Claims Examiner Job Opportunities
Medicare Claims Auditor II - AllyAlign Health - Glen Allen, VA
Posted: Dec 02, 2020The 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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OCCUPATIONAL HEALTH MANAGER - RN - Pilgrim's - Mount Pleasant, TX
Posted: Dec 02, 2020RN - Graduate of school of nursing accredited by the State Board of Nurse Examiners. Establish and maintain good working relationships with departmental staff,…From JBS USA - Fri, 30 Oct 2020 00:15:34 GMT - View all Mount Pleasant, TX...
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Risk Manager - RN - Steward Health Care - Amarillo, TX
Posted: Dec 02, 2020Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Amarillo, TX...
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Quality Assurance Specialist - Comprehensive Health Serv - Reston, VA
Posted: Dec 02, 2020Three (3) years of Quality Assurance and Quality Control knowledge and experience in a healthcare environment. Performs duties in a safe manner.From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...
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Program Manager - Comprehensive Health Serv - Reston, VA
Posted: Dec 02, 2020Ensure proper training of CHS employees, subcontractors and examiners. Master’s Degree in Business Administration or Healthcare Administration or a relevant…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:27 GMT - View all Reston, VA...
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SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM MANAGER - US Department of the Air Force - Cheyenne, WY
Posted: Dec 02, 2020You must provide transcripts or other documentation to support your Educational claims. THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. $76,721 - $99,741 a yearFrom usajobs.gov - Tue, 17 Nov 2020 03:53:10 GMT - View all Cheyenne, WY...
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Subject Matter Expert- Healthcare Claims - Cognizant Technology Solutions - Plano, TX
Posted: Dec 02, 2020And/or correspondence from less experience Claims examiners and/or other. Of all related claims processing systems, claim processing rules and medical.From Cognizant - Mon, 23 Nov 2020 01:44:42 GMT - View all Plano, TX...
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Training Director - Comprehensive Health Serv - Reston, VA
Posted: Dec 02, 2020Experience with VA healthcare, training, coursework and culture. Oversee the relationships with Caliburn employees, subcontractors and examiners to ensure all…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...
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Risk Manager - RN - Steward Health Care - Lubbock, TX
Posted: Dec 02, 2020Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Lubbock, TX...
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RN Clinical Manager - Pinnacle Senior Care - Milwaukee, WI
Posted: Dec 02, 2020Timely submissions of Final Claims within 10 calendar days. A national organization built on a continuum of care with premier healthcare providers, clinicians…From Pinnacle Senior Care - Wed, 21 Oct 2020 04:35:04 GMT - View all Milwaukee, WI...
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Senior Property Adjuster - Commercial Property - Engle Martin & Associates - Seattle, WA
Posted: Dec 02, 2020Knowledge of property claim law; Ability to understand claims adjudication process. Investigates commercial insurance claims in any of a variety of settings.From Engle Martin & Associates - Tue, 24 Nov 2020 01:56:33 GMT - View all Seattle, WA...
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Fraud & Abuse Investigator, SR - Remote (Multiple States) - Sentara Healthcare - Virginia Beach, VA
Posted: Dec 02, 2020Minimum of 5 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) ORInternal/External Audit OR Regulatory…From Sentara Healthcare - Thu, 27 Aug 2020 00:31:06 GMT - View all Virginia Beach, VA...
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RN Field Case Manager - Sedgwick - Seattle, WA
Posted: Dec 02, 2020Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer to clarify medical and…From Sedgwick - Thu, 10 Sep 2020 20:49:27 GMT - View all Seattle, WA...
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Medicare Claims Examiner - AllyAlign Health - Glen Allen, VA
Posted: Dec 02, 2020The 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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Administrative Operations Associate - NTT DATA Services - Plano, TX
Posted: Dec 02, 2020Prior 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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Senior Property Adjuster - Crawford & Company - Casper, WY
Posted: Dec 02, 2020Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Mon, 12 Oct 2020 23:26:54 GMT - View all Casper, WY...
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Workers Compensation Surveillance Specialist (WCSS) - ECS Federal LLC - Arlington, VA
Posted: Dec 02, 2020Must 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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Claims Examiner - Innovista Health Solutions - Milwaukee, WI
Posted: Dec 02, 2020We 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 - Tue, 24 Nov 2020 17:56:19 GMT - View all Milwaukee, WI...
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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA
Posted: Dec 02, 2020Is 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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Claims Examiner - Innovista Health Solutions - Milwaukee, WI
Posted: Dec 01, 2020We 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 - Tue, 24 Nov 2020 17:56:19 GMT - View all Milwaukee, WI...
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Risk Manager - RN - Steward Health Care - Amarillo, TX
Posted: Dec 01, 2020Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Amarillo, TX...
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Risk Manager - RN - Steward Health Care - Lubbock, TX
Posted: Dec 01, 2020Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Lubbock, TX...
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Claims Examiner I - Marshfield Clinic Health System - Marshfield, WI
Posted: Dec 01, 2020The Claims Examiner I is responsible for examining claims for accurate processing and providing high quality customer service to providers working with Security…From Marshfield Clinic Health System - Wed, 04 Nov 2020 01:07:56 GMT - View all Marshfield, WI...
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Quality Assurance Specialist - Comprehensive Health Serv - Reston, VA
Posted: Dec 01, 2020Three (3) years of Quality Assurance and Quality Control knowledge and experience in a healthcare environment. Performs duties in a safe manner.From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...
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Medicare Claims Examiner - AllyAlign Health - Glen Allen, VA
Posted: Dec 01, 2020The 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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Interdisciplinary - Transportation Security Administration - Springfield, VA
Posted: Dec 01, 2020You MUST provide transcripts or other documentation to support your education claims. Written Test-Evidence of having successfully passed the Engineer-in… $122,196 - $184,225 a yearFrom Transportation Security Administration - Tue, 24 Nov 2020 22:26:56 GMT - View all Springfield, VA...
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SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM MANAGER - US Department of the Air Force - Cheyenne, WY
Posted: Dec 01, 2020You must provide transcripts or other documentation to support your Educational claims. THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. $76,721 - $99,741 a yearFrom usajobs.gov - Tue, 17 Nov 2020 03:53:10 GMT - View all Cheyenne, WY...
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Training Director - Comprehensive Health Serv - Reston, VA
Posted: Dec 01, 2020Experience with VA healthcare, training, coursework and culture. Oversee the relationships with Caliburn employees, subcontractors and examiners to ensure all…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...
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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA
Posted: Dec 01, 2020Is 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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Workers Compensation Surveillance Specialist (WCSS) - ECS Federal LLC - Arlington, VA
Posted: Dec 01, 2020Must 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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Fraud & Abuse Investigator, SR - Remote (Multiple States) - Sentara Healthcare - Virginia Beach, VA
Posted: Dec 01, 2020Minimum of 5 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) ORInternal/External Audit OR Regulatory…From Sentara Healthcare - Thu, 27 Aug 2020 00:31:06 GMT - View all Virginia Beach, VA...
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RN Clinical Manager - Pinnacle Senior Care - Milwaukee, WI
Posted: Dec 01, 2020Timely submissions of Final Claims within 10 calendar days. A national organization built on a continuum of care with premier healthcare providers, clinicians…From Pinnacle Senior Care - Wed, 21 Oct 2020 04:35:04 GMT - View all Milwaukee, WI...
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Jobs in Milwaukee
Jobs in WI
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Senior Property Adjuster - Crawford & Company - Casper, WY
Posted: Dec 01, 2020Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Mon, 12 Oct 2020 23:26:54 GMT - View all Casper, WY...
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Quality Control Analyst-Remote - Conifer Health Solutions - Frisco, TX
Posted: Dec 01, 2020The 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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Senior Property Adjuster - Commercial Property - Engle Martin & Associates - Seattle, WA
Posted: Dec 01, 2020Knowledge of property claim law; Ability to understand claims adjudication process. Investigates commercial insurance claims in any of a variety of settings.From Engle Martin & Associates - Tue, 24 Nov 2020 01:56:33 GMT - View all Seattle, WA...
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Jobs in Seattle
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Program Manager - Comprehensive Health Serv - Reston, VA
Posted: Dec 01, 2020Ensure proper training of CHS employees, subcontractors and examiners. Master’s Degree in Business Administration or Healthcare Administration or a relevant…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:27 GMT - View all Reston, VA...
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Jobs in Reston
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RN Field Case Manager - Sedgwick - Seattle, WA
Posted: Dec 01, 2020Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer to clarify medical and…From Sedgwick - Thu, 10 Sep 2020 20:49:27 GMT - View all Seattle, WA...
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Jobs in Seattle
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OCCUPATIONAL HEALTH MANAGER - RN - Pilgrim's - Mount Pleasant, TX
Posted: Dec 01, 2020RN - Graduate of school of nursing accredited by the State Board of Nurse Examiners. Establish and maintain good working relationships with departmental staff,…From JBS USA - Fri, 30 Oct 2020 00:15:34 GMT - View all Mount Pleasant, TX...
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Jobs in Mount Pleasant
Jobs in TX
Jobs Posted Today
Medicare Claims Auditor II - AllyAlign Health - Glen Allen, VA
Posted: Dec 01, 2020The 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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Jobs in Glen Allen
Jobs in VA
Jobs Posted Today
Interdisciplinary - Transportation Security Administration - Springfield, VA
Posted: Nov 30, 2020You MUST provide transcripts or other documentation to support your education claims. Written Test-Evidence of having successfully passed the Engineer-in… $122,196 - $184,225 a yearFrom Transportation Security Administration - Tue, 24 Nov 2020 22:26:56 GMT - View all Springfield, VA...
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Jobs in Springfield
Jobs in VA
Jobs Posted Today
Risk Manager - RN - Steward Health Care - Amarillo, TX
Posted: Nov 30, 2020Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Amarillo, TX...
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Jobs in Amarillo
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Jobs Posted Today
Training Director - Comprehensive Health Serv - Reston, VA
Posted: Nov 30, 2020Experience with VA healthcare, training, coursework and culture. Oversee the relationships with Caliburn employees, subcontractors and examiners to ensure all…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...
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Jobs in Reston
Jobs in VA
Jobs Posted Today
RN Clinical Manager - Pinnacle Senior Care - Milwaukee, WI
Posted: Nov 30, 2020Timely submissions of Final Claims within 10 calendar days. A national organization built on a continuum of care with premier healthcare providers, clinicians…From Pinnacle Senior Care - Wed, 21 Oct 2020 04:35:04 GMT - View all Milwaukee, WI...
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Jobs in Milwaukee
Jobs in WI
Jobs Posted Today
Medicare Claims Examiner - AllyAlign Health - Glen Allen, VA
Posted: Nov 30, 2020The 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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Jobs in Glen Allen
Jobs in VA
Jobs Posted Today
Claims Examiner I - Marshfield Clinic Health System - Marshfield, WI
Posted: Nov 30, 2020The Claims Examiner I is responsible for examining claims for accurate processing and providing high quality customer service to providers working with Security…From Marshfield Clinic Health System - Wed, 04 Nov 2020 01:07:56 GMT - View all Marshfield, WI...
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Jobs in Marshfield
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Jobs Posted Today
Claims Examiner - Innovista Health Solutions - Milwaukee, WI
Posted: Nov 30, 2020We 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 - Tue, 24 Nov 2020 17:56:19 GMT - View all Milwaukee, WI...
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Jobs in Milwaukee
Jobs in WI
Jobs Posted Today
Quality Control Analyst-Remote - Conifer Health Solutions - Frisco, TX
Posted: Nov 30, 2020The 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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Administrative Assistant - Pierce County Washington - Tacoma, WA
Posted: Nov 30, 2020Coordinate training and travel requests, licensing, dues and memberships, initiate spend authorizations and expense claims, manage staff reimbursements, and… $27.20 - $33.89 an hourFrom Pierce County Washington - Fri, 13 Nov 2020 08:36:49 GMT - View all Tacoma, WA...
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SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM MANAGER - US Department of the Air Force - Cheyenne, WY
Posted: Nov 30, 2020You must provide transcripts or other documentation to support your Educational claims. THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION. $76,721 - $99,741 a yearFrom usajobs.gov - Tue, 17 Nov 2020 03:53:10 GMT - View all Cheyenne, WY...
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Quality Assurance Specialist - Comprehensive Health Serv - Reston, VA
Posted: Nov 30, 2020Three (3) years of Quality Assurance and Quality Control knowledge and experience in a healthcare environment. Performs duties in a safe manner.From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...
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