Hmo Claim Examiner Jobs (NOW HIRING)

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

... the scope of claim examiners and senior claim examiners that affect claims payment. Act as ... Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred.

The Recalculation Examiner is responsible for researching and reprocessing claims that were ... Verifies the validity of the corrected claim submission and make necessary changes. Redirects any ...

The Recalculation Examiner is responsible for researching and reprocessing claims that were ... Verifies the validity of the corrected claim submission and make necessary changes. Redirects any ...

The Recalculation Examiner is responsible for researching and reprocessing claims that were ... Verifies the validity of the corrected claim submission and make necessary changes. Redirects any ...

The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance ...

... HMO patients. This role reports directly to the Claims Manager and requires prior experience ... Maintain accurate claim records and perform data entry within managed care systems. * Collaborate ...

Handle claims received from hospitals and affiliated medical groups for HMO patients. * Apply ... Interpret contract reimbursement terms and apply them to claim adjudication. * Identify non ...

Thoroughly reviews, investigates, and adjudicates claims daily, working oldest to newest claim in ... HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program ...

... format of claim processing procedures. Think you've got what it takes? Job Duties ... HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program ...

Identify billing errors and potential fraudulent claim submissions. * Prepare and route claims ... Health Maintenance Organization (HMO) claims processing experience. * Experience with Knox-Keene ...

Five years HMO, PPO, ASO claim processing experience is required. Thorough knowledge of medical terminology, ICD-9/CPT4 Coding, and general managed care principles is required.