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Claims processing Remote Jobs

79 fresh jobs found

General Liability Claims Manager, Healthcare *Remote*
Renton, WA, United States

Medical Record Analysis Patient Safety Claims handling Healthcare experience Claims processing Claims management Evaluation Business administration Health care +18

USD 88K+

Independently Licensed Therapist (W2 Salary) - Pennsylvania
Remote (United States)

DSM-5 Licensed Therapist Crisis Response Mental health diagnosis Mental Health Care Clinical Quality Tech-savvy Evidence-Based Care Claims processing +10

USD 75K+

Independently Licensed Therapist (W2 Salary) - Illinois
Remote (United States)

Licensed Therapist DSM-5 Crisis Response Autonomous Work Mental Health Care Clinical Quality Entrepreneurial Spirit Tech-savvy Evidence-Based Care +11

USD 75K+

Analyst, Claims-Pet
Ohio - Columbus, One Nationwide Plaza

Veterinary Knowledge Complex claims Medical Records Insurance policies Claims handling Claims processing Claims Life Insurance Verbal communication +14

Entry Mid Full Time

USD 42K+

Accounts Receivable Representative III (Remote)
CHS Inc. Main Office, United States

North American Partners in Anesthesia

ICD-10 codes CPT codes ICD-10 CPT Claims processing Accounts Receivable MS Word HIPAA Compliance Problem Resolution +6

Senior Mid Full Time

USD 36K+

Field Reimbursement Manager Northeast Region – Market Access
Remote, United States

Radiopharmaceuticals Billing Processes Molecular Imaging Medical Imaging Patient services Medical Coding HCPCS Radiology Customer Education +36

Senior Mid Full Time

USD 122K+

Insurance Verification Authorization Specialist
Working Virtually

MultiCare Health System

Pre-authorizations Financial resources Admitting Authorizations Registration Medical Assistant Insurance Billing Insurance Verification Referrals +19

USD 44K+

Manager, Backend Engineering
Remote

Data Storage Solutions Message-oriented Middleware Batch Data Processing Real-time data processing Startup environment Flink EDI Healthcare Data Claims processing +19

Senior Mid Full Time

USD 220K+

Senior Program Manager
Remote, United States

Enterprise project management Risk Adjustment Exchange Claims processing Interpersonal Communication Client Management Accountability Coding Program Management +21

Senior Full Time

USD 118K+

Senior Revenue Cycle Analyst (Remote in the US or hybrid based if local to Dallas, TX)
United States

Tenet Healthcare

Patient Accounting Cerner EHR CPT codes Registration Revenue Cycle HCPCS Revenue Cycle Management CPT Claims processing +20

Senior Full Time

USD 89K+

Claims Examiner I - Supplemental Health
Philadelphia, PA

Reliance Matrix

Automated claim system Information analysis Compassion Claims processing Math Case Management Decision making Microsoft Office Customer service +3

Entry Full Time

USD 48K+

Patient Support Medical/Biller Claims Processing Representative (Home-Based)
Bridgewater, New Jersey, United States of America

EOB interpretation Medical claims processing Medical device support Pharmacy Technician Claim processing Bilingual English/Spanish Medical Billing Claims processing Patient Support +17

Entry Full Time

USD 46K+

Appeals Nurse
HGB SCA Remote KY

TRICARE policies Tricare DRG ICD-9 Medical Documentation Accreditation Peer review MCG ICD +44

USD 69K+

AD, Access & Reimbursement RLT - Remote - Manhattan/Long Island
Field Non-Sales (USA)

Reimbursement strategy Pathways Payer Policy Coverage Payer policy Radioligand Therapies Payers Radioligand Therapy Integrated delivery networks Access and Reimbursement +51

Senior Mid Full Time

USD 174K+

Oncology Sales Specialist - Breast & Women's Cancer - Dallas - Remote
Field Sales (USA)

PA-Claims Processing Analytic Abilities EMRs Pathways Cross-functional work Ethical Leadership Commercial Excellence Patient services Specialty Pharmacy +36

Senior Mid Full Time

USD 92K+

Pharmacy Rebate Analyst - Remote US
Any city, WI, US, 99999

Gainwell Technologies

340B Pharmacy claims processing Medicaid drug rebates Drug rebate Pharmacy Claims Healthcare Solutions Accuracy Efficiency Claims processing +29

Entry Mid Full Time

USD 43K+

Provider Relations Representative I
Remote, United States

Provider Relations Exchange Claims processing Medical terminology Commercial Microsoft Word Access Word Insurance +4

Entry Mid Full Time

USD 35K+

Senior Claims Representative
Remote, any state, US

New York Life Insurance Co

Underwriting rules Tax Requirements Legal principles Claims processing Medical terminology Product Knowledge Underwriting Statistics Microsoft Word +16

Senior Mid Full Time

USD 40K+

New York Personal Injury Protection Adjuster - Remote
USA - NY (Remote)

Allstate Remote-first

Task organization Fraud investigations Personal injury Customer Communications Complex claims Investigative Medical management Working independently Medical Billing +26

USD 41K+

Claims Examiner I, II, or Sr.
Little Rock, Arkansas, United States

Tracking systems Claims review Adjudication Claims processing Medical terminology MS Office Critical thinking Mentoring Documentation +3

Entry Senior Mid Full Time

USD 39K+

Operations Associate, Claim Design & Configuration
Remote

Claims design Healthcare Claims Workflow Design Models Technology Platform Lean Six Sigma KPI development Claims processing Technical Design +27

USD 88K+

Coding Audit Senior Analyst, SIU
Remote

Provider Contracting Insurance Billing Medical Coding Technology Platform HCPCS Medical Records ICD-10 Fraud detection CPT +24

Senior Mid Full Time

USD 56K+

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

Analytic Abilities EMRs Pathways Cross-functional work Commercial Excellence Ethical Leadership Specialty Pharmacy Data Insights Patient services +33

Senior Mid Full Time

USD 92K+

AD, Access & Reimbursement Oncology, Southern California - Remote
Field Non-Sales (USA)

Pathways Payer Policy Coverage Payers Integrated delivery networks Payer policy Access and Reimbursement Billing and Coding Health policy Specialty Pharmacy +47

USD 174K+

Claims Examiner - Workers Compensation (Remote) with CA Claims Experience
Telecommuter CA

Vendor Coordination Claims analysis Claims coding Strategic vendor partnerships Social Security Insurance principles Litigation management Cost Containment Adjudication +30

Senior Mid Full Time

USD 75K+

Advocacy Coordination Team Specialist
Telecommuter IA

Medical information review Regulatory Interpretation Social Security Interpretive Performance competencies Claims processing Workers Compensation Judgment Disability +21

USD 46K+

Lead Automation Engineer- RPA
Remote US

IPSec VPN Blue Prism Quality automation Pega Automation Anywhere UiPath Technical Concepts Workflow Orchestration BPM +91

Senior Full Time

USD 115K+

Business Analyst - Healthcare
Any city, RI, US, 99999

Gainwell Technologies

Programming concepts Computer Programming Concepts Computer Programming Process re-engineering Re-engineering Written and oral communication Business Process Re-engineering Batch processing Business solutions +37

Entry Mid Full Time

USD 55K+

Contract Administrator (Full-Time Remote, North Carolina Based)
Morrisville, North Carolina, United States

Alliance Health

Contract database management Administrative Management Contract Lifecycle Management Provider Relations Claims processing Technical Assistance Data integrity Contract management Managed Care +10

USD 66K+

Patient Services Manager
Remote

Radiopharmaceuticals Billing Processes Business rules Medical Imaging Molecular Imaging SOP Development Medical Coding HCPCS Patient services +37

Senior Mid Full Time

USD 122K+

Large Loss Property Adjuster - Field Estimating - Valdosta, GA
USA - GA (Remote)

Allstate Remote-first

Virtual claims handling Property adjusting Claimsx Video collaboration Working independently Site inspections Xactimate Estimate tools Settlement platforms +28

USD 25K+

Liability Determination Adjuster - Remote (EST)
USA - GA (Remote)

Allstate Remote-first

Claims documentation Claims assessment Claims review Claim processing Claims Evaluation Liability determination Working independently Insurance policies Insurance Claims +30

USD 36K+

Claims Resolution Adjuster - Remote (EST/CST)
USA - IL (Remote)

Allstate Remote-first

Damage evaluation Liability investigations Liability Assessment Claims investigation Claims resolution Coverage Analysis Bodily injury claims Investigating Customer Communication +31

USD 36K+

Behavior Health Utilization Management Care Coordinator (Remote)
Virginia Premier Health Plan Richmond

Transitions of care Cmhrs services Behavioral health care coordination Dmas protocols Arts services Bh services Managed care contracting Continuity of care Health Plan +16

USD 62K+

Oncology Sales Specialist - Non - Malignant Hematology - Harrisburg - Remote
Field Sales (USA)

Pathways Cross-functional work Commercial Excellence Ethical Leadership Ethics Patient services Conflict Management Data Reporting Pharmaceuticals +31

Senior Mid Full Time

USD 92K+

Hospital Charge Auditor I
Sentara Patient Accounting

Speaking Service orientation Active learning Verification Claims processing Active Listening Medical terminology Auditing Billing +10

Entry Mid Full Time

USD 21K+

Life Insurance Claims Analyst - US REMOTE
USA OH Home based (CSC Location)

DXC Technology Remote-first

Life Insurance Products MS Teams Process improvements Claims processing Insurance Products Typing Applications Multitasking Life Insurance +9

Entry Mid Full Time

USD 35K+

Medicaid Resolutions Specialist - Tucker. GA
Tucker, GA, US, 30084-7060

Gainwell Technologies

Medicaid claims PC Claims processing Claims Medicaid Microsoft Office Suite Medical HIPAA Outlook +24

USD 30K+

Claims Adjuster
Remote

Veterinary Medicine Document Analysis Insurance policies Claims processing Team Collaboration Customer service Communication

USD 38K+

Represented Bodily Injury Adjuster - Pacific or Mountain Time Zones
USA - AZ (Remote)

Allstate Remote-first

Remote Work Tools Casualty claims Claims litigation Claims Evaluation Liability determination Bodily injury claims Policy interpretation Property Damage Insurance Claims +26

USD 47K+

Auditor 3
REMOTE OPTIONS, PHOENIX

State of Arizona

Health care fraud Legal reporting Financial Documentation Billing practices Investigative Techniques State laws Eligibility verification Interviews Investigative +33

USD 52K+

Field Auto Adjuster - Provo, UT
USA - UT (Remote)

Allstate Remote-first

Liability insurance Auto Collision Estimates Audatex Auto estimating programs CCC One Auto Estimating Auto collision estimating Auto Claims Handling Mitchell +36

USD 52K+

Senior Claims Quality Control Analyst
Remote

Database languages Total quality management Healthcare Claims Models Business Insights Healthcare operations Lean Six Sigma Workflow Management Technology Platform +32

Senior Full Time

USD 65K+

Field Auto Adjuster - Sarasota FL
USA - FL (Remote)

Allstate Remote-first

Auto Claims Handling Auto collision estimating Mitchell Virtual inspections CCC Auto Claims Claims handling Estimate tools Settlement platforms +27

USD 52K+

Field Auto Adjuster - Philadelphia
USA - PA (Remote)

Allstate Remote-first

Auto collision estimating Auto Claims Handling Mitchell Virtual inspections CCC Auto Claims Technology Utilization Claims handling Settlement platforms +28

USD 52K+

Field Auto Adjuster - White Plains, NY
USA - NY (Remote)

Allstate Remote-first

Liability insurance Auto insurance claims Auto Collision Estimates Auto estimating programs Audatex Auto Claims Handling Auto collision estimating Auto Estimating CCC One +37

USD 52K+

Property Virtual Adjuster Consultant I, II or Senior
USA - GA (Remote)

Allstate Remote-first

Virtual imagery Damage estimation Liability insurance Insurance policy Advanced video technology Video technology Property Damage Insurance Claims Customer Communication +15

USD 62K+

Property Adjuster- Inside (Remote- CST)
USA - TX (Remote)

Allstate Remote-first

Virtual assessments Video collaboration Claimsx Working independently Insurance Claims Xactimate Inclusive Leadership Estimate tools Settlement platforms +30

Entry Mid Full Time

USD 36K+

Access and Reimbursement Manager- MS - Texas South-Remote
Field Non-Sales (USA)

Healthcare analysis Payer Policy Coverage Payer policy Patient Support Programs Billing and Coding Access and Reimbursement Commercial Excellence Ethics Cross-functional Communication +35

USD 144K+

Individual & Family Plans (IFP) Claims Strategy and Payment Integrity Senior Manager - Remote - Cigna Healthcare
Connecticut Work at Home

The Cigna Group

Claims auditing Payment Integrity Healthcare operations Risk Adjustment Enrollment Cost Management Utilization management Claims processing Financial +29

Senior Full Time

USD 111K+

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