Top 126 Payroll Examiner 2 Jobs

Claims Examiner (Remote/Hybrid work available)
Imperial Management Administrators Services Inc —Pasadena, CA
- $22 - $30 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- In-person
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Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)
Donor Network West —Fresno, CA
- $65.74 - $67.39 an hour
- Full-time
- Hybrid work
- Nursing
- Mid-level
- ACLS Certification
- On-the-job training
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Tissue Recovery Coordinator
Donor Network West —Chico, CA
- $25.84 - $28.71 an hour
- Weekends as needed
- Anatomy knowledge
- Surgery
- OSHA
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Paramedic Field Supervisor - Full Time Third Shift
Valley Health —Winchester, VA
- $29.40 - $44.10 an hour
- Full-time
- PALS Certification
- Inventory management
- BLS Certification
- Wellness program
- Health savings account
Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)
Donor Network West —San Francisco, CA
- $65.74 - $74.13 an hour
- Full-time
- Hybrid work
- Nursing
- Mid-level
- ACLS Certification
- On-the-job training
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Tissue Recovery Coordinator I
Donor Network West —San Ramon, CA
- $28.71 - $31.90 an hour
- Weekends as needed
- Anatomy knowledge
- Surgery
- OSHA
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Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)
Donor Network West —San Ramon, CA
- $65.74 - $74.13 an hour
- Full-time
- Hybrid work
- Nursing
- Mid-level
- ACLS Certification
- On-the-job training
Quick Apply
Counselor
JCSI —Amarillo, TX
- $46,000 a year
- Full-time
- Background check
- LMFT
- Microsoft Excel
- Dental insurance
- Flexible spending account
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Tissue Recovery Coordinator I
Donor Network West —Chico, CA
- $25.84 - $28.68 an hour
- Part-time
- Anatomy knowledge
- Surgery
- Hospital
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Nurse Manager - NICU
Medical City Dallas —Dallas, TX
- Full-time
- 3 years
- Senior level
- Leadership
- Employee stock purchase plan
- Disability insurance
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Paramedic Field Supervisor
Valley Health —Keyser, WV
- $29.40 - $44.10 an hour
- Full-time
- PALS Certification
- Inventory management
- Customer service
- Wellness program
- Health savings account
Medicaid Eligibility Examiner 2 (NY HELPS) - 79257, 79071
State of New York - Health, Department of —Albany, NY
- $56,506 - $68,630 a year
- Overnight shift
- Background check
- Microsoft Excel
- Writing skills
- Paid holidays
- Dental insurance
12d
Medicaid Eligibility Examiner 2 (NY HELPS) - 91510
State of New York - Health, Department of —Albany, NY
- $56,506 - $68,630 a year
- Full-time
- Background check
- Microsoft Excel
- Management
- Paid holidays
- Dental insurance
12d
Medicaid Eligibility Examiner 2 (NY HELPS) - 79406
State of New York - Health, Department of —Albany, NY
- $56,506 - $68,630 a year
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Paid holidays
- Dental insurance
12d
Payroll Examiner, Bureau of Controller
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $65,091 - $75,000 a year
- Full-time
- Microsoft Outlook
- CPA
- Mid-level
- Loan forgiveness
Ancillary Claims Supervisor
RoadVantage —Austin, TX
- Analysis skills
- Mentoring
- Recruiting
Quick Apply
Benefits Coordinator
Broward County Tax Collector —Fort Lauderdale, FL
- HIPAA
- Office
- Organizational skills
- Dental insurance
- Life insurance
Field Operations Support Assistant
Woodlawn Park Cemetery North —Miami, FL
- Full-time
- Inventory management
- Basic math
- Administrative experience
Quick Apply
Service Review Assistant, BERS
New York City Department of Education —Manhattan, NY
- $58,159 - $64,891 a year
- Full-time
- Research
- Mid-level
- Office
- Loan forgiveness
Bankruptcy Accounts Examiner (Austin)
Texas Workforce Commission —Austin, TX
- $3,760 - $5,177 a month
- Online Application
- Microsoft Outlook
- Research
- Mid-level
- Health insurance
- 401(k)

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Claims Examiner (Remote/Hybrid work available)

Imperial Management Administrators Services Inc -
Pasadena, CA

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Job Details

Full-time
$22 - $30 an hour

Qualifications

Managed care
CMS
Coding for hospital billing
Coding for physician billing
Centers for Medicare & Medicaid Services (CMS) billing regulations

Full Job Description

JOB TITLE: Claims Examiner

***Remote / Hybrid work offered when metrics are exceeded and sustained.***

JOB SUMMARY: Responsible for adjudicating complex claims, which include high-dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or training needs and system problems that may be encountered. Maintains quality and production standards, teamwork, and complies with company/administrative policies and guidelines.

ESSENTIAL JOB FUNCTIONS:

Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue and ICD-9 codes, under the correct provider and member benefits, i.e. co-payment, deductible, etc.

Review and process facility (UB-04) and professional claims (CMS-1500).

Process claims based on contractual agreements, health plan division of financial responsibility, applicable regulatory legislature, claims processing guidelines and client groups’ and company policies and procedures.

Process Medicare member claims based on DMHC and DHS regulatory legislature.

Respond to and resolve provider and health plan claims inquiries and give resolution in a timely manner.

Review services for appropriateness of charges and apply authorization guidelines during claims processing.

Monitor and track age, pended, and open reports to maintain timeliness in claims processing based on individual work allocation report.

Maintain quality and productivity standards, teamwork, and comply with company/administrative guidelines.

Ensures compliance with all applicable Federal, State and/or County laws and regulations related to our documented guidelines and processes.

Adheres to payroll policies and properly uses timekeeping system with minimal manual changes

Must have at least 2 years of applicable healthcare claims adjudication experience within the managed care industry
Experience with ICD-9, HCPCS, CPT coding, APC, ASC and DRG pricing, CMS, DMHC regulations, facility and professional claim billing practices required

Work Location: In person

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Refine Your Search

Payroll Examiner 2 jobs

Claims Examiner (Remote/Hybrid work available)

Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)

Tissue Recovery Coordinator

Paramedic Field Supervisor - Full Time Third Shift

Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)

Tissue Recovery Coordinator I

Clinical Procurement Coordinator (RRT's, PA's & RN's Preferred)

Counselor

Tissue Recovery Coordinator I

Nurse Manager - NICU

Paramedic Field Supervisor

Medicaid Eligibility Examiner 2 (NY HELPS) - 79257, 79071

Medicaid Eligibility Examiner 2 (NY HELPS) - 91510

Medicaid Eligibility Examiner 2 (NY HELPS) - 79406

Payroll Examiner, Bureau of Controller

Ancillary Claims Supervisor

Benefits Coordinator

Field Operations Support Assistant

Service Review Assistant, BERS

Bankruptcy Accounts Examiner (Austin)

I want to receive the latest job alert for Payroll Examiner 2

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