Talent.com
Medical Claims Processor

Medical Claims Processor

Pyramid Consulting, IncDenver, CO, United States
20 hours ago
Job type
  • Temporary
Job description

Immediate need for a talented Medical Claims Processor . This is a 04+ Months Contract opportunity with long-term potential and is located in Denver, CO (Remote) . Please review the job description below and contact me ASAP if you are interested.

Job ID : 25-82115

Pay Range : $20 - $23 / hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities :

  • Receives and adjudicates medical claims / bills for payment / denial. Research claims / bills for appropriate support documents & / or documentation.
  • Analyzes and adjusts data and benefits criteria for payment. Responds to and research vendor and member problems, questions and complaints

Key Requirements and Technology Experience :

  • Skills- Medical Claims Processing, adjudication.
  • 3 years of Medical Claims processing / adjudication experience.
  • Note- Remote 2.5 hr driving radius from Denver (in order to pick up equipment).
  • Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

    Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here .

    Create a job alert for this search

    Medical Processor • Denver, CO, United States

    Related jobs
    • Promoted
    Stop Loss Claims Coordinator

    Stop Loss Claims Coordinator

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Stop Loss Filing Coordinator to manage the end-to-end stop loss claims process.Key Responsibilities : Prepare and submit stop-loss claims and supporting documentation A...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Utilization Review Administrative Assistant

    Utilization Review Administrative Assistant

    VirtualVocationsBoulder, Colorado, United States
    Part-time
    A company is looking for a Part-Time Remote Utilization Review / Admin Assistant.Key Responsibilities Manage intake paperwork and maintain organized electronic documentation in SharePoint Communic...Show moreLast updated: 7 hours ago
    • Promoted
    Remote Medical Insurance Verifier

    Remote Medical Insurance Verifier

    VirtualVocationsLittleton, Colorado, United States
    Remote
    Full-time
    A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Wisconsin Licensed Claims Representative

    Wisconsin Licensed Claims Representative

    VirtualVocationsBoulder, Colorado, United States
    Full-time
    A company is looking for a Senior Claims Representative - Workers Compensation.Key Responsibilities Manage moderate to complex claims with minimal supervision Conduct thorough investigations, ev...Show moreLast updated: 9 hours ago
    • Promoted
    Patient Intake Coordinator

    Patient Intake Coordinator

    VirtualVocationsArvada, Colorado, United States
    Full-time
    A company is looking for a Patient Intake Coordinator - Specialty Pharmacy.Key Responsibilities Support patients and providers in navigating insurance benefits for prescribed injectable therapies...Show moreLast updated: 30+ days ago
    • Promoted
    Medicare Enrollment Representative

    Medicare Enrollment Representative

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Medicare Enrollment Representative II.Key Responsibilities Maintains accurate eligibility records for individuals and employer groups Processes enrollments, plan chang...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Authorization Associate

    Patient Authorization Associate

    VirtualVocationsBoulder, Colorado, United States
    Full-time
    A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services. Key Responsibilities Secure pre-certifications and au...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Licensed Insurance Quoter

    Licensed Insurance Quoter

    VirtualVocationsLakewood, Colorado, United States
    Full-time
    A company is looking for an Insurance Quoter to provide accurate insurance quotes for various policies.Key Responsibilities : Review and analyze client information to determine appropriate coverag...Show moreLast updated: 15 hours ago
    • Promoted
    Patient Balance Customer Service Representative

    Patient Balance Customer Service Representative

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Patient Balance Customer Service Representative.Key Responsibilities Responds to incoming calls to assist patients and resolve billing and payment issues Processes pay...Show moreLast updated: 2 days ago
    • Promoted
    California Licensed Claims Specialist

    California Licensed Claims Specialist

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Patient Authorization Specialist

    Patient Authorization Specialist

    VirtualVocationsBoulder, Colorado, United States
    Full-time
    A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services. Key Responsibilities Secure pre-certifications and au...Show moreLast updated: 10 hours ago
    • Promoted
    Insurance Information Coordinator

    Insurance Information Coordinator

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for an Insurance Information Coordinator - Remote.Key Responsibilities Verify member benefits, claims, and appeal information with insurance companies Research claims and in...Show moreLast updated: 30+ days ago
    • Promoted
    Medicare Eligibility Representative

    Medicare Eligibility Representative

    VirtualVocationsDenver, Colorado, United States
    Full-time
    A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Life Claims Analyst

    Life Claims Analyst

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Life Claims Analyst to evaluate claims accurately and promptly while ensuring compliance with regulations. Key Responsibilities Determine complex claim benefits based on...Show moreLast updated: 9 hours ago
    • Promoted
    • New!
    Hawaii Licensed Claims Trainee

    Hawaii Licensed Claims Trainee

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Guardian Associate (Workers Compensation Claims Trainee).Key Responsibilities Participate in structured learning through instructor-led sessions, online modules, and jo...Show moreLast updated: 2 hours ago
    • Promoted
    Claims Coordinator

    Claims Coordinator

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Claims Coordinator.Key Responsibilities Monitor incoming claim notifications and ensure all required documents are complete and legible Perform initial claim setup, ac...Show moreLast updated: 30+ days ago
    • Promoted
    Health Information Specialist I

    Health Information Specialist I

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...Show moreLast updated: 2 days ago
    • Promoted
    Licensed Claims Analyst

    Licensed Claims Analyst

    VirtualVocationsAurora, Colorado, United States
    Full-time
    A company is looking for a Claims Analyst to join their team in a remote capacity.Key Responsibilities Provide exceptional resolution of claim files to ensure a best-in-class claims experience I...Show moreLast updated: 1 day ago
    • Promoted
    Patient Financial Navigator

    Patient Financial Navigator

    VirtualVocationsLittleton, Colorado, United States
    Full-time
    A company is looking for a Patient Financial Navigator I.Key Responsibilities Ensure accurate patient medical records, including demographics and insurance coverage Provide financial education t...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Health Claims Examiner

    Health Claims Examiner

    VirtualVocationsArvada, Colorado, United States
    Full-time
    A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...Show moreLast updated: 21 hours ago