senior participants. ROLE OVERVIEW and PURPOSE The PACE Claims Processor will review, analyze, and adjudicate... all contracted claims for PACE participants to ensure timely and accurate payments are distributed. This position will use technology...
Title: Customer Service Claims Processor Department: Customer Service Union: OPEIU 29 Grade: 17 Position Summary... The Customer Service Claims Processor is focused on providing customer service via call handling to participants...
Independently processes medical, dental and/or hospital claims, including more difficult or complex claims, provides... for other claims processing positions. "Has minimum necessary access to Protected Health Information (PHI) and Personally...
through the complete mortgage journey. A Typical Day: The Quality Assurance (QA) Claims Processor will perform QA reviews... as required by the applicable investor and insurer servicing guidelines. The QA Claims Processor will: Reconcile servicing expenses...
Claims Processor HealthCare Support is actively seeking a Claims Processor to fill an opening with a Health Plan... in Rancho Cucamonga, CA. Daily Responsibilities for Claims Processor: Responsible for analyzing and processing claims EDI...
We are seeking a Claims Processor to join a well-established sales and marketing firm that represents an international... for someone with strong analytical skills, attention to detail, and the ability to manage claims processes while maintaining excellent communication...
Biller / Claims Processor in Fresno, CA! We are seeking a skilled Medical Biller or Claims Processor to join one of our top... has at least 3 years of experience in medical billing or claims processingespecially if that experience includes working...
Biller / Claims Processor in Fresno, CA! We are seeking a skilled Medical Biller or Claims Processor to join one of our top... has at least 3 years of experience in medical billing or claims processingespecially if that experience includes working...
, CA As a Administrative Clerk, you will: Responsible for processing dealer incentive claims. Review and classify documents uploaded... by dealers in Kofax Documents Review system. Validate dealer claims based on set criteria in the Kofax Validation system...
Job Summary: Under direct supervision, provides patient/visitor receptionist; check in and out; cash handling appointment scheduling; and other Occupational Health Services department at clerical duties as directed. Obtains employer/carrie...
Report Processor Medical Office Setting Location: Redlands, CA 92374 Pay Rate: $19.00 per hour Shift: 1st Shift..., CA, serving communities across California since 1987, is seeking a Report Processor to join their dedicated team...
Report Processor Medical Office Setting Location: Redlands, CA 92374 Pay Rate: $19.00 per hour Shift: 1st Shift..., CA, serving communities across California since 1987, is seeking a Report Processor to join their dedicated team...
Insurance Certificates Processor / Client Service Coordinator, with Applied-EPIC experience, needed for an Insurance..., endorsements, and audits for accuracy and deliver to client. Enter claims data into management system and transmit to carrier...
will be responsible for reviewing and processing specialty incentive claims and payment exceptions as required based on KMA Sales Policy... Duties Review and process specialty incentive claims and payment exceptions and provide appropriate feedback in KIAS...
: Strong understanding of U.S. personal injury law and insurance claims processes. Analytical Skills: Ability to evaluate cases critically... platforms. Hardware Requirements: A PC or laptop with at least an Intel 8th Gen processor (Core i5 and above), AMD Ryzen 5...
to card investigations and claims. Communicates and interacts with members, law enforcement, Loss Prevention, branch... card fraud and dispute related inquiries, responses, and claims. Develops and recommends strategies and rules to combat...
for you. We are seeking strong embedded software engineers to join a platform team responsible for programming the Network Processor (NPU..., or any other fee in connection with its recruitment and hiring process. The credentials of any hiring agency that claims to be working...
and personal computer (spreadsheet, database, word processor) skills, contract analysis, knowledge of claims adjudication process... claims, etc.) to solve and capture the contractual underpayments. PIH Health is a nonprofit, regional healthcare network...
time off Vision insurance Job Title: Medical Clerk – EDD Claims Processor Location: Allied Health Solutions Medical... medical clinic providing primary care services to patients, is seeking a Medical Clerk-EDD Claims Processor.The...