Claims processor • usa
Review hospital claims and determine action needed to resolve pended claims.Process and evaluate hospital claims manually or through claims work flow.Validate information entered in hospital claims... Show more
Title : Data Entry - Claims Processor.Work hours: 8 - 5pm with hour lunch, or 8-4.Duration : 4 months contract to begin with, possibilities of extension according to performance.Onsite for first fe... Show more
Make banking a Fifth Third better We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.General function: Responsible ... Show more
Claims Processor/Claims Examiner.Setting: Healthcare Facilities.Job Type: Contract - Full Time.Amergis Healthcare Staffing is seeking a Claims Processor / Claims Examiner to be responsible for prov... Show more
Grand Design is currently seeking a Warranty Claims Processor to join our team.As a Grand Design team member in this role, you will be responsible for processing dealer network claims.Our StoryFoun... Show more
Join Us at TailorMed – Transforming Healthcare Affordability.As a pioneering force in healthcare, we’re building a new category that transforms how patients, providers, pharmacies, life sciences, a... Show more
Healthcare Claims Processor Location : Remote, Eastern Standard Time (EST) based in the Continental United States.Non-Exempt, Full-Time Reports To: Claims Supervisor Overview: J29 is an employee ce... Show more
Submits FHA and conventional claims, reviews losses, and reconciles loans for final booking by Default Accounting.Reviews claims filed for accuracy.Monitor daily reports outlining workflow and proc... Show more
The Ed Napleton Automotive Group is looking for our next .This is an exciting opportunity in a growing, fast-paced industry.Warranty team reviewing and completing warranty claims.This includes prep... Show more
The Claims operational teams are responsible for ensuring claims are processed accurately and timely.The Claims Processor, Specialist will report to the Operations Manager.In this role you will be ... Show more
Job: Claims Processor - 2nd Shift.Temporary: 10/12/2026 to 11/30/2026.Claims Processor Job Description.A leading legal administration firm is seeking up to 14 Claims Processors per shift to support... Show more
Location : 4000 LUXOTTICA PL MASON OH 45040 (5 days onsite).Duration : 1+ Months contract (pending project extensions).Onsite 5 days a week for first few months will be workplace only with possible... Show more
We are seeking a detail-oriented and organized Claim Processor Specialist to reviews, verifies, and processes insurance claims to determine coverage eligibility, ensuring compliance with company an... Show more
We are seeking detail-oriented.Claims Specialists / Claims Processors.In this role, you will process standard, non-complex claims while meeting established productivity, quality, and turnaround-tim... Show more
Launch Your Career in Dental Revenue Cycle Management.Texas maximize their insurance collections and streamline their billing operations.Our team manages millions of dollars in insurance claims eve... Show more
Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal.Resolves denied/unpaid insurance claims in a timely ... Show more
Make banking a Fifth Third better®.We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.GENERAL FUNCTION: Responsible... Show more
Claims Processor — Springfield, IL.Full-Time | Monday–Friday, 8:00 AM–4:30 PM | Up to $20.Enjoy detail-focused work that actually makes a difference? Express Employment Professionals is hiring a Cl... Show more
This position is responsible for accurately creating, filing & managing the Warranty Claims process.Generate & Submit Warranty claims daily.Manage ongoing/pending Warranty claims.Allocate Packing S... Show more
Office/Cash Claims Processor requires 3+ years of experience in cash application or insurance related processes.Previous AS400 knowledge and experience.Detailed working knowledge of basic computer ... Show more
The average salary range is between $ 30,047 and $ 46,801 year , with the average salary hovering around $ 35,100 year .
Responsibilities
Review hospital claims and determine action needed to resolve pended claims
Process and evaluate hospital claims manually or through claims work flow
Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies
Finalize hospital claims by applying knowledge of eligibility, benefits, pre-authorization rules, contractual policy and operational procedures
Review, finalize and respond to call tracking tickets in a timely manner to provider inquires
Perform additional duties and special projects as assigned by management
Qualifications
High School Diploma or GED required, some College or Degree preferred
Minimum two (2) years experience entering and updating hospital or medical claims in a health insurance or benefits environment required
Basic keyboarding skills required
Strong knowledge of hospital claims, eligibility, benefits, and reauthorization rules; knowledge of health claims system (QNXT)
Good knowledge of International Classification of Diseases (ICD-9, ICD-10) and Current Procedural Terminology (CPT) codes
Demonstrated organizational, perform multiple priorities, and analytical skills with the ability to follow through on assignments
Able to work well independently and in a team environment
Ability to meet strict deadlines, work well under pressure and in a fast-paced environment
Must meet performance standards including attendance and punctuality
