1,667 medical claims jobs at 879 companies in United States
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Claims Representative - Medical Only
Wilkes-Barre, Pennsylvania, United States
HybridFull Time
Berkshire Hathaway GUARD Insurance CompaniesNYSE: BRK.B: Provider of commercial property and casualty insurance products.
High school diploma/GED, Microsoft Office proficiency, strong communication and organizational skills, claims-related medical and legal terminology knowledge, and an active adjuster license or willingness to obtain required licenses.
Kintegra Health: Provides community healthcare, dental, and behavioral health services.
5+ YOEFive years of medical claims, adjudication, health plan, payer, or provider billing experience; one year with frail elderly populations; knowledge of benefits, contracts, coding, regulations, and claims systems.
Clever Care Health Plan: Provides Medicare Advantage plans combining Western and Eastern medicine.
1+ YOEAssociate degree and one year of related experience, or equivalent education and experience. Requires medical terminology, CMS claims guidance, coding knowledge, analytical skills, attention to detail, and MS Office proficiency.
Microsoft PowerPoint, Microsoft Excel, Microsoft Word, CPT, HCPCS, ICD-10, CMS
Trident: Austin-based holding specializing in outsourcing and media production.
Hands-on WLT experience adjudicating self-funded medical claims, ability to work as a 1099 contractor, HIPAA-compliant home office, and meet quality and production standards.
Redirect Health: Provides affordable healthcare plans and medical administrative solutions.
1+ YOEMedical claims processing experience preferred. Requires Microsoft Word, Microsoft Excel, and EMR proficiency, plus consistent production and quality performance and a professional, client-focused approach.
Resilient Health: A behavioral health organization providing mental health and substance abuse treatment.
1+ YOEHigh school diploma, 1+ year healthcare claims experience, Associate's in Medical Billing & Coding or CPC or equivalent experience, EHR and computerized billing experience, valid driver's license, fingerprint clearance card, acceptable MVR.
Moda Health: A health insurance providing medical, dental, and pharmacy plans.
2+ YOE1+ MgmtCollege degree or equivalent experience; 2–4 years medical claims processing with at least 1 year as a senior/lead processor; supervisory experience; proficiency with Word and Excel; strong communication, analytical and problem-solving skills.
ExpressCare Urgent Care Centers: Provides walk-in urgent medical care and on-site diagnostic services.
Follow up on unpaid/rejected claims, correct and resubmit claims, submit appeals, review records, assist with charge entry, strong written communication, MS Office proficiency, knowledge of ICD-10/CPT/HCPCS a plus.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Gravie: Health benefits platform for small and midsize businesses.
4+ YOEHigh school diploma and 4+ years processing, adjusting, or analyzing medical claims; knowledge of CPT/HCPC, ICD-10, CMS regulations, and independent workflow management.
Zoom, Microsoft Teams, Google Meet, Javelina, CPT, HCPC, ICD-10, CMS
Alaska Native Tribal Health Consortium: Provides comprehensive health services for Alaska's Native communities.
7+ YOEAssociate degree in business, finance, or related field and seven years of medical billing experience, or equivalent substitutions. Requires claims, billing, accounting, insurance, computer, and communication skills.
personal computer, medical billing applications, data spreadsheets, office phone system
Blue Cross Blue Shield of Michigan: Provides health insurance plans and healthcare administration services.
2+ YOEEntry-level claims role with a 12-month training plan to Medical Only Claims Specialist I. Requires high school diploma, 2 years insurance-related experience, strong communication, analytical, and organizational skills, and basic medical terminology.
Wilson-McShane: Administers multiemployer benefit funds for labor unions and employers.
2+ YOERequires at least two years of claims-paying experience, document interpretation skills, attention to detail, customer service ability, and proficiency with Microsoft Office and other computer applications.
Privia HealthNASDAQ: PRVA: Provides a technology platform for independent medical practices.
3+ YOEHigh school diploma and 3+ years of medical claims experience required. Requires complex claims resolution, advanced Excel, EOB knowledge, communication, analytical, research, and HIPAA compliance skills.
Microsoft Excel, Salesforce, Google Suite, Athena EMR, EMR, HIPAA
Critical Nurse Staffing: Providing specialized in-home healthcare for energy workers and veterans.
2+ YOEHigh school diploma/GED, 2+ years related program or clinical/medical experience, knowledge of DOL EEOICPA, medical terminology, valid driver’s license; CMA or LPN preferred.
Allied World: A global insurance employer offering collaborative career growth, training, and professional development opportunities.
Investigate, evaluate and resolve medical malpractice claims, manage litigation, interact with insureds/brokers/counsel, prepare claim summaries and reports, and support cross-functional projects.
Datamark: Global provider of business process outsourcing and contact center solutions.
Experience in insurance verification, benefits investigation, pharmacy operations or healthcare administration; knowledge of medical insurance terms; detail-oriented; able to handle high volumes; strong reading, research, and communication skills; outbound calls; proficient with multiple systems.
NTT DATATokyo Stock Exchange: 9613: Provides global digital technology consulting and IT services.
2+ YOERequires 2+ years of healthcare claims processing and computer-based work, plus a high school diploma or GED. Claims, Windows applications, professional communication, and Microsoft Office experience required or preferred.
Amisys, Xcelys, Windows, Microsoft Outlook, Microsoft Word, Microsoft Excel
Georgia or Texas or North Carolina or South Carolina or Florida or Lawrenceville
RemoteFull Time
Summit Spine & Joint Centers: Provides interventional pain management and ambulatory surgery center services.
3+ YOERequires 3+ years of medical billing or revenue cycle experience, including claims processing and coding knowledge. Leadership experience preferred; familiarity with Microsoft Office and medical billing systems required.