Healthcare Jobs for Claims Examiner - Healthcare News Journal

Repricing Processor - Medical Claims - Group & Pension Administrators, Inc - Dallas, TX

Posted: Dec 19, 2018 Claims Examiner

Sort re-priced claims by Examiner to be processed by examiner. Check PPO status of each claim with the appropriate Provider Network....From Group & Pension Administrators, Inc - Sat, 01 Dec 2018 19:34:36 GMT - View all Dallas, TX...

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Biomedical Engineer - US Department of Veterans Affairs - Pittsburgh, PA

Posted: Dec 19, 2018 Claims Examiner

The incumbent supports and advances patient care by applying engineering and managerial skills to healthcare technologies.... $75,271 - $97,852 a yearFrom usajobs.gov - Thu, 29 Nov 2018 21:49:54 GMT - View all Pittsburgh, PA...

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Pharmacy Audit Investigator - UnitedHealth Group - Philadelphia, PA

Posted: Dec 19, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:50:49 GMT - View all Philadelphia, PA...

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Pharmacy Audit Investigator - UnitedHealth Group - Dallas, TX

Posted: Dec 19, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:46:47 GMT - View all Dallas, TX...

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Associate Fraud & Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Posted: Dec 19, 2018 Claims Examiner

Bachelor's Degree in related field required OR Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance...From Sentara Healthcare - Thu, 27 Sep 2018 23:41:52 GMT - View all Virginia Beach, VA...

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Psychologist - US Department of Veterans Affairs - Memphis, TN

Posted: Dec 19, 2018 Claims Examiner

The VAMC in Memphis is part of the VA MidSouth Healthcare Network, VISN 9, which includes facilities in Lexington and Louisville, KY;... $61,218 - $113,428 a yearFrom usajobs.gov - Mon, 17 Sep 2018 09:42:17 GMT - View all Memphis, TN...

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Healthcare Customer Service Representative - NTT DATA Services - Wayne, PA

Posted: Dec 19, 2018 Claims Examiner

If it was not, emailing Claims Examiner to pull claim and review and possible re-processing. Ensuring that correct information is being given by asking...From NTT Data - Wed, 12 Dec 2018 22:13:24 GMT - View all Wayne, PA...

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Licensed Counselor-Behavioral Health - Seton Family of Hospitals, TX - Austin, TX

Posted: Dec 19, 2018 Claims Examiner

Seton is changing healthcare for the better. Transforming healthcare starts with taking care of our associates....From Ascension Healthcare - Fri, 28 Sep 2018 18:49:31 GMT - View all Austin, TX...

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Associate Fraud & Abuse Investigator - Optima Health - Virginia Beach, VA

Posted: Dec 19, 2018 Claims Examiner

Bachelor's Degree in related field required OR Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance...From Optima Health - Wed, 26 Sep 2018 22:39:02 GMT - View all Virginia Beach, VA...

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Claims Examiner - Continental LTC, Inc. - Austin, TX

Posted: Dec 19, 2018 Claims Examiner

Background in Healthcare Administration or Health claims, or. Maintain thorough and objective claim file documentation in all claims records....From Indeed - Fri, 30 Nov 2018 22:09:32 GMT - View all Austin, TX...

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Corporate Medicine Assistant - Occupational Medicine - Sanford Health - Sioux Falls, SD

Posted: Dec 19, 2018 Claims Examiner

UAP, Medical Assistant, CMA, Medical Examiners Certification, DATIA Certification, CAOHC or C.N.A. Perform a variety of clerical and office tasks, such as...From Sanford Health - Fri, 26 Oct 2018 17:57:30 GMT - View all Sioux Falls, SD...

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Benefit Advocate - HW- Work From Home - Group & Pension Administrators, Inc - Dallas, TX

Posted: Dec 19, 2018 Claims Examiner

Expedite claims that have not been received with contact to providers, as indicated, to receive claims information and forward to indicated claims examiner for...From Group & Pension Administrators, Inc - Tue, 04 Dec 2018 19:38:50 GMT - View all Dallas, TX...

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Pharmacy Audit Investigator - UnitedHealth Group - Houston, TX

Posted: Dec 19, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:44:53 GMT - View all Houston, TX...

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Supervisory Biomedical Engineer - US Department of Veterans Affairs - Muskogee, OK

Posted: Dec 19, 2018 Claims Examiner

The incumbent performs as a working supervisor in full charge of the Biomedical Engineering Section and as such has responsibility to maintain and implement the... $87,252 - $113,428 a yearFrom usajobs.gov - Mon, 17 Dec 2018 21:48:07 GMT - View all Muskogee, OK...

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Senior Consultant, Restructuring - FTI Consulting, Inc. - Houston, TX

Posted: Dec 19, 2018 Claims Examiner

Our clients demand our industry expertise, which includes emphasis in the energy, healthcare, real estate, retail and consumer products, and telecom, media and...From FTI Consulting, Inc. - Fri, 28 Sep 2018 02:31:01 GMT - View all Houston, TX...

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Regional Director, Risk Management - Covenant Health System - Lubbock, TX

Posted: Dec 19, 2018 Claims Examiner

Professional and comprehensive general liability claims. Office for the purpose of reporting potential claims, including....From St. Joseph Health - Wed, 12 Dec 2018 12:08:03 GMT - View all Lubbock, TX...

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Claims Examiner I, AMS - Matrix Absence Management - Portland, OR

Posted: Dec 19, 2018 Claims Examiner

The Claims Examiner I, AMS (Absence Management Specialist) is responsible for securing and analyzing information to make and approve decisions on all short term...From Matrix Absence Management - Thu, 13 Dec 2018 22:48:04 GMT - View all Portland, OR...

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Negotiator - Cornerstone Professional Placement - Fort Worth, TX

Posted: Dec 19, 2018 Claims Examiner

Experience in a healthcare claims management environment. Experience as a Medical Claims Examiner or Medical Office Biller....From Cornerstone Professional Placement - Wed, 05 Dec 2018 18:46:02 GMT - View all Fort Worth, TX...

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Claims Examiner I - eviCore healthcare - Bluffton, SC

Posted: Dec 19, 2018 Claims Examiner

Claims Examiner I will learn claims processing on the MC400 system, case builds for PSMND in Image One. The Claims Examiner will be audited for quality and...From eviCore healthcare - Tue, 18 Dec 2018 20:08:22 GMT - View all Bluffton, SC...

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Healthcare Customer Service Representative - NTT DATA Services - Wayne, PA

Posted: Dec 18, 2018 Claims Examiner

If it was not, emailing Claims Examiner to pull claim and review and possible re-processing. Ensuring that correct information is being given by asking...From NTT Data - Wed, 12 Dec 2018 22:13:24 GMT - View all Wayne, PA...

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Benefit Advocate - HW- Work From Home - Group & Pension Administrators, Inc - Dallas, TX

Posted: Dec 18, 2018 Claims Examiner

Expedite claims that have not been received with contact to providers, as indicated, to receive claims information and forward to indicated claims examiner for...From Group & Pension Administrators, Inc - Tue, 04 Dec 2018 19:38:50 GMT - View all Dallas, TX...

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Psychologist - US Department of Veterans Affairs - Memphis, TN

Posted: Dec 18, 2018 Claims Examiner

The VAMC in Memphis is part of the VA MidSouth Healthcare Network, VISN 9, which includes facilities in Lexington and Louisville, KY;... $61,218 - $113,428 a yearFrom usajobs.gov - Mon, 17 Sep 2018 09:42:17 GMT - View all Memphis, TN...

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Licensed Counselor-Behavioral Health - Seton Family of Hospitals, TX - Austin, TX

Posted: Dec 18, 2018 Claims Examiner

Seton is changing healthcare for the better. Transforming healthcare starts with taking care of our associates....From Ascension Healthcare - Fri, 28 Sep 2018 18:49:31 GMT - View all Austin, TX...

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Post Ship Documentation Specialist - McKesson - Township of Moon, PA

Posted: Dec 18, 2018 Claims Examiner

1+ years' claims examiner experience. Talented, compassionate people are the future of our company—and of healthcare....From McKesson - Thu, 08 Nov 2018 11:21:48 GMT - View all Township of Moon, PA...

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Associate Fraud & Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Posted: Dec 18, 2018 Claims Examiner

Bachelor's Degree in related field required OR Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance...From Sentara Healthcare - Thu, 27 Sep 2018 23:41:52 GMT - View all Virginia Beach, VA...

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Repricing Processor - Medical Claims - Group & Pension Administrators, Inc - Dallas, TX

Posted: Dec 18, 2018 Claims Examiner

Sort re-priced claims by Examiner to be processed by examiner. Check PPO status of each claim with the appropriate Provider Network....From Group & Pension Administrators, Inc - Sat, 01 Dec 2018 19:34:36 GMT - View all Dallas, TX...

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Pharmacy Audit Investigator - UnitedHealth Group - Dallas, TX

Posted: Dec 18, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:46:47 GMT - View all Dallas, TX...

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Biomedical Engineer - US Department of Veterans Affairs - Pittsburgh, PA

Posted: Dec 18, 2018 Claims Examiner

The incumbent supports and advances patient care by applying engineering and managerial skills to healthcare technologies.... $75,271 - $97,852 a yearFrom usajobs.gov - Thu, 29 Nov 2018 21:49:54 GMT - View all Pittsburgh, PA...

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Pharmacy Audit Investigator - UnitedHealth Group - Houston, TX

Posted: Dec 18, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:44:53 GMT - View all Houston, TX...

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Corporate Medicine Assistant - Occupational Medicine - Sanford Health - Sioux Falls, SD

Posted: Dec 18, 2018 Claims Examiner

UAP, Medical Assistant, CMA, Medical Examiners Certification, DATIA Certification, CAOHC or C.N.A. Perform a variety of clerical and office tasks, such as...From Sanford Health - Fri, 26 Oct 2018 17:57:30 GMT - View all Sioux Falls, SD...

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Pharmacy Audit Investigator - UnitedHealth Group - Philadelphia, PA

Posted: Dec 18, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:50:49 GMT - View all Philadelphia, PA...

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Regional Director, Risk Management - Covenant Health System - Lubbock, TX

Posted: Dec 18, 2018 Claims Examiner

Professional and comprehensive general liability claims. Office for the purpose of reporting potential claims, including....From St. Joseph Health - Wed, 12 Dec 2018 12:08:03 GMT - View all Lubbock, TX...

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Negotiator - Cornerstone Professional Placement - Fort Worth, TX

Posted: Dec 18, 2018 Claims Examiner

Experience in a healthcare claims management environment. Experience as a Medical Claims Examiner or Medical Office Biller....From Cornerstone Professional Placement - Wed, 05 Dec 2018 18:46:02 GMT - View all Fort Worth, TX...

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Return to Work Coordinator - CorVel Corporation - Dallas, TX

Posted: Dec 18, 2018 Claims Examiner

Workers Compensation Claims Experience a plus. Active participation in RTW efforts with examiner and nurse case managers....From CorVel Corporation - Fri, 02 Nov 2018 19:14:51 GMT - View all Dallas, TX...

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Senior Consultant, Restructuring - FTI Consulting, Inc. - Houston, TX

Posted: Dec 18, 2018 Claims Examiner

Our clients demand our industry expertise, which includes emphasis in the energy, healthcare, real estate, retail and consumer products, and telecom, media and...From FTI Consulting, Inc. - Fri, 28 Sep 2018 02:31:01 GMT - View all Houston, TX...

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Claims Examiner - Continental LTC, Inc. - Austin, TX

Posted: Dec 18, 2018 Claims Examiner

Background in Healthcare Administration or Health claims, or. Maintain thorough and objective claim file documentation in all claims records....From Indeed - Fri, 30 Nov 2018 22:09:32 GMT - View all Austin, TX...

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Associate Fraud & Abuse Investigator - Optima Health - Virginia Beach, VA

Posted: Dec 18, 2018 Claims Examiner

Bachelor's Degree in related field required OR Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance...From Optima Health - Wed, 26 Sep 2018 22:39:02 GMT - View all Virginia Beach, VA...

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Regional Manager, Risk Management - Covenant Health System - Lubbock, TX

Posted: Dec 18, 2018 Claims Examiner

Bachelors Degree in nursing or healthcare related field. General liability claims experience to the administrative and medical staff....From St. Joseph Health - Sat, 22 Sep 2018 05:09:48 GMT - View all Lubbock, TX...

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SIU Field Claims Manager - National General Insurance - Dallas, TX

Posted: Dec 17, 2018 Claims Examiner

FCLS (Fraud Claims Law Specialist), CFE (Certified Fraud Examiner), CIFI (Certified Insurance Fraud Investigator) FCLA (Fraud Claims Law Associate)....From National General Insurance - Tue, 02 Oct 2018 04:08:21 GMT - View all Dallas, TX...

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Weekend Assistant Clinical Nurse Executive / DON (Full Time) - Coventry Center - Genesis HealthCare - Coventry, RI

Posted: Dec 17, 2018 Claims Examiner

Current licensure by the State Board of Examiners of Nurses in the Center's state. Complies with and promotes adherence to applicable legal requirements,...From Genesis HealthCare - Wed, 05 Dec 2018 02:14:32 GMT - View all Coventry, RI...

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Claims Examiner - Continental LTC, Inc. - Austin, TX

Posted: Dec 17, 2018 Claims Examiner

Background in Healthcare Administration or Health claims, or. Maintain thorough and objective claim file documentation in all claims records....From Indeed - Fri, 30 Nov 2018 22:09:32 GMT - View all Austin, TX...

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Post Ship Documentation Specialist - McKesson - Township of Moon, PA

Posted: Dec 17, 2018 Claims Examiner

1+ years' claims examiner experience. Talented, compassionate people are the future of our company—and of healthcare....From McKesson - Thu, 08 Nov 2018 11:21:48 GMT - View all Township of Moon, PA...

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Associate Fraud & Abuse Investigator - Optima Health - Virginia Beach, VA

Posted: Dec 17, 2018 Claims Examiner

Bachelor's Degree in related field required OR Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance...From Optima Health - Wed, 26 Sep 2018 22:39:02 GMT - View all Virginia Beach, VA...

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Negotiator - Cornerstone Professional Placement - Fort Worth, TX

Posted: Dec 17, 2018 Claims Examiner

Experience in a healthcare claims management environment. Experience as a Medical Claims Examiner or Medical Office Biller....From Cornerstone Professional Placement - Wed, 05 Dec 2018 18:46:02 GMT - View all Fort Worth, TX...

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Repricing Processor - Medical Claims - Group & Pension Administrators, Inc - Dallas, TX

Posted: Dec 17, 2018 Claims Examiner

Sort re-priced claims by Examiner to be processed by examiner. Check PPO status of each claim with the appropriate Provider Network....From Group & Pension Administrators, Inc - Sat, 01 Dec 2018 19:34:36 GMT - View all Dallas, TX...

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Pharmacy Audit Investigator - UnitedHealth Group - Houston, TX

Posted: Dec 17, 2018 Claims Examiner

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI). Let's talk about more effective and affordable healthcare solutions....From UnitedHealth Group - Sat, 15 Dec 2018 13:44:53 GMT - View all Houston, TX...

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Regional Director, Risk Management - Covenant Health System - Lubbock, TX

Posted: Dec 17, 2018 Claims Examiner

Professional and comprehensive general liability claims. Office for the purpose of reporting potential claims, including....From St. Joseph Health - Wed, 12 Dec 2018 12:08:03 GMT - View all Lubbock, TX...

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Return to Work Coordinator - CorVel Corporation - Dallas, TX

Posted: Dec 17, 2018 Claims Examiner

Workers Compensation Claims Experience a plus. Active participation in RTW efforts with examiner and nurse case managers....From CorVel Corporation - Fri, 02 Nov 2018 19:14:51 GMT - View all Dallas, TX...

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Associate Fraud & Abuse Investigator - Sentara Healthcare - Virginia Beach, VA

Posted: Dec 17, 2018 Claims Examiner

Bachelor's Degree in related field required OR Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance...From Sentara Healthcare - Thu, 27 Sep 2018 23:41:52 GMT - View all Virginia Beach, VA...

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Senior Consultant, Restructuring - FTI Consulting, Inc. - Houston, TX

Posted: Dec 17, 2018 Claims Examiner

Our clients demand our industry expertise, which includes emphasis in the energy, healthcare, real estate, retail and consumer products, and telecom, media and...From FTI Consulting, Inc. - Fri, 28 Sep 2018 02:31:01 GMT - View all Houston, TX...

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