- Molina Healthcare (Fort Lauderdale, FL)
- **Molina Healthcare of Florida** is hiring for several Sr . Claims Examiners. These roles remote , however **candidates must reside in Florida.** Ideal ... candidates will have experience with claims adjudication, claims edits, payout evaluation, front end claims processing, and Excel. QNXT experience a plus!… more
- Medical Mutual of Ohio (Rossford, OH)
- …payments. Supports investigative activities (external and internal) of the Company's claims payment operations, providers of service, subscribers, and employees. . ... Analyzes data to compile documentation of fraudulent behaviors. . Examines claims information and identifies those with fraudulent billing patterns. . Communicates… more