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Claims processing Remote Jobs

74 fresh jobs found

Director, Strategic Payor Partnerships
Remote (United States)

Cms edi standards Insurance management Clinician credentialing Health insurance technology Reimbursement models Claims submission Payer Dynamics Mental Health Care Eligibility verification +17

Exec Senior Full Time

USD 170K+

Senior Engineering Manager, Insurance
Remote, Contiguous US

Alma Remote-first

Eligibility Checks ADP Revenue Cycle Management Engineering management Claims processing Team Development Product Strategy Technical Leadership Equity +5

Senior Mid Full Time

USD 200K+

Claims Quality Senior Analyst
Remote

Healthcare Claims Healthcare operations Lean Six Sigma Workflow Management Technology Platform Process improvements Stakeholder Collaboration Data Mining Claims processing +22

Senior Mid Full Time

USD 65K+

Claims Quality Analyst
Remote

Database language Healthcare operations Technology Platform Claims processing Root Cause Analysis Health Insurance Auditing Coding C +11

USD 64K+

Revenue Cycle Associate
New York, NY (Remote)

Medical billing codes Treatment Billing software Healthcare terminology Billing practices Therapy Revenue Cycle Management Claims processing Mental Health +3

USD 40K+

Claims System Configuration Senior Analyst - eviCore - Remote
Tennessee Work at Home

The Cigna Group

HCPC FFS RBRVS MPPR OPPS Claims Data NCCI Database Management Systems Healthcare Claims +29

Senior Full Time

USD 51K+

Quality Control Manager
United States - Remote

Quality metrics reporting CMMI Continuous Quality Improvement Statistical Process Control Performance Improvement Public Sector Claims processing Project Quality improvement +26

Senior Full Time

USD 85K+

Medicaid Lead, Technology Solutions
Work at Home - Ohio

Compliance Audits Business Architecture IT Strategy Healthcare operations Process Flows RFP Strategic direction Enrollment Consumer Experiences +49

Senior Full Time

USD 115K+

Good Hands Repair Network Administrator - Remote
USA - WA (Remote)

Repair Methodology Auto Damage Analysis Auto Estimating CCC One Network administration Mitchell CCC Inclusive Leadership Digital Literacy +33

USD 47K+

Service Advocate-Fully Remote
Work At Home-Ohio

Window-based applications Medical Billing Claims processing Inbound Calls Effective Communication Medical terminology Advocacy Health care Billing +13

Entry Mid Full Time

USD 34K+

Claims Examiner (Remote)
Remote, US

Health Plans, Inc.

Medical Coding Medical Billing Claims processing Medical terminology Microsoft Word Microsoft Excel Word Excel

Entry Mid Full Time

USD 42K+

Senior Manager Engineering
Remote, United States

Solution discovery Technology Standards Productivity standards High-level design System requirements BDD Proofs of Concept Sprint planning Agile Delivery +61

Senior Full Time

USD 135K+

Technical Product Owner
Remote, United States

Healthcare domain knowledge Systems modeling Medical claims processing Data Flow SoapUI Decision Trees Product Ownership BDD Scaled Agile Framework +41

USD 90K+

Claims Analyst
Work From Home (HB)

Health Care Service Corporation

Coding knowledge Claim processing Claims processing MS Word Medical terminology MS Excel Health Insurance Wellness Coding +9

Entry Mid Full Time

USD 28K+

Property Adjuster - Field Estimating - Bucks County, PA
USA - PA (Remote)

Property claims investigation Virtual claims handling Video collaboration Claimsx Working independently Site inspections Xactimate Inclusive Leadership Digital Literacy +33

USD 50K+

Manager, Provider Installation – Central Region
Remote US

Dashboard metrics Reporting & Analysis Business Metrics Operational Management Network management Problem Management Risk Microsoft Access Listening +46

USD 76K+

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

Tenet Healthcare

Cerner EHR Patient Accounting CPT codes Registration Revenue Cycle HCPCS Revenue Cycle Management CPT Claims processing +19

Senior Full Time

USD 63K+

Catastrophe Auto Support Adjuster
USA - IL (Remote)

Insurance policy knowledge Insurance policy Claims resolution Coverage determination Claim processing Complex claims Payment Processing Customer Experience Management Insurance Claims +21

USD 47K+

Inside CAT Auto Virtual Adjuster
USA - TX (Remote)

Estimatics Complex claims Policy interpretation Virtual inspections Claims processing Telematics Investigation Empathy Business +4

USD 47K+

Claims Director
Home Based, US

Davies North America Remote-first

Independent Proactive Statistical methods Insurance Claims Claims processing Report Writing MS Word MS Excel Auditing +15

Exec Mid Full Time

USD 80K+

Field Auto Adjuster - Fairfax VA
USA - VA (Remote)

Auto Claims Handling Virtual inspections Auto collision estimating CCC Mitchell Auto Claims Claims handling Estimate tools Settlement platforms +26

USD 52K+

Contract Reimbursement Analyst
Working Virtually

MultiCare Health System

Contract reimbursement Third party claims processing Hospital billing Insurance Billing Revenue Cycle Judgment Patient Access EPIC Operational +20

Entry Mid Full Time

USD 48K+

Program Project Specialist 2
REMOTE OPTIONS, PHOENIX

State of Arizona

Paperless systems Claims software Scanning Office Management Hybrid Eligibility Equal Opportunity Data Validation Guidance +23

USD 40K+

Team Lead, Claims Production
Remote

Quality of care Google office suite Operational Improvements Technology Platform Claims processing Health Insurance Performance Metrics Scheduling Metrics +13

Senior Mid Full Time

USD 51K+

Reimbursement Specialist - Order Entry (9:30 AM - 6:00 PM PST, Tuesday through Saturday Shift)
Remote, US, United States

Guardant Health

Payer portals Laboratory billing Edi enrollment Xifin Insurance Verification Claims processing Billing Data Entry Oncology +12

USD 34K+

Field Auto Adjuster - Staten Island, NY
USA - NY (Remote)

Auto estimating programs Audatex Auto Collision Estimates CCC One Auto collision estimating Virtual inspections Auto Claims Handling Auto Estimating Mitchell +33

USD 52K+

Field Auto Adjuster - Franklin, MA
USA - MA (Remote)

Auto insurance claims Auto estimating programs Audatex Auto Collision Estimates CCC One Auto collision estimating Auto Claims Handling Auto Estimating Virtual inspections +35

USD 52K+

Large Loss Property Adjuster- Field Estimating - AZ
USA - AZ (Remote)

Property adjusting Video collaboration Site inspections Claimsx Inclusive Leadership Insurance Claims Digital Literacy Xactimate Learning agility +29

USD 25K+

Inside Technician Consultant I
USA - IL (Remote)

Claims review Quality reviews Quality review Oversight Estimating software Working independently Estimation Subrogation Inclusive Leadership +26

USD 47K+

Inpatient Coder Senior Associate
Remote - USA

Clover Health Remote-first

Inpatient Coding Statistical methods Claims Claims processing CMS Health Insurance Coding Team Collaboration Regulatory Compliance +11

Senior Full Time

USD 64K+

Medical Claims Adjustor (Fully Remote)
Work At Home-Minnesota

Dg system claims processing Claim adjudication Medical claims processing Eligibility verification Appeals Claims Adjudication Cost Containment Medical necessity Claims processing +8

USD 36K+

Property Adjuster - Field Estimating – Metairie, LA
USA - LA (Remote)

Task organization Video collaboration Site inspections Claimsx Inclusive Leadership Insurance Claims Digital Literacy Xactimate Learning agility +32

USD 50K+

GHRN Quality Evaluator
USA - TX (Remote)

Repair recommendations File handling Physical inspections Continual improvement process Auto Property Damage Estimating practices Estimating Platforms CCCone Claims Evaluation +36

Senior Mid Full Time

USD 59K+

Field Auto Adjuster - Paradise - Las Vegas, NV
USA - NV (Remote)

Virtual inspections Auto collision estimating Auto Claims Handling CCC Mitchell Auto Claims Claims handling Job aids Spring +26

USD 52K+

MD/VA/DC Casualty Represented Adjuster - Remote EST
USA - IL (Remote)

Bodily injury assessment Information collection Property damage assessment Coverage Analysis Business Communications Customer Communication Inclusive Leadership Digital Literacy Learning agility +27

USD 47K+

Property Adjuster - Inside - Irving, TX (Hybrid)
Irving Building E

Virtual assessments Video collaboration Claimsx Working independently Xactimate Property & Casualty License Job aids Settlement platforms Estimate tools +23

USD 36K+

Medical Claims Auditor I (Remote, USA)
Any city, TX, US, 99999

Gainwell Technologies

RCM knowledge Document imaging Manual Dexterity Eligibility Medical claims CCS CPC CMS guidelines Coding Guidelines +38

Entry Mid Full Time

USD 50K+

Inside Property Adjuster - Remote (Nashville, TN)
USA - TN (Remote)

Virtual assessments Video collaboration Claimsx Working independently Insurance Claims Inclusive Leadership Xactimate Customer Centricity Learning agility +27

USD 36K+

Field Auto Adjuster - Louisville, KY
USA - KY (Remote)

Estimation Tools Auto estimating programs Auto Collision Estimates Audatex Virtual inspections Auto Claims Handling Auto Estimating CCC One Auto collision estimating +34

USD 52K+

Field Auto Adjuster - Queens, NY
USA - NY (Remote)

Auto estimating programs Auto Collision Estimates Audatex Auto Claims Handling Virtual inspections Auto Estimating CCC One Auto collision estimating CCC +33

USD 52K+

Coding Investigator Auditor
Tulsa Oklahoma HQ (1400 S. Boston Avenue)

Health Care Service Corporation

Evaluation and management Clinical reviews CM Claims validation Modifiers Professional Communication ICD-10-CM CPT RN +25

USD 53K+

Fraud and Waste Investigator
Work at Home - Wisconsin

Healthcare fraud investigation MS Access Ethics Investigative Consumer Experiences Investigations Claims Process Development Audits +42

USD 63K+

Continuous Improvement Leader - Insurance & BPO
USA TN Home based (CSC Location)

DXC Technology Remote-first

IT Outsourcing Modern Workplace Call Center Management Robotic Process Automation Business Process Outsourcing Outsourcing Data Architectures Hybrid Clouds Conversational AI +47

Senior Mid Full Time

USD 73K+

Property Adjuster Trainee - Field Estimating - Baltimore, MD
USA - MD (Remote)

Video collaboration Site inspections Working independently Claimsx Inclusive Leadership Xactimate Property & Casualty License Digital Literacy Learning agility +28

Entry Full Time

USD 36K+

Insurance Verification and Authorization Specialist - Physician Billing
Working Virtually

MultiCare Health System

Admitting Pre authorization Authorization management Authorizations Referral management Registration Insurance Billing Revenue Cycle Insurance Verification +13

USD 40K+

Disability Representative
Telecommuter CA

Disability case management Claim determination Social Security Medical Documentation Performance competencies Medical management Interpretive Growth Disability +23

Entry Mid Full Time

USD 38K+

Reimbursement Specialist - Order Entry
Remote, US, United States

Guardant Health

Payer portals Edi enrollment Xifin Laboratory billing Insurance Verification Claims processing HIPAA Compliance Billing Data Entry +12

Entry Mid Full Time

USD 34K+

Drug Rebate Analyst - Remote
Any city, WV, US, 99999

Gainwell Technologies

Pharmacy claims processing Pdf escape Pharmacy Claims Medicaid drug rebates Pharmacy billing Prims Pdf editing Process manager Nitro pro +32

Entry Mid Full Time

USD 29K+

Field Auto Adjuster - Oakland, CA
USA - CA (Remote)

Auto Claims Handling Virtual inspections Auto collision estimating Mitchell CCC Auto Claims Spring Claims handling Job aids +26

USD 54K+

Long Term Care Claims Representative – Payment Servicing
Remote (Richmond)

Claims processing Critical thinking Customer service Excel Compliance Problem-solving Training Communication

Entry Mid Full Time

USD 43K+

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