AP CLAIMS PROCESSOR
$15.25 - $19.50/hr
... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...
$15.25 - $19.50/hr
... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...
$15.25 - $19.50/hr
... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...
El Paso, TX · On-site
$15.25 - $19.50/hr
Strong understanding of claims processing procedures, including familiarity with medical terminology and insurance policies * Highly detail-oriented with a focus on accuracy and quality assurance in ...
El Paso, TX · On-site
$15.25 - $19.50/hr
Strong understanding of claims processing procedures, including familiarity with medical terminology and insurance policies * Highly detail-oriented with a focus on accuracy and quality assurance in ...
San Antonio, TX · Remote
$15.25 - $19.50/hr
About the Role The Claims Processor is responsible for accurately reviewing, validating, and entering medical claims information in accordance with Sidecar Health policies and processing guidelines.
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San Antonio, TX · Remote
$15.25 - $19.50/hr
About the Role The Claims Processor is responsible for accurately reviewing, validating, and entering medical claims information in accordance with Sidecar Health policies and processing guidelines.
Mason, OH · On-site
$14/hr
Claims Processor requires: * Spreadsheet * Excel * MS Office * Access * working knowledge of interface systems * Understands third party benefits and administration Claims Processor duties:
Mason, OH · On-site
$14/hr
Claims Processor requires: * Spreadsheet * Excel * MS Office * Access * working knowledge of interface systems * Understands third party benefits and administration Claims Processor duties:
... medical claim processing or customer service dealing with all types of plans/claims and ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
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... medical claim processing or customer service dealing with all types of plans/claims and ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Warren, MI · On-site
$15/hr
Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...
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Warren, MI · On-site
$15/hr
Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
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$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Tualatin, OR · On-site
$24.78/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
Tualatin, OR · On-site
$24.78/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
$16 - $20.25/hr
... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...
$16 - $20.25/hr
... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Mason, OH · On-site
$16 - $20.25/hr
Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a ...
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Mason, OH · On-site
$16 - $20.25/hr
Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a ...
Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
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Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business ...
$16.50 - $20.75/hr
Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. Essential Functions ...
$16.50 - $20.75/hr
Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. Essential Functions ...
South Sioux City, NE · On-site
$16.75 - $21.25/hr
As a Claims Processor , you will take the first reports of accidents and initiate the claims ... Medical, Dental, Vision, Life, Long-Term Disability, Company Match 401(k), HSA, FSA * Paternal ...
South Sioux City, NE · On-site
$16.75 - $21.25/hr
As a Claims Processor , you will take the first reports of accidents and initiate the claims ... Medical, Dental, Vision, Life, Long-Term Disability, Company Match 401(k), HSA, FSA * Paternal ...
Carmel, IN · On-site
$18/hr
Job Title Claims Processor Location Carmel, IN | Onsite Compensation & Schedule • Pay: $18/hour • Hours: Monday-Friday, 8-hour shift with lunch break; flexible start times between 7:00am-8:00am ...
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Carmel, IN · On-site
$18/hr
Job Title Claims Processor Location Carmel, IN | Onsite Compensation & Schedule • Pay: $18/hour • Hours: Monday-Friday, 8-hour shift with lunch break; flexible start times between 7:00am-8:00am ...
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Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
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Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
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Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
Quick apply
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Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
Manhattan, NY · On-site
$45K - $57K/yr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
Manhattan, NY · On-site
$45K - $57K/yr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
Los Angeles, CA · On-site
$25 - $28/hr
Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're ... Medical/ Dental/ Vision - 95% paid by employer * Pet Insurance * Employee Assistance Program
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Los Angeles, CA · On-site
$25 - $28/hr
Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're ... Medical/ Dental/ Vision - 95% paid by employer * Pet Insurance * Employee Assistance Program
$13.94 - $15.01
6% of jobs
$15.01 - $16.08
6% of jobs
$16.08 - $17.15
11% of jobs
$17.27 is the 25th percentile. Wages below this are outliers.
$17.15 - $18.23
15% of jobs
The median wage is $19.01 / hr.
$18.23 - $19.30
16% of jobs
$19.30 - $20.37
11% of jobs
$21.38 is the 75th percentile. Wages above this are outliers.
$20.37 - $21.44
11% of jobs
$21.44 - $22.51
11% of jobs
$22.51 - $23.58
6% of jobs
$23.58 - $24.65
5% of jobs
$24.65 - $25.72
2% of jobs
$13
$19
$25

$15.25 - $19.50/hr
Full-time
Posted 22 days ago
The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies and processes. This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims submission has been adjudicated, the claim will be processed through the accounts payable system.
Essential Functions:
1. Follow procedures to pay, return, or deny claims. Prepares the draft for payment and verifies that payment has been made.
2. Reviews and resolves discrepancies in a timely manner.
3. Establishes a working relationship with billing providers, members, and internal staff.
4. Rejects or accepts authorization documentation, determines benefit due, and starts the denial or payment process to resolve medical claims.
5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed.
6. Researches and processes claims according to business regulations, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
7. Resolves system edits, audits, and claims errors through research and use of approved references and investigative sources.
8. Coordinates with internal departments to work edits and deferrals, updating the patient identification, health insurance, provider identification, and other files as necessary.
9. Pays all properly adjudicated claims.
10. Maintains claims files.
11. Records 1099 form at each calendar year.
12. Other duties as assigned.
Education: High School Graduate (Required). BA/BS degree (Preferred).
Experience: Experience in accounts payables and/or claims processing (Preferred)
Specific skills/abilities:
• Excellent computer skills and experience in the Microsoft Office Suite
• Excellent organizational and time management
• Strong communication skills and the ability to work with various internal and external
parties to process claims and billing issues.
• Detail oriented
• Interpersonal skills
• Data entry skills
• Capability to manage confidential and proprietary information.