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Remote Medical Claims Representative Jobs in Texas

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 Representative Jobs
By Morgan Stephens At Irving, TX, United States

Morgan Stephens ofrecemos reclutadores que hablan Espanol

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 ...

Claims Representative Associate (Ssm) - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $16.00 - $27.31 an hour
High School Diploma / GED (or higher) OR equivalent years of work experience
1+ years of experience processing medical, dental, prescription or mental health claims
Knowledge of CPT and diagnosis codes
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence and quality standards
Associate Claims Representative - National Remote
By UnitedHealth Group At Dallas, TX, United States
Calculate other insurance and benefits
High School Diploma / GED (or higher) OR equivalent years of work experience
1+ years of experience with processing medical, dental, prescription, OR mental health claims
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Provide general claims support by reviewing and processing claims
Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements
Claims Representative - Remote | Wfh
By Get It Recruit - Healthcare At Dallas, TX, United States

Are you ready to take on a challenging role where you can make a real difference? We're looking for a talented individual to join our team as a Claims Analyst! As a Claims Analyst, you'll be ...

Claims Administrator - Remote
By Brink’s Inc At Coppell, TX, United States
Work independently to resolve customer issues by providing feedback to management and business partners on opportunities for process enhancements
Manage customer interactions by serving the needs of our customers by resolving claim inquires within set timeframes and contractual SLAs
Manage claims activities in Salesforce or other CRM tools both accurately and timely
Support managers in analyzing, planning, decision-making and problem-solving activities
Intermediate Microsoft Office and Excel skills
2 years of experience in direct customer communication via email, phone and meetings
Claims Representative Associate - National Remote
By Optum At Dallas, TX, United States
Meets productivity and accuracy standards as established by management
1+ years of medical revenue cycle experience
1+ years of experience with patient information/claims system reimbursement processes
Knowledge and understanding of healthcare billing and collection practices and methodologies in an automated environment
Working knowledge of insurances and general reimbursement types: PPO, HMO, Indemnity, Medicare, Medicaid, Workers’ Compensation
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Senior Claims Representative - Remote
By UnitedHealth Group At , San Antonio, 78202, Tx $18.80 - $36.78 an hour
Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim
1+ years of experience processing medical, dental, prescription or mental health claims
2+ years of Billing experience in Providers Office or Medical setting
Assist with escalated claims to resolve complex issues for team members and internal customers
Support implementation of updates to the current procedures and assist with new system training/mentoring
Analyze and identify trends and provides reports as necessary
Patient Support Medical Claims Processing Representative (Home-Based)
By IQVIA At , Atlanta, Ga $23 an hour
Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
Exceptional organizational skills are required
Experience in claim processing required
Medical Billing and Coding Certification required
Ability to interpret Explanation of Benefits (EOB)
High School Diploma or equivalent

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