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Claims Adjudication Remote Jobs

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16 fresh jobs found
Specialist II, Medical Billing
USA - TX - Remote Teladoc Health logo Teladoc Health
Denial resolution Reimbursement methodology Telehealth billing Billing regulations Denials Refunds Quality Metrics Insurance Regulations Claim processing +26
Mid Full Time
USD 50K+
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Pharmacy Technician, Specialty
Remote Rightway logo Rightway
Pharmacy Claims Adjudication Benefit Design PBM Claims Adjudication Pharmacy Technician Specialty Pharmacy Healthcare experience Administrative Tasks Prior authorization +9
Mid Full Time
USD 44K+
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Claims Team Lead - Workers Compensation | Remote within CO
Telecommuter CO Sedgwick logo Sedgwick
Motivational Quality review Claims Adjudication Rehabilitation Adjudication Interpretive Technical Direction Performance competencies PC literate +25
Senior Mid Full Time
USD 85K+
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Bilingual Adjustment Adjudicator SHU
CAN, Quebec - Full Time Remote Manulife logo Manulife
Dental Terminology Microsoft O365 Claims Adjudication Analytical Problem Solving French Medical terminology Counseling Initiative Law +17
Mid Full Time
USD 39K+
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Technical Quality Specialist - Remote
Remote Mutual Of Omaha logo Mutual Of Omaha
Disability claims Claims Adjudication Adjudication Claims management Diversity and Inclusion Insurance Products Auditing Talent Acquisition Decision making +12
Mid Full Time
USD 60K+
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Claims System Configuration Senior Analyst - eviCore - Remote
Tennessee Work at Home The Cigna Group logo The Cigna Group
HCPC FFS RBRVS MPPR OPPS Claims Data NCCI Database Management Systems Healthcare Claims +29
Senior Full Time
USD 51K+
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Bilingual Investment Claims Adjudicator
CAN, Quebec - Full Time Remote Manulife logo Manulife
Administrative systems Knowledge of government legislation Processing systems Continuous improvement mindset Knowledge of investment products AWD Critical Illness Long Term Care Claims Adjudication +25
Entry Mid Full Time
USD 43K+
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Workers Compensation Claims Team Lead | Manie Jurisdictional Knowledge | Remote
Telecommuter ME Sedgwick logo Sedgwick
Motivational Quality review Claims Adjudication Rehabilitation Technical Direction Performance competencies Adjudication Interpretive PC literate +25
Senior Full Time
USD 66K+
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Health Claims Specialists- Remote
Louisville, KY, United States Sutherland logo Sutherland
Claims Adjudication Internet Connectivity Software Proficiency Medical terminology Typing HIPAA Compliance Digital Transformation Data Entry Financial Services +4
Entry Mid Full Time
USD 27K+
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Credentialing Specialists – Remote
Louisville, KY, United States Sutherland logo Sutherland
Typing 40 wpm Provider Credentialing Claims Adjudication Internet Connectivity Credentialing Medical terminology Email Typing Banking +8
Entry Mid Full Time
USD 27K+
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Medical Billing Specialist
USA - TX - Remote Teladoc Health logo Teladoc Health
Reimbursement methodology Denial resolution Denials Telehealth billing Refunds Billing regulations Claim processing Claims Adjudication Insurance Regulations +22
Mid Full Time
USD 50K+
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Claims Team Lead Workers Compensation REMOTE (MUST RESIDE IN CA)
Telecommuter CA Sedgwick logo Sedgwick
Quality review Claims Adjudication Team Supervision Rehabilitation Technical Direction Adjudication Staffing Growth Disability +13
Senior Full Time
USD 90K+
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Claims/Credentialing Specialists – Remote
Louisville, KY, United States Sutherland logo Sutherland
Typing 40 wpm Provider Credentialing Internet Connectivity Claims Adjudication Medical terminology Email Typing Banking Digital Transformation +7
Entry Mid Full Time
USD 27K+
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Medical Claims Adjustor (Fully Remote)
Work At Home-Minnesota CVS Health logo CVS Health
Dg system claims processing Claim adjudication Medical claims processing Eligibility verification Appeals Claims Adjudication Cost Containment Medical necessity Claims processing +8
Mid Full Time
USD 36K+
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PBM Operations Analyst, Data Operations
New York, NY or Remote Rightway logo Rightway
Eligibility operations Benefit configuration Data Operations Claims Adjudication PBM Pharmacy benefit management Pharmacy Technician Healthcare experience Internal Controls +7
Entry Mid Full Time
USD 65K+
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Terms & Conditions Analyst - Remote
United States Tenet Healthcare logo Tenet Healthcare
Managed care interpretation Healthcare insurance reimbursement ICD-9 Coding Hcpcs coding Query writing Contract Analysis Contract Interpretation Hospital billing Claims Adjudication +27
Entry Mid Full Time
USD 67K+
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