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Claims Examiner Job Opportunities

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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2144Account Executive 2259Account Manager 2162Accountant 2272Administrative Assistant 2261Administrative Medical Assistant 2263Administrator 2261Admissions Director 2253Allergist 2282Analyst 2261Anesthesiologist 0Anesthesiologist Assistant 2284Assistant 0Audiologist 2213Bereavement Coordinator 2262Billing Manager 2257Billing Specialist 2258Biologist 2265Biomedical Engineer 1505Biomedical Technician 2193Business Analyst 2270Case Manager 2250Certified Medical Assistant 2258Certified Nurse Assistant 2272Certified Nursing Assistant 2189Certified Pharmacy Technician 2253Charge Nurse 345Chief Financial Officer 0Chiropractor 2238Claims Examiner 2269Clerk 2249Clinical Lab Scientist 2259Clinical Research Associate 2279Clinical Research Coordinator 2256Clinical Specialist 2245Coder 2219Coding Educator 2176Consultant 2251Coordinator 2265Counselor 2259Customer Service Rep 2254Customer Service Representative 0Cytotechnologist 0Dental Assistant 2258Dental Hygienist 0Dental Hygienist 0Dental Laboratory Technician 1383Dentist 2267Dermatologist 2236Dietitian 2268Director of Nursing 2216Director of Operations 2266Director of Rehabilitation 2261Doctor 2259Emergency Medical Technician 2252Emergency Medicine Nurse 2257Emergency Medicine Physician 2263Emergency Room Physician 0Epidemiology 2262Executive Assistant 2266Executive Director 2249Financial Analyst 2277Front Office Help 2180General Surgeon 2267Health Educator 2258Healthcare Administrator 0Healthcare Documentation Specialist 2253Healthcare Management 2256Healthcare or Medical 1677Healthcare Sales Director 2266Hematologist 0Home Care Assistant 2269Home Health Aide 2255Home Health Manager 2106Hospice Administrator 2279Hospital Employment Recruiter 1Leadership Coach / Trainer 2278Licensed Practical Nurse 2170Massage Therapist 2270Medical Administrative 2273Medical Assistant 2270Medical Assistant or phlebotomist 2273Medical Assistant or receptionist 2241Medical Biller 2246Medical Billing Specialist 2253Medical Claims and Billing Specialist 2245Medical Coder 2278Medical Office Assistant 2270Medical Office Manager 2264Medical Office Specialist 2286Medical or Health Services Manager 2267Medical Receptionist 2255Medical Records Clerk 2051Medical Sales 2256Medical Secretary 2268Medical Technician 2277Medical Technologist 2266Medical Transcriptionist 760Microbiologist 2258Neurologist 2259Nurse 2258Nurse Anesthetist 2274Nurse Practitioner 2152Nursing Home Administrator 2156Nutritionist 2271Obstetrician / Gynecologist 2265Occupational Therapist 2275Office Assistant 2267Office Manager 2273Oncologist 2271Operations Manager 0Optician 2231Optometrist 2274Orderly Attendant 1893Orthopaedic Surgeon 2268Paramedic 2271Patient Care Associate 2266Patient Services Representative 2271Patient Services Technician 0Pediatric Nurse 1999Pharmaceutical Sales 2136Pharmaceutical Sales Director 1489Pharmaceutical Sales Rep 1482Pharmaceutical Sales Representative 6743Pharmacist 2160Pharmacy Technician 2268Phlebotomist 2272Physical Therapist 2266Physician 2252Physician Assistant 2175Physician General Medicine 2267Primary Care Physician 2252Program Director 2257Program Manager 2171Programmer 2270Programmer Analyst 2274Programmer or analyst 2228Project Management 2232Project Manager 2263Psychiatric Aide 2253Psychiatrist 2258Quality Coordinator 0Radiologic Technologist 2275Receptionist 2264Recruiter 383Regional Sales Manager 2257Registered Medical Assistant 2244Registered Nurse 2278Registered Nurse (RN) 2254Registered Nurse (RN) Case Manager 0Rehabilitation Counselor 2259Research Assistant 2253Research Associate 11Respiration (Inhalation) Therapist 2267Sales Associate 2173Sales Manager 2241Sales Rep 2234Sales Representative 2269Secretary 2107Senior Programmer Analyst 2146Social Services 2171Software Developer 2166Software Engineer 0Sonographer 0Speech Language Pathologist 2269Staffing Coordinator 2255Supervisor 2274Supervisor or manager 2265Supply Technician 2266Surgical Technologist 2266Therapist 2269Transcription 2264Transcriptionist 2285Ultrasonographer 2250Vice President