Remote OSS Coordinator — QA & Claims Operations
Sedgwick
Sedgwick, a leading provider in risk and claims administration, seeks a detail-oriented Operations Support Services assistant in Tennessee, Telecommuter. You will review scanned documents, process electronic mail, and help ensure service levels for client claims.
Ideal candidates have a high school diploma, at least two years of office experience, strong writing and communication skills, and ability to work in a team.
#J-18808-Ljbffr- ...receivable, motor vehicle accident claims, workers’ compensation,... ...shaping the future of healthcare operations while making a measurable... ...Role The Client Performance Coordinator supports client performance... ...confidentiality obligations US remote-based colleagues are not...Remote workOperationsClaimsPermanent employment
$50k - $55k
...is looking for a Specialty Rx Coordinator based in the United States.... ...benefit programs in a fully remote environment. In this role, you... ...coordinate pricing, process claims accurately, update member records... ...implementation and ongoing operations. Contract and Regulatory...Remote workOperationsClaimsContract workWork experience placementWork at officeWork from home- ...communities through clinical and operational excellence. POSITION... ...Credentialing & Enrollment Coordinator manages the end-to-end credentialing... ...The Jewish Board. Operating remotely as an offshore team member... ...provider enrollment-related claim rejections alongside the...Remote workOperationsClaimsWork at officeLocal areaShift work
- ...better. This position is 100% remote, offering the flexibility to... ...time. Payment Determinations Coordinator | Fully Remote About the Role... ...requirements and workflows. Program Operations and Compliance Complete... ...Experience reviewing medical claims, remittance advice, and...Remote workOperationsClaimsContract workWork at office
$60k
...Compensation program for Zen Educate’s US operations: incidents, claims, return-to-work, compliance, and... ...doing • Incident intake and claims coordination: Serve as the first point of contact... ...paid vacation days • 10 company holidays • Fully remote #J-18808-Ljbffr BazetaRemote workOperationsClaims$41.6k - $43.68k
...focused Case Management Referral Coordinator to support referral operations within our Workers’ Compensation... ...business unit in a fast‑paced, remote environment. In this role, you will... ...any payor, insurer, jurisdiction, claim number or case type changes on an open...Remote workOperationsClaimsHourly payFull timeContract workPart timeFor contractorsLive inWork at officeLocal areaHome officeMonday to FridayFlexible hours$60k - $70k
...Description Title: Patient Care Coordinator, Referral Management Job... ...Brighton, MA office; 1 day remote FLSA Status: Exempt... ...Management, Quality, and Clinical Operations teams as assigned. Success in... ...expirations. Coordinate with Claims and Provider Relations to...Remote workOperationsClaimsFull timeWork at officeLocal area- ...member of the Prior Authorization Operations team. Processes prior... ...authorization data necessary for claims adjudication. Utilizes... ...supervisor according to guidelines. Coordinates notifications to members,... ...company location (or from a remote location with management approval...Remote workOperationsClaimsFull timeLocal areaMonday to FridayNight shiftWeekend work
- ...QA Manager - PBM Claims Processing Position Title - QA Manager - Employment... ...Type - CTH Location - Remote - Reports To - Director... ...authorization, pricing, accumulators, coordination of benefits, reversals,... ..., Release Managers, and Operations teams. Hands-On...Remote workOperationsClaims
$50.4k - $72k
...moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the... ..., managed care, health insurance, claims, or government healthcare programs.... ...expect in this role This position is remote work from home, candidate must reside in...Remote workOperationsClaimsFull timeWork from homeFlexible hours$58.9k - $84.1k
...need great teams to propel their operations. Join the group that solves... ...development. Summary As a Senior QA Analyst (Drug Rebate) at... ...not limited to Point of Sale, Claims, Encounter, and Finance teams,... ...in this role Fully remote options from Contiguous US locations...Remote workOperationsClaimsFull timeFlexible hours$85k
...pharmacists and care coordinators to dispense medication... ...quality expertise and operational leadership. It is an opportunity... ...order processing and claims to prior... ...Centralized Services and is a remote position, with... ...specific requirements. QA Documentation & Tools:...Remote workOperationsClaims- ...insurance. Learn more at Job Description The Claims Coordinator supports the end to end claims process... ...in claims processing, insurance operations, or customer support preferred Strong... ...office from Monday to Thursday and remotely on Friday. Benefits Include Competitive...Remote workOperationsClaimsHourly payFull timeTemporary workWork at officeLocal areaFlexible hours
- ...Assurance Supervisor- Claims MUST LIVE IN ONE OF OUR... ...The Supervisor for RCM QA Charge Posting & Claims... ...Supervise day-to-day operations of charge posting and claims... ...QA metrics. Coordinate with managers to address... ...resolving problems For remote team members HIPAA compliant...Remote workOperationsClaimsLive inHome officeAfternoon shiftEarly shift
- ...Specialist II Location: Remote, this candidate can be in... ...Supervisor of Training and QA in Customer Service Operations Support, the Training... ...overall training program coordination, implementation, and reporting... ..., email, or phone call claiming to be from PTR Global, do...Remote workOperationsClaimsFull timeContract workWork at office
- ...Crawford & Company is a global provider of claims management and outsourcing solutions,... ...Quality Assurance Specialist is a full-time remote role responsible for ensuring that... ..., prepare reports, and collaborate with operations teams to implement corrective and preventive...Remote workOperationsClaimsFull time
- ...Job Overview A Proposal Coordinator is responsible for coordinating... ...knowledge of the company's operations, corporate capabilities, and... ...full-spectrum aviation, remote sensing, and analysis solutions... ...caution with communications claiming to represent AEVEX from other...Remote workOperationsClaimsFull timeWork at officeLocal area
- JOB TITLE: EHS Coordinator DEPARTMENT: EHS REPORTS TO: EHS Supervisor, MSR US SUMMARY: The EHS... ...MSR-FSR Critical Component Solutions Operations facility to ensure protection of people,... ...with support of a local safety committee, remote peer support from the EHS Team in the US...Remote workOperationsFull timeTemporary workSecond jobWork at officeLocal area
$215k - $408.5k
...Medical Director to direct and coordinate the medical management,... ...Provides medical expertise in the operation of approved quality... ...care quality. ~ Reviews claims involving complex, controversial... ...flexible approach to work with remote, hybrid, field or office work...Remote workOperationsClaimsFull timePart timeWork at officeFlexible hoursWeekend work$41.6k - $49.92k
...Program. Job Summary The Revenue Integrity Coordinator assists the National RCM Strategy team... ..., detailed, and thorough review of claims billed to payers/insurance companies for... ...environment. This position is fully remote and can be performed anywhere within the...Remote workClaimsHourly payFull timeTemporary workLocal area$50k - $55k
...requirements and workflows to achieve operational efficiencies. Responsible for improved claims billing yield within a defined... ...Motions - Eye/Hand/Foot Coordination - ZOLL is a fast-growing... ...position is filled. For fully remote positions, compensation will comply...Remote workClaimsMinimum wageOngoing contractLocal areaWorldwideWeekend workAfternoon shift$100k - $140k
...Position Type: Full-Time, Exempt Location: Remote with approximately 25% travel to clinic... ...coding compliance and the accuracy of claim submissions. The Auditor serves as the... ...state expansions, and tribal healthcare operations, as well as any other service line or business...Remote workOperationsClaimsFull time$24.38 - $36.65 per hour
...Carrollton, VA Work Shift Accounting Coordinator Join a healthcare finance team where... ...role in supporting the day-to-day operations of the accounting department within a large... ...integrity of financial information. Remote: Hampton Roads Geographic area/time zone...Remote workOperationsHourly payFull timeTemporary workShift work$34.14 - $42.67 per hour
...Summary: The Aerial Survey Coordinator will perform a variety of... ...team. This role is fully remote. Specific location details and... ...activities to ensure successful operation of Technical Resource team.... ...regarding O&M projects ~ QA/QC deliverables from Aerial IR...Remote workOperationsHourly payWork at office- ...People & Leadership Growth Coordinator | Remote Remote | Flexible | Independent | Personal & Leadership Development You likely have... ...community services, healthcare, customer experience, management, operations, hospitality, small business or another people-focused...Remote workOperationsFlexible hours
- ...About the Role E-Commerce Coordinator At Blue Marble , we believe in the power... ...about the ins and outs of online retail operations, from platform health to product visibility... ...and submitting shortage and price claims; supporting shipment or inventory creation...OperationsClaimsFull timeInternshipLive inFlexible hours
$144.2k - $288.4k
...Product – Quality & STARS Location: Remote Department: Healthcare Delivery Technology... ...directly with clinical and business operational leaders to shape end-to-end technology... ...integration between external data sources (e.g., claims data, remote monitoring, health plan...Remote workOperationsClaimsHourly payFull timeContract workTemporary workLocal area$25 - $29 per hour
...UTA seeks a Coordinator to serve as the operational engine of the People Data team, responsible for high-volume, high-accuracy data entry across the... ...volume without sacrificing quality. This position is fully remote. The hourly rate for this role is $25 to $29 per hour,...Remote workOperationsHourly payContract workFixed term contract$18 - $21 per hour
...Case Coordinator By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for... ...INCLUDE Manage caseload consisting of Workers' compensation claims under supervision and in collaboration with Clinical Case...Remote workClaimsWork at officeFlexible hours- ...Job Summary: Claims Reporting & Administration Prepare and submit primary and... ...Provide administrative and operational support to Claims Consultants on various... ...reporting packages, and claim summaries Coordinate scheduling and preparation of claim review...OperationsClaimsWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote OSS Coordinator — QA & Claims Operations. Be the first to apply!
- investment coordinator Knoxville, TN
- clinic coordinator Knoxville, TN
- risk management coordinator Knoxville, TN
- international student coordinator Knoxville, TN
- processing coordinator Knoxville, TN
- coordinator Knoxville, TN
- installation coordinator Knoxville, TN
- sustainability coordinator Knoxville, TN
- licensing coordinator Knoxville, TN
- restorative justice coordinator Knoxville, TN


