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LOCATION: Remote
GENERAL STATEMENT OF JOB
Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure that providers receive timely and accurate payment. This position is responsible for claims adjudication through continuous monitoring and quality control measures. Responsibilities include finalizing c...

Company Overview
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing cli...

Company Overview
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing cli...

You will be able to work from your home location within the United States
PURPOSE AND SCOPE:
The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accr...

You will be able to work from your home location within the United States
PURPOSE AND SCOPE:
The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accr...

You will be able to work from your home location within the United States
PURPOSE AND SCOPE:
The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accru...

The Doctors Company is seeking an experienced Claims Specialist for our Region II (Northeast) team. This is a telecommuter position with the preferred location in the Midwest.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a f...

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED
Medical Claims Examiner - Remote - Fresno, CA
*100% Remote for Central Valley candidates*
Candidates are required to attend occasional trainings/meetings in Fresno, CA
The Company:
A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is ded...

The Doctors Company is seeking an experienced Claims Specialist for our Region II (Northeast) team. This is a telecommuter position with the preferred location in the Midwest.
The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a ...

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
A Claims Examiner is res...

Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence is calling a Sr. Professional Liability Medical Claims Manager who will: ...

Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician ...

Job Details
Level: Experienced Job Location: Houston Office - Houston, TX Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $24.04 - $26.44 Hourly Travel Percentage: None Job Shift: Day Job Category: Admin - Clerical
Workers Compensation Claims Examiner I / Medical Only
POSITION SUMMARY: Under general supervision manages all aspect...

Call Center Representative - Medical Provider Claims Support
Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for Call Center Representatives to join our team!
What you'll be doing?
* Answer incoming provider and member calls regarding eligibility, benefits summaries, and other general insurance inquires.
...

Overview
Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform® provides a practical, sustain...

Employment Type:
Full timeShift:
Description:
POSITION PURPOSE
Work Remote Position
(Pay Range: $16.1738-$24.1614)
Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate ...

Description
Part of the Western Growers Family of Companies, Western Growers Assurance Trust (WGAT) was founded in 1957 to provide a solution to a need in the agricultural community - a need for employer-sponsored health benefit plans not previously available from commercial health insurance carriers. WGAT is now the largest provider of health benefits for the agriculture industry. The sponsori...

Description
Soleo Health is seeking an Medical Claims Follow-Up and Appeals Writing Specialist (Collection Specialist) to work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
* Competitive Wages
* 401(k) with a match
* Referral Bonus
* Great company culture
* Paid parental leave options
* Affordable Medical, Dental, and Vision Insurance Plans
...

Job Type
Full-time
Description
Soleo Health is seeking an Medical Claims Follow-Up and Appeals Writing Specialist (Collection Specialist) to work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
* Competitive Wages
* 401(k) with a match
* Referral Bonus
* Great company culture
* Paid parental leave options
* Affordable Medical, Dental, and Vision...

Responsible for researching and resolving outstanding balances by following up on claim status, working denials, and filing appeals.
Responsibilities
*
Gather accurate reimbursement on client accounts and identify denial trends to improve client performance
*
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues that prevent claims from being p...