Medicare Claims Processor Jobs (NOW HIRING)

The Claims Processor is responsible for the accurate and timely processing, submission, monitoring, and follow-up of healthcare claims to Medicare, Medicaid, and other third-party payers. This ...

Background in healthcare operations or claims processing is advantageous. Skills and Knowledge * Strong proficiency in Medicare Fee for Service claims processing policies and procedures, with a solid ...

Maintains the Medicare/Medicaid Pend Claims process. * Participates on special project initiatives, including rework efforts as needed. * Understands and quickly operationalizes processing changes ...

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer ... The Claims Processor is primarily responsible for processing all types of contracted and non ...

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer ... The Claims Processor is primarily responsible for processing all types of contracted and non ...

Medical Claims Processor Location: Doral, FL on-site Schedule: Full-Time | 40 hours per week ... Review, adjudicate, and reprocess Medicare and DSNP claims accurately. * Handle disputes ...

This role involves processing Medicare claims, managing accounts receivable, addressing patient inquiries, and working closely with Medicare representatives to resolve billing issues. Duties and ...

Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare ... Communicate with third-party representatives as necessary to complete claims processing and/or ...

Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare ... Communicate with third-party representatives as necessary to complete claims processing and/or ...

Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare ... Communicate with third-party representatives as necessary to complete claims processing and/or ...

The Dental Claims Processor will submit HIPAA-compliant claim batches to Medicare, Medicaid, and commercial insurers, create and process claims in Dentrix and EDS, and follow up on invalid claims.

This position ensures regulatory compliance in the processing of all inbound claims that are within the Centers for Medicare & Medicaid Services (CMS) regulations as well as Clever Care Health Plan ...

Knowledge of HMO, PPO, Medicare and Medicaid plans * Knowledge of Medical terminology * Computer ... Timely and accurate processing and adjudication of all types of claims from assigned workflow ...

This role sits on a collaborative, Agile team maintaining a mission-critical Medicare claims processing system. This is a remote position, and all remote work must be performed in the United States.

This may include Medicare, Department of Social & Health Services (DSHS), subrogation, or ... One (1) year claims processing or customer service experience (Required). * Understanding of Out-of ...

This role sits on a collaborative, Agile teammaintaininga mission-critical Medicare claims processing system. This is aremote position,and all remote work must be performed in the United States.

Medicare * Medicaid * Commercial Insurance * Claims Adjudication * Eligibility Verification * HIPAA ... claims processing. * Strong knowledge of US healthcare insurance systems, including Medicare ...

Medicare * Medicaid * Commercial Insurance * Claims Adjudication * Eligibility Verification * HIPAA ... claims processing. * Strong knowledge of US healthcare insurance systems, including Medicare ...

Utilize extensive knowledge of medical terminology, ICD-9-CM and ICD-10-CM, HCPCS Level II and CPT coding along with analysis and processing of Medicare claims. Utilize Medicare and Contractor ...

Claims & Referral Processor II Location: Aurora, Colorado Duration: 6 Months c2h Adjudicates ... Verifies member eligibility and/or Medicare status. Receives daily workflow via Doc-Flo, and ...