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Remote Medical Claims Representative Jobs

Remote - Claims Representative (Data Entry)
By Morgan Stephens At Washington, DC, United States

Morgan Stephens ofrecemos reclutadores que hablan Espanol

Claims Representative Associate - Remote In New York
By UnitedHealth Group At New York, NY, United States
Experience working with multiple products and multiple levels of benefits within each product
Independently complete daily all documentation and communicate the status of claims as needed adhering to all reporting requirements
High School Diploma / GED (or higher) OR 10+ years of equivalent working experience
Working knowledge with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Learn and leverage new systems and training resources to help apply claims processes/procedures appropriately (e.g. on-line training classes, coaches/mentors)
Claims Assistant (Open To Remote)
By The General® At Nashville, TN, United States
Assist adjusters through the management of designated technology to support goals and guidelines:
Assist staff with the resolution of complex salvage sales and rental management.
Self-motivated with great organizational skills
Proficient in a PC with knowledge of Microsoft applications
Good communication skills including listening with compassion and understanding.
Call center experience, a plus
Remote Vp Of Claims
By LaSalle Network At Buffalo-Niagara Falls Area, United States
Provide leadership and vision to create a claims management department
Handle any claims escalation issues and resolve within a timely manager
10+ years of experience in a claims leadership role
Excellent interpersonal and communication skills, both oral and written
Maintain a customer-focused mindset in handling all claims
Hire and lead a high-performing claims team
Remote Medical Claims Processing
By Insight Global At Jacksonville, FL, United States
FULLY REMOTE BUT MUST SIT IN JACKSONVILLE, FL
Responsible for the denial queue and the no-response queue (could shift) in addition to a correspondence queue used to submit records
Work through their denials based on priority and allocation
Working to meet production standards
Reviewing correspondence and making an appeal or reaching out to gather more information
Report trends within claim denials or billing errors
Remote Vp Of Claims
By LaSalle Network At New York, NY, United States
Provide leadership and vision to create a claims management department
Handle any claims escalation issues and resolve within a timely manager
10+ years of experience in a claims leadership role
Excellent interpersonal and communication skills, both oral and written
Maintain a customer-focused mindset in handling all claims
Hire and lead a high-performing claims team
Hra Sr Claims Analyst (Remote)
By Trustmark At United States
Build HRA benefit plans in the Defined Care Platform
Research, analytical and problem-solving skills
Strong organizational skills and the ability to meet deadlines
3-5 years claims paying experience
Working knowledge of Operating System(s)used by the Claims Area
Administer HRA claim payments in accordance with policy provisions.
Claims Analyst - Remote ($19.65 - $34.19 / Hour)
By Talentify.io At United States
Investigate, analyze, and respond to complaints from various sources, including Consumer Protection Agencies, Regulatory Agencies, Attorneys, and Upper Management
1-2 years of previous customer service experience
Bachelor's Degree or equivalent work experience
Basic mechanical, technical, and contract knowledge
Previous leadership experience desired but not required
Comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave, and employee stock purchase plan
Remote Claims Analyst ($18.00 / Hour)
By Talentify.io At United States
A minimum of 1 year of prior claims experience
A professional degree or equivalent experience
Strong communication skills, both written and verbal
Sharp critical thinking skills with sound judgment
Perform data entry and verification
Verify data and processing requirements and make corrections as necessary
Claims Initiation Representative (Remote Available)
By Lincoln Financial Group At Charlotte, NC, United States
0-1+ years of administrative support, customer service and/or data entry that directly with the specific responsibilities for this position
Data entry and research experience in a fast-paced environment
A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
A clearly defined career framework to help you successfully manage your career
Competitive 401K and employee benefits
Identifies, recommends and champions process improvements and organizational initiatives to positively influence the team and quality.
Medical Claims Processor I - Remote (Ak, Az, Fl Id, Or Wa)
By Moda Health At United States
6-12 months data entry or medical office experience preferred
Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
Professional and effective written and verbal communication skills
Experience with Facets platform a plus
Identify all the duties and responsibilities
Medical, Dental, Vision, Pharmacy, Life, & Disability
Death Claims Analyst (Remote Possible)
By Equitable At Charlotte, NC, United States
Determines appropriate beneficiary and identifies and obtains requirements needed to process the claim within state and federal guidelines.
Handles escalated requests and is considered a recognized technical resource whose knowledge encompasses a broad range of products and procedures.
2+ years of experience in financial services industry or customer service
Knowledge of the Death Claims process
Sound analytical, problem solving and decision making skills
Able to research and resolve standard issues.
Florida Blue - Claims Representative Iii, Remote
By Florida Blue At , Remote $18 - $26 an hour
Income protection benefits: life insurance, Short- and long-term disability programs;
Additional voluntary benefits available; and
Medical, dental, vision, life and global travel health insurance;
Leave programs to support personal circumstances;
Retirement Savings Plan includes employer contribution and employer match;
Paid time off, volunteer time off, and 11 holidays
Patient Billing - Medical Claims Resolution (Remote)
By PeopleScout At Edmond, OK, United States

Location : Primarily this position will be remote but the new hire would be required to work in office in Oklahoma, City, OK, 2 days a month.Shift : Flexible start 6AM-9AM Central Time, Monday-Friday, ...

Claims/Wc Investigator - Remote
By Command Investigations At Greater Orlando, United States
Writing accurate and detailed reports
Strong initiative, integrity, and work ethic
Possession of a valid driver’s license
Ability to prioritize and organize multiple tasks
Computer literacy to include Microsoft Word and Microsoft Outlook email
Bachelor’s Degree in Criminal Justice or similar
Payment Posting Representative-Pfs (I) (Medical Claims) - Pfs (Remote)
By Trinity Health At Farmington Hills, MI, United States

Employment Type Full time Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $16.1738-$24.1614) Performs day-to-day payment posting reconciliation activities within ...

Claims/Wc Investigator - Remote
By Command Investigations At Dallas, TX, United States

Position: PARAMEDIC EMT PRN EVENT STANDBY DALLAS Job Summary: DALLAS AREA !!!! 6 months PRN contract. Work these jobs as they appear and when you are available. No minimum hour requirements - NO CAP ...

Medical Claims Processor I - Remote (Ak, Az, Fl Id, Or, Tx, Wa)
By Moda Health At United States
6-12 months data entry or medical office experience preferred
Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
Professional and effective written and verbal communication skills
Experience with Facets platform a plus
Identify all the duties and responsibilities
Medical, Dental, Pharmacy and vision coverage
Patient Billing - Medical Claims Resolution (Remote)
By PeopleScout At Piedmont, OK, United States

Location: Primarily this position will be remote but the new hire would be required to work in office in Oklahoma, City, OK, 2 days a month.Shift: Flexible start 6AM-9AM Central Time, Monday-Friday, ...

Remote Claims Adjustor 1 Jobs
By Coventry Workers' Comp & Auto Networks At United States
Completes all state required forms pursuant to applicable jurisdiction requirements.
Prepares and provides medical bills for repricing to the approved MCO (Managed Care Organization) vendor, where applicable.
This position is remote, however, you must be located under the Eastern Time Zone
1-2 Years Workers' Compensation Claims Experience
Contacts employees when required and provides timely and accurate information to employer.
Determines if the claim is compensable in accordance with the applicable legal jurisdiction.

Are you looking for a job that allows you to work from home and make a difference in people's lives? Join our team as a Remote Medical Claims Representative and help us provide quality healthcare services to our customers!

Overview A Remote Medical Claims Representative is responsible for processing medical claims for patients, providers, and insurance companies. They must ensure accuracy and timeliness of claims, and provide customer service to all parties involved. Detailed Job Description A Remote Medical Claims Representative is responsible for processing medical claims for patients, providers, and insurance companies. They must ensure accuracy and timeliness of claims, and provide customer service to all parties involved. They must review and verify patient information, medical codes, and insurance information to ensure accuracy of claims. They must also review and process claims for payment, and follow up on any discrepancies. They must be able to communicate effectively with patients, providers, and insurance companies, and must be able to handle difficult situations with professionalism. Job Skills Required
• Knowledge of medical coding and insurance claims processing
• Excellent customer service skills
• Attention to detail
• Ability to work independently
• Ability to multitask
• Excellent communication skills
• Computer proficiency
Job Qualifications
• High school diploma or equivalent
• Previous experience in medical claims processing
• Knowledge of medical coding and insurance claims processing
• Ability to work independently
• Excellent customer service skills
• Computer proficiency
Job Knowledge
• Knowledge of medical coding and insurance claims processing
• Knowledge of medical terminology
• Knowledge of HIPAA regulations
• Knowledge of insurance policies and procedures
Job Experience
• Previous experience in medical claims processing
• Experience in customer service
• Experience in data entry
Job Responsibilities
• Review and verify patient information, medical codes, and insurance information
• Process claims for payment
• Follow up on any discrepancies
• Communicate effectively with patients, providers, and insurance companies
• Handle difficult situations with professionalism
• Maintain accurate records of claims processing