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 ...

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. · ...

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. ...

+Job Summary · Responsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, · ResponsibilitiesEnters claims data into system while interpreting cod ...

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 ...

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 ...

(This is a FT WFH role) Enter simple to moderately complex medical claims in accordance with policies as outlined by the company. Flexible schedule that may include working overtime on Saturdays.) ...

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 ...

We are seeking a Medical Claims Support Specialist to join our team at Moda Health. As a key member of our claims department, you will be responsible for investigating and processing claim adjustments for all medical lines of business. · ...

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. · ...

We are seeking a Supervisor Medical Claims Support to provide supervision, coaching and support to Claim Support staff. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement. · ...

The Dental Fraud and Abuse Investigator is responsible for providing accurate and appropriate documentation, research and resolution of written correspondence received from providers and potential Fraud and Abuse investigations under minimal supervision. This is a FT WFH position ...

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