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 full-time (40-hours/week...

Job Title: Sr Software EngineerDepartment: ITPay Grade: Overtime Eligibility: ExemptDate: June 2026Job Summary:We are seeking an innovative high-caliber Senior Software Engineer to drive the architectural design full-stack development and long-term optimization of our enterprise web and mobile-re...

Job Title: Sr Software EngineerDepartment: ITPay Grade: Overtime Eligibility: ExemptDate: June 2026Job Summary:We are seeking an innovative high-caliber Senior Software Engineer to drive the architectural design full-stack development and long-term optimization of our enterprise web and mobile-re...

Anticipated End Date:Position Title:Recovery Specialist Associate - Call CenterJob Description:Recovery Specialist Associate - Call CenterHybrid: This role requires associates be in the office 1-2 days per week fostering collaboration and connectivity while providing flexibility to support productiv...

Claims RepricerPosition SummaryThe Claims Repricer is responsible for reviewing analyzing and repricing medical claims according to provider contracts fee schedules and client-specific reimbursement arrangements. This role ensures claims are priced accurately efficiently and in compliance with contr...

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion.Make It Happen At Hopkins!Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine one of the premier health delivery academic and research institutions in the United is a $2.5B b...

Description:Reporting to the Director of Sports Medicine the Insurance Claims Specialist is responsible for the administration and oversight of insurance claims related to student-athlete injuries. This position serves as the primary point of contact for insurance coordination ensuring timely and ac...

Pharmacy Technician OutpatientLocation: Portland OregonDuration: 26 WeeksSchedule Standard Business Hours On-Call Coverage: Approximately 23 weekends per yearPay Rate: $33 - $37 per hour (Depending on Experience)Position OverviewNavitas Healthcare LLC is seeking an experienced Pharmacy Technician t...

Primary DetailsTime Type: Full timeWorker Type: EmployeeThe Opportunity: The purpose of this role is to provide efficient and effective support to the claims team to ensure good relations with clients and brokers and that accurate records are established and maintainedLocation:Miami FL - New Orleans...

Primary DetailsTime Type: Full timeWorker Type: EmployeeThe Opportunity: The purpose of this role is to provide efficient and effective support to the claims team to ensure good relations with clients and brokers and that accurate records are established and maintainedLocation:Miami FL - New Orleans...

Job Description: The Software Engineer III at Northwestern Mutual Life Insurance Company in New York NY will design and build REST APIs aligned with Business Domain Driven Architecture (BDDA). Design and build Amazon Web Services (AWS) cloud infrastructure using Infrastructure as Cloud (IaC) platfor...

Are you a skilled communicator with strong writing abilities and deep claims experience Do you have actual hands-on experience processing medical claims from beginning to end Do you enjoy applying your medical claims expertise to work one-on-one or in small group settings to help others strengthen t...

JOB SUMMARYThe RCM Aging Specialist is responsible for follow-up on aged accounts by working insurance A/R aging reports (60/90/120 days) to identify unpaid or underpaid claims and ensure timely accurate reimbursement from insurance companies. This role requires strong payer communication skills eff...

ID: Shift: Day 5x8-Hour (08:00 - 17:00) Description: **REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO**Pharmacy Tech Role**OR PHARM TECH LIC REQUIRED** **MUST have advanced Excel skills. Do not submit without ADVANCED EXCEL. On call 2-3 weekends per year. This position...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

THE POSITIONDo you like digging for details doing research learning new things and helping people Want to work for an employer who invests in your future and prepares you for the next level We are looking for team members that are highly motivated with excellent communication skills to join us at th...

IntroductionReimagine a career in public service. At WCC we are collaborative and team oriented innovative in our approach and passionate about our work. We thrive on initiative creativity and challenges to the status quo. Our employees are valued and empowered. We are proud of our achievements and...

Calling all innovators - find your future at Fiserv.Were Fiserv a global leader in Fintech and payments and we move money and information in a way that moves the world. We connect financial institutions corporations merchants and consumers to one another millions of times a day - quickly reliably an...

We are seeking an experienced Project Manager with strong healthcare domain expertise to lead and manage complex technology and business transformation initiatives. The ideal candidate will have proven experience delivering large scale healthcare programs working closely with cross functional teams...