Healthcare Jobs for Claims Examiner - Healthcare News Journal

Claims Supervisor - CorVel Healthcare Corporation - Milwaukee, WI

Posted: Jan 27, 2021 Claims Examiner

State Certification as an experienced Examiner. Supervises claims staff in their day-to-day operations. Participate in Customer Claim Reviews and Presentations.From CorVel Healthcare Corporation - Wed, 20 Jan 2021 02:58:03 GMT - View all Milwaukee, WI...

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Senior Property Adjuster - Crawford & Company - Seattle, WA

Posted: Jan 27, 2021 Claims Examiner

Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Fri, 06 Nov 2020 05:17:11 GMT - View all Seattle, WA...

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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA

Posted: Jan 27, 2021 Claims Examiner

Is seeking a Health Fraud Investigator with a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator background to support claims for review…From HRS Consulting, Inc. - Wed, 26 Aug 2020 20:25:45 GMT - View all Seattle, WA...

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Clinical SIU Investigator-PCHP - Parkland Health and Hospital System - Dallas, TX

Posted: Jan 27, 2021 Claims Examiner

Reviews providers claims history, licensure, and specialty. Provides instructions to the claims department for prepayment reviews.From Parkland Health & Hospital System - Tue, 22 Dec 2020 23:43:36 GMT - View all Dallas, TX...

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Workers Compensation Surveillance Specialist (WCSS) - ECS Federal LLC - Arlington, VA

Posted: Jan 27, 2021 Claims Examiner

Must have healthcare fraud experience. WCSS’s are prohibited from performing or commenting on claims management duties of the IC specialists.From ECS Federal LLC - Tue, 17 Nov 2020 01:54:25 GMT - View all Arlington, VA...

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SIU Investigator - PCHP - Parkland Health and Hospital System - Dallas, TX

Posted: Jan 27, 2021 Claims Examiner

Conducts detailed claims analysis and prepares audit results letters to providers when overpayments are identified. Education - Bachelor's degree is required.From Parkland Health & Hospital System - Tue, 15 Dec 2020 23:45:35 GMT - View all Dallas, TX...

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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Hamlin, TX

Posted: Jan 27, 2021 Claims Examiner

Selection process, please make your request to the examiner, selecting official or local manager of Human Resources. This job has an exam requirement. $20.75 - $27.96 an hourFrom USPS - Tue, 26 Jan 2021 14:45:44 GMT - View all Hamlin, TX...

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Administrative Operations Associate - NTT DATA Services - Plano, TX

Posted: Jan 27, 2021 Claims Examiner

Prior experience as claim examiner or customer service representative. Process paper and electronic Medicare advantage claims in ikaMedicareGateway system.From NTT Data - Mon, 30 Nov 2020 22:07:08 GMT - View all Plano, TX...

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Entry Level Healthcare Fraud Investigator - Qlarant - Dallas, TX

Posted: Jan 27, 2021 Claims Examiner

Certification in an applicable program such as Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator Certification.From Qlarant - Fri, 22 Jan 2021 06:24:50 GMT - View all Dallas, TX...

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Sr., Compliance Consult - RevCycle - Parkland Health and Hospital System - Dallas, TX

Posted: Jan 27, 2021 Claims Examiner

Certified in Healthcare Compliance (CHC) - Certified Fraud Examiner (CFE) - Accredited Health Care Fraud Investigator (AHFI) - Certified Revenue Cycle…From Parkland Health & Hospital System - Tue, 10 Nov 2020 23:43:59 GMT - View all Dallas, TX...

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Licensed Psychologist - Madison Avenue Support Services, Inc. - Dallas, TX

Posted: Jan 27, 2021 Claims Examiner

The contractor shall submit each completed independent case review to a disability examiner or other appropriate SSA personnel. $98,000 - $103,000 a yearFrom Indeed - Tue, 22 Dec 2020 18:37:31 GMT - View all Dallas, TX...

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Claims Examiner - Innovista Health Solutions - Milwaukee, WI

Posted: Jan 27, 2021 Claims Examiner

We are currently looking for a Claims Examiner out of our Oak Brook, IL office. Resolve claims issues received from the Customer Services department by…From Indeed - Wed, 13 Jan 2021 04:03:44 GMT - View all Milwaukee, WI...

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Quality Control Analyst-Remote - Conifer Health Solutions - Frisco, TX

Posted: Jan 27, 2021 Claims Examiner

The Quality Control Analyst is responsible for claims auditing and identifying examiner and system errors. 2-3 years of experience as Claims Adjuster.From Tenet Healthcare - Wed, 02 Sep 2020 08:21:26 GMT - View all Frisco, TX...

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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Springdale, WA

Posted: Jan 27, 2021 Claims Examiner

Selection process, please make your request to the examiner, selecting official or local manager of Human Resources. This job has an exam requirement. $20.75 - $27.96 an hourFrom USPS - Sat, 23 Jan 2021 14:42:09 GMT - View all Springdale, WA...

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Sr. Statistician - Integrity Management Services, Inc. - Alexandria, VA

Posted: Jan 27, 2021 Claims Examiner

Understanding of claims and health care terminology and codes (i.e. 3+ years of statistical analysis experience within Medicare/Medicaid or similar health…From Integrity Management Services, Inc. - Fri, 07 Aug 2020 16:15:55 GMT - View all Alexandria, VA...

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NURSE ADVANCED PRACTICE - Metrocare Services - Dallas, TX

Posted: Jan 27, 2021 Claims Examiner

Documentation in individual service records will be sufficient for filing and justification of insurance/third-party claims for the service provided.From Dallas County Mental Health & Menta - Tue, 01 Sep 2020 16:09:21 GMT - View all Dallas, TX...

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Medicare Claims Examiner - AllyAlign Health - Glen Allen, VA

Posted: Jan 27, 2021 Claims Examiner

The Claims Examiner is responsible for the accurate and timely processing Healthcare Claims in compliance with AAH Policies and CMS regulatory guidelines.From AllyAlign Health - Wed, 16 Sep 2020 16:46:40 GMT - View all Glen Allen, VA...

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Medicare Claims Auditor II - AllyAlign Health - Glen Allen, VA

Posted: Jan 27, 2021 Claims Examiner

The Claims Examiner is responsible for the accurate and timely processing Healthcare Claims in compliance with AAH Policies and CMS regulatory guidelines.From AllyAlign Health - Tue, 27 Oct 2020 21:54:49 GMT - View all Glen Allen, VA...

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Claims Examiner - Inficare Technologies - Irving, TX

Posted: Jan 27, 2021 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. $17 - $22 an hourFrom Indeed - Fri, 08 Jan 2021 14:27:03 GMT - View all Irving, TX...

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NURSE ADVANCED PRACTICE - Metrocare Services - Dallas, TX

Posted: Jan 26, 2021 Claims Examiner

Documentation in individual service records will be sufficient for filing and justification of insurance/third-party claims for the service provided.From Dallas County Mental Health & Menta - Tue, 01 Sep 2020 16:09:21 GMT - View all Dallas, TX...

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