Healthcare Jobs for Claims Examiner - Healthcare News Journal

Clinical Risk Nurse Consultant - Symetra - Bellevue, WA

Posted: Apr 23, 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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Claims Examiner - Assured Benefits Administrators, Inc. - El Paso, TX

Posted: Apr 23, 2019 Claims Examiner

The claims examiner is responsible for investigating, analyzing, and determining the extent of the company's liability concerning medical claims, and attempt to...From Assured Benefits Administrators, Inc. - Fri, 08 Feb 2019 18:45:31 GMT - View all El Paso, TX...

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Tax Compliance Officer II - State of Vermont - Montpelier, VT

Posted: Apr 23, 2019 Claims Examiner

Flexible Spending healthcare and childcare reimbursement accounts. One (1) year or more of experience as a Tax Examiner or Compliance Officer level I.... $20.88 an hourFrom State of Vermont - Thu, 07 Mar 2019 01:58:09 GMT - View all Montpelier, VT...

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Claims Technical Support Representative - Group & Pension Administrators, Inc - Dallas, TX

Posted: Apr 23, 2019 Claims Examiner

Minimum 2 years claims experience with self funded claims. We would like a positive, hardworking, knowledgeable Claims Examiner whom is helpful and structured....From Group & Pension Administrators, Inc - Sat, 06 Apr 2019 13:15:26 GMT - View all Dallas, TX...

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Workers Compensation RN Field Case Manager Registered Nurse - AETNA - Salt Lake City, UT

Posted: Apr 23, 2019 Claims Examiner

High initiative, challenging position that utilizes critical thinking and effective communication skills while working with injured workers, employers, claims...From Aetna - Sat, 06 Apr 2019 14:22:03 GMT - View all Salt Lake City, UT...

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Medical Claims Examiner - NTT DATA Services - Plano, TX

Posted: Apr 23, 2019 Claims Examiner

Process claims to ensure quality (in/outpatient hospital claims, medical and Medicare claims). Medical Claims Examining:.... $15.99 - $16.00 an hourFrom Indeed - Fri, 08 Mar 2019 16:13:08 GMT - View all Plano, TX...

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Claims Examiner - Group & Pension Administrators, Inc - Dallas, TX

Posted: Apr 23, 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 Administrators, Inc - Thu, 14 Feb 2019 19:45:56 GMT - View all Dallas, TX...

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Claims Examiner (Trainee Option Available) - WPAS, Inc. - Mercer Island, WA

Posted: Apr 23, 2019 Claims Examiner

Claims Examiner- Trainee:. Claims Examiner (Wage range 18.54/hr.- 24.61/hr.). Claims Examiner- Trainee (Wage range 16.90/hr.- 24.05/hr.)*.... $16.90 - $24.60 an hourFrom Indeed - Fri, 29 Mar 2019 18:45:56 GMT - View all Mercer Island, WA...

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OCCUPATIONAL HEALTH MANAGER - RN - Pilgrim's - Arcadia, WI

Posted: Apr 23, 2019 Claims Examiner

RN - Graduate of school of nursing accredited by the State Board of Nurse Examiners. Establish and maintain good working relationships with departmental staff,...From Pilgrim's - Tue, 22 Jan 2019 18:15:19 GMT - View all Arcadia, WI...

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Claims Quality Analyst (LHI) - UnitedHealth Group - La Crosse, WI

Posted: Apr 23, 2019 Claims Examiner

Previous claims examiner experience. Provide claims support by reviewing, researching, investigating, and auditing claims....From UnitedHealth Group - Tue, 16 Apr 2019 13:21:08 GMT - View all La Crosse, WI...

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Investigator V - Texas Workforce Commission - Austin, TX

Posted: Apr 23, 2019 Claims Examiner

Or unemployment insurance claims examiner tasks; Healthcare spending or reimbursement accounts such as HSAs or FSAs. HOW TO APPLY:.... $4,400 - $4,800 a monthFrom Indeed - Thu, 18 Apr 2019 16:07:21 GMT - View all Austin, TX...

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Workers Compensation RN Field Case Manager Registered Nurse SPANISH - AETNA - Plano, TX

Posted: Apr 23, 2019 Claims Examiner

Meet with physicians and injured workers to determine treatment plan, work status and estimated date of discharge from care, coordinate care-act as liaison...From Aetna - Thu, 07 Mar 2019 15:10:54 GMT - View all Plano, TX...

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Program Integrity Project Manager - HMS - Irving, TX

Posted: Apr 23, 2019 Claims Examiner

Certified Fraud Examiner (CFE), or Accredited Healthcare Fraud Investigator (AHFI) or working toward either certification required....From HMS - Thu, 28 Mar 2019 06:43:11 GMT - View all Irving, TX...

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Healthcare FWA Data Analyst - Logistics Management Institute - Tysons, VA

Posted: Apr 23, 2019 Claims Examiner

Healthcare claims adjudication experience. Experience with Healthcare data analytics. Certified Coding Specialist (CCS), Certified Fraud Specialist (CFS),...From Logistics Management Institute - Wed, 30 Jan 2019 21:20:15 GMT - View all Tysons, VA...

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Claims Resolution Associate - Collective Health - Lehi, UT

Posted: Apr 23, 2019 Claims Examiner

You have 1+ years of experience as a Claims Processor or Claims Examiner (Bachelor's degree preferred but not required)....From Collective Health - Fri, 08 Feb 2019 18:31:01 GMT - View all Lehi, UT...

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Clinical Appeals Specialist - JPS Health Network - Fort Worth, TX

Posted: Apr 23, 2019 Claims Examiner

Supports billing staff by reviewing high-risk and/or high-dollar accounts before claim submission to prevent clinical denials....From JPS Health Network - Wed, 20 Mar 2019 03:26:16 GMT - View all Fort Worth, TX...

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Healthcare Fraud Waste and Abuse Consultant - Logistics Management Institute - Tysons, VA

Posted: Apr 23, 2019 Claims Examiner

Healthcare claims adjudication experience. In healthcare FWA and/or consulting. Accredited Healthcare Fraud Investigator (AHFI) preferred....From Logistics Management Institute - Tue, 26 Feb 2019 21:20:19 GMT - View all Tysons, VA...

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

Posted: Apr 23, 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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AOT Hearings Assistant Examiner - State of Vermont - Montpelier, VT

Posted: Apr 23, 2019 Claims Examiner

Bachelor's degree AND two (2) years or more of experience as a paralegal or claims examiner. The AOT Assistant Hearing Examiner provides paralegal and... $24.76 an hourFrom State of Vermont - Tue, 09 Apr 2019 01:59:07 GMT - View all Montpelier, VT...

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Vice President of Quality and Risk Management - Medical City Healthcare - McKinney, TX

Posted: Apr 23, 2019 Claims Examiner

Current registration with Board of Nurse Examiners for the State of Texas. Directs the clinical risk management program, including the functions of clinical...From HCA Inc - Wed, 06 Mar 2019 08:22:59 GMT - View all McKinney, TX...

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