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Medical claims Remote Jobs

20 fresh jobs found

Part Time Case Manager, RN
Remote, United States

Personify Health

Critical evaluation Telephonic case management Emotional support Hcpcs coding Medical claims Treatment Planning HCPCS ICD-10 Care Coordination +23

Entry Mid Part Time

USD 72K+

Medical Claims Analyst
Remote - Michigan, United States

Medical claims Value-based care Claims processing Digital Tools Root Cause Analysis Medicare Patient care Process Improvement Insurance +2

Entry Mid Full Time

USD 40K+

Case Manager, RN
Remote, United States

Personify Health

Telephonic case management Emotional support Hcpcs coding Medical claims HCPCS ICD-10 Care Coordination CPT Utilization management +21

Entry Mid Full Time

USD 72K+

Workers Compensation Specialist
Erie, PA, US, 16530

Medical claims Record keeping Claims handling Workers Compensation Investigation Decision making Development Compliance Training

USD 43K+

Investigator (Fraud, Waste & Abuse)
Remote, UK

Healthcare fraud investigation Statistical sampling Medical claims Exchange Healthcare Compliance Healthcare Data Report Writing Interviewing Prioritization +14

USD 56K+

Utilization Review Nurse, RN
Remote, United States

Personify Health

NCCN Medscape MCG guidelines Medical Policies Hcpcs coding Medical claims Utilization Review HCPCS ICD-10 +14

Entry Mid Full Time

USD 72K+

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+

VP Engineering (Data Strategy & Product Management)
Remote, United States

Fihr Cloudera Healthcare Data Management Data Normalization Big Data Solutions Data Fabric Healthcare data analysis Data Mesh Payment Integrity +51

Exec Senior Full Time

USD 180K+

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+

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+

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+

UM Coordinator
Work From Home (HB), United States

Health Care Service Corporation

Medical claims review Ancillary services UM Medical Necessity Review Medical claims Healthcare Management Report Preparation Medical necessity Registered Nurse +20

USD 56K+

Provider Engagement Network Specialist
Jackson - 111 E Capitol St., Ste 500 (Magnolia) (10106), United States

Centene Corporation

Provider directories Network reporting Demographic information changes Provider information system Contract research Provider data management Medical claims Provider education Claims payment +25

USD 44K+

Associate Director, Prepay Payment Integrity
Remote US, United States

Cross-departmental collaboration Medical claims Provider Contracting Anomaly Detection CAS Bilingual English/Spanish Reconciliation Efficiency Staffing +52

USD 104K+

Healthcare Analyst II
Dayton WFH, United States

HIE data EMR data Longitudinal trend analysis Demographic data UM data Market performance Transact-SQL Pharmacy Claims Cluster analysis +28

Entry Mid Full Time

USD 70K+

Senior Provider Reimbursement Professional - Certified Medical Coder
Remote US, United States

Medical claims processing Coding certification Provider reimbursement Medical claims Reimbursement methodologies CAS ICD Medical Coding Consumer Experiences +50

Senior Mid Full Time

USD 59K+

Network Operations Coordinator
Remote US, United States

Data integrity management Medical claims Contract Interpretation Provider Relations Microsoft Teams Audits Claims BI Data integrity +42

USD 53K+

Population Health Quality Data Analyst
Working Virtually, United States

MultiCare Health System

Quality measure performance Medical claims analysis Managed care environment Utilization data analysis Healthcare metrics Financial Data Financial data analysis Medical claims Population health +17

Entry Mid Full Time

USD 57K+

Senior Encounter Data Management Professional
Remote US, United States

Encounter data management Encounter data Medical claims Microsoft Office Applications Compliance Standards Reconciliation Business Processes Claims Data integrity +42

Senior Full Time

USD 78K+

Encounter Data Management Professional
Remote US, United States

Encounter data Medical claims processing Medical claims Microsoft Office Applications CAS Compliance Standards Reconciliation Claims processing Analytical Problem Solving +44

USD 65K+

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