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Claims Examiner Job Opportunities

Medical Claims Examiners, Eligibility and Customer Care - Entrust Inc., a 90 Degree Benefit Company - Katy, TX

Posted: Apr 01, 2020 Claims Examiner
We have openings for Medical Claims Examiners, Eligibility, COBRA, Stop-Loss, Customer Care & Patient Advocacy. A Turn for the Better.From Indeed - Thu, 19 Dec 2019 21:12:43 GMT - View all Katy, TX...
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Licensed Behavioral Health Counselor - Ascension Seton, TX - Austin, TX

Posted: Apr 01, 2020 Claims Examiner
Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. Schedule - Days, 9am - 530 pm.From Ascension Healthcare - Wed, 26 Feb 2020 12:35:30 GMT - View all Austin, TX...
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Investigator, Coding SIU (WA) - Molina Healthcare - Bothell, WA

Posted: Apr 01, 2020 Claims Examiner
Reviews post pay claims with corresponding medical records to determine accuracy of claims payments. Molina Healthcare offers a competitive benefits and…From Molina Healthcare - Sat, 21 Mar 2020 12:16:40 GMT - View all Bothell, WA...
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Senior Title Officer - FlyHomes - Seattle, WA

Posted: Apr 01, 2020 Claims Examiner
Healthcare benefits…obviously, plus contributions to HSA. Reconcile title problems and accepts responsibility for loss claim investigation.From FlyHomes - Fri, 13 Dec 2019 00:33:36 GMT - View all Seattle, WA...
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Fraud and Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Posted: Apr 01, 2020 Claims Examiner
Learn and conduct statistical sampling of complex medical claims. Bachelors Degree in related field required Minimum of 2 years combined experience required in…From Sentara Healthcare - Thu, 09 Jan 2020 12:31:09 GMT - View all Virginia Beach, VA...
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Fraud & Abuse Investigator, Senior - Sentara Healthcare - Virginia Beach, VA

Posted: Apr 01, 2020 Claims Examiner
Bachelor¿s Degree in related field required Minimum of 5 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance…From Sentara Healthcare - Thu, 17 Oct 2019 19:12:28 GMT - View all Virginia Beach, VA...
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Director - Case Management - El Paso Children's Hospital - El Paso, TX

Posted: Apr 01, 2020 Claims Examiner
Masters degree in Nursing, Business Administration or Healthcare Administration preferred. Current licensure as a Registered Nurse with the Texas State Board of…From El Paso Children's Hospital - Sat, 25 Jan 2020 06:45:41 GMT - View all El Paso, TX...
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Medical Director (National Accounts) - AETNA - Sandy, UT

Posted: Apr 01, 2020 Claims Examiner
Medical/Board Certified, National Board Of Medical Examiners is required. We are developing solutions to improve the quality and affordability of healthcare.From Aetna - Thu, 24 Oct 2019 16:01:14 GMT - View all Sandy, UT...
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OCCUPATIONAL HEALTH MANAGER - RN - Pilgrim's - Mount Pleasant, TX

Posted: Apr 01, 2020 Claims Examiner
RN - Graduate of school of nursing accredited by the State Board of Nurse Examiners. Establish and maintain good working relationships with departmental staff,…From JBS USA - Wed, 18 Mar 2020 12:12:22 GMT - View all Mount Pleasant, TX...
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SIU Investigator - remote but prefer Richmond, VA - Magellan Health - Richmond, VA

Posted: Apr 01, 2020 Claims Examiner
AHFI - Accredited Healthcare Fraud Investigator - Enterprise, CFE - Certified Fraud Examiner - Enterprise, CPC - Certified Professional Coder - Enterprise, RN -…From Magellan Health - Thu, 13 Feb 2020 03:01:04 GMT - View all Richmond, VA...
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Claims Examiner I - Inficare - Irving, TX

Posted: Apr 01, 2020 Claims Examiner
The Claims Examiner is responsible for processing batches of claims (HCFA and UB) data entered by Pre-Key staff in a timely and consistent manner.From Indeed - Thu, 26 Mar 2020 16:23:37 GMT - View all Irving, TX...
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SIU Field Investigator - National General Insurance - Dallas, TX

Posted: Apr 01, 2020 Claims Examiner
FCLS (Fraud Claims Law Specialist). On-site Healthcare Clinic (Winston-Salem and Cleveland offices). Responsible for identifying and handling all aspects of…From National General Insurance - Thu, 16 Jan 2020 22:11:14 GMT - View all Dallas, TX...
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Claims Examiner I - Christus Health - Irving, TX

Posted: Apr 01, 2020 Claims Examiner
The Claims Examiner is responsible for processing batches of claims (HCFA and UB) data entered by Pre-Key staff in a timely and consistent manner.From CHRISTUS Health - Thu, 19 Mar 2020 03:10:36 GMT - View all Irving, TX...
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Claims Examiner - NTT DATA - Plano, TX

Posted: Apr 01, 2020 Claims Examiner
2+ year(s) of experience in the healthcare industry that required medical claims coding knowledge with CPT, HCPCS, ICD9/10, CDT or member enrollment functions. $16 an hourFrom Indeed - Thu, 23 Jan 2020 17:06:40 GMT - View all Plano, TX...
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Title Officer - FlyHomes - Seattle, WA

Posted: Apr 01, 2020 Claims Examiner
Healthcare benefits…obviously, plus contributions to HSA. Reconcile title problems and accepts responsibility for loss claim investigation.From FlyHomes - Thu, 21 Nov 2019 18:36:41 GMT - View all Seattle, WA...
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Claims Examiner I - InfiCare Technologies - Irving, TX

Posted: Apr 01, 2020 Claims Examiner
Medical Claims Examiner or Medical Claims Processor: Claims Recovery Specialist or Claims Recovery Collector: Mon to Fri (8am to 5pm).From Indeed - Tue, 24 Mar 2020 14:22:03 GMT - View all Irving, TX...
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Investigator, Coding SIU (TX) - Molina Healthcare - Irving, TX

Posted: Apr 01, 2020 Claims Examiner
Reviews post pay claims with corresponding medical records to determine accuracy of claims payments. Molina Healthcare offers a competitive benefits and…From Molina Healthcare - Sat, 21 Mar 2020 12:16:40 GMT - View all Irving, TX...
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Program Integrity – Healthcare Investigations and Recovery Manager - Deloitte - McLean, VA

Posted: Apr 01, 2020 Claims Examiner
Accredited Healthcare Fraud Investigator (AHFI). Experience reviewing dental claims, charts, and x-rays. Extensive knowledge of medical and dental procedure…From Deloitte - Tue, 30 Jul 2019 19:36:12 GMT - View all McLean, VA...
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Claims Examiner - NTT DATA - Plano, TX

Posted: Mar 31, 2020 Claims Examiner
2+ year(s) of experience in the healthcare industry that required medical claims coding knowledge with CPT, HCPCS, ICD9/10, CDT or member enrollment functions. $16 an hourFrom Indeed - Thu, 23 Jan 2020 17:06:40 GMT - View all Plano, TX...
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Program Integrity – Healthcare Investigations and Recovery Manager - Deloitte - Houston, TX

Posted: Mar 31, 2020 Claims Examiner
Accredited Healthcare Fraud Investigator (AHFI). Experience reviewing dental claims, charts, and x-rays. Extensive knowledge of medical and dental procedure…From Deloitte - Fri, 06 Mar 2020 01:34:00 GMT - View all Houston, TX...
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1746Account Executive 1750Account Manager 1735Accountant 1749Administrative Assistant 1754Administrative Medical Assistant 1682Administrator 1736Admissions Director 1745Allergist 1715Analyst 1744Anesthesiologist 0Anesthesiologist Assistant 1757Assistant 0Audiologist 1744Bereavement Coordinator 1749Billing Manager 1757Billing Specialist 1752Biologist 1703Biomedical Engineer 1522Biomedical Technician 1750Business Analyst 1735Case Manager 1746Certified Medical Assistant 1745Certified Nurse Assistant 1742Certified Nursing Assistant 1745Certified Pharmacy Technician 1753Charge Nurse 1756Chief Financial Officer 0Chiropractor 1751Claims Examiner 1742Clerk 1745Clinical Lab Scientist 1674Clinical Research Associate 1743Clinical Research Coordinator 1666Clinical Specialist 1746Coder 1743Coding Educator 1752Consultant 1740Coordinator 1734Counselor 1711Customer Service Rep 1755Customer Service Representative 0Cytotechnologist 0Dental Assistant 1731Dental Hygienist 0Dental Hygienist 0Dental Laboratory Technician 1723Dentist 1751Dermatologist 1746Dietitian 1738Director of Nursing 1754Director of Operations 1743Director of Rehabilitation 1720Doctor 1746Emergency Medical Technician 1742Emergency Medicine Nurse 1716Emergency Medicine Physician 1730Emergency Room Physician 0Epidemiology 1745Executive Assistant 1729Executive Director 1731Financial Analyst 1726Front Office Help 1753General Surgeon 1681Health Educator 1709Healthcare Administrator 0Healthcare Documentation Specialist 1737Healthcare Management 1737Healthcare or Medical 1726Healthcare Sales Director 1749Hematologist 0Home Care Assistant 1750Home Health Aide 1743Home Health Manager 1713Hospice Administrator 1626Hospital Employment Recruiter 1Leadership Coach / Trainer 1744Licensed Practical Nurse 1746Massage Therapist 1743Medical Administrative 1754Medical Assistant 1733Medical Assistant or phlebotomist 1753Medical Assistant or receptionist 1749Medical Biller 1747Medical Billing Specialist 1748Medical Claims and Billing Specialist 1749Medical Coder 1746Medical Office Assistant 1759Medical Office Manager 1728Medical Office Specialist 1747Medical or Health Services Manager 1735Medical Receptionist 1763Medical Records Clerk 1754Medical Sales 1745Medical Secretary 1739Medical Technician 1740Medical Technologist 1734Medical Transcriptionist 1753Microbiologist 1744Neurologist 1740Nurse 1648Nurse Anesthetist 1742Nurse Practitioner 1714Nursing Home Administrator 1748Nutritionist 1740Obstetrician / Gynecologist 1759Occupational Therapist 1670Office Assistant 1750Office Manager 1756Oncologist 1740Operations Manager 0Optician 1751Optometrist 1744Orderly Attendant 1624Orthopaedic Surgeon 1745Paramedic 1740Patient Care Associate 1745Patient Services Representative 1696Patient Services Technician 0Pediatric Nurse 1639Pharmaceutical Sales 1706Pharmaceutical Sales Director 1755Pharmaceutical Sales Rep 1611Pharmaceutical Sales Representative 5115Pharmacist 1756Pharmacy Technician 1739Phlebotomist 1760Physical Therapist 1732Physician 1750Physician Assistant 1758Physician General Medicine 1748Primary Care Physician 1748Program Director 1753Program Manager 1750Programmer 1744Programmer Analyst 1738Programmer or analyst 1739Project Management 1740Project Manager 1733Psychiatric Aide 1637Psychiatrist 1741Quality Coordinator 0Radiologic Technologist 1730Receptionist 1742Recruiter 1500Regional Sales Manager 1733Registered Medical Assistant 1737Registered Nurse 1752Registered Nurse (RN) 1722Registered Nurse (RN) Case Manager 0Rehabilitation Counselor 1732Research Assistant 1660Research Associate 79Respiration (Inhalation) Therapist 1633Sales Associate 1728Sales Manager 1428Sales Rep 1622Sales Representative 1403Secretary 1656Senior Programmer Analyst 1739Social Services 1756Software Developer 1742Software Engineer 0Sonographer 0Speech Language Pathologist 1740Staffing Coordinator 1744Supervisor 1753Supervisor or manager 1732Supply Technician 1761Surgical Technologist 1745Therapist 1740Transcription 1747Transcriptionist 1735Ultrasonographer 1732Vice President