1w
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Claims Processing Representative I
Saint Louis, Missouri, United States
HybridFull Time
3+ YOEProcessing low-to-moderate complexity dental claims, researching and resolving claim issues, strong attention to detail and communication; ~3 years dental/claims experience preferred.
3mo
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Claims Processing Coordinator
Scottsdale, Arizona, United States
HybridFull Time
Coordinate claims processing, manage reports and reimbursements, correspond with carriers/clients/brokers, maintain tracking logs; college degree preferred; Microsoft Office proficiency; confidentiality and strong organizational and critical-thinking skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams
15h
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Claims Processing Supervisor
Grants Pass, Oregon, United States
$26-$32/hr OnsiteFull Time
2+ YOE2+ years managed care/Medicare/Medicaid claims experience, coding knowledge (ICD-9/10, CPT, HCPCS), supervisory experience preferred, strong writing/analytical and Microsoft Office skills; obtain CPC/CPMA/CPCB/CPC-P within 12 months.
Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, Microsoft Excel, Relias Learning Module System (LMS)
4d
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Operations Claims Processing Manager
Montgomery, Alabama, United States
$78k-$101k/yr OnsiteFull Time
8+ YOE8+ Mgmt8+ years managing Medicaid or payer claims operations, strong knowledge of Medicaid/CMS policy, SLA/KPI management, analytical and communication skills, bachelor\u0002s degree or equivalent, background check with fingerprinting.
4d
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Operations Claims Processing Manager
Montgomery, Alabama, United States
$78k-$101k/yr OnsiteFull Time
8+ YOEBachelor's or equivalent, minimum 8 years managing Medicaid or major payer claims operations, leadership experience, CMS/regulatory knowledge, SLA/KPI management, analytical and presentation skills; background check with fingerprinting required.
1mo
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Claims Processing Analyst I
Corpus Christi, Texas, United States
OnsiteFull Time
2+ YOEHigh school/GED and minimum 2 years professional experience in claims analysis, provider billing, or medical coding; proficiency with Microsoft Excel and Word; knowledge of medical terminology, coding, and billing; ability to maintain confidentiality and follow adjudication procedures.
Microsoft Excel, Microsoft Word
2w
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Claims Processing Supervisor
United States
RemoteFull Time
3+ YOE3+ MgmtAssociate degree or 4+ years experience, 3+ years direct supervisory experience, long-term care adjudication required, 3rd-party billing/collections and AS400 desired, proficiency with Microsoft Excel and Word, confidentiality and communication skills.
Microsoft Excel, Microsoft Word, AS400, Kronos
2w
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Claims Processing Supervisor
Louisville or United States
RemoteFull Time
3+ YOE3+ Mgmt3+ years direct supervisory experience, long-term care adjudication required, 3rd-party billing/collections experience desired, proficiency with MS Office, confidentiality and leadership skills.
AS400, Microsoft Excel, Microsoft Word, Kronos
2mo
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Claims Examiner
San Bernardino, California, United States
$29-$34/hr HybridFull Time
2+ YOETwo years healthcare claims processing/adjudication; high school diploma; knowledge of CPT, HCPCS, ICD-10; experience with claims systems/EDI preferred.
CPT, HCPCS, ICD-10, Revenue Codes, EDI, Claims Systems, Microsoft Office, Google Workspace
1mo
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Claims Repricer
Philadelphia, Pennsylvania, United States
OnsiteFull Time
2+ YOEHigh school diploma required (Associate/Bachelor preferred); 2+ years claims processing/pricing experience; strong knowledge of claims adjudication, contract pricing; analytical skills; proficiency with Microsoft Excel/Word, claims systems; compatible mobile device for Microsoft Authenticator.
Microsoft Excel, Microsoft Word, Microsoft Authenticator, claims systems
3w
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Claims Coordinator
Wheeling, Illinois, United States
$20-$23/hr OnsiteFull Time
Process claims and credits, determine claim causes, initiate vendor claims, maintain claim logs, handle customer and sales rep communications, and perform basic accounting tasks.
1w
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Claims Trainer
Bakersfield, California, United States
$29-$44/hr HybridFull Time
4+ YOEDevelop and deliver claims training, audit claims and identify trends, create training materials, support process improvements and UAT; high school diploma and 4 years medical claims processing experience required.
1d
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HC & Insurance Operations Processing Sr Rep
Plano, Texas, United States
RemoteFull Time
3+ YOE3+ years healthcare claims processing experience, high school diploma/GED, proficiency with Windows and Microsoft Office, ability to work remotely and meet productivity/quality SLAs.
Amisys, Windows, Microsoft Outlook, Microsoft Word, Microsoft Excel
2mo
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Hospital Claims Processor V
New York, New York, United States
OnsiteFull Time
2+ YOEProcess and review hospital claims; ensure eligibility, benefits, and resolution; requires 2+ years claims experience; HS diploma; knowledge of ICD/CPT; QNXT.
QNXT, ICD-9, ICD-10, CPT, Claims system
3w
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Claims Examiner
Houston or Bellaire or Texas
OnsiteFull Time
1+ YOEHS diploma/GED and 1+ year claims examination experience required; process and adjudicate claims with high accuracy, document claim notes, meet productivity targets (~14 claims/hour), and follow HHSC requirements.
Macess
1d
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HC & Insurance Operations Processing Sr Rep
Plano, Texas, United States
RemoteFull Time
3+ YOE3+ years healthcare claims processing experience, high school diploma/GED, proficiency with Windows and MS Office, strong computer/typing skills, ability to meet SLAs and quality targets.
Windows, Microsoft Outlook, Microsoft Word, Microsoft Excel, Amisys
2mo
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Claims Specialist
Wichita, Kansas, United States
$65k-$75k/yr OnsiteFull Time
Assist insurance claims; in-house supplementing; update boards; strong communication; detail-oriented; knowledge of insurance claims process helpful.
Xactimate, Symbility, Insurance claim software
2w
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Claims Auditor
San Antonio, Texas, United States
$20-$30/hr OnsiteFull Time
5+ YOEHigh school diploma or equivalent; minimum 5 years in insurance/medical/managed care with 2 years claim processing; auditing and Amisys experience preferred; knowledge of HCFA and UB92 claim processing.
Amisys, Microsoft Excel
3w
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Claims Manager
Stockton, California, United States
$73k-$78k/yr HybridFull Time
2+ YOE2+ Mgmt2–4 years management and claims experience; proficiency with spreadsheets and word processing; leadership and interpersonal skills; knowledge of self-funded claims policies, TPL/COB, coding/reimbursement, and automated claims systems.
1mo
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Senior Claims Representative
Miami, Florida, United States
$137k-$205k/yr HybridFull Time
Oversee and process complex claims, supervise claims staff, develop claims processes; preferred tertiary degree, insurance designation or enrollment, and LATAM-qualified attorneys preferred.
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