Remote Medicaid Claims Resolution Specialist
Sarnova Inc
- Remote job
Sarnova HC, LLC is seeking a Medicaid Account Resolution Specialist for Digitech with 100% remote work. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle. The role requires attention to detail, ability to manage multiple priorities, and commitment to high-quality service for clients and patients. Remote work and a fast-paced environment are core aspects of the job. #J-18808-Ljbffr Sarnova HC, LLC
- Digitech is seeking a Medicaid Account Resolution Specialist to resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow‑up. The role requires meticulous attention to detail, the ability to manage multiple priorities, and commitment to...Remote job
$28 - $35 per hour
...Claims Resolution SpecialistThe Claims Resolution Specialist is responsible for the day-to-day investigation and resolution... ...accurately and efficiently.*This is a remote role. We are only hiring in the... ...Maintain knowledge of Medicare, Medicaid, Workers' Compensation, and...Remote work$26.5k - $37.8k
...and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts... ...follow-up, and appeals while ensuring compliance with Medicaid and payer guidelines. You will play a key role in maximizing...Remote workFull timeWork at officeFlexible hoursShift work- ...is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on... ...thorough documentation in billing systems. This remote position operates Monday through Friday during...Remote workMonday to Friday
- ...Humana is seeking a Claims Research & Resolution Representative 2 to join a remote team that handles customer contact, investigation, and resolution of claims and related financial issues. The role involves semi-routine, call center tasks and intermediate math, with training...Remote work
$40k - $52.3k
...Become a part of our caring community The Claims Research & Resolution Representative 2 manages claims... ...computations. This is an opportunity to work remotely and use your research, resolution and... ...of life for people with Medicare and Medicaid, families, individuals, military...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work- ...Reserv is an insurtech focused on AI-driven claims processes and remote-first operations. We seek a Resolution Specialist to educate customers, triage claims, and drive efficient resolution across transportation-related claims. The role collaborates with product, engineering...Remote work
- ...Claims Resolution Specialist 1The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution... ...Office Building 13220 USF Laurel Dr Tampa 33612 Eligible for Remote Work: Hybrid RemoteJobPatient Financial...Remote workWork experience placementWork at officeShift work
- Root Insurance is seeking an Early Injury Resolution Adjuster to help enforce fairness in auto claims across the United States. You’ll evaluate coverage, liability... ...an efficient, empathetic claims process. In this remote role, you will manage complex personal auto claims...Remote work
- ...Job Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections... ...are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA,...Remote work
- ...Humana is seeking a Claims Research & Resolution Representative 2 to join our remote team. You will manage claims operations involving customer contact, investigation, and resolution of claims or related financial issues, performing moderately complex call center and...Remote work
- ...Digitech is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. The role requires... ...the ability to handle a high-volume workload in a remote work environment. The position operates Monday through...Remote workMonday to Friday
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations involving customer contact, investigation, and resolution... ...calls, administrative tasks, and intermediate math, with remote work opportunities. Training is provided with structured...Remote workShift work
- ...Humana is seeking a Claims Research & Resolution Representative 2 to join a remote team focused on researching and resolving claims and related financial issues. The role involves inbound calls, some outbound follow-ups, and strict attention to documentation, compliance...Remote work
- ...Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations from home. You will handle inbound calls, investigate... ...software systems. Training is provided and a stable remote position with growth opportunities is offered. #J-18808-Ljbffr...Remote work
- ...Humana is seeking a Claims Research & Resolution Representative 2 to work remotely in the United States. You will manage inbound calls, investigate claims and coordinate resolutions, using multiple systems to ensure accurate outcomes. Training is extensive, with an 8-...Remote work
- ...Humana is seeking a Claims Research & Resolution Representative 2 to handle customer contacts, investigate and resolve claims or related financial... ...-routine call center and administrative tasks within a remote setting at a Fortune 100 company with strong benefits. The...Remote work
$30.5k - $43.5k
...and career development. Summary As a Healthcare Claims Resolutions Specialist at Gainwell, you can contribute your skills as we... ...processing, or a related field. Review and research suspended Medicaid claims and adjudicate them per DCH policy. Adhere to...Remote workFull timeWork at officeMonday to FridayFlexible hours- US Acute Care Solutions seeks an AR Research & Resolution Representative to research and resolve claims, maximize cash collections, and minimize denials. This remote role supports hospitals and payer communications while upholding our values. The position requires knowledge...Remote job
$23 per hour
...Pharmacy Adjudication Specialist at our Specialty pharmacy... ...position. This is a remote hybrid opportunity,... ...will adjudicate pharmacy claims, review claim... ...Practices first call resolution to help health care providers... ...understanding of Medicare, Medicaid, and commercial...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist... ...61,546 Office Location: Remote within North Carolina POSTING... ...established by CMS, and NC Medicaid as well as Trillium policies... ...facilitate efficient claims resolution. On a typical day, you...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...services organization is seeking a Claims Specialist for a long-term contract... ...review, edits, and account resolution within a collaborative... ...or 9am to 6pm Setting: Remote Responsibilities: Review... ...to managed Medicare, managed Medicaid, and commercial financial classes...Remote workLong term contractWork experience placementMonday to FridayShift workDay shift
$35k - $50k
...Medical Claims Resolution Analyst - Remote US Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions...Remote workFull timeWork at officeMonday to FridayFlexible hours$36.3k - $39.52k
...aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve... ...awareness of confidentiality obligations US remote-based colleagues are not permitted to work from...Remote workPermanent employmentFull time$44.51k - $60.09k
...collection. Researches, corrects, resubmits claims, submits appeals and takes timely and... ...Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training... ...in order to bring about prompt account resolution and revenue collection from complex...Remote workHourly payFull timeCasual workWork at officeLocal areaShift work$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience and an active adjuster’s license. The position offers a competitive salary...Remote job$35k - $50k
...Medical Claims Resolution Analyst - Remote US Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions...Remote jobFull timeWork at officeMonday to FridayFlexible hours$18.21 - $26.21 per hour
...Claims Resolution Specialist - Patient Financial Services Job Category: Finance Full-Time On-site Patient Financial Services 1300 Egg... ...balances. Researches credit balances for Medicare, Medicare HMO, Medicaid, and Medicaid HMO and handles appropriately. Handles all...Full timeMonday to FridayShift work- Gemini Legal is seeking a WC Resolution Specialist II to manage workers’ compensation accounts with... ...West Covina, CA or Rocklin, CA with some remote flexibility, the role demands HIPAA... ...position emphasizes collaboration with claims adjusters, defense attorneys, and lien...Remote work
$67k - $126k
...0 - $126000.00 Job Category: Claims Description Are you looking for... ...Workers Compensation Claims Specialist within the West Region! The... ...and may be eligible for 100% remote work. Please note that this policy... ...a timely and cost-effective resolution; attends trials as a...Remote workFull timeWork experience placementLocal area
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