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Claims processing Remote Jobs

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Escalation Response Specialist III
Remote-MO, United States

Centene Corporation

Provider experience Claims payment Escalation management Claims Adjudication Adjudication Contact center Customer Care Issue Resolution Problem Resolution +23

Senior Mid Full Time

USD 68K+

Claims Adjuster-Crop
Work Remotely, Minnesota, USA, United States

Farming Policy service Crop claims Investigative Techniques Crop insurance Insurance Regulations Field Inspections Insurance policies Agriculture +23

Entry Full Time

USD 52K+

Senior Claims Adjuster-Crop
Work Remotely, Texas, USA, United States

Farming experience Farming Agriculture knowledge Policy service Claims Adjustment Insurance Compliance Crop insurance Policy administration Field Inspections +19

Senior Mid Full Time

USD 64K+

Represented Bodily Injury Adjuster - MD, VA, DC - Remote (EST/CST)
USA - VA (Remote), United States

Allstate Remote-first

Information collection Claims Evaluation Liability determination Fraud investigations Automobile Accidents Bodily injury claims Business Communications Policy interpretation Bodily injury +38

USD 50K+

Claims Engineer - REMOTE
Cincinnati, OH, US

Cobalt Dbc coding Impact platform Adjudication Claims management Claims processing Critical thinking Healthcare Organizational +2

USD 150K+

(Remote) Mental Health Revenue Cycle / Medical Billing Coordinator - Full Time
Remote

Patient Invoicing Billing software Insurance follow-up EMR systems Medical Billing ICD-10 Revenue Cycle Management CPT Claims processing +1

USD 43K+

SIU Investigator, Senior Analyst
Remote

Investigative Techniques Provider Contracting Technology Platform Fraud detection Investigations HIPAA Compliance Process improvements Claims processing Contracting +20

Senior Mid Full Time

USD 69K+

FNOL Agent
Remote

Kin Insurance Remote-first

Claims processing Data Collection Slack Bilingual Empathy Equity Team Collaboration Attention to detail Customer service +4

Entry Mid Full Time

USD 44K+

Business Analyst, Government Programs, Med-D
United States

Navitus Health Solutions, LLC

Technical Operations Qlikview System testing Data manipulation Data Reporting User Acceptance Testing CMS Claims processing Health +20

Entry Mid Full Time

USD 65K+

Provider Data Management Analyst I
Remote-FL, United States

Centene Corporation

Provider data management Claims payment Healthcare operations Provider Relations Credentialing Claims processing Contracting Claims Managed Care +18

Entry Full Time

USD 38K+

AD, Access & Reimbursement (ADAR) NPS, RLT - Chicago, IL- Remote
Field Non-Sales (USA), United States

Radioligand Therapies Cross-functional work Market Access Strategies Academic Medical Institutions Biotech industry Radioligand Therapy Integrated delivery networks Payer Policy Coverage Payer Policy +62

USD 160K+

Oncology Sales Specialist- Non - Malignant Hematology - Pittsburgh - Remote
Field Sales (USA), United States

Sales Data Reporting Cross-functional work Data Reporting Tools EMRs Pathways Ethical Leadership Hematology Data Insights Clinical Data +43

Senior Mid Full Time

USD 92K+

Supervisor, Claims
Remote-FL, United States

Centene Corporation

Medical claims Cost control Researching Marketplace Financial Supervisory Procedures Claims processing Claims +22

USD 55K+

Senior Field Reimbursement Manager, Oncology - South Central Region
US - TX - offsite, Estados Unidos

Gilead Sciences

Reimbursement processes Therapies Billing and Coding Patient Support Patient Access Vision Claims processing Dental Medical +21

Senior Full Time

USD 143K+

Fraud and Waste Investigator
Work at Home - Louisiana, United States

Healthcare payment methodologies MS Access Consumer Experiences Investigative Clinical Experience Process Development Vision Investigations MS Word +49

USD 65K+

Senior Fraud and Waste Investigator
Remote US, United States

Dataset manipulation Medicaid Experience Analyzing Healthcare Industry Knowledge Investigative Process Development Vision Investigations Interviewing +47

Senior Full Time

USD 71K+

Pharmacy Operations Specialist I
Remote-FL, United States

Centene Corporation

Pharmacy Claims Processing Quality process improvement Pharmacy operations Training materials Pharmacy Claims Pharmacy Technician UAT Medicare part d Power Automate +30

USD 44K+

Senior Manager, Configuration
Remote - USA

Clover Health Remote-first

Medicare Advantage CMS Configuration Management Claims processing Claims Operational Efficiency Medicare Health Insurance Vendor Management +20

Senior Full Time

USD 104K+

Sr. Product Manager - Client Group
Remote

Virta Health Remote-first

Consumer-Facing Applications Fhir standards Personalized Nutrition Health plans Data services FHIR Prior authorization Dashboard Creation Workflow Optimization +21

Senior Full Time

USD 170K+

Property Adjuster - Field Estimating - Portland, OR
USA - OR (Remote), United States

Allstate Remote-first

Virtual claims handling Virtual claims Property adjusting Site inspections Field Estimating Claimsx Video collaboration Working independently Property adjuster +40

USD 50K+

Property Adjuster Trainee - Inside Nashville, TN
USA - TN (Remote), United States

Allstate Remote-first

Settling claims Virtual assessments Claimsx Video collaboration Working independently Investigating Property adjuster Settlement platforms Estimate tools +37

Entry Mid Full Time

USD 38K+

Supervisor, Encounter Data Management
Remote US, United States

Optum Dos 835 Dos 837 Encounter data management Encounter data Edifecs CAS Microsoft Office Applications HireVue +55

USD 59K+

Field Auto Adjuster - Northampton, MA
USA - MA (Remote), United States

Allstate Remote-first

Auto insurance claims Auto Collision Estimates Auto estimating programs Auto insurance Audatex Auto Estimating CCC One Auto Claims Handling Auto collision estimating +45

USD 55K+

Property Adjuster - Field Estimating - Northern IN
USA - IN (Remote), United States

Allstate Remote-first

Virtual claims handling Virtual claims Property adjusting Site inspections Field Estimating Claimsx Video collaboration Working independently Property adjuster +42

USD 50K+

Eligibility & Encounters Data Analyst (Accountable Care)
Remote - USA, United States

Stanford Health Care

Health plan navigation Electronic data interchange Tapestry C-i-care Registration Eligibility verification Claims processing EPIC Data integrity +14

Entry Mid Full Time

USD 50K+

Trainee Property Adjuster - Field Estimating - Clarksville, TN
USA - TN (Remote), United States

Allstate Remote-first

Virtual claims Site inspections Field Estimating Claimsx Video collaboration Working independently Property adjuster Xactimate Settlement platforms +39

Entry Mid Full Time

USD 42K+

Claims Examiner I - Supplemental Health
Philadelphia, PA, United States

Reliance Matrix

Automated claim systems Automated Claim System Information analysis Compassion Claims processing Math Case Management Decision making Microsoft Office +6

Entry Full Time

USD 50K+

Rebate Account Specialist II
United States

Navitus Health Solutions, LLC

Pharmacy benefit management Reconciliation Claims processing Health Pharmacy Contract management Pharmaceutical Creativity Microsoft Word +8

USD 55K+

Access & Reimbursement Manager -Immunology- Allentown PA- Remote
East Hanover, United States

Access strategy Payer Policy Coverage Payer Policy Reimbursement strategy Access & Reimbursement Pathways Health policy Billing and Coding Healthcare policy +64

USD 138K+

Access & Reimbursement Manager- Immunology- Syracuse, NY- Remote
Field Non-Sales (USA), United States

Access strategy Payer Policy Coverage Payer Policy Reimbursement strategy Access & Reimbursement Pathways Health policy Billing and Coding Healthcare policy +65

USD 138K+

AVP, P&C Property Claims
US Virtual - (Recruiter/TA Use Only), United States

Claims Process Partnering Service Contracts Operational performance Technology Integration Staffing Six Sigma Claims management Strategic Leadership +44

Exec Senior Full Time

USD 141K+

Property Adjuster -Field Estimating - Columbia, SC
USA - SC (Remote), United States

Allstate Remote-first

Virtual claims Site inspections Claimsx Field Estimating Estimating software Video collaboration Working independently Property adjuster Xactimate +40

USD 50K+

Large Loss Property Adjuster - Field Estimating - Denver CO
USA - CO (Remote), United States

Allstate Remote-first

Virtual claims Property adjusting Site inspections Field Estimating Claimsx Video collaboration Working independently Property adjuster Xactimate +40

USD 62K+

Field Auto Adjuster - Orlando, FL
USA - FL (Remote), United States

Allstate Remote-first

Auto collision repair Mitchell estimating Auto Collision Estimates Auto estimating programs Audatex Oral communications Auto Estimating CCC One RICO +49

USD 55K+

Property Adjuster - Field Estimating - North Augusta
USA - SC (Remote), United States

Allstate Remote-first

Virtual claims Property adjusting Site inspections Field Estimating Claimsx Video collaboration Working independently Property adjuster Estimate tools +39

USD 50K+

Claims Review Representative
Work at Home - Florida, United States

DRG calculations Financial recovery APC calculations Claims review Medical claims CMS guidelines Microsoft Office Applications DRG HireVue +49

USD 43K+

Revenue Cycle Management Director
Remote (United States)

Collections Workflows Tech-Enabled Solutions Charge capture Startup Coding accuracy Compliance Audits Revenue Cycle Management Strategic Leadership Claims processing +15

Exec Senior Full Time

USD 120K+

Supervisor, PFS
Remote, United States

A/R management Appeals writing Billing integrity Payer plans Xifin Payer policies Practice Management Systems ICD-10 codes Denial Management +23

USD 72K+

Business Analyst - Remote
Sentara Health Plans Richmond - Remote, United States

Data Reporting Information systems Claims processing Statistical analysis Claims Dashboards Data integrity Business Analysis Business Intelligence +18

Entry Mid Full Time

USD 89K+

Remote Associate Mechanical Claims Adjuster
US Virtual - (Recruiter/TA Use Only), United States

Automotive experience Policy language Partnering Service Contracts Adjudication Policy interpretation Computer Proficiency Claims processing Insurance Products +21

USD 40K+

AD, Access & Reimbursement- NPS RLT Remote -Orlando & Jacksonville, FL
Field Non-Sales (USA), United States

Radioligand Therapies Academic Medical Institutions Biotech industry Radioligand Therapy Access strategy Integrated delivery networks Payer Policy Payer Policy Coverage Access & Reimbursement +64

USD 160K+

Contract Implementation Analyst
Remote-LA, United States

Centene Corporation

Provider information system TPA Contract implementation Amisys Provider contracts Government programs Claims analysis Claims payment UAT +25

Entry Mid Full Time

USD 44K+

Claims Support Associate II - Payment Poster
Remote

835 remittance files Payment reconciliation Posting payments Resolving denials Billing issues Data Input Claims processing MS Excel Billing +11

USD 34K+

Clinical Consultant I
Remote, United States

Coding validation Appeals management Medical payment policy Payment policy Payment CMS guidelines MicroStrategy Adjudication Claims Adjudication +45

USD 75K+

Field Auto Collision Adjuster - Phoenix, AZ
USA - AZ (Remote), United States

Allstate Remote-first

Mitchell estimating Expenses Auto Estimating CCC One Auto Claims Handling Auto collision estimating Virtual inspections Mitchell CCC +42

USD 52K+

Associate Director, Access & Reimbursement (ADAR) Immunology - Phoenix, Arizona- Remote
Field Non-Sales (USA), United States

Academic Medical Institutions Biotech industry Access strategy Integrated delivery networks Reimbursement strategy Payer Policy Payer Policy Coverage Access & Reimbursement Health policy +60

USD 160K+

Field Automotive Technical Adjuster - Wilmington NC
USA - NC (Remote), United States

Allstate Remote-first

Expenses Auto Claims Handling Auto collision estimating Virtual inspections Mitchell CCC Auto Claims Technology Utilization Estimate tools +39

USD 52K+

Auto Damage Supplement Writer II or Sr
USA - TX (Remote), United States

Allstate Remote-first

Appraising Claims practices Estimating Fundamentals Estimating Technical Assistance Claims processing Insurance Products FAIR Authorization +14

USD 82K+

SIU Investigator - Remote
Home, United States

Prime Therapeutics

Fraud Analysis Risk Evaluation Quality Metrics Data Mining Report Writing Claims processing Claims Pharmacy Auditing +20

USD 56K+

Field Auto Adjuster - Lincoln, NE
USA - NE (Remote), United States

Allstate Remote-first

Auto collision repair Mitchell estimating Auto estimating programs Auto Collision Estimates Audatex Oral communications Auto Estimating CCC One RICO +51

USD 52K+

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