare...

Momento USA is a global technology consulting talent acquisition and creative development firm that addresses clients most pressing needs and challenges. We currently looking for AI Engineer for a client based out in Coppell TX NY CA . Please see the job description below for your reference....

We are seeking a highly organized and experienced Billing Office Manager to lead our billing operations and ensure the accuracy and efficiency of our revenue cycle processes. This role offers an excellent opportunity to contribute to a dynamic healthcare organization committed to delivering exceptio...

Cartelli Collision is seeking a detail-oriented MA licensed Auto Damage Appraiser to join our team in Greenfield this role you will be responsible for assessing vehicle damage and estimating repair costs accurately and efficiently to support our insurance and customer service operations. If you hav...