Healthcare Jobs for Claims Examiner - Healthcare News Journal

CLAIMS EXAMINER - Healthsmart Preferred Care - Irving, TX

Posted: Feb 20, 2020 Claims Examiner

At HealthSmart, the Claims Examiner will review and settle medical claims for benefit plans in accordance to regulatory requirements and business standards.From Healthsmart Preferred Care - Sat, 08 Feb 2020 18:47:00 GMT - View all Irving, TX...

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SIU Field Investigator - National General Insurance - Dallas, TX

Posted: Feb 20, 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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Health Claims Examiner - NTT DATA Services - Plano, TX

Posted: Feb 20, 2020 Claims Examiner

NTT DATA Services currently seeks a Health Claims Examiner to join our team in Plano, Texas (US-TX), United States (US). Required Skills for this role include:From NTT Data - Wed, 22 Jan 2020 22:07:28 GMT - View all Plano, TX...

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Senior Claims Examiner - UnitedHealth Group - San Antonio, TX

Posted: Feb 20, 2020 Claims Examiner

1+ years of claims examining experience (processing provider claims, medical, dental, prescription, and/or mental health claims).From UnitedHealth Group - Sat, 15 Feb 2020 10:01:31 GMT - View all San Antonio, TX...

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Senior Title Officer - FlyHomes - Seattle, WA

Posted: Feb 20, 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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Licensed Behavioral Health Counselor - Ascension Seton, TX - Austin, TX

Posted: Feb 20, 2020 Claims Examiner

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. One or more of the following:From Ascension Healthcare - Sun, 09 Feb 2020 12:34:36 GMT - View all Austin, TX...

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Claims Examiner I - Inficare Software Technologies - Irving, TX

Posted: Feb 20, 2020 Claims Examiner

Claims Examiner or Medical Claim examiner: The Claims Examiner is responsible for processing batches of claims (HCFA and UB) data entered by Pre-Key staff in a…From Indeed - Thu, 06 Feb 2020 17:33:38 GMT - View all Irving, TX...

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SIU Investigator - remote but prefer Richmond, VA - Magellan Health - Richmond, VA

Posted: Feb 20, 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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Program Integrity – Healthcare Investigations Manager - Deloitte - McLean, VA

Posted: Feb 20, 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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Healthcare Claims Examiner - NTT DATA - Plano, TX

Posted: Feb 20, 2020 Claims Examiner

Healthcare Claims Examiner (*Temporary one year or longer)*. 2+ year(s) of experience in the healthcare industry that required medical claims coding knowledge… $16 an hourFrom Indeed - Mon, 17 Feb 2020 19:18:18 GMT - View all Plano, TX...

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Title Officer - FlyHomes - Seattle, WA

Posted: Feb 20, 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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Itemization Review Nurse - CorVel Healthcare Corporation - Fort Worth, TX

Posted: Feb 20, 2020 Claims Examiner

Ability to effectively promote all Itemization Review products with attorneys, claims examiners, customers and management. We are an Equal Opportunity Employer.From CorVel Healthcare Corporation - Fri, 14 Feb 2020 19:30:46 GMT - View all Fort Worth, TX...

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

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

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RN - Financial Clearance (Pre-Certification Nurse) - JPS Health Network - Fort Worth, TX

Posted: Feb 20, 2020 Claims Examiner

Certified Healthcare Chart Auditor, Certified Professional in Utilization Review (or Utilization Management or Healthcare Management), Certified Case Manager,…From JPS Health Network - Thu, 31 Oct 2019 03:25:14 GMT - View all Fort Worth, TX...

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Health Insurance Claims Adjudicator - NTT DATA Services - Plano, TX

Posted: Feb 20, 2020 Claims Examiner

Prior experience as claim examiner or customer service representative. Process paper and electronic Medicare advantage claims in ikaMedicareGateway system.From NTT Data - Wed, 29 Jan 2020 04:07:37 GMT - View all Plano, TX...

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Medical Claims Examiner - Change Healthcare - Houston, TX

Posted: Feb 20, 2020 Claims Examiner

The Claims Examiner is responsible for resolving claims issues by working with providers, clients, and team members. High School Diploma or Equivalent.From Change Healthcare - Wed, 19 Feb 2020 01:49:01 GMT - View all Houston, TX...

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Claims Examiner - NTT DATA - Plano, TX

Posted: Feb 20, 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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Claims Examiner II - Christus Health - Irving, TX

Posted: Feb 20, 2020 Claims Examiner

The Claims Examiner is responsible for processing UB and CMS 1500 claims, performing data entry and claim pend issue resolution within the quality and…From CHRISTUS Health - Thu, 23 Jan 2020 21:12:08 GMT - View all Irving, TX...

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Director - Case Management - El Paso Children's Hospital - El Paso, TX

Posted: Feb 20, 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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Fraud and Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Posted: Feb 20, 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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