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
- NTT DATA North America is seeking a Remote Provider Research & Resolution Specialist with 2+ years of experience in medical claims, provider credentialing, or billing. This role involves analyzing transactions and resolving claims by identifying information discrepancies...Remote jobClaims
- TriWest Healthcare Alliance is seeking a Provider Data Specialist to ensure accurate provider information across Claims, Data Management, and Authorization/Referral systems. You will verify data, resolve discrepancies, and support credentialing activities while communicating...Remote jobClaims
- ...a regular full-time Research Specialist - Budget, ONC to help... ...daylight hours with a remote schedule. This position... ...services. ~Providing pricing for budgeting... ...workflows and downstream claims review. ~Negotiate... .... ~Support resolution of billing discrepancies...Remote workClaimsFull timeCurrently hiringMonday to Friday
$25.5 per hour
...Job Description Job Description Provider Network Resolution Specialist Remote, United States Contract Assignment... ...payer, provider relations, claims, appeals, network management, or healthcare... ...provider issue resolution by researching, analyzing, documenting, and resolving...Remote workClaimsContract workLocal areaMonday to Friday- ...Orthodontic Claims Resolution Representative 29777 Telegraph Rd, Southfield, MI 48034, USA Job... ...orthodontic insurance claims with payers and providers by calling insurance companies or by... ...in office and Wednesday/Friday remote. What you’ll bring to the team… Ability...Remote workClaimsWork at office
$64k - $92.6k
...communities we serve. The Job Senior Claims Resolution Analysts are responsible for... ...also mentor and train junior analysts, provide guidance on difficult cases, and assist... ...2,602 Annually ~ Work Mode: Mostly Remote ~ An annual employee bonus program...Remote workClaimsFor contractors$28 - $35 per hour
...The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements,... ...efficiently. *This is a remote role. We are only hiring in... ...and operational reviews. Provide feedback regarding...Remote workClaimsHourly payMonday to Friday$16.25 - $18.25 per hour
J29, Inc is seeking a Dispute Resolution Analyst to support Independent Dispute Resolution programs, handling Surprise... ...has a High School Diploma and relevant experience in provider disputes or claims. This remote role offers a salary range of $16.25-$18.25 per hour....Remote jobClaimsHourly pay- Humana is seeking a Provider Relations Representative to manage day‑to‑day relationships... ..., training, education, and prompt issue resolution to maintain positive provider experiences... ...respond to inquiries, and collaborate with claims, prior authorizations, and provider...Remote jobClaims
- ...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 jobClaimsWork from homeMonday to Friday
$140k - $170k
...dedicated to delivering exceptional claims handling and legal expertise... ...from inception through resolution. This individual will analyze... ...match Paid time off and holidays Remote or hybrid flexibility... ...strategies Retain, manage, and provide direction to defense counsel...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
- ...Accounts Resolution Specialist I Penn Medicine is dedicated... ...tripartite mission of providing the highest level of... ...conducting innovative research, and educating future... ...work queues handling claim edit work queue resolution... ...onsite and 4 days remote/Work from Home...Remote workClaimsWork at officeWork from home
$16.25 - $18.25 per hour
...Position: Dispute Resolution Analyst Overview: J29, Inc. (J29) has... ...team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits... ...Diploma or equivalent Location: Remote Salary: $16.25-18.25 per...Remote workClaimsHourly payWork at officeImmediate start- ...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
- ...family, is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote, work-from-home role emphasizes... ...through skills. Responsibilities include researching pending/denied claims, analyzing...Remote jobClaimsWork from home
- ...Work Setup Hybrid role with employer-provided remote equipment. Field travel to provider offices... ...related to operations, referrals, claims submission, and high-dollar/high-volume... ...organizational levels. Problem-solving and issue resolution with a focus on operational efficiency...Remote workClaimsLocal area
- ...optimize processes, so healthcare providers can focus on delivering... ...seeking a detail‑oriented Account Resolution Associate to join our team.... ...reviewing claims Attend and prepare for daily/... ...ability to work independently in remote settings; prior remote experience...Remote workClaimsWork experience placementLive in
- ...Provider Engagement Account Manager Provider Engagement Account Manager to maintain and strengthen... ...issues and escalate to internal teams for timely resolution. Investigate, resolve, and communicate: Provider claims issues Changes impacting provider...Remote workClaimsLive inLocal area
- ...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
$68.4k - $105.9k
...rolling out, and supporting the Epic Resolute Hospital Billing and Claims application. Responsibilities... ...changes within Epic environments to provide standardized, comprehensive workflows... ...Requirement 0% – 25% travel. Physical Demands Remote‑based position with occasional...Remote workClaimsWork experience placementCasual workLocal area$25 - $26.45 per hour
...and the well-being of providers Job Description This... ...the Insurance Credit Resolution Specialist is responsible for complete... ...refund initiations Research and resolve overpaid and denied claims in athenaNet Use... ...Technical Requirements (for remote workers only, not...Remote workClaimsHourly payWork at officeWork from homeHome office- ...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
$20 - $25 per hour
Metro Vein Centers in West Bloomfield Charter Township is looking for a Claims Resolution Specialist to enhance our billing operations. This position involves managing insurance claims, resolving denials, and ensuring timely payments. A candidate should have over 4 years...Remote jobClaimsHourly pay$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$95k - $150k
...enterprise health technology company providing a comprehensive suite of... ...(EHP), consolidating all claim administration-related workflows... ...Manager of Client Experience Resolution & Optimization (CERO) leads... ...in a fast‑paced environment. Remote, US Salary Range This role...Remote workClaimsLocal area$40k - $52.3k
...community Humana/iCare is looking for a Claims Research and Resolution Representative to join our growing... ...processing issues. You will work on provider claims projects, review complicated and... ...: Home. Home workstyle is defined as remote but will use Humana office space on...Remote workClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$38.52k - $70.62k
...and accurately maintain all provider data within the enterprise-wide... ...experience, providing timely resolution dependable follow-up and... ...Certified Provider Credentialing Specialist (CPCS). Experience: 3 years... ...in a customer service, claims, billing and enrollment, or call...Remote workClaimsWork experience placementImmediate start$150k - $175k
...is seeking a Dispute Resolution Attorney The successful... ...prefer hybrid but open to remote candidates as well)... ...clients to evaluate claims and/or defenses in a variety... ...leases. Conduct legal research and risk analysis to... ....law ElevateFlex provides an unparalleled platform...Remote workClaimsContract workPart timeWork from homeWorldwide- ...Plan is seeking a dedicated individual to manage complex provider disputes and claims adjustments. This role requires a minimum of 5 years' experience... ...and a strong understanding of provider dispute resolution regulations. The successful candidate will work alongside...Claims
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