Medical Claims Processor - Portland

The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. · Has minimum necessary access to Protected Health Information (PHI) and ...

We are seeking an experienced Senior Claims Processor to join our U.S. Benefits team. · This role is critical for claims processing, auditing, adjudication logic, and long-term knowledge transfer. · Ideal candidates bring deep experience in medical and/or dental claims and thrive ...

Our client, a long‑standing and reputable benefits organization, · is seeking an experienced Senior Claims Processor to join their U.S. · Benefits team. · ...

The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. · Maintains current knowledge of assigned Plan(s) and effectively applies ...

About Moda: · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. · We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

Title: Claims Processor Department: Claims · Bargaining Unit: UFCW 555 Grade: 3 · Position Type: Non-exempt Hours per Week: 40 · Position Summary · The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to pla ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. · Key Duties and ResponsibilitiesMaintains current knowledge of assigned ...

Investigates and processes Coordination of Benefits (COB) claims ensuring all necessary steps are completed for accurate claims processing. Handles customer service inquiries regarding contractual and administrative policies, providing excellent customer service when phone commun ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

We're looking for a Claims Processor I to join our team! As a hybrid position based in Milwaukie, OR, you'll review claims to determine why they didn't auto-adjudicate and make corrections as needed. You'll also process claims according to processing policies and contract provisi ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

Our client is seeking a Senior Claims Processor to support a long‑standing benefits organization. · ...

Our client is seeking a Senior Claims Processor to support a long‑standing benefits organization. · ...

Investigates and processes claim adjustments for all medical lines of business.Fulfills various tasks including COB updates file reviews payment offsets stop payment requests customer service inquiries regarding contractual policies Medical Dental Vision Pharmacy Life & Disabilit ...

Overview · Pharmacy Technician - Claims Adjudication · What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued. · If y ...

Provides accurate quality assurance auditing of post-payment claims to determine correct adjudication and benefit application. · ...

This is a FT WFH position providing supervision coaching and support to Claim Support staff establishing goals procedures and provide direction to ensure prompt and accurate support services ensures department reports are prepared and quality assurance conducted. · ...

· Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, ...