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Remote Medical Claims Representative Jobs

Payment Posting Representative-I (Medical Claims) - Pfs -- Remote | Wfh
By Get It Recruit - Finance At Farmington, MI, United States

About Us We are a leading healthcare organization dedicated to improving the well-being of our communities. Our team is committed to delivering top-notch services while upholding the highest ...

Medical Claims Associate ( Remote)
By Others At United States
This is a fully remote position.
·Accurately code explanation of benefits
·1 – 2 years claims processing experience.
·A working knowledge of ICD10, CPT codes and HIPAA guidelines
Duties include but are not limited to:
·Receive pending claims for evaluation and processing
Payment Posting Representative-I (Medical Claims) - Pfs (Remote)
By Trinity Health FirstChoice At Farmington, MI, United States

Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position ($16.4877-$20.6097) Performs day-to-day payment posting reconciliation activities within ...

Medical Claims Reviewer, Associate (Remote U.s.)
By Acentra Health At United States
Required Technology Skills / Qualifications / Experience:
Comprehensive knowledge of medical coding systems, procedures, and documentation requirements.
Demonstrates basic knowledge of medical coding systems, procedures, and documentation requirements.
Are you an experienced Medical Claims Reviewer, Associate looking for a new challenge?
Knowledge of auditing concepts and principles.
Knowledge of statutory regulations and medical terminology.
Medical Billing Representative - Remote
By SALUD REVENUE PARTNERS LLC At ,
Strong organizational and analytical skills, paying special attention to details.
Possess strong problem solving skills.
Knowledge of insurances, Medicaid and Medicare in a hospital and/or physician office setting.
CPT/ICD 10 Coding knowledge a plus.
95% of our employees say this is a great place to work!
98% of our staff say "When you join the company, you are made to feel welcome."
Medical Claims Data Entry (Typist) - Remote | Wfh
By Get.It Recruit - Administrative At Plano, TX, United States

We are seeking a skilled and dedicated Medical Claims Data Entry Professional to join our dynamic team at a leading healthcare cost containment company in Plano, TX. Our company specializes in medical ...

Medical Claims Resolution Specialist (Remote)
By MultiPlan Inc. At , Remote $19.83 an hour
JOB REQUIREMENTS (Education, Experience, and Training):
Knowledge of general office operations and/or experience with standard medical insurance claim forms
Address counter-offers received and present proposal for resolution while adhering to client guidelines and policy and procedures
Provider education to providers online provider portal services available for proposal review and approval
Good Communication (verbal, written and listening) teamwork, negotiation and organizational skills
Ability to use software and hardware related to job responsibilities, including MS Word and MS Excel spreadsheets and database software
Remote Medical Claims Analyst
By Aspirion Health Resources LLC At , Remote $16.11 - $20.00 an hour
Cross train in multiple areas and perform all other duties as assigned by management.
Time management and reliable attendance
Bachelor's degree preferred, or equivalent combination of education, training, and experience
Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
Review and understand eligibility of benefits.
Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
Claims Casualty Support Representative (Remote Opportunity)
By Grange Insurance Company At , Columbus, 43206
Establishes and maintains positive relationships with both internal and external customers providing excellent customer service.
Provide assistance with developing/mentoring newer claims associates as applicable.
Delivers consistent high-quality claims handling results.
Maintains timely review of file, reserve adequacy and evaluation of files for settlement purposes according to current strategy.
What You’ll Bring To The Company:
Claims Associate Representative - Remote
By The Cigna Group At , Hartford, 06152 $17 - $22 an hour

Must be a current contractor with Cigna Healthcare, Evernorth Health Services, or one of their subsidiaries. Delivers basic technical, administrative, or operative Claims tasks. Examines and ...

Claims Manager (Remote) - Remote | Wfh
By Get It Recruit - Real Estate At Streamwood, IL, United States

At our company, we are passionate about making a real impact in people's lives through our 24/7, 365 days-a-year nationwide temporary housing solutions. For over two decades, we have been a leader in ...

Medical Claims Processing - Remote | Wfh
By Get It Recruit - Healthcare At Duluth, MN, United States

Do you possess an unwavering commitment to excellence? Have you always envisioned collaborating with a team of passionate, vibrant, and brilliant individuals who share your drive? Are you eager to ...

Claims Analyst - Remote
By First American At California Hills, KY, United States
At least 1-2 years of previous customer service experience
Bachelors Degree or commensurate work experience
Basic mechanical, technical and contract knowledge and understanding
Possess analytical and investigative skills
Previous leadership experience desired but not required
Investigate liability complaints against First American and/or independent contractors dispatched by First American
Payment Posting Representative-I (Medical Claims) - Pfs (Remote)
By Trinity Health At , Farmington Hills, 48331, Mi $16,488 - $24,731 a year
Strong accuracy, attention to detail and time management skills.
Excellent written and verbal communication skills and organizational abilities.
Strong interpersonal skills in interacting with internal and external customers.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Responsible for performing duties in a manner which promotes accurate, efficient and timely cash posting and reconciliation.
(Remote) Claims Representative - General Liability
By Sedgwick At Illinois, United States
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Professional certification as applicable to line of business preferred.
Opportunity to work in a remote or agile environment.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Medical Claims Representative Jobs
By Morgan Stephens At Irving, TX, United States

Morgan Stephens ofrecemos reclutadores que hablan Espanol

(Internal Employees Only)Lead Processor For Medicare Advantage, Medical Claims And De/Xc - Remote
By Moda Health At United States
Analytical, problem solving, retention of new knowledge, organizational skills.
1-2 years Moda Health claims processing experience preferred
Knowledge of medical terminology, HCPC codes, CPT codes and ICD-9/ICD-10 codes.
Demonstrated knowledge and understanding of plans processed by unit including complex claims and claims from various provider panels.
Effective written and verbal communication skills.
Performs manual calculation/override of benefit to enter correct information on claims the system cannot process.
Associate Claims Representative - Remote In Eastern Time Zone
By UnitedHealth Group At Tampa, FL, United States
Experience in working with multiple products and multiple levels of benefits within each product
Independently complete on a daily basis 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
1+ years of previous customer service experience in a technical setting
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
Medical Claims Support I- Remote (Ak, Az, Fl, Id, Or, Wa) Hours Will Be Pst
By Moda Health At United States
Consistently communicates in a positive and effective manner, both written and verbal, to co-workers and management.
Responds and follows up using Facets, Content Manager and E-mail.
At least 12 months experience as a Processor I and consistently performing at an exceeding level of performance.
Professional and effective written and verbal communication skills
Strong and proficient organizational abilities and the ability to handle a variety of functions
Strong analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed.
Medical Claims Cob Processor Remote (Ak, Az, Fl, Id, Or, & Wa)
By Moda Health At United States
Professional and effective written and verbal communication skills.
Good analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed.
Good organizational abilities and the ability to handle a variety of functions .
Knowledge and understanding of Moda Health administrative policies affecting claims and customer service.
Responds and follows up using FACETS, Content Manager and E-mail.
Medical, Dental, Vision, Pharmacy, Life, & Disability

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