Claims Processing Jobs in USA

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is a full-time (40-hours/w...

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is a full-time (40-hours/w...

DescriptionThe Claims Assistant provides critical administrative and operational support for the Workers Compensation and Risk Management team at the Mashantucket Pequot Tribal Nation/Foxwoods Casino. This role is responsible for intake coordination document management and customer service ensuring...

We are looking to add an estimator to join our growing body shop team! The right candidate will be positive and friendly as you are the first person our customers will likely encounter. This person is responsible for writing estimates for all major insurance companies along with following the job fr...

DescriptionPsychiatric Nurse Practitioner - Assertive Community Treatment AdultNew Hire Retention Bonus Available!Our adult Assertive Community Treatment (ACT) programs are seeking a Psychiatric Nurse Practitioner. This position is responsible for providing comprehensive psychiatric services to adul...

Position Summary: The Collections Representative Government Billing is responsible for the accurate and timely billing of inpatient outpatient and laboratory claims to government and third-party payers. This role ensures compliance with payer regulations billing guidelines and timely filing r...

Job Title: Domain Testing / Program Manager PBM/Medicaid Location: Plano TX Experience Required 10 Years Job Summary We are seeking an experienced Domain Testing / Program Manager with strong expertise in Pharmacy Benefit Management (PBM) and Medicaid systems. The ideal candidate will lead...

This is a remote position.Claims EDI Helpdesk Representative Indiana Medicaid (Remote)Employment Type: Full-TimePosition OverviewOur client is seeking a dedicated and customer-focused professional to join our Claims EDI Helpdesk team supporting the Indiana Medicaid account. This fully remote role...

Dental Office Manager (Full-Time or Part-Time) Join our established and highly respected Private Dental Practice in beautiful Castle Rock CO! We take pride in delivering exceptional dental care to our community specializing in treating patients of all ages. We prioritize quality of care and valu...

Sanford Health the largest rural health system in the United States is dedicated to transforming the health care experience and providing access to world-class health care in Americas heartland. Work Shift:8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours:40&#x...

Position SummaryThe Senior Manager of Deductions is responsible for leading and optimizing all aspects of deductions and claims management including Overs Shorts & Damages (OS&D) freight claims and customer deductions. This role provides strategic direction and operational oversight to multiple func...

Ascensus is the leading independent technology and service platform powering savings plans across America providing products and expertise that help nearly 16 million people save for a better today and tomorrow.Ascensus is the largest independent retirement and Government Savings services provider i...

Ascensus is the leading independent technology and service platform powering savings plans across America providing products and expertise that help nearly 16 million people save for a better today and tomorrow.Ascensus is the largest independent retirement and Government Savings services provider i...

Employment Type:Full timeShift:Day ShiftDescription:This is a 3-month temporary/contract position with the possibility of a permanent position. Location: RemoteSchedule: 8am-4:30pm ESTPosition Purpose:In accordance with the Mission Core Values and Vision; the Reconciliation Analyst plans organizes c...

If you are a current State of Maine employee please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the States career page and indicate on the application that they have previou...

Work Location & Reporting Address Farmington CT 6030Vendor Rate $75.00/hr.Contract duration 12Target Start Date 23 Jun 2026Job Details:Must Have SkillsReinsurance domainClaims processing and reportingData warehouse analytics platformsNice to have skillsAdvanced SQL and data analysis skillsReinsuranc...

Client is looking for System Analyst with encounter processing background (heavy claims processing experience) Job Description:Responsible for keying processing and/or adjusting health claims in accordance with claims policies and procedures. Works without significant guidance w/ basic understandin...

Job Title: MES Reporting Analyst (Remote) Location: Raleigh NC Duration: 12 Months with possible extension Job Description: The Reporting Analyst leads the development of operational reporting to support Medicaid Enterprise System (MES) projects. This role collaborates with business leads project...

Must Have Technical/Functional Skills Strong hands-on experience in: o COBOL RPG (RPG III / RPG IV) CLLE o DB2/400 (DB2400) o SQL Programming o SYNON / CA 2E o Query/400 Deep knowledge of AS400 (IBM iSeries) architecture and environment Experience in application maintenance and production suppor...

Remote Multi-State Opportunities Available GoTo Telemed is seeking licensed healthcare practitioners to join our telehealth network as independent contractors. This opportunity is designed for professionals who wish to maintain flexibility while accessing administrative technology and practice-mana...