Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Claims Adjudication Specialist

Highmark Health

Highmark Health is seeking a remote Claims Processor to screen, review, and adjudicate online and paper claims. You will verify data, resolve edits, determine eligibility, and ensure timely, accurate processing per policy.

You may support benefits coordination and respond to inquiries while maintaining HIPAA compliance. The role requires a high school diploma or GED, with preferred experience in claim billing/processing and familiarity with claim processing systems.

#J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Claims Adjudication Specialist in United States vacancy
  •  ...Jobgether, acting on behalf of a partner, seeks a Claims Adjudication Specialist in the United States. You will evaluate complex claims, investigate...  ...plus experience with claims systems and Google Workspace. Remote work is available for qualified US-based candidates. #J-... 
    Remote work

    Jobgether

    United States
    4 days ago
  •  ...Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate online and paper claims, ensuring accuracy and adherence to policies. You will...  ...customers while maintaining timely, compliant processing. Remote work options are available. This role requires strong... 
    Remote work

    Highmark Health

    Accident, MD
    1 day ago
  •  ...Highmark Health is seeking a remote Claims Adjudicator responsible for screening, reviewing, and final adjudication of claims. You will verify data, resolve edits, and determine eligibility and payment levels in accordance with policies. The role also involves research... 
    Remote work

    Highmark Health

    Oklahoma City, OK
    3 days ago
  •  ...Highmark Health is seeking a Remote Claims Adjudicator to screen, review, and finalize online and paper/electronic claims. You will determine pay/deny decisions, verify data, and coordinate with customers while upholding HIPAA and privacy practices. Responsibilities include... 
    Remote work

    Highmark Health

    Yuma, AZ
    7 hours ago
  •  ...Highmark Health Remote position in the United States seeks a claims processing specialist to screen, review, and adjudicate online and paper claims. You will verify data, resolve edits, determine eligibility, and adjust payments following policies and procedures. You... 
    Remote work

    Highmark Health

    United States
    4 days ago
  •  ...Highmark Inc. is seeking a dedicated claims processing specialist to screen, review, and adjudicate online entries and paper claims. You will perform quality control...  ...record keeping, and coordination with customers. Remote work option with HIPAA/privacy compliance;... 
    Remote work

    Highmark Health

    Montpelier, VT
    14 hours ago
  • $23 per hour

     ...Onco360 is seeking a Pharmacy Adjudication Specialist in Scottsdale, AZ. This full-time role offers a remote hybrid model after an initial onsite training period, with shift times between 8am and 8pm. Starting salary is $23.00 per hour, plus a $5,000 sign-on bonus for... 
    Remote work
    Hourly pay
    Full time
    Relocation package
    Shift work

    Onco360

    Scottsdale, AZ
    4 days ago
  •  ...JobRx, Inc. is seeking a Pharmacy Adjudication Specialist to work full-time in St. Louis, Missouri, with options for remote work. Responsibilities include adjudicating pharmacy claims and resolving third-party rejections.The ideal candidate should have a High School Diploma... 
    Remote work
    Full time
    Relocation package

    Seniorenzentrum Neustadt Wied

    Saint Louis, MO
    1 day ago
  • Highmark Health is seeking a remote Claims Processor to screen and adjudicate online claims, review processing history, and coordinate with customers to resolve inquiries. You will ensure timely completion of adjustments and maintain accurate records. The role emphasizes... 
    Remote job

    Highmark Health

    Salem, NH
    4 days ago
  • $25 per hour

     ...Onco360 Oncology Pharmacy in the United States is seeking a Pharmacy Adjudication Specialist for our specialty oncology operations. This full-time role may work remotely but requires active Indiana Pharmacy Technician credentials. Starting salary is $25.00 per hour with... 
    Remote work
    Hourly pay
    Full time
    Relocation package

    Onco360

    Indianapolis, IN
    1 day ago
  • Highmark Inc. is seeking a claims processing professional for remote work in Georgia. You will screen, review, and adjudicate claims, correcting errors and ensuring accuracy according to policies. The role involves coordinating benefits, communicating with customers, and... 
    Remote job

    Highmark Health

    New York, NY
    5 days ago
  • Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate online and paper/electronic claims. You will determine pay or denial decisions,...  ...entry, verification, and adherence to policies, with remote work options and compliance with HIPAA and privacy policies... 
    Remote job

    Highmark Health

    New York, NY
    5 days ago
  • Highmark Inc. is seeking a claims processor to screen and review online entries, correct errors, and adjudicate claims following policy. You will coordinate benefits, interact with customers, and support timely, accurate claim adjustments across various inquiries. Essential... 
    Remote job

    Highmark Health

    Manchester, NH
    3 days ago
  • $19.39 - $24.19 per hour

    Highmark Health is seeking a remote claims processor to review and adjudicate online and paper/electronic claims, ensuring accuracy and compliance with policies. The role involves processing claims data, verifying information, and determining eligibility and payment levels... 
    Remote job
    Hourly pay

    Highmark Health

    Phoenix, AZ
    5 days ago
  • Highmark Health in the United States is seeking a claims processor to screen, review, and adjudicate claims, correct errors, and ensure compliance with organizational policies. You will work remotely, process claims data, verify completeness, determine eligibility, and... 
    Remote job

    Highmark Health

    Clayton, NM
    4 days ago
  • $23 per hour

     ...Oncology Pharmacy in Scottsdale, AZ is seeking a Pharmacy Adjudication Specialist for a full-time, hybrid role with initial onsite training....  ...comprehensive company-paid coverage. The specialist will adjudicate claims, ensure COB accuracy, engage with insurers, manage #J-1880... 
    Remote job
    Hourly pay
    Full time
    Relocation package

    Onco360 Oncology Pharmacy

    Scottsdale, AZ
    3 days ago
  • $80 per hour

     ...Jack Dorsey . Position: Disability Claims & Underwriting Specialist Type: Contract Compensation: $80/hour Location: Remote Commitment: 20–40 hours/week...  ...professional experience in disability claims adjudication, disability underwriting, vocational... 
    Remote work
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    For contractors
    Summer work
    Immediate start

    Mercor

    Chicago, IL
    5 days ago
  • $23 per hour

    Position: Pharmacy Claims Adjudication Specialist Location: Salt Lake City, UT Job Id: 5447 # of Openings: 1 We are seeking a Pharmacy Adjudication...  ...Time Zone.This will be a Full-Time position. This is a remote/hybrid opportunity, Full-Time position may work remotely but... 
    Remote work
    Full time
    Temporary work
    Work experience placement
    Relocation package
    Flexible hours

    Onco360 Oncology Pharmacy

    Reno, NV
    4 days ago
  •  ...Trillium Health Resources seeks a Claims Specialist II to analyze and audit claims per NC Medicaid guidelines. The role supports providers...  ...availability within NC, is expected. The position offers remote work within North Carolina, standard hours, and benefits. A high... 
    Remote work

    Trillium Health Resources

    United States
    3 days ago
  •  ...Highmark Health is seeking a claims adjudication specialist responsible for screening, reviewing, and final adjudication of claims, ensuring accurate processing and timely action. You will correct errors, review inquiries, and coordinate benefits while adhering to organizational... 
    Remote work

    Highmark Health

    United States
    7 hours ago
  •  ...TEKsystems seeks a Claims Analyst II to examine and process paper and electronic claims...  ...or pay in line with policies. You will adjudicate, resolve issues, verify completeness, and...  ...while handling professional and facility claims in a remote setting. #J-18808-Ljbffr
    Remote work

    TEKsystems

    Milwaukee, WI
    5 days ago
  •  ...Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate paper and electronic claims. The role emphasizes accuracy, timely processing, and adherence to policies while handling inquiries and adjustments.You will verify data, resolve edits, determine... 
    Remote work

    Highmark Health

    Pierre, SD
    1 day ago
  •  ...Highmark Inc. is seeking a Claims Processor to screen, review, evaluate, and adjudicate online entry and paper claims, correcting errors and determining pay/deny...  ...required; prior claim billing or processing experience is preferred. This is a remote position. #J-18808-Ljbffr
    Remote work

    Highmark Health

    Arkansas City, KS
    1 day ago
  • $61k - $113k

     ...- $113000.00 Job Category: Claims Description At Liberty, you...  ...This approach optimizes both remote and in-person interactions,...  ...and projects. The Claims Specialist analyzes complex Personal Injury...  ...benefits owed, manages and adjudicates highexposure claims to meet... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Local area

    Liberty Mutual Insurance

    Lake Oswego, OR
    3 days ago
  • 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
    1 day ago
  • Highmark Inc. is seeking a claims processor to screen, review, evaluate online entry, correct errors, and perform quality control review and final adjudication of paper and electronic claims. You will determine whether to return, deny, or pay claims following policies... 
    Remote job

    Highmark Health

    Sacramento, CA
    5 days ago
  • $61k - $113k

     ...- $113000.00 Job Category: Claims Description At Liberty, you...  ...This approach optimizes both remote and in-person interactions,...  ...and projects. The Claims Specialist analyzes complex Personal Injury...  ...benefits owed, manages and adjudicates highexposure claims to meet... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Local area

    Liberty Mutual Insurance

    Lake Oswego, OR
    11 hours ago
  • $53.81k - $80.72k

     ...We are hoping you will join us as a Claims Resolution Specialist, Covered California and help shape...  ...and procedures that apply to claims adjudication and adjustment of claims. You will work...  ...at the 500, 505 Building or a remote work location: Work is typically... 
    Remote work
    Temporary work
    Work at office
    Local area
    Flexible hours
    Weekend work
    Afternoon shift
    2 days per week

    CalOptima

    Orange, CA
    2 days ago
  •  ...AI-native claims software for casualty claims, starting with workers' comp. Small technical team, backed by Y Combinator. The Role: Adjudicate claims on our platform and shape how it works. Correct AI summaries to train the system. What You'll Do: Manage a caseload from... 
    Remote work

    Brighterway

    United States
    3 days ago
  • $42.77k - $61.55k

     ...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist II FLSA Status:...  ...$42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS...  ...data analysis, auditing and finalizes adjudication results for claims designated for pre-... 
    Remote work
    Full time
    Work at office
    Local area
    Immediate start
    Work from home
    Flexible hours

    TRILLIUM HEALTH RESOURCES

    North Carolina
    22 days ago

Do you want to receive more vacancies?

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