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Claims Operations Specialist - Medicare Advantage
AF Group - Southborough, MA
Claims, coding or Medicare administration required. Knowledge on Claims analysis. Conducts and coordinates investigations on all assigned claims to provide...
Claims Analyst
2 or more years of claims processing and or equivalent education required. Prior Medicare, HMO experience preferred....
Billing Manager
Performs manual and electronic processing of claims and posting of payments. Knowledge of Excel, Internet, and Word Processing....

Claims Adjustment Specialist

UnitedHealth Group - 5,204 reviews - Phoenix, AZ 85003 (Central City area)  +1 location
Claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)....

Claims Representative

UnitedHealth Group - 5,204 reviews - Irvine, CA  +1 location
Experience in claims processing. Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting...

Claims Appeals Representative

UnitedHealth Group - 5,204 reviews - Baton Rouge, LA 70873  +1 location
Previous experience with medical claims processing preferred. As a Claims Appeals Representative , we will depend on you to communicate some of our most...

SHP Claims Reviewer / Claim Reviewer Specialist

Marshfield Clinic - 107 reviews - Marshfield, WI
Minimum of one year previous claim processing, HMO or insurance experience. Responsible to process claims and provide service for assigned specific employer...

Member Services Commercial Appeals Analyst

Kaiser Permanente - 4,499 reviews - Portland, OR
2+ years resolving claims or customer complaints; Knowledge of Medicare, OR/WA Medicaid, and OR/WA dispute resolution regulations; 6+ month assignment....
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Medical Claims Processor

NTT DATA - 878 reviews - Pittsburgh, PA
Medical Claims Processing:. Knowledge of HMO, PPO Medicare and Medicaid plans, as well as experience with Medicare Part B....
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Claims Processor

Foundation for Medical Care of Kern County - Bakersfield, CA 93309
Medical Claims Processor*. Three years’ professional medical office experience, medical billing, claims or appeals processing preferred....
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Claims Pricing Examiner

MetroPlus Health Plan - 54 reviews - New York, NY
$51,648 a year
Ensure adherence to all Claims Processing legislative and regulatory requirements. Process high level claims inquiries in reference to performing claims...

Claims Specialist I

Arkansas Blue Cross and Blue Shield - 24 reviews - Little Rock, AR
Process Claims Data entry claims Edit/audit resolution Review, interpret and apply benefits Determine eligibility Identify claims processing problems 2....

Claim Benefit Specialist

Aetna - 2,149 reviews - Franklin, TN  +1 location
This is a claims processing role with emphasis on working from a queue to correctly adjudicate claims. Claim processing experience....
Health Claims Audit Manager
Lindquist LLP - 3 reviews - San Ramon, CA 94583
Health Claims Auditing:. Health Claims Audit Manager. We are looking for a candidate with a minimum of 5 years of experience in processing or auditing claims...
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Claims Processor- Medicare Advantage Plans, HMO
Quality Health Plans of New York - Tampa, FL 33625
Medicare claims adjudicating:. Must have 5 year Medicare claims Processing experience in both Professional and Institutional Claims....
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