Remote Claims Examiner - Healthcare Adjudication Specialist

Med Point Management

Remote job

MedPOINT Management in Sherman Oaks, CA is seeking a detail-oriented Claims Examiner to join our growing team. This role focuses on accurate and timely processing of medical claims within a healthcare management context. You will review claims, verify eligibility, apply coding standards (ICD-10, CPT, HCPCS), resolve discrepancies, and coordinate with providers and members while maintaining HIPAA compliance and precise record-keeping. #J-18808-Ljbffr MedPOINT Management

Apply

Vacancy posted 5 days ago

Similar jobs that could be interesting for youBased on the Remote Claims Examiner - Healthcare Adjudication Specialist in Los Angeles, CA vacancy

Senior Claims Examiner (Remote) - Training & Impact
$18 per hour
...A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...
Remote work
Hourly pay
Full time
Work from home
Broadpath Inc
United States
2 days ago
Claims Examiner
...looking for a detail-oriented Claims Examiner to join our growing team.... ...to play a key role in the healthcare management space, ensuring... ...coverage details prior to claims adjudication Identify and resolve... ...in the healthcare industry. This is a remote position....
Remote work
MedPOINT Management
Sherman Oaks, CA
4 days ago
Remote Claims Examiner II - Adjudication & QA
A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...
Remote job
Flexible hours
First Choice Health
Seattle, WA
5 days ago
Fully Remote Claim Processor-Healthcare
...the oversight and timely/accurate claims adjudication for all clients assigned. Claim... ...order to be eligible for a Claims Examiner II position. This is a remote work position. EXAMPLES OF DUTIES... ...preferred. ~1-2 years healthcare industry experience ~ CPT, ICD-...
Remote work
Temporary work
Flexible hours
First Choice Health Network Inc
Washington DC
7 days ago
Healthcare Utilization Review Specialist
...Burlington, VT/ Hybrid/ Remote Employment Status:... ...the Utilization Review Specialist will use professional... ...request. You will review claims submitted to UR Queues... ...of experience in a healthcare payer, third-party administrator... ...Authorization, Claims Adjudication, Care Management, or...
Remote work
Full time
Work at office
Socket
Austin, TX
4 days ago
Medical Claims Examiner - Remote U.S.
$18 per hour
...Remote Medical Claims Examiner NTT DATA is currently seeking remote medical claims examiners to join... ...the claims, prioritizing work and adjudicating claims as per turnaround time/SLAs,... ...for this role include 2+ years of healthcare claims processing (full cycle: Pay,...
Remote job
Monday to Friday
Flexible hours
NTT DATA
Dallas, TX
6 days ago
Remote Behavioral Health Prior Authorization Specialist
...Services Prior Authorization Reviewer to adjudicate Medicaid behavioral treatment requests... ...determine medical necessity in a fully remote role. You will collaborate with providers... ...functional collaboration within a fast-paced healthcare environment. #J-18808-Ljbffr Gainwell...
Remote job
Gainwell Technologies
Brooklyn, NY
5 days ago
Senior Healthcare Claims Examiner: Complex Adjudication
Provider Network Solutions LLC seeks a Claims Examiner III to process electronic claims, verify filing procedures, and apply coding and... ...guidelines to ensure compliant submissions. The role includes adjudicating complex claims, applying medical necessity guidelines,...
Work at office
Provider Network Solutions LLC
Miami, FL
4 days ago
Managed Care Claims Examiner: Fast, Precise Adjudication
A national healthcare staffing firm in Los Angeles is seeking a Claims Examiner responsible for the accurate and timely adjudication of claims. The ideal candidate will have 1-3 years of experience in processing managed care claims, strong knowledge of medical terminology...
Work at office
Monday to Friday
Healthcare Support Staffing
Los Angeles, CA
5 days ago
Cardiovascular Invasive Specialist 2 (Interventional Radiology (IR Tech))
...Inova is consistently ranked a national healthcare leader in safety, quality and patient experience... ...leave, flexible work schedules, and remote and more!\n \n IR Tech... ...following: Registered Cardiovascular Invasive Specialist (RCIS), Radiologic Technologist Vascular...
Remote work
Immediate start
Relocation package
Flexible hours
Shift work
Day shift
Inova
Alexandria, VA
19 days ago
Intake Specialist - Revenue Cycle Management
$18.92 - $23.46 per hour
...a “Best Place to Work Modern Healthcare” - Join a team where people come... ...accuracy, identify and audit claims, ensure all revenue... ...Assist with processing online adjudication of collection issues and nurse... ...work. Position is a full‑time remote position. Salary range: $18.9...
Remote work
Hourly pay
Full time
Contract work
Temporary work
Local area
Flexible hours
Vital Care Infusion Services
Wisconsin
6 days ago
Intake Specialist - Revenue Cycle Management
$18.92 - $23.46 per hour
...a "Best Place to Work Modern Healthcare" Join a team where people come... ...accuracy, identify and audit claims, ensure all revenue... ...Assist with processing online adjudication of collection issues and nurse... ...This position is a full-time remote position. The salary range for...
Remote work
Full time
Contract work
Temporary work
Local area
Immediate start
Flexible hours
Vital Care Infusion Services
Dallas, TX
3 days ago
Remote Healthcare Claims Specialist
...NTT DATA is seeking a Remote Claims Processing Associate to join the Plano, Texas team. In... .... The position emphasizes independent adjudication of claims, adherence to SLAs, and accurate... .... Candidates should have 3 years of healthcare claims processing experience and...
Remote work
NTT DATA
Plano, TX
4 days ago
Healthcare Claims Processor Work From Home
$40.58k - $52.76k
...’re looking for you.        At Pinnacle Claims Management, we are an innovative third-party... .... JOB DESCRIPTION SUMMARY The Claims Examiner I reports to the Supervisor of Claims.... ...(SPD) for the purpose of accurate claim adjudication and/or benefit determination.• Basic...
Remote work
Contract work
Work at office
Local area
Work from home
Flexible hours
Western Growers Family of Companies
United States
5 days ago
Vascular Access Specialist
$90k - $105k
...California, United States Functional Area: Sales Working Model: Remote Days of Work: Wednesday, Tuesday, Thursday, Friday, Monday... ..., and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy...
Remote work
For contractors
Seasonal work
Work at office
Relocation
Shift work
B. BRAUN MEDICAL (US) INC
Sacramento, CA
25 days ago
Fully Remote Claim Processor-Healthcare
$43k - $59k
...Sana's vision is to make healthcare easy. All of us can agree healthcare... ...! We're currently seeking a Claims and Appeals Processor who... ...Ensure the timely and accurate adjudication and payment of medical claims... ...procedures is a plus. Benefits: Remote company with a fully...
Remote work
Hourly pay
Temporary work
Work at office
Home office
Flexible hours
Sana Benefits Inc
Brooklyn, NY
1 day ago
Patient Access Associate Specialist
$17 - $18.15 per hour
...hospitals healthy. We recognize that healthcare requires a human touch, and... ...for the next Patient Access Specialist champion. This role is... ...processes to assist with a clean claim rate. Responsible for... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...
Remote work
Work at office
Local area
Ensemble Health Partners
Quitman, TX
10 hours ago
Sourcing Specialist
$7.5k - $17k
...Company Description NS Healthcare connects skilled candidates with the best companies in the area. We take pride in understanding a... ...who is comfortable talking to people at all levels. Location: Remote 100% Commission Executive Level placement - $7,500 to $17,...
Remote work
Full time
Contract work
Relief
Northstar Staffing Solutions
Los Angeles, CA
more than 2 months ago
Laboratory Solutions Specialist, Northeast
$156.8k - $261.3k
...that touches virtually every aspect of healthcare. We are known for delivering insights, products... ...highly specialized Laboratory Solutions Specialist to support laboratory growth initiatives... ...at McKesson!SummaryLocation: USA, NY, Remote; USA, CT, Remote; USA, MA, Remote; USA,...
Remote work
Full time
Work at office
Work from home
Home office
McKesson
New Jersey
4 days ago
Clinic Referral Specialist - Remote**
$38k - $45k
Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI... ...citizenship and a favorably adjudicated DOD background investigation... ...into medical management system. Examine and evaluate document... ...who served? Join the TriWest Healthcare Alliance Team! We’re On a Mission...
Remote work
Contract work
Temporary work
Interim role
Work at office
Local area
Shift work
TriWest Healthcare Alliance
Phoenix, AZ
2 days ago
Medical Claims Processor (Home-Based)
$17 - $18 per hour
...Rate: $17.00-18.00 Job Title: Medical Claims Processor Industry: Healthcare FSLA status: Non-Exempt Department:... ...on the claims Prioritize work and adjudicate claims as per turnaround time/SLAs... ...The starting hourly range for this remote role is $17.00-18.00. This range...
Remote work
Hourly pay
Temporary work
Work at office
Work from home
Flexible hours
NTT DATA North America
Kansas City, MO
3 days ago
Pharmacovigilance Specialist
...Pharmacovigilance Specialist Review, assess, and process safety data and information across... ...different functional team members and healthcare professionals to address project-related... ...days ~ Work flexibility ~100% remote role! IQVIA is a leading global provider...
Remote work
Immediate start
Work from home
Worldwide
IQVIA
United States
12 hours ago
Remote Healthcare Claims Specialist
NTT DATA is seeking a Remote Claims Processing Associate to work for our end client. In this role you will process professional claim forms... ...HIPAA and PHI confidentiality. You will prioritize work, adjudicate claims per client workflows, maintain quality scores above 98...
Remote job
NTT DATA North America
Wisconsin
6 days ago
Remote RN Triage Specialist (Part-Time PRN)
A healthcare staffing company is seeking a Remote Registered Nurse (RN) to specialize in triage on a PRN basis. Ideal candidates will have at least 1 year of nursing experience and an active RN license. Responsibilities include conducting patient assessments, providing...
Remote work
Part time
Relief
Work from home
GHR Healthcare
Newton, NJ
2 days ago
Cardiac Device Specialist / Cardiac Device Clinic
$39.31 - $46.73 per hour
...inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional... ...We are seeking a capable Cardiac Device Specialist who has acquired broad experience in... ...and ordering equipment to ensure remote connectivity and continuity of care. Good...
Remote work
Hourly pay
Emory Healthcare
Atlanta, GA
4 days ago
Nutrition Specialist (CNS) - Future Openings
$85k - $130k
.... Peter Attia, we are redefining modern healthcare with a focus on Medicine 3.0-an approach... ...evidence-based decision-making. We are a fully remote company, spanning the U.S., united by a... ...coaching job. As our Nutrition Specialist, you'll be the bridge between science and...
Remote work
Temporary work
Local area
Work from home
Early Medical
United States
4 days ago
MRI Specialist
$90k - $120k
...meets operational excellence. As an MRI Specialist, you will serve as a central force in elevating... .... This hybrid role combines remote clinical oversight with on-site engagement... ...us and how we're changing the face of healthcare at Function Health. Important Notice:...
Remote work
Work from home
Flexible hours
Function Health
United States
4 days ago
Remote Reimbursement Specialist - Home Infusion Billing
$20 - $25 per hour
A leading provider of home healthcare solutions is seeking a Home Infusion Reimbursement Coordinator... ...billing procedures, resolve complex claims, and ensure compliance with regulations.... ...strong problem-solving abilities. This remote full-time position offers a competitive...
Remote work
Full time
Tucker Parker Smith Group
United States
2 days ago
Associate Mapping Specialist CAS
...start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate... ...the assigned territory. The role is remote/field-based, requiring regular hospital... ...If you receive a suspicious message claiming to be from Medtronic, do not respond, click...
Remote work
Work experience placement
Internship
Placement year
Immediate start
Flexible hours
Medtronic Plc
United States
1 day ago
Remote Revenue Integrity & AR Specialist
A leading healthcare solutions provider is seeking a Revenue Integrity/Accounts Receivable Representative to enhance financial performance through accurate billing and charge capture. This remote role requires strong analytical skills, 2+ years of experience in physician...
Remote work
Flexible hours
MediSolution
United States
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Claims Examiner - Healthcare Adjudication Specialist. Be the first to apply!