Register
Recruit Create CV

Remote Medical Claims Specialist Jobs

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
Claims Specialist - Remote | Wfh
By Get It Recruit - Healthcare At Atlanta, GA, United States

We are currently seeking a dedicated Claims Intake Specialist to become a valued member of our team! As a Claims Intake Specialist, you'll play a crucial role in our organization, ensuring the ...

Medical Billing A/R Specialist - Pending Claims - Remote | Wfh
By Get It Recruit - Healthcare At Richardson, TX, United States

To foster revenue generation through proactive management of outstanding medical claims, we seek an enthusiastic professional dedicated to ensuring payment resolution. Embracing our company's ...

Healthcare Claims Specialist - Remote | Wfh
By Get It Recruit - Healthcare At Little Rock, AR, United States

We are a dynamic organization seeking a skilled and dedicated Medical Claims Specialist to join our team for a remote contract position. With a strong possibility of extension, we offer a rewarding ...

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 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 ...

Remote Default Mi Claims Specialist, I - 300001481783726
By Carrington Holding Company, LLC At Westfield, IN, United States
Continue to learn new skills and expand job knowledge to better perform assigned duties.
Come join our amazing team and work remote from home!
Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and requirements.
High School Diploma or equivalent work experience.
Maintain updates in Fiserv and input the completion date on the date the action occurs.
Perform routine follow-up on a daily basis.
Remote Default Mi Claims Specialist, I ($19.50 - $21.50 / Hour)
By Talentify.io At United States
High School Diploma or equivalent work experience
Employee referral bonuses and educational reimbursement
Competitive pay range of $19.50-$21.50/hr
Opportunity to work with a dynamic and talented team
Comprehensive healthcare plans for you and your family
Access to discounts on fitness, restaurants, retail, and more
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.
Clinical Claims Specialist Medical
By Wellpath At United States
5 years in a correctional healthcare setting, hospital management, risk management, insurance, claims management, or similar experience required.
Experience with data management, statistics, analytics, process improvement methodology, and PC applications preferred.
Patient care, legal or claims management experience is preferred.
Take on special projects involving data gathering, report preparation, trend management, and escalation related to risk management.
Bachelor's degree is preferred. Health administration, management, business administration, claims management, insurance, or related field preferred.
Previously demonstrated ability and experience in providing leadership for self-directed work teams.
Medical Cost Negotiator & Claims Specialist
By Health Advocate At , Remote $20 - $24 an hour
Reports Settlement results within the system and Statistics to Management
Send and Acknowledge receipt of Contracts from Consumers/Members and Providers
Provide benefit and claims consultation and support when appropriate to all internal departments.
Claims or Call center experience preferred
Bachelor's Degree or applicable work experience
Ability to interpret Explanation of Benefits (EOBs).
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 ...

Senior Equine Claims Specialist (Open To Remote)
By Markel Corporation At , Richmond, 23230, Va $90,000 - $120,000 a year
Strong organization and time management skills
Minimum of 2-3 years of claims experience in Farm, Equine, Agriculture, or equivalent combination of education and experience
Markel offers hybrid working schedules of 3 days in the office and 2 days remote.
Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
Bachelor’s degree or equivalent work experience
Knowledge of insurance industry or claims handling preferred
Remote Default Mi Claims Specialist, I
By Vylla At , $19.50 - $21.50 an hour
Continue to learn new skills and expand job knowledge to better perform assigned duties.
Come join our amazing team and work remote from home!
Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and requirements.
Maintain updates in Fiserv and input the completion date on the date the action occurs.
Perform routine follow-up on a daily basis.
Document all servicing, action taken, delays, follow-up, and phone conversations in the system notes.
Billing - Claims Specialist (Remote)
By Keplr Vision At , Bloomington, 61701, Il
Prior use of Practice Management and EHR Systems preferred
Good to excellent spelling, grammar and written communication skills
Knowledge and understanding of EOBs and HCFA forms
Knowledge of CPT and ICD codes
Excellent telephone and oral communication skills
Must have experience with electronic processing of medical and vision claims
Medicare Claims Resolution Specialist - Remote -Digitech
By Sarnova At United States
Handle all correspondence via mail, email and any necessary refunds; perform other duties as assigned by management
Strong computer skills. Basic understanding of MS Outlook, Word and Excel.
Experience in an environment where calls were monitored and scored as well as metrics applied to individual performance is helpful.
Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner.
Shift M-F 830am-5pm EST. Fully Remote. Work from the comfort of your home.
Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold
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
Claims Processing Specialist - Remote | Wfh
By Get It Recruit - Finance At Poland, ME, United States

About Us Imagine being part of a dynamic team that delivers mission-critical services and solutions for Fortune 100 companies and governments worldwide, positively impacting the lives of millions ...

Claims Specialist 2 - Affluent (Remote)
By Nationwide At United States
Builds and analyzes severe incident reports, reinsurance reports and other information to share with corporate office, claims management and underwriting.
3-5 years of insurance field/property claims handling or adjusting experience
Solid experience writing own estimates and handling claims start to finish
Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc
Strong written & verbal communication skills
Maintains knowledge of other functions within subject area. This may require attending various seminars or training sessions.