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Remote Medical Claims Representative Jobs in Union, Arkansas

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
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.
(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.
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
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
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
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
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.
Claims Analyst - Remote
By Trustmark At United States
1 year of health insurance experience or medical terminology knowledge is a plus
Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports.
Effective verbal and written communication skills
Review, analyze and interpret claim forms and related documents.
Appropriately investigate, pend and refer claims based on claim procedures and guidelines.
Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees.
(Remote) Claims Assistant - Contents Evaluation
By Talentify.io At United States
Oral and written communication skills
Good comprehensive decision making skills
Applies limitations and/or exclusions on claims based on coverage afforded by the policy.
Tracks time and log file notes for daily field activity.
Performs other duties as assigned.
Supports the organization's quality program(s).
Remote - Claims Specialist Iii - R6269
By CareSource At United States
Managed Care Organization or related healthcare industry experience preferred
Intermediate level data entry skills
Adhere to all HIPAA, State, and Federal requirements and regulations at all times in existing and future lines of business
Minimum of one (1) year of experience in claims environment or related healthcare operations experience required
Previous experience in an HMO or related industry preferred
Previous Medicare/Medicaid dual eligible claims experience is preferred
(Remote) Claims Assistant - Contents Evaluation ($16.00 - $18.00 / Hour)
By Talentify.io At United States
Oral and written communication skills
Good comprehensive decision making skills
Applies limitations and/or exclusions on claims based on coverage afforded by the policy.
Tracks time and log file notes for daily field activity.
Performs other duties as assigned.
Supports the organization's quality program(s).
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 ...

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 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

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