The average salary range is between $ 39,040 and $ 68,322 year , with the average salary hovering around $ 48,484 year .
Adjudicator Jobs in USA
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Adjudicator • usa
Last updated: 3 days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues and researching, investigating and ensuring appropriate resolution of claims.P...Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis.
We value new ideas, creativity, and productivity.We like ...Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL.
NaphCare is a family owned, medical technology company that has ...Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 3 days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 7 days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 6 days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 9 days ago
Personnel Security Adjudicator.Global Resource Solutions, Inc.GRS) is seeking an enthusiastic, motivated and talented individual for the position of Personnel Security Adjudicator.Summary : The Pers...Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....Show moreLast updated: 30+ days ago
- Promoted
Adjudicator, Provider Claims
Arizona StaffingScottsdale, AZ, USFull-time
- Promoted
Adjudicator, Provider Claims
Nebraska StaffingGrand Island, NE, USFull-time
- Promoted
Adjudicator, Provider Claims
Washington StaffingBellevue, WA, USFull-time
- Promoted
Adjudicator, Provider Claims
Columbus StaffingMidland, GA, USFull-time
- Promoted
Adjudicator, Provider Claims
Iowa StaffingIowa City, IA, USFull-time
- Promoted
Adjudicator, Provider Claims
New Mexico StaffingRio Rancho, NM, USFull-time
- Promoted
Pharmacy Claims Adjudicator
AmeriPharmaLaguna Hills, CA, USFull-time
- Promoted
Adjudicator, Provider Claims
Idaho StaffingCaldwell, ID, USFull-time
- Promoted
Senior Claims Adjudicator
NaphcareBirmingham, AL, USFull-time
- Promoted
Adjudicator, Provider Claims
Utah StaffingSalt Lake City, UT, USFull-time
- Promoted
Adjudicator, Provider Claims
Fort Worth StaffingFort Worth, TX, USFull-time
- Promoted
Adjudicator, Provider Claims
Georgia StaffingSavannah, GA, USFull-time
- Promoted
Adjudicator, Provider Claims
Phoenix StaffingPhoenix, AZ, USFull-time
- Promoted
Adjudicator, Provider Claims
Ohio StaffingColumbus, OH, USFull-time
- Promoted
Adjudicator, Provider Claims
Texas StaffingHouston, TX, USFull-time
- Promoted
Adjudicator, Provider Claims
Molina HealthcarePhoenix, AZ, USFull-time
- Promoted
Personnel Security Adjudicator
Clearance JobsChesapeake, VA, USFull-time
- Promoted
Adjudicator, Provider Claims
Kentucky StaffingCovington, KY, USFull-time
- Promoted
Adjudicator, Provider Claims
Wisconsin StaffingRacine, WI, USFull-time
Adjudicator, Provider Claims
Arizona StaffingScottsdale, AZ, US30+ days ago
Job type
- Full-time
Job descriptionActual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Job Summary
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Essential Job Duties
- Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas / provider billing to facilitate resolution.
- Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
- Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
- Assists in reviews of state and federal complaints related to claims.
- Collaborates with other internal departments to determine appropriate resolution of claims issues.
- Researches claims tracers, adjustments, and resubmissions of claims.
- Adjudicates or readjudicates high volumes of claims in a timely manner.
- Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
- Meets claims department quality and production standards.
- Supports claims department initiatives to improve overall claims function efficiency.
- Completes basic claims projects as assigned.
Required Qualifications
At least 2 years of experience in a clerical role in a claims, and / or customer service setting, including experience in provider claims investigation / research / resolution / reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Research and data analysis skills. Organizational skills and attention to detail. Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. Customer service experience. Effective verbal and written communication skills. Microsoft Office suite and applicable software programs proficiency.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V Pay Range : $21.16 - $38.37 / HOURLY