Medical Claims Jobs

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Medical Claims Processor  

Electrical Construction Trust Funds, Local 103 IBEW - Boston, MA, United States

The Electrical Construction Trust Funds, Local 103 IBEW (“Funds”) located in Dorchester, Massachusetts are currently seeking a Medical Claims Processor, reporting directly to the Claims Supervisor

from: - 8 days ago

Recovery Resolution Representative Associate - Remote in De Pere, WI  

UnitedHealth Group - De Pere, United States (+7 locations)

recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor

from: (+2 sources) - 3 days ago

Senior Medical Investigator - Fraud, Waste & Abuse  

UnitedHealth Group - Plano, United States (+9 locations)

Medical Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Senior Medical Investigator is responsible

from: (+2 sources) - 3 days ago

Claims Recovery Analyst (On Site))  

Dollar Tree Stores - Chesapeake, VA, United States

utilized in claims management. • Ability to interpret and analyze investigative, medical, legal and other reports to support claims submissions. • 4+ years of related claims/recovery experience • Experience

from: (+1 source) - 9 days ago

Senior Clerk - Greensburg, PA  

UnitedHealth Group - Greensburg, United States

new and complex computer system applications. Ability to work Sunday through Thursday or Tuesday to Saturday. 6:00am- 2:30pm weekends and 9:00am to 5:30pm weekdays Preferred Qualifications: Medical

from: (+2 sources) - 3 days ago

Multilingual Member Services Specialist (Cantonese/Mandarin/English) - Temple City, CA  

UnitedHealth Group - Temple City, United States

member Act as a member advocate in providing assistance to resolve their issues and concerns Follow through and resolve inquiries related to medical treatment authorizations, claims, billing, sales

from: (+2 sources) - 3 days ago

Billing Assistant  

Integra Connect - Akron, OH, United States

. This position supports the department by printing and mailing claim forms, appeal forms, invoices and Physician Certification Statement (PCS) forms, or other printed medical necessity forms such as crossovers

from: - 5 days ago

Senior Recovery / Resolutions Representative - San Diego County, CA  

UnitedHealth Group - San Diego, United States

environment 2+ years of Medical Billing experience 2+ years of Claims OR Collections experience 2+ years of Account Management OR Customer Service experience 2+ years of experience with analyzing and solving

from: (+2 sources) - 3 days ago

Administrative Assistant (English and Japanese Bilingual)  

MSIG Holdings (U.S.A.), Inc. - New York, NY, United States

and recording the transactions. Sets up claim files for new claims and policies received from MSIJ, other TPAs, insureds and/or medical providers. Conducts purge of claim files to off-site storage facility

from: - 3 days ago

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Senior Workers Compensation Claims Adjuster - Las Vegas, NV  

UnitedHealth Group - Las Vegas, United States

: Evaluates new and on-going claims to determine compensability and liability, giving consideration to contract provisions, disability management duration contract guidelines, medical evidence and vocational

from: (+2 sources) - 3 days ago

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