Healthcare Jobs for Claims Examiner - Healthcare News Journal

Clinical Risk Nurse Consultant - Symetra - Bellevue, WA

Posted: Oct 20, 2019 Claims Examiner

Providing clinical opinion from knowledge, experience and/or research to claims examiners and underwriters as requested or deemed appropriate.From Symetra - Wed, 10 Apr 2019 23:56:45 GMT - View all Bellevue, WA...

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Professional Liability Med Malpractice Sr Examiner - Professional Search - Vancouver, WA

Posted: Oct 20, 2019 Claims Examiner

Claims and lawsuits presented against PeaceHealth consistent Premier claims. Privacy rules to permit evaluation of claims and resolves such claims by denial or.From Indeed - Fri, 18 Oct 2019 04:50:03 GMT - View all Vancouver, WA...

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Fraud and Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Posted: Oct 20, 2019 Claims Examiner

Learn and conduct statistical sampling of complex medical claims. Bachelor¿s Degree in related field required Minimum of 2 years combined experience required in…From Sentara Healthcare - Thu, 17 Oct 2019 19:12:40 GMT - View all Virginia Beach, VA...

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Fraud and Abuse Investigator, Senior - Sentara Healthcare - Virginia Beach, VA

Posted: Oct 20, 2019 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 19:12:35 GMT - View all Virginia Beach, VA...

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Voucher Examiner - US Department of Veterans Affairs - Clarksburg, WV

Posted: Oct 20, 2019 Claims Examiner

Resolving issues surrounding payment and denials of healthcare claims. Examines vouchers, invoices, claims, and other requests for payment of healthcare… $33,949 - $49,200 a yearFrom usajobs.gov - Thu, 17 Oct 2019 21:50:14 GMT - View all Clarksburg, WV...

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Benefit Configuration Analyst - Group & Pension Admin - Dallas, TX

Posted: Oct 20, 2019 Claims Examiner

Prepares testing scripts (using Excel) for new and existing plans for the Claims Examiner listing applicable charge type codes.From Group & Pension Admin - Sat, 22 Jun 2019 17:46:34 GMT - View all Dallas, TX...

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Financial Examiner 2 (FE2/MPOI) - State of Washington Health Care Authority - Olympia, WA

Posted: Oct 20, 2019 Claims Examiner

OR certification as a Certified Financial Examiner from the Society of Financial Examiners; Financial Examiner 1 salary range: Some of what you will do: $4,953 - $6,496 a monthFrom State of Washington - Tue, 23 Jul 2019 02:10:38 GMT - View all Olympia, WA...

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Professional Review Specialist I - CorVel Healthcare Corporation - Waukesha, WI

Posted: Oct 20, 2019 Claims Examiner

Knowledge of workers' compensation claims; Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner…From CorVel Healthcare Corporation - Tue, 01 Oct 2019 19:27:04 GMT - View all Waukesha, WI...

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Field Examiner - US Department of Veterans Affairs - Salt Lake City, UT

Posted: Oct 20, 2019 Claims Examiner

Compensation/pension, healthcare, mortgage/lending, insurance, etc.). Conducting professional interviews or investigations involving issues/cases such as… $51,440 - $66,868 a yearFrom usajobs.gov - Fri, 18 Oct 2019 09:47:47 GMT - View all Salt Lake City, UT...

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Forensic Accountant/Auditor - New York State Office of the Attorney General - Suffolk, VA

Posted: Oct 20, 2019 Claims Examiner

A Certified Fraud Examiner is also a plus. Seeking a forensic accountant/auditor to participate in complex fraud investigations in the healthcare industry,.From New York State Office of the Attorney General - Fri, 04 Jan 2019 22:37:28 GMT - View all Suffolk, VA...

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Voucher Examiner - US Department of Veterans Affairs - Vancouver, WA

Posted: Oct 20, 2019 Claims Examiner

Resolving issues surrounding payment and denials of healthcare claims. Examines vouchers, invoices, claims, and other requests for payment of healthcare… $36,139 - $52,373 a yearFrom usajobs.gov - Fri, 18 Oct 2019 09:47:37 GMT - View all Vancouver, WA...

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Field Examiner - US Department of Veterans Affairs - Seattle, WA

Posted: Oct 20, 2019 Claims Examiner

Compensation/pension, healthcare, mortgage/lending, insurance, etc.). Conducting professional interviews or investigations involving issues/cases such as… $56,051 - $72,862 a yearFrom usajobs.gov - Fri, 18 Oct 2019 09:47:48 GMT - View all Seattle, WA...

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Manager, HP Special Investigation Unit - University of Utah Health Care - Murray, UT

Posted: Oct 20, 2019 Claims Examiner

Demonstrated understanding of enrollment, medical coding, medical claims and health care industry, in general. Four years of relevant experience.From University of Utah Health Care - Wed, 12 Jun 2019 19:50:25 GMT - View all Murray, UT...

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Program Integrity – Senior Consultant (Dental Claims Investigator) - Deloitte - McLean, VA

Posted: Oct 20, 2019 Claims Examiner

Document findings for each claim line with appropriate claims payment calculation in a findings spreadsheet. Certified Fraud Examiner is a plus but not required…From Deloitte - Tue, 30 Jul 2019 19:36:12 GMT - View all McLean, VA...

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Workers Compensation RN Field Case Manager Registered Nurse Seattle/Bellevue/Renton PART TIME - AETNA - Seattle, WA

Posted: Oct 20, 2019 Claims Examiner

High initiative, challenging position that utilizes critical thinking and effective communication skills while working with injured workers, employers, claims…From Aetna - Fri, 04 Oct 2019 14:20:56 GMT - View all Seattle, WA...

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Claims Supervisor - Christus Health - Irving, TX

Posted: Oct 20, 2019 Claims Examiner

Assignment of Claims Examiner tasks. Claims Examiner hiring, training, and development. Delegates work to Claims Examiners as needed.From CHRISTUS Health - Tue, 08 Oct 2019 21:11:30 GMT - View all Irving, TX...

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Senior SIU Investigator - Magellan Health - Richmond, VA

Posted: Oct 20, 2019 Claims Examiner

AHFI - Accredited Healthcare Fraud Investigator - Enterprise, CFE - Certified Fraud Examiner - Enterprise, CPC - Certified Professional Coder - Enterprise, RN -…From Magellan Health - Fri, 04 Oct 2019 04:20:54 GMT - View all Richmond, VA...

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Claims Examiner - Group & Pension Admin - Dallas, TX

Posted: Oct 20, 2019 Claims Examiner

Claims Examiners – Self Funded Medical Claims. Minimum 2 years claims experience with self funded claims. We would like a positive, hardworking, knowledgeable…From Group & Pension Admin - Fri, 26 Jul 2019 17:46:09 GMT - View all Dallas, TX...

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Claims Resolution Associate - Collective Health - Lehi, UT

Posted: Oct 20, 2019 Claims Examiner

You have 1+ years of experience as a Claims Processor or Claims Examiner (Bachelor's degree preferred but not required). You pay extreme attention to detail.From Collective Health - Thu, 29 Aug 2019 18:56:17 GMT - View all Lehi, UT...

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Voucher Examiner - US Department of Veterans Affairs - Clarksburg, WV

Posted: Oct 19, 2019 Claims Examiner

Resolving issues surrounding payment and denials of healthcare claims. Examines vouchers, invoices, claims, and other requests for payment of healthcare… $33,949 - $49,200 a yearFrom usajobs.gov - Thu, 17 Oct 2019 21:50:14 GMT - View all Clarksburg, WV...

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Claims Examiner Job Opportunities

Clinical Risk Nurse Consultant - Symetra - Bellevue, WA

Professional Liability Med Malpractice Sr Examiner - Professional Search - Vancouver, WA

Fraud and Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Fraud and Abuse Investigator, Senior - Sentara Healthcare - Virginia Beach, VA

Voucher Examiner - US Department of Veterans Affairs - Clarksburg, WV

Benefit Configuration Analyst - Group & Pension Admin - Dallas, TX

Financial Examiner 2 (FE2/MPOI) - State of Washington Health Care Authority - Olympia, WA

Professional Review Specialist I - CorVel Healthcare Corporation - Waukesha, WI

Field Examiner - US Department of Veterans Affairs - Salt Lake City, UT

Forensic Accountant/Auditor - New York State Office of the Attorney General - Suffolk, VA

Voucher Examiner - US Department of Veterans Affairs - Vancouver, WA

Field Examiner - US Department of Veterans Affairs - Seattle, WA

Manager, HP Special Investigation Unit - University of Utah Health Care - Murray, UT

Program Integrity – Senior Consultant (Dental Claims Investigator) - Deloitte - McLean, VA

Workers Compensation RN Field Case Manager Registered Nurse Seattle/Bellevue/Renton PART TIME - AETNA - Seattle, WA

Claims Supervisor - Christus Health - Irving, TX

Senior SIU Investigator - Magellan Health - Richmond, VA

Claims Examiner - Group & Pension Admin - Dallas, TX

Claims Resolution Associate - Collective Health - Lehi, UT

Voucher Examiner - US Department of Veterans Affairs - Clarksburg, WV

314,944 Healthcare Job Opportunities: