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Claims processing Remote Jobs

207 fresh jobs found

Senior Specialist, Payment Integrity
Remote

Healthcare Claims Health care operations Payment Integrity Dispute resolution Business Insights Technology Platform Knowledge Management Lean Six Sigma Medical Coding +32

Senior Full Time

USD 59K+

Senior Specialist, Payment Policy
Remote

Payment policy Healthcare Claims Health care operations Payment Integrity Business Insights Technology Platform Knowledge Management Lean Six Sigma Medical Coding +32

Senior Full Time

USD 59K+

Senior Manager, Payment Integrity
Remote

Operational frameworks Healthcare Claims Payment Integrity Quality audits OKRs Technology Platform Lean Six Sigma Performance Indicators Medical Coding +29

Senior Full Time

USD 107K+

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

Allstate Remote-first

Virtual claims Field Estimating Property adjuster Working independently Settlement platforms Estimate tools Job aids Xactimate Property & Casualty License +32

USD 62K+

Michigan Claim Support Assistant II
MI-HMI1 Empl Work From Home, United States

PC software applications Claims processing Claims Data processing Problem Resolution Administrative Auditing Investigation Mentoring +8

USD 36K+

Associate Field Reimbursement Director– Northeast
US - NY - offsite, Estados Unidos

Gilead Sciences

Reimbursement processes Billing and Coding Therapies Prior authorization Patient Support Claims processing Patient Access Vision Dental +22

USD 177K+

Catastrophe Field Property Adjuster, Dallas - Fort Worth Area
USA - TX (Remote), United States

Allstate Remote-first

Property inspection RICO Claims settlement Settling claims Claimsx Video collaboration Site inspections Property adjuster Working independently +38

USD 50K+

Worker's Compensation Claims Examiner
Telecommuter GA, United States

Strategic vendor partnerships Vendor partnerships Insurance principles Social Security Claims coding Vendor Coordination Claims analysis Cost Containment Litigation management +36

Senior Mid Full Time

USD 61K+

Estimate Share - Auto Adjuster - Remote
USA - IN (Remote), United States

Allstate Remote-first

Auto Collision Estimates Audatex Auto Estimating CCC One Complex claims Mitchell CCC Estimate tools Settlement platforms +27

USD 47K+

Claims Research & Resolution Lead
Remote US, United States

Long Term Services and Supports Trending Claims research Provider education Functional strategies Managed Care Contracts Claims resolution Driver safety program Microsoft Office Applications +66

Senior Mid Full Time

USD 94K+

Medical Coder
Greenville, SC, United States

Healthpro Heritage

Waystar OIG CMS standards Net Health Insurance denials Medical Coding HCPCS Medical Records ICD-10 +10

USD 56K+

Senior Business Analyst
Lakewood, CO, US, 80227

Gainwell Technologies

Business Rules Modeling Requirements Traceability Management Visualization Modeling Medical claims processing Relational Database Software Test Case Development Design Specifications Re-engineering ALM +54

Senior Full Time

USD 69K+

Property Adjuster Trainee - Inside Theft Hudson, OH
USA - OH (Remote), United States

Allstate Remote-first

Virtual assessments Property adjuster Working independently Settlement platforms Estimate tools Job aids Xactimate Property & Casualty License Property Claims +29

Entry Mid Full Time

USD 36K+

Senior Business Systems Analyst
Remote-PA, United States

Centene Corporation

Flow Charts Waterfall Methodology UAT Soft Health outcomes Waterfall IT services User Acceptance Testing Requirements Gathering +26

Senior Mid Full Time

USD 85K+

Business Analyst - Medicaid Claims Processing
Any city, CT, US, 99999

Gainwell Technologies

Medicaid Claims Processing Business Solutions Software Programming concepts Computer Programming Business applications Technical Reviews Test planning Posting Edge +57

Entry Mid Full Time

USD 55K+

Intake Specialist, Claims
GLASTONBURY, CT, United States

Surplus lines Documentation Management Active Listening Claims processing Insurance Products Team Collaboration Outlook Teamwork Mentoring +10

Entry Senior Mid Full Time

USD 29K+

Insurance Specialist I
REMOTE

Advanced Diabetes Supply

Insurance Verification Training Programs Math Claims processing Data Entry Medicare Billing MS Office Communication

Entry Full Time

USD 38K+

Business Systems Analyst, DentaQuest
DQ Milwaukee WI, United States

EDI Standards Dental Claims Processing Data Quality Testing Oral health Process documentation Visio Claims processing Business Analysis Scrum +15

Entry Mid Full Time

USD 67K+

Encounters Sys Analyst II
Mississippi WFH, United States

835 files Financial impact 837o files Clinical impact Claims encounter Data issues Claims data management Encounter data Claims operations +55

Entry Mid Full Time

USD 55K+

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

Allstate Remote-first

Auto estimating programs Auto Collision Estimates Auto Claims Handling Audatex Virtual inspections Auto collision estimating CCC One Auto Estimating Mitchell +39

USD 52K+

Manager, Benefit Coding and Support Implementations
Dayton WFH, United States

Benefit Coding Medical policy development Healthcare payer Medical benefit plan design Payment methodologies Health Plan Operations Facets Resolution HCPCS +42

Senior Mid Full Time

USD 92K+

Represented Bodily Injury Adjuster - Remote
USA - TX (Remote), United States

Allstate Remote-first

Remote work tools Liability investigations Bodily Injury Adjusting Fraud investigations Information collection Liability determination Bodily injury claims Claims Evaluation Automobile Accidents +41

USD 47K+

Associate Director, Access & Reimbursement NPS CV – Richmond, VA - Remote
Field Non-Sales (USA), United States

Academic Medical Institutions Biotech industry Integrated delivery networks Reimbursement strategy Access strategy Access & Reimbursement Payer Policy Coverage Payer Policy Pathways +59

USD 160K+

Field Reimbursement Manager North Central Region – Market Access
Remote, United States

Radiopharmaceuticals Billing Processes Molecular Imaging Medical Imaging Product Launch Customer solutions Medical Coding HCPCS Efficiency +40

USD 128K+

Medical Claims Clerk - Remote WV
Any city, WV, US, 99999

Gainwell Technologies

Insurance Laws Medical claims Regulatory Guidelines Accuracy Eligibility Insurance policies Effective Communication Claims processing Claims +25

Entry Mid Full Time

USD 28K+

Claims Examiner -Remote WV
Any city, WV, US, 99999

Gainwell Technologies

Insurance Laws Regulatory Guidelines Accuracy Insurance policies Eligibility Effective Communication Claims processing Claims Medical +24

Entry Mid Full Time

USD 28K+

Field Reimbursement Manager Mid-Atlantic Region – Market Access
Remote, United States

Radiopharmaceuticals Billing Processes Molecular Imaging Medical Imaging Healthcare Regulations Product Launch Customer solutions Medical Coding HCPCS +40

USD 128K+

Medical Billing Specialist
Remote, UT, United States

Technical appeals Edi billing Research analysis Icd-9 coding Charge master Healthcare Billing EOB Denials ICD-9 +29

Entry Full Time

USD 43K+

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

Productivity standards Third Party Administration Vision Claims Dental coding Diagnosis coding Hcpcs coding Ethical Standards Claims Adjudication Adjudication +25

USD 30K+

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

Productivity standards Third Party Administration Vision Claims Dental coding Diagnosis coding Hcpcs coding Ethical Standards Claims Adjudication Adjudication +25

USD 30K+

Contract Implementation Analyst
Remote-LA, United States

Centene Corporation

Contract implementation Provider information system Provider contracts Amisys UAT Government programs Claims payment Claims analysis UAT testing +24

Entry Mid Full Time

USD 44K+

Health Claims Stop Loss Specialist
Remote, United States

Personify Health

Insurance database systems HCPCS ICD-10 CPT Medical terminology Claims processing Multitasking Windows Microsoft Office +6

Entry Mid Full Time

USD 44K+

Revenue Cycle Representative, Reconsiderations
Remote

Healthcare collection procedures Claims research Mathematical Calculations Invoice processing Icd-9 coding Medical claims ICD-9 CPT coding Microsoft Access +17

USD 32K+

Escalation Response Specialist III
Remote-FL, United States

Centene Corporation

Provider experience Claims payment Escalation management Claims Adjudication Adjudication Contact center Customer Care Issue Resolution Claims processing +18

Senior Mid Full Time

USD 68K+

Personal Lines CSR
Remote - South Dakota, United States

Brown & Brown Insurance

Office Software Property and Casualty Insurance Policy Management Outbound Calls Casualty insurance Claims processing Advocacy Life Insurance Written communication +5

Entry Mid Full Time

USD 62K+

Claims and Billing Representative- Remote
United States

Tenet Healthcare

Remittance review Claim Submission HCFA 1500 Patient financial services UB04 Patient Accounting Insurance collections Managed Care Contracts Call Center Environment +38

Entry Mid Full Time

USD 47K+

Clinical Consultant I
Remote, United States

Appeals management Coding validation Medical payment policy Payment policy MicroStrategy CMS guidelines Payment Claims Adjudication Clinical services +43

USD 75K+

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

P&C Claims Technology Innovation Partnering Service Contracts Staffing Subrogation Claims management Six Sigma Claims processing +43

Exec Senior Full Time

USD 141K+

Senior Claims Adjuster-crop
Work Remotely, Michigan, USA, United States

Insurance Compliance Policy administration Policy service Agriculture knowledge Farming Crop insurance Claims Adjustment Field Inspections Customer relationships +17

Senior Mid Full Time

USD 64K+

Claims Analyst
Remote-CA, United States

Centene Corporation

Revenue Codes Basic math Medical claims ICD-9 HCPCS ICD-10 Training Programs Quality Standards CPT +18

Entry Full Time

USD 30K+

Claims Mgmnt Analyst III (HealthPlan EDI experience required)
Dayton WFH, United States

Payment methodologies Health care operations Claims payment Sprint planning Regulatory reporting EDI User Stories Certification Claims management +34

Senior Mid Full Time

USD 70K+

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

P&C Claims Claims Process Technology Utilization Partnering Service Contracts Staffing Claims management Six Sigma Claims processing +42

Exec Senior Full Time

USD 141K+

Billing Rep II
Remote, UT, United States

Insurance payer websites Dde Epic Software Medicare billing Durable Medical Equipment Billing Processes Authorizations Hospital billing Intelligent Automation +16

USD 48K+

Psychiatric Mental Health Nurse Practitioner (W2 Salary) - California, Multi-Licensed
Remote (United States)

Psychiatric mental health nursing Outcome-Focused Care Crisis Response Autonomous Work Entrepreneurial Spirit Mental Health Care Evidence-based treatment Clinical Quality EMR systems +11

USD 120K+

Medical Coding Auditor, SIU
Remote

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

Entry Mid Full Time

USD 56K+

Customer Service Representative 4
REMOTE OPTIONS, PHOENIX

State of Arizona

Eligibility Criteria Medical eligibility Interviewing techniques Medicaid programs Billing practices CMS guidelines Provider Enrollment Database Applications AMS +45

Entry Mid Full Time

USD 38K+

Follow Up Associate
Remote, GA, United States

Technical appeals Edi billing Icd-9 coding Research analysis Charge master Healthcare Billing EOB Denials ICD-9 +22

Entry Mid Full Time

USD 48K+

Quality Audit for Life & Annuity Death Claims - US REMOTE
USA VA Home based (CSC Location), United States

DXC Technology Remote-first

Annuity Processing Quality Standards Six Sigma Claims processing Quality Management Quality Control Life Insurance Audit Social media +12

USD 43K+

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

Policy coverage Automotive experience Policy interpretation Adjudication Partnering Service Contracts Computer Proficiency Claims processing Services +21

USD 40K+

UM/UIM Represented/Litigation Adjuster - Remote
USA - PA (Remote), United States

Allstate Remote-first

Fraud investigations Information collection Liability determination Bodily injury claims Claims Evaluation Automobile Accidents Business Communications Bodily injury Policy interpretation +36

USD 47K+

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