Remote Provider Claims Research & Resolution Specialist
Creative Solutions Services, LLC
- Remote job
NTT DATA, Inc. is hiring a Remote Provider Research & Resolution Specialist in Dallas, Texas. The role requires 2+ years of experience in medical claims and will involve analyzing provider-related transactions and maintaining compliance with standards. The ideal candidate will also have experience with Microsoft Office. Benefits include medical insurance, flexible spending accounts, and a 401K. Join an equal opportunity employer that values diversity. #J-18808-Ljbffr Creative Solutions Services, LLC
- ...VisionSPRR is looking for a Claims Research & Resolution Professional in Indianapolis, Indiana. This role involves conducting training with healthcare providers to address claims denials and errors, ensuring proper claims submissions. Candidates should have 2-3 years...Remote workClaimsCasual workWork at office
- ...Humana Inc is looking for a Claims Research & Resolution Representative 3 to manage claims operations, involving customer contact, investigation, and the settlement of claims. You will oversee the research and resolution of pending claims while interpreting procedures...Remote workClaimsLive in
$64k - $92.6k
...Senior Claims Resolution Analyst Founded in 1977 as the Senior Care Action Network, SCAN began... ...also mentor and train junior analysts, provide guidance on difficult cases, and assist... ...$92,602 Annually ~ Work Mode: Mostly Remote ~ An annual employee bonus program...Remote workClaims- ...RemoteFetch is seeking a Provider Relations Consultant to support healthcare... ...operations across Idaho. In this remote role, you will assist providers,... ...partners, and internal teams with issue resolution, provider education, and claims research. Ideal candidates should have...Remote workClaims
- ...Job Description Description: Claims Research & Resolution Professional We’re seeking dedicated... ...denials, underpayments, claims errors, and provider education. The Claims Research &... ...week) Location: Hybrid - majority Remote with occasional travel....Remote workClaimsFull timeWork at office
- ...Job Description Job Description Alternative Dispute Resolution (ADR) Claim Adjuster Remote At Frontline Insurance, we are on a mission to... ...a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our...Remote workClaimsTemporary workLocal area
- ...Description Overview Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims... ...Products. Digitech is a leading provider of advanced billing and technology services... .... Responsibilities This role is a remote, work from home position. The Claims...Remote workClaimsWork from homeMonday to Friday
- ...Orthodontic Claims Resolution Representative The Orthodontic Claims Resolution Representatives... ...insurance claims with payers and providers by calling insurance companies or by utilizing... ...in office and Wednesday/Friday remote. Ability and self-confidence to communicate...Remote workClaimsWork at office
- Curative is looking for a Claims Resolution Specialist in Austin, Texas, to ensure accurate and timely... ...serving as a liaison between members, providers, and internal teams. Qualified candidates... ...The position offers opportunity for remote work along with comprehensive...Remote jobClaims
$20 - $23 per hour
...hour - $23 per hour Work Mode: Remote Responsibilities... ...Responsible for accurate set up of provider records to ensure proper payment... ...data and process to resolution. Demonstrated competence using... ...similar provider data and/or claims processing systems. Effective...Remote workClaimsHourly payWork at officeFlexible hours- ...Digitech is seeking a highly motivated Insurance Account Resolution Specialist to manage insurance claims in a remote work environment. The role involves researching outstanding claims, communicating with insurance carriers, and ensuring timely resolution of issues. Ideal...Remote workClaims
- Remote Jobs is seeking a Research Claims Specialist to support the Clinical Research billing within Providence Health System. This role includes reviewing, processing, and tracking clinical billing, ensuring accuracy, and maintaining confidentiality. The ideal candidate...Remote jobClaims
- ...being of children. We provide primary care, specialty... ...: Responsible for researching and resolving all Professional... ...to ensure claims are paid at maximum reimbursement... ...and coding team on resolution. Utilizes payer... ...This position is a fully remote work opportunity. Children...Remote workClaimsContract workWork at office
- ...is seeking an Insurance Processing Specialist to work fully remotely. The role involves facilitating the... ...funds for roofing and exterior property claims, securing final customer payments,... ...liaison between customers and insurance providers. The ideal candidate should be...Remote workClaims
- ...Insurance Company (NAICO) is seeking a motivated Claims Research Specialist in Chandler, OK. This role involves researching... ...relevant experience. Onsite training will be provided, with the potential for a hybrid or remote schedule post-training. The position offers a competitive...Remote jobClaims
- ...Digitech is a leading provider of advanced billing and... ...oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to... ...environment. This is a remote, work‑from‑home position... ...And Responsibilities Research and resolve outstanding...Remote jobClaimsWork at officeWork from home
$19.62 - $26.49 per hour
...Location (Full Address): Remote Work – New York,... ...Responsibilities The Claims Resolution Representative III is... ...to, independent research, claim correction and... ...incomplete information to providers and department... ...Collaborates with Claim Edit Specialists and Patient Medical...Remote workClaimsFull timeWork at officeLocal areaShift work$42.64 - $64 per hour
...Senior Epic Resolute Hospital Billing (HB) Analyst – Level 3 The Senior Epic Resolute Hospital... ...functionality, including billing rules, claim edits, charge routing, workqueues,... ...transactions. Troubleshooting & Support Provide advanced (Tier 2/3) support, perform root...Remote workClaims- ...Provider Relations Associate Analyst (Claims & PR Advocate) Location: Remote (U.S. Only) Preference for PST/MST Candidates Client: CIGNA Pay Rate: $20/hour W2... ...Make outbound calls for follow-ups and issue resolution Assist with claim status, reprocessing, and...Remote workClaimsContract workTemporary workMonday to Friday
- ...Details Vela Insurance Services provides specialized Excess and... ...and lead a team of talented claim professionals handling a broad... ...negotiation approaches, and resolution strategies. Maintain an active... ...ability to lead and develop remote or virtual teams. Applicable...Remote workClaimsLocal area
- ...from A.M. Best, NAICO is committed to providing reliable, high-quality insurance... ...highly motivated and detail-oriented Claims Research Specialist to join our team. Position Overview... ...possibility to transition to a hybrid/remote schedule after training is completed....Remote workClaims
- Providence Health & Services is seeking a remote Claim Specialist to support clinical research billing. The role involves reviewing charges and tracking clinical billing processes while ensuring accuracy and compliance. Candidates should have at least 2 years of experience...Remote jobClaims
- ...Account Resolution Representative At Children's Wisconsin... ...being of children. We provide primary care,... ...Commercial insurance claims. Fiscal resolution is... ...credit balances to include research of EOB's and verification... ...or otherwise. Remote Position! Flexible schedule...Remote workClaimsContract workWork at officeFlexible hours
- Providence Health & Services is seeking a Claim Specialist to support clinical research billing and account review needs. This remote position requires 2 years of experience in research billing or coding, and an Associate's or Bachelor's Degree in Healthcare Administration...Remote jobClaims
- Account Resolution Associate We are seeking a detail‑oriented Account... ...appropriately using information provided by the client. Post credit... ...identified while reviewing claims. Attend and prepare for daily... ...ability to work independently in remote settings; prior remote...Remote workClaimsWork experience placement
- Providence Health & Services is looking for a remote Claim Specialist to support Clinical Research billing and account review needs. The role involves reviewing charges, processing and tracking research-related clinical billing, and ensuring compliance with standards....Remote jobClaims
$48k - $55k
...Role: The Member and Provider Experience Specialist serves as the first... ...benefit, eligibility, and claims-related inquiries... ...participation. Research and resolve complex... ...appropriate to ensure timely resolution. Maintain... ...development opportunities Remote capabilities Work...Remote workClaimsMonday to Friday- ...Hybrid role with employer-provided remote equipment. Field travel to provider... ...issues related to operations, referrals, claims submission, and high-dollar/high-volume... ...levels. Problem-solving and issue resolution with a focus on operational efficiency...Remote workClaimsLocal area
$75.2k - $112.8k
Overview Behavioral Health Provider Quality Manager - Northern California... .../credentialing, and issue resolution to improve provider... ...provider strategy, operations, and claims to coordinate goals and priorities... ...meetings in person or via remote methods. Minimum Requirements...Remote workClaimsLocal area$18.5 per hour
## Trading Card Research Specialist, BeckettApplylocations: Plano, TXtime type... ...innovative technology that provides value-added services for... ...may take place by phone. For remote roles, and at our discretion... ...websites, through fake e-mails claiming to be from the company or...Remote workClaimsHourly payFull timeWork at officeWorldwideFlexible hoursShift work
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