Top 30 Claims Recovery Processor Jobs

Claims Processor
MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND —Detroit, MI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- EMR systems
- Health insurance
- Dental insurance
Quick Apply
3d
Warranty Claims Specialist
Interstate Companies Inc —Eagan, MN
- $24 - $27 an hour
- Full-time
- Mid-level
- 3 years
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Manager, DXP /AXP Technology Infrastructure
LG Electronics —Englewood Cliffs, NJ
- $110,000 - $115,000 a year
- Remote
- Computer science
- Computer Science
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
11d
Billing Processor
CODAC HEALTH RECOVERY & WELLNESS INC —Tucson, AZ
- Full-time
- Bilingual
- Microsoft Access
- Computer literacy
Consumer Loan Processor
Merck Sharp & Dohme FCU —Chalfont, PA
- Full-time
- 5 years
- Word processing
- Computer literacy
Quick Apply
Java Kafka Streams Developer
Openkyber —Puerto Rico
- Remote
- System design
- SQL
- Mentoring
Quick Apply
Card Fraud Support Specialist
SHAREPOINT CREDIT UNION —Bloomington, MN
- $25 - $28 an hour
- Full-time
- Writing skills
- Mid-level
- Office
IS Nextgen BPP Analyst
DAYMARK RECOVERY SERVICES INC —Concord, NC
- $40,000 a year
- Addiction Medicine
- Mid-level
- 1 year
- Paid holidays
- Disability insurance
Quick Apply
Warranty Processor - Pacific, WA
Freightliner Northwest —Pacific, WA
- $23 - $27 an hour
- Full-time
- Dealership
- Writing skills
- Pass drug screening
- Profit sharing
- Health savings account
Insurance Collector I
HEALTH ADVOCATES —Chatsworth, CA
- $24.00 - $31.25 an hour
- Full-time
- Computer literacy
- HIPAA
- Office
- Health insurance
- Employee assistance program
Director, Resident Receivables and Recovery
Brookfield Properties —Charleston, SC
- Full-time
- Customer service
- 5 years
- Office
- Paid time off
- 401(k) matching
Supervisor, Payment Processing & Credit Balance
South Texas Radiology Group, P.A. —San Antonio, TX
- Overtime
- Writing skills
- Research
- Mid-level
Quick Apply
Card Investigations Representative
Golden 1 Credit Union —Sacramento, CA
- $23.09 - $25.00 an hour
- Full-time
- Hybrid work
- Computer literacy
- Research
- Mid-level
Quick Apply
Fraud Operations Manager
Citizens Financial Group —Riverside, RI
- Full-time
- Background check
- Office
- Criminal background check
- Health insurance
- Dental insurance
Commercial Lines Claims Processor
Seltzer Group Partners —Orwigsburg, PA
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Paid holidays
1d
TRICARE Customer Service Executive
International SOS —San Antonio, TX
- $21 an hour
- Microsoft Outlook
- Military
- Computer literacy
Quick Apply
2d
Medical Biller I
HEALTH ADVOCATES —Chatsworth, CA
- $21.00 - $27.25 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
- Employee assistance program
LTP III (Clinical Therapist / Mental Health Professional)
Jackson County, WI —Black River Falls, WI
- $81,619.20 - $88,628.80 a year
- Full-time
- LMFT
- Addiction Medicine
- Word processing
- Paid time off
- Life insurance
Cross-Functional Integration Lead
Independence Pet Group —Remote
- Full-time
- Mentoring
- Senior level
- Communication skills
- Commuter assistance
- Paid parental leave
Account Executive
Allied Solutions —Indiana
- Full-time
- Remote
- 5 years
- Driver's License
- Bachelor's degree
- Disability insurance
- Health insurance

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Claims Processor

MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND -
Detroit, MI

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Job Details

Full-time
3 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Insurance claim adjustments processing
Medical claims
Medical collection
Medical coding
Insurance claim appeals processing
Dental insurance
High school diploma or GED
Health insurance knowledge
EMR systems
Insurance claim processing
Quality data entry

Full Job Description

The Michigan Conference of Teamsters Welfare Fund has an immediate availability for a Claims Processor. This is an hourly, unionized position, represented by the Office and Professional Employees Union, Local 42. Essential functions of the position include, but are not limited to:

Process Medical Claims

· Review medical claims submitted electronically to ensure completeness and accuracy.

· Authorize claim for payment or reject payment and update the claim with the appropriate rejection code.

· Place in hold status any claim that requires review or correction.

· Update system to document status of claims sent to Blue Cross Blue Shield (BCBS) for reversal.

Process Dental Claims

· Return to Delta Dental or the provider those claims that cannot be processed by MCTWF staff.

· Update basys system to reflect that a participant and/or dependent is not eligible for coverage of claims for services covered by a work, auto, or third-party claim.

· Notify Benefit Recovery of update for pursuit of overpayment as appropriate.

Process Loss of Time (LOT) claims

· Review each submission for accuracy and updated information.

· Verify eligibility and perform system updates. Notify Benefit Recovery of changes in eligibility for pursuit of overpayment as appropriate.

· Review and update responses in basys to letters requesting additional information Monitor all incoming faxes for distribution to staff. Send claims to the appropriate area for processing.

· Process initial Total and Permanent Disability (TPD) claims in the basys system and maintain related files. Gather all necessary information and documents to process these claims.

· Complete various claim reports, such as 835 errors or open correspondence, on a regular cadence.

Perform other duties as assigned.

The successful candidate will possess the following skills and knowledge:

· High School diploma; Associate degree in related discipline preferred.

· A minimum of 2 years of experience processing medical, dental, and disability claims.

· Exceptional attention to detail.

· Ability to enter data into various electronic systems accurately.

· Familiarity with claims and billing software systems.

The successful candidate must live within a reasonable driving distance from the office located at 2700 Trumbull, Detroit, Michigan

While working a remote assignment, the successful candidate must have access to internet with sufficient speed and stability.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Claims Processing: 2 years (Required)
Medical, Dental Claims: 2 years (Required)

Ability to Commute:

Detroit, MI 48216 (Required)

Ability to Relocate:

Detroit, MI 48216: Relocate before starting work (Required)

Work Location: Hybrid remote in Detroit, MI 48216

Quick Apply

Refine Your Search

Claims Recovery Processor jobs

Claims Processor

Warranty Claims Specialist

Manager, DXP /AXP Technology Infrastructure

Billing Processor

Consumer Loan Processor

Java Kafka Streams Developer

Card Fraud Support Specialist

IS Nextgen BPP Analyst

Warranty Processor - Pacific, WA

Insurance Collector I

Director, Resident Receivables and Recovery

Supervisor, Payment Processing & Credit Balance

Card Investigations Representative

Fraud Operations Manager

Commercial Lines Claims Processor

TRICARE Customer Service Executive

Medical Biller I

LTP III (Clinical Therapist / Mental Health Professional)

Cross-Functional Integration Lead

Account Executive

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