Career Center

Job Seekers, Welcome to NQF Quality Careers
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 197 Jobs
Create Alert
Loading... Please wait.
University of Maryland Medical System Logo
University of Maryland Medical System

Linthicum Heights, Maryland

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Remote,

NEW! NEW!
AdventHealth Logo
AdventHealth

Altamonte Springs, Florida

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Dallas, Texas

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Linthicum, Maryland

NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
AdventHealth Logo
AdventHealth

Tampa, Florida

NEW! NEW!
AdventHealth Logo
AdventHealth

Altamonte Springs, Florida

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Irving, Texas

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Raleigh, North Carolina

NEW! NEW!
AdventHealth Logo
AdventHealth

Celebration, Florida

NEW! NEW!
Children's Minnesota Logo
Children's Minnesota

Minneapolis, Minnesota

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Highland Park, Texas

NEW! NEW!
WakeMed Health & Hospitals Logo
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

University Park, Texas

NEW! NEW!
Memorial Sloan Kettering Cancer Center Logo
Memorial Sloan Kettering Cancer Center

New York, New York

AdventHealth Logo
AdventHealth

Orlando, Florida

Children's Minnesota Logo
Children's Minnesota

MN and WI Remote, Minnesota

AdventHealth Logo
AdventHealth

Maitland, Florida

Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

Loading... Please wait.
Hybrid Claims Examiner
JOB SUMMARYThe Claims Examiner is responsible for claims processing, research and adjudication to correctly apply benefit determinations on routine medical claims (CMS 1500 and UB04) and Rx claims in accordance with claims processing guidelines.ESSENTIAL FUNCTIONS OF THE ROLEProcesses and adjusts routine professional, facility and Rx claims according to claims processing guidelines. Pends claims as directed by departmental policies and procedures, follows up for resolution, and processes pended claims immediately following a benefit / payment determination. Maintains confidentiality rules in compliance with HIPPA guidelines.Works claims inventory from assigned queues to ensure all claims are processed within established turnaround time


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.
Powered By Naylor Association Solutions