Top 136 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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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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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 I
Donor Network West —San Ramon, CA
- $28.71 - $31.90 an hour
- Weekends as needed
- Anatomy knowledge
- Surgery
- OSHA
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Chief Financial Officer
Prairie Band, LLC —Holton, KS
- Full-time
- CPA
- Sales
- Office
2d
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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Tissue Recovery Coordinator I
Donor Network West —Chico, CA
- $25.84 - $28.68 an hour
- Part-time
- Anatomy knowledge
- Surgery
- Hospital
Quick Apply
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
Quick Apply
Tissue Recovery Coordinator I
Donor Network West —Fresno, CA
- $25.84 - $28.68 an hour
- Weekends as needed
- Anatomy knowledge
- Surgery
- Hospital
Quick Apply
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
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
11d
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
11d
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
11d
Ancillary Claims Supervisor
RoadVantage —Austin, TX
- Analysis skills
- Mentoring
- Recruiting
Quick Apply
Claims Supervisor
Athens Administrators —Concord, CA
- $119,000 - $132,000 a year
- Urgently hiring
- Bachelor of Science
- Employment & labor law
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
TAX EXAMINER 2
State of Nevada (NV) —Reno, NV
- $52,722.00 - $77,381.28 a year
- 8 hour shift
- Writing skills
- Mid-level
- High school diploma or GED
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
Field Operations Support Assistant (part-time)
Eden Memorial Park - Groman Eden Mortuary —Mission Hills, CA
- $18.50 an hour
- Part-time
- Background check
- Inventory management
- Basic math
- Health savings account
- AD&D insurance
Quick Apply
Field Operations Support Assistant
Woodlawn Park Cemetery North —Miami, FL
- Full-time
- Inventory management
- Basic math
- Administrative experience
Quick Apply
Field Operations Support Assistant
Evergreen Cemetery East —El Paso, TX
- Full-time
- Inventory management
- Basic math
- Office
Quick Apply
12d

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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)

Tissue Recovery Coordinator

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

Tissue Recovery Coordinator I

Chief Financial Officer

Nurse Manager - NICU

Tissue Recovery Coordinator I

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

Tissue Recovery Coordinator I

Paramedic Field Supervisor - Full Time Third Shift

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

Medicaid Eligibility Examiner 2 (NY HELPS) - 79406

Medicaid Eligibility Examiner 2 (NY HELPS) - 91510

Ancillary Claims Supervisor

Claims Supervisor

TAX EXAMINER 2

Payroll Examiner, Bureau of Controller

Field Operations Support Assistant (part-time)

Field Operations Support Assistant

Field Operations Support Assistant

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