Claims processing refers to the insurance company's procedure to check the claim requests for adequate information, validation, justification and authenticity.
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Job Description. Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims. Comply with all company information security policies and responsibilities as detailed during onboarding and annual...
Apply. Job Type. Full-time. Description. The medical biller manages the financial aspect of patient care by processing insurance claims and patient payments. The medical biller ensures healthcare providers receive appropriate reimbursement for services rendered, acting as a crucial link between patients, providers, and insurance companies. Responsibilities. Claims Processing & Submission. Billing Inquiries & Resolution. Insurance Verification & A...
Hours Monday – Friday 9am-3:00pm – 30 hours weekly. Responsibilities. Claims processing. Payment posting. Monitoring timely payments from insurance companies. Insurance verification, insurance denials, and appeals. Requirements. 2 years of medical billing experience – claims, appeals, etc. …Pay Statement and Pay Transparency Laws: rate of pay listed is on a per hour basis. You will be entitled to health insurance once employed for 60 days and you...
Hours Monday – Friday 9am-3:00pm – 30 hours weekly. Responsibilities. Claims processing. Payment posting. Monitoring timely payments from insurance companies. Insurance verification, insurance denials, and appeals. Requirements. 2 years of medical billing experience – claims, appeals, etc. …Pay Statement and Pay Transparency Laws: rate of pay listed is on a per hour basis. You will be entitled to health insurance once employed for 60 days and you...
Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs. We are a treatment facility that prides itself in a welcoming and compassionate approach to substance use and mental health treatment. We believe our clients can achieve recovery and be valued communi...
Job Overview. The Claims Processing Representative is responsible for the processing of provider electronic and paper claims in compliance with the NYS DOH and Prompt Pay Law. Claims Processing Representative will also provide information, education and customer service to Hamaspik Choice providers as necessary regarding the process of claims/ billing and any status inquiries. Essential Responsibilities. Examine, process, adjudicate and prepare c...
Claims Analyst. Length: 6 months (renewable). Location: Remote (hybrid if candidates is located in Parsippany, NJ area). Core Essential Skill sets. Pharmaceutical experience is a must. Candidate has to quickly join in and start. Must have. Medicaid rebate experience in pharm environment. Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent wo...
Position Summary. OneSpaWorld is a worldwide provider and innovator in the fields of wellness, beauty, rejuvenation, and transformation at sea on cruise ships and on land at resorts. The company is dedicated to maintaining the highest quality standards and service delivery and is continually evolving to include all aspects of health and beauty while focusing on new advances within the wellness industry. We are seeking an experienced and detail-o...
Job Title: Claims Analyst. Location: San Antonio, TX. Type: Full time. Join a team where you’ll take the lead on resolving complex claims issues and supporting accurate, efficient claims processing. What You’ll Do. Analyze advanced claim payment, eligibility, and coordination-of-benefits issues. Support claims staff by troubleshooting complex cases beyond standard examiner scope. Partner with configuration teams to test contract setups and ensure...
Description. The Claims Supervisor is responsible for the oversight and supervision of the claims team for the Reimbursement Account Services Department. The Claims Supervisor must prioritize workloads, ensure all employees are trained in department claims adjudication procedures and the IRS regulations that govern our abilities to pay or deny a claim. Must organize, plan and motivate the Reimbursement Account Services claims team to meet any est...
Are you. doing what you love. We are. Why. At our core, we are a resiliency-building company. Our purpose is to unleash the power of our employees and participants to create a resilient world, one person at a time. As an innovative, learning and collaborative organization, every position contributes to this purpose and our employees are the heart of who we are. We support healthy work/life balance for our employees and invest in their potential t...
Requisition No: 866202. Agency: Department of Lottery. Working Title: CLAIMS PROCESSING SUPERVISOR - 36000333. Pay Plan: Lottery Exempt Serv. Position Number: 36000333. Salary: $50,000.00 - $52,000.00. Posting Closing Date: 12/17/2025. Total Compensation Estimator. Tool. CLAIMS PROCESSING SUPERVISOR. FLORIDA DEPARTMENT OF THE LOTTERY – DIVISION OF CLAIMS PROCECSSING. Open Competitive Opportunity. . . . AGENCY BENEFITS. If hired, as employee of t...
