Top 107 Medical claim adjudicator Jobs

Medical Billing Adjudicator
Chesapeake Employers Insurance Company —Towson, MD
- $21.14 - $31.70 an hour
- Full-time
- Hybrid work
- Bilingual
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
14d
Medical Claims Adjudicator II
UNITE HERE HEALTH —Oak Brook, IL
- $20.36 - $24.97 an hour
- Full-time
- Mid-level
- 3 years
- Experience equivalent to degree accepted
- Commuter assistance
- AD&D insurance
Quick Apply
Claims Adjudicator
National Guardian Life Insurance Company —Madison, WI
- Full-time
- Hybrid work
- Writing skills
- Research
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
11d
Claims Adjudicator
BEST DOCTORS INSURANCE SERVICES LLC —Miami, FL
- Spanish
- Microsoft Excel
- English
Quick Apply
Medical Biller I
HEALTH ADVOCATES —Chatsworth, CA
- $21.00 - $27.25 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
- Employee assistance program
NSO (Apprentice)
Disabled American Veterans —Houston, TX
- $20.18 - $31.39 an hour
- Full-time
- Customer service
- Office
- High school diploma or GED
- On-the-job training
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Disability Claims Adjudicator
State of Indiana —Indianapolis, IN
- From $47,320 a year
- Background check
- Physical & Rehabilitation Medicine
- Research
- Free parking
- Paid parental leave
Claims Adjudicator
National Healthcare Solutions, Inc. —Miami, FL
- Full-time
- Spanish
- Customer service
- Data analysis skills
Quick Apply
NSO Apprentice Interest
Disabled American Veterans —Washington, DC
- $20.18 - $31.39 an hour
- Full-time
- Customer service
- Office
- High school diploma or GED
- On-the-job training
Quick Apply
Contract Clinical Auditor
Marsh McLennan Agency —Conshohocken, PA
- $175 a day
- Part-time
- Remote
- RN License
- HIPAA
- Mid-level
Claims Adjudicator Sr
Loma Linda University Health —Redlands, CA
- $26.03 - $32.51 an hour
- Full-time
- Microsoft Outlook
- Management
- 5 years
Accounts Payable Claims Adjudicator
Gulfside Healthcare Services, Inc. —Land O' Lakes, FL
- Background check
- Mid-level
- High school diploma or GED
Quick Apply
Claims Adjudicator - State Program Administrator Intermediate
State of Minnesota - Employ & Econ Development Dept —Saint Paul, MN
- $25.67 - $37.91 an hour
- Full-time
- Hybrid work
- Background check
- HIPAA
- Research
- Paid parental leave
- Paid holidays
9d
L&I Medical Treatment Adjudicator 1
State of Washington Dept. of Labor & Industries —Tumwater, WA
- $43,836 - $58,392 a year
- Full-time
- Background check
- Research
- Mid-level
- Tuition reimbursement
- Flexible schedule
2d
Corporate Medical Director
Blue Zones Health —Riverside, CA
- $250,000 - $350,000 a year
- Full-time
- Remote
- Medicine
- HIPAA
- Analysis skills
Quick Apply
Claims Support Specialist
Nascentia Health —Syracuse, NY
- $19.96 - $24.96 an hour
- Full-time
- Background check
- Pass drug screening
- Home Health
- Health savings account
- Paid holidays
Claims Adjudicator
Independent Health —Buffalo, NY
- $18 an hour
- Full-time
- Research
- High school diploma or GED
- Organizational skills
- Paid time off
2d
Insurance Collector I
HEALTH ADVOCATES —Chatsworth, CA
- $24.00 - $31.25 an hour
- Full-time
- Computer literacy
- HIPAA
- Office
- Health insurance
- Employee assistance program
Claims Team Lead
VUMI Group —Miami, FL
- Full-time
- Hybrid work
- Spanish
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Supervisor Health Plan Operations - USFHP
Pacific Medical Centers —Renton, WA
- $39.45 - $61.24 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Paid parental leave
- Paid holidays

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Medical Billing Adjudicator

Chesapeake Employers Insurance Company -
Towson, MD

Quick Apply

Job Details

Full-time
$21.14 - $31.70 an hour
14 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Life insurance

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Who We Are

Chesapeake Employers’ Insurance Company is a purpose-driven organization dedicated to improving the lives and livelihoods of our policyholders, injured workers, team members, and the community. As a leading workers' compensation specialty insurer in the mid-Atlantic region, we take pride in being a force for good. Our 350 team members are committed to making a positive impact every day in the lives of all our stakeholders. Join our motivated, professional team as we foster a culture of values, teamwork, innovation, and collaboration. Established in 1914, Chesapeake Employers Insurance, headquartered in Towson, Maryland, has over a century of experience, a strong financial foundation, and an "A" rating from AM Best.

POSITION SUMMARY:
Processes medical, specialty vendor bills and reimbursements to claimants in following the Workers’ Compensation Commission Fee Guide or Chesapeake Employers contracted pricing in accordance with established Chesapeake policies and procedures. Serves as a resource for training and assists team leads in daily operational activities.

DUTIES AND RESPONSIBILITIES:

Performs data entry of bills submitted for processing by accurately recording the required information into the correct fields in WCIS.
Processes physicians bills.
Determines if charges are related to accepted claim through knowledge of medical diagnostic coding and review of accepted body parts. Denies unrelated bills or charges.
Processes bills submitted for medical treatment in accordance with established Chesapeake policies and the WC Fee Guide.
Reviews the claims notepad for authorizations and notes regarding billing issues as indicated. Uses judgement in referring bills to adjusters if further investigation is warranted.
Accepts or denies charges while selecting appropriate reason codes.
Responds to inquiries from claimants, medical providers and company personnel regarding the payment, denial of payment or clarification required for completion of processing.
Meets departmental guidelines for productivity and accuracy of processing of medical bills.
Attends web-based training to develop in-depth knowledge in specific specialty areas to maintain industry standard practices.
Assists coders in resolving consideration requests as needed.
Assists with quality audits.

SKILLS, EDUCATION AND EXPERIENCE:

A High School Diploma or equivalent is required.
2-3 years’ experience in bill processing.
PC skills including Excel familiarity.
Excellent communication skills, both verbal and written.
ICD-9, ICD-10 and CPT coding knowledge.
Medical terminology familiarity.
Bilingual skills preferred.
CPC preferred. CPC will be required within 3 years of employment.

POSITIONAL COMPETENCIES:

Bias for Action
Knowledge Sharing
Deliver Results
Service and Sales Excellence
Personal Leadership
Teamwork and Communication

PHYSICAL DEMANDS:
While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle or feel objects, tools or controls; reach with hands and arms. The employee is occasionally required to stand, walk, stoop, kneel, crouch or crawl. The employee may occasionally lift up to 30 pounds. Specific vision abilities are required, which include close vision, peripheral vision and the ability to adjust focus.

WORK ENVIRONMENT:
Office Environment. The noise level is usually moderate.

What We Offer

We offer a competitive benefits package that includes health, vision, and dental coverage, a robust PTO plan, an 8% employer contribution to retirement regardless of team member contribution, educational assistance, and opportunities to participate in team member appreciation events. Additionally, we provide STD, LTD and group life insurance 1X a team members salary. You'll also enjoy free tickets to community attractions, all part of our commitment to providing a high quality of work life. You will have the flexibility to thrive in a hybrid work environment and an opportunity to participate in development and volunteer programs.

Quick Apply

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Insurance Collector I

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