3503 claims processor jobs found

Role: QNXT Claims Processor 100% Remote Project Duration: 9+ Months + Extension Interview: Phone/WebEx Client: Aetna Openings: 35 Job Description: Candidate must be immediately available to start and need to have recent QNXT Claims Processing skills. (fully remote) If they meet all those requirements, please send those people ASAP. Must have recent QNXT Claims Processing skills Immediately available to start (will be moving very fast) Regards, Mohit Sisodia| Voto Consulting LLC. | 1549 Finnegan Lane, 2nd floor North Brunswick, NJ 08902 | http://www.votoconsulting.com Direct Voice: 201-300-2761| Desk: 201-297-1611 Ext: 152 | mohits@votoconsulting.com Hangout: sisodiamohit4| Skype: sisodiamohit4 LinkedIn:...

Role: QNXT Claims Processor 100% Remote Project Duration: 9+ Months + Extension Interview: Phone/WebEx Client: Aetna Openings: 35 Job Description: Candidate must be immediately available to start and need to have recent QNXT Claims Processing skills. (fully remote) If they meet all those requirements, please send those people ASAP. Must have recent QNXT Claims Processing skills Immediately available to start (will be moving very fast) Regards, Mohit Sisodia| Voto Consulting LLC. | 1549 Finnegan Lane, 2nd floor North Brunswick, NJ 08902 | http://www.votoconsulting.com Direct Voice: 201-300-2761| Desk: 201-297-1611 Ext: 152 | mohits@votoconsulting.com Hangout: sisodiamohit4| Skype: sisodiamohit4 LinkedIn:...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better, and no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better, and no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better, and no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better, and no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Imagine this. Every day, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better, and no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you...

Gainwell Technologies LLC Summary Work in an MMIS environment Work financial audits to providers Work provider, financial and drug rebate checks including daily deposits, balancing and research as necessary Your role in our mission Work provider, financial and drug rebate checks including daily deposits, balancing and research as necessary Work adjustments, full claim voids, partial claim adjustments Perform return to provider communication for claim and non- claim documents utilizing existing templates Work Medicare Reconsiderations Update TPL files as necessary What we're looking for Knowledge of claims processing Knowledge of MMIS Knowledge of paper claim forms Knowledge of Third-Party Liability explanation of benefits Financial background What you should expect in this role Onsite must be located in CT

Gainwell Technologies LLC Summary Work in an MMIS environment Work financial audits to providers Work provider, financial and drug rebate checks including daily deposits, balancing and research as necessary Your role in our mission Work provider, financial and drug rebate checks including daily deposits, balancing and research as necessary Work adjustments, full claim voids, partial claim adjustments Perform return to provider communication for claim and non- claim documents utilizing existing templates Work Medicare Reconsiderations Update TPL files as necessary What we're looking for Knowledge of claims processing Knowledge of MMIS Knowledge of paper claim forms Knowledge of Third-Party Liability explanation of benefits Financial background What you should expect in this role Onsite must be located in CT

NTT Data is recruiting for a Claims Examiner   -  HealthRules Payer for a temporary project. 100% Remote  The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business. Primary duties include: Analysis and resolution of claims, including coding principles, benefits, pricing, and potential third-party liability. The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements. The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements. Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and inventory standards. Role Responsibilities: Timely...

NTT Data is recruiting for a Claims Examiner   -  HealthRules Payer for a temporary project. 100% Remote  The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business. Primary duties include: Analysis and resolution of claims, including coding principles, benefits, pricing, and potential third-party liability. The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements. The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements. Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and inventory standards. Role Responsibilities: Timely...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. The GBIT Operations team is responsible for the ongoing support and operation of production applications critical to our business. Within the GBIT Operations organization, the Application Support Specialist will join an experienced team of professionals responsible for supporting multiple applications , with a heavy focus on business intelligence applications. They will work to provide exceptional support to internal and external clients and continuously improve execution against defined SLAs and KPIs. This role will also partner with multiple internal IT teams and outside vendors to design and/or troubleshoot reports...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide general claims...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide general claims...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide general claims...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide general claims...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide general claims...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide general claims...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. The GBIT Operations team is responsible for the ongoing support and operation of production applications critical to our business. Within the GBIT Operations organization, the Application Support Specialist will join an experienced team of professionals responsible for supporting multiple applications , with a heavy focus on business intelligence applications. They will work to provide exceptional support to internal and external clients and continuously improve execution against defined SLAs and KPIs. This role will also partner with multiple internal IT teams and outside vendors to design and/or troubleshoot reports...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - _5:00pm CST). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Provide...