Medical Claims Review Jobs (NOW HIRING)

Medical Claims Eligibility Specialist - Billing & Collections $22/Hour | Contract-to-Hire | Houston ... Review and analyze Explanation of Benefits (EOBs) and payment remittance documents to determine ...

We're seeking detail-oriented professionals with experience in medical billing, coding, claims review, or legal/paralegal work. Schedule: Monday-Friday, 8:00 AM-5:00 PM Location: Houston Heights area ...

In this position, you will review, analyze, and process medical claims while providing operational input and guidance on claims decisions. You will contribute to coding activities, assist with ...

In this position, you will review, analyze, and process medical claims while providing operational input and guidance on claims decisions. You will contribute to coding activities, assist with ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

This role performs claims review and processing, eligibility verification, referral validation ... Performs all duties of the Medical Claims Specialist role, including review, screening, eligibility ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers ...

Must be able to work 8am - 5pm Eastern Standard Time Responsibilities Claims Review and Processing * Analyze and process a variety of complex medical claims in accordance with program policies and ...

Review, process, and follow up on medical claims submissions * Verify insurance information and ensure claim accuracy before submission * Investigate and resolve denied, rejected, or unpaid claims

Review collection queues, Explanation of Benefits (EOBs), and correspondence for unpaid or underpaid claims. * Research claim issues and resolve discrepancies appropriately. * Interpret EOBs and ...

Directs all aspects of institutional and professional claims review for medical appropriateness and compliance with prompt pay regulations. * Assists with the development, implementation, and updates ...

Review of Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines * As Medicare payment occurs, identify and ...

Medical Claims Coder, Tucson, AZ Under general supervision from the Director of Operations, the ... Review and resolve rejected and/or denied claims. Conduct research and analysis of claims ...