Job Seekers, Welcome to NQF Quality Careers
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
CHRISTUS Health
Alexandria, Louisiana
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
CHRISTUS Health
Lake Charles, Louisiana
NEW! NEW!
NEW! NEW!
NEW! NEW!
Kaiser Permanente - Washington Permanente Medical Group
Renton, Washington
NEW! NEW!
NEW! NEW!
NEW! NEW!
CHRISTUS Health
Port Arthur, Texas
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Vanderbilt Health
Nashville, Tennessee
NEW! NEW!
CHRISTUS Health
Corpus Christi, Texas
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
PIH Health
Los Angeles, California
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Claims Examiner Senior - Health Plan Claims Processing
DescriptionSummary:The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Responsibilities:? Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.? Analyze medical claim information and take appropriate action for payment resolutio
Loading. Please wait.