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Claims Adjudication Remote Jobs

32 fresh jobs found

Bilingual Disability Claims Adjudicator
CAN, Quebec - Full Time Remote, Canada

Insurance Legislation Underwriting Process Financial Documentation Claims Adjudication Bilingual French French Counseling Investigations Financial +21

USD 58K+

Product Manager - Payment Integrity (COB)
Remote, United States

Payment accuracy Feature prioritization Roadmap planning Payment Integrity Reimbursement methodologies Payment Metrics Tracking Claims Adjudication Exchange +56

USD 88K+

Pharmacy Claims Representative
Remote US, United States

Drug knowledge Dispensing systems Pbm systems Electronic claims submissions Pharmacy Claims PBM Prescription Pharmacy Technician Claims Adjudication +37

Entry Mid Full Time

USD 40K+

Field Reimbursement Manager - Neurology - North West, WA, OR, CA, NV, UT, ID, MT, WY
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - South West - CA AZ NV UT AZ
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Mid West - ND, SD, NE, IA, MN, WI
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - East Texas - TX, OK, AR, LA, TN, MS
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - East Central - NJ, VA, DE, MD, Washington, DC
Remote, US, United States

Reimbursement processes Healthcare provider education Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support +35

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Great Lakes - MI, IN, OH
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 147K+

Field Reimbursement Manager - Neurology - Ohio - IN, WV, KY, VA
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - West Texas - CO, NM, TX
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Carolinas - GA, NC, SC, TN
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 147K+

Liability Claims Team Lead | Frisco, TX (open to telecommuters)
Frisco, TX - Frisco, United States

Performance development Quality review Liability Claims Rehabilitation Motivational Claims Adjudication Liability Interpretive Adjudication +33

Senior Full Time

USD 61K+

Experienced QNXT Developer
Any city, TX, US, 99999

Gainwell Technologies

Web Forms Platform Configurations Payer Systems Qnxt .NET framework Posting Claims Adjudication ASP.NET Healthcare IT +31

Senior Full Time

USD 77K+

Client Services Representative | Must Reside in CA
Telecommuter CA, United States

Claims Adjudication Interpretive Liability Performance competencies PC literate Microsoft Office products Project Coordination Cross-selling Disability +32

USD 71K+

Senior QNXT Developer
Any city, TX, US, 99999

Gainwell Technologies

Platform Configurations Web Forms Payer Systems Qnxt Design and development .NET framework Posting Claims Adjudication Processes +36

Senior Full Time

USD 61K+

Director, Technical Operations
United States

Navitus Health Solutions, LLC

Eligibility administration Vendor contract management Operational expertise Compliance oversight Regulatory Interpretation Financial controls Data reconciliation Claims Adjudication RDS +13

Exec Senior Full Time

USD 120K+

Supervisor - Claims Quality Assurance (Accountable Care)
Remote - USA, United States

Stanford Health Care

Staff Supervision C-i-care Operational reporting Claims Adjudication Audit Management Claims processing Medical terminology Training Development Performance Management +8

USD 121K+

Senior Management & Professional Liability Technical Claims Specialist
Remote

Claims Adjudication Professional liability Report Preparation Policy analysis Customer focus Claims management Investigation Time Management Negotiation +4

Senior Full Time

USD 100K+

Claims Liaison I
Remote-TX, United States

Centene Corporation

Reimbursement interpretation Provider contracts Provider Billing Claims Adjudication Adjudication Provider Relations Information systems Claims processing Claims +12

USD 77K+

Claims Systems Senior Analyst - eviCore - Remote
Tennessee Work at Home, United States

The Cigna Group

MPPR OPPS FFS MC400 MCNET Configuration design RC3 HCPC RBRVS +32

Senior Full Time

USD 53K+

Associate Director, Claims-Stop Loss
Sun Life Wellesley, United States

Claims-related software Stop loss claims Claims Adjudication Client Experience Internal Audit Claims processing Client service Audit Equity +17

Senior Mid Full Time

USD 99K+

Project Manager, Provider Services Operations
United States

Navitus Health Solutions, LLC

Pharmacy benefit services Client implementation Medicare part d Claims Adjudication Network Design Operational processes Credentialing Claims processing Health +13

USD 77K+

Claims Team Lead - Workers Compensation
Recruiting Only - Telecommuter, United States

Performance development Quality review Claims Adjudication Motivational Rehabilitation Interpretive Adjudication Performance competencies Keyboarding +33

Senior Mid Full Time

USD 65K+

Contract Negotiator II
Remote-NV, United States

Centene Corporation

Contract Analysis Provider Contracting Contract Compliance Claims Adjudication Provider Relations Healthcare administration Contracting Database Management Claims +18

USD 55K+

Claims Processor -Dental and Vision
Work From Home - AZ, United States

Third Party Administration Vision Claims Productivity standards Dental claims Hcpcs coding Claims Adjudication CPT coding Adjudication Accuracy +23

USD 30K+

Client Advocate
United States

Navitus Health Solutions, LLC

Pharmacy benefit management Claims Adjudication HIPAA Compliance Claims processing Data privacy Health care HIPAA Communications Troubleshooting +5

USD 47K+

Client Policy Manager I
Remote, United States

Medical policy Clinical coding Healthcare Claims CMS guidelines Reimbursement methodologies Claims payment Payment Claims Adjudication Adjudication +29

USD 72K+

Pharmacy Claims Representative
Remote US, United States

Dispensing systems Electronic claims submissions Pbm systems Pharmacy Claims Workflow enhancement Claims Adjudication PBM Prescription Billing Systems +37

Entry Mid Full Time

USD 40K+

Workers Compensation Claims Team Lead | NY, MA, NJ, VA Jurisdictions | Remote
Telecommuter MA, United States

Performance development Quality review Claims Adjudication Motivational Keyboarding Rehabilitation Adjudication Technical Direction Interpretive +31

Senior Full Time

USD 78K+

Contract Negotiator
Remote-WA, United States

Centene Corporation

Claims Adjudication Provider Relations Healthcare administration Contract Compliance Credentialing Claims Contracting Network Business administration +10

USD 55K+

Workers Compensation Claims Team Lead | NY Licensing Required
Telecommuter NY, United States

New York Jurisdiction Claims Adjudication Quality review Adjudication Rehabilitation Claims handling Growth Workers Compensation Staffing +16

Senior Full Time

USD 95K+

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