Claim Adjudication Jobs (NOW HIRING)

Insurance Verification and claim adjudication or medical billing * Experience or knowledge of ICD-10, HCPCS, or CPT is a HUGE PLUS! * Must have NO attendance issues. * HS Diploma/Equivalent.

Claim adjudication * Manage authorizations and prior authorization process * Collect co-pays * Verify eligibility Skills * Home Infusion or Specialty Pharmacy RCM Background - collector, biller ...

Claims Adjudication Associate Capital Rx is seeking a self-driven Claims Adjudication associate to ... Negotiate or support resolution of complex claim issues with internal stakeholders, providers ...

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Negotiate or support resolution of complex claim issues with internal stakeholders, providers ...

This person will follow up on claim adjudication to include claim rejects, underpayments and appropriate reimbursement to respective payer contacts. This person may also work on co-pay and drug ...

... FNOL, claim adjudication, payments, reserves, recoveries, and Guidewire configuration capabilities. • Experience working in Agile/Scrum environments with excellent stakeholder management ...

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Negotiate or support resolution of complex claim issues with internal stakeholders, providers ...

Actively manage inventory and ongoing claim adjudication. * Effectively communicate with customers using empathy and professionalism via phone and written correspondence. * Interface with ...

Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...

Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of ...

Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS, APG, Capitation, etc.) required. * Must ...

Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while ...

Actively manage inventory and ongoing claim adjudication. * Effectively communicate with customers using empathy and professionalism via phone and written correspondence. * Interface with ...

Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication. * Adjudicates pharmacy claims for prescriptions in active ...

Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication. * Adjudicates pharmacy claims for prescriptions in active ...

Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication. * Adjudicates pharmacy claims for prescriptions in active ...

Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication. * Adjudicates pharmacy claims for prescriptions in active ...

Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication. * Adjudicates pharmacy claims for prescriptions in active ...