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Your search generated 85 results
BlueCross BlueShield of South Carolina

Processor, Claims I

Myrtle Beach, South Carolina

BlueCross BlueShield of South Carolina

Summary This is a full-time (40 HPW) on-site position located in our Surfside Beach, SC location.Description What You'll Do: Researches and processes claims according to business regulation, internal standards and processing guidelines. Ver...

Job Type Full Time
UnitedHealth Group

Policy Write - Remote

Minnetonka, Minnesota

UnitedHealth Group

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Indianapolis, Indiana

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Charleston, South Carolina

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Hampton, Virginia

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Minneapolis, Minnesota

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Phoenix, Arizona

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Kansas City, Missouri

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Des Moines, Iowa

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time
WPS Health Solutions

Claims Rep II

Marion, Illinois

WPS Health Solutions

Description Respond to requests for first level appeals. Review and compare processed claims with edit/audit detail and Medicare Policy. Refer case to appeal nurse for medical necessity determination. Review medical documentation and claims...

Job Type Full Time

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