Remote Senior Claims Editing & Policy Expert
Machinify Inc.
- Remote job
Machinify Inc. is looking for a Senior Content Analyst to join our Claims Editing team. The role involves interpreting healthcare reimbursement policies and developing accurate claims editing logic to drive payment accuracy. Candidates should have over 4 years of experience in claims editing, with deep expertise in CMS policies and coding methodologies. This position offers the flexibility to work from anywhere in the US and comes with competitive benefits including top medical, dental, vision offerings, and a solid PTO program. #J-18808-Ljbffr Machinify Inc.
- ...Overview SENIOR MARITIME DATA AND INFRASTRUCTURE SUBJECT MATTER EXPERT (DOT): Bowhead seeks a Senior... ...Chain Management, Public Policy, Engineering, or related... ...Hybrid: DOT HQ and remote work Travel up to 25... ...pursuant to The Alaska Native Claims Settlement Act 43 U.S.C...Remote workSeniorPolicyClaimsFull timeContract workTemporary workPart timeFor contractorsWork at office
$47k - $86k
...Senior Account Manager NFP, an Aon company, is a... ...Hybrid in Atlanta, GA or Remote (EST) Essential Duties... .... Works with the Claims Department on relevant... ...follow-up system) to ensure policies, endorsements and other... ...– writes clearly; edits work for spelling and grammar...Remote workSeniorPolicyClaims$56k - $132k
...Summary: The Senior Account Executive interacts... ...We are open to hiring remote, based out of the Western... ...clients. Works with the Claims Department on relevant... ...-up system) to ensure policies, endorsements and other... ...– writes clearly; edits work for spelling and grammar...Remote workSeniorPolicyClaims$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst... ...as a subject matter expert, blending deep coding domain... ...Identify Opportunities: Use claim data analysis to pinpoint... ...opportunities. Translate Policy: Convert medical policy,...Remote workSeniorPolicyClaims- ...procedures to generate clean claims in accordance with the Coding... ...related charge reviews/claim edits daily to ensure timely and accurate... ...experience. WORK SCHEDULE: Remote, full-time position, 40 hours/... ...protected by institutional policy or by federal, state or local...Remote jobSeniorPolicyClaimsFull timeFor contractorsApprenticeshipWork at officeLocal area
- ...GRAMS is looking for a Senior Copywriter. The Senior... ...Lambertville, or San Francisco-or remotely within the US,... ...pieces, reviewing and editing all copy for clarity, accurate... ...you, our Real HART policy will apply. We are not... ...any unverified sources claiming to be connected to Real...Remote workSeniorPolicyClaimsWork experience placementWork at officeLocal area2 days per week
- ...We're seeking a skilled Senior Content Analyst to join our Claims Editing team! As a... ...the Payment Integrity - Policy & Content Management team... ...is a deep subject-matter-expert role focused on applying... ...expectations in a remote, outcomes-driven environment...Remote workSeniorPolicyClaimsFlexible hours
- ...Senior Director, Claims & Payment Integrity Join Martin's Point Health Care - an innovative, not... ...business owner for claims processing and edit vendors, ensuring oversight of vendor,... ...and integration of provider payment policies and guidelines applicable to institutional...Remote workSeniorPolicyClaimsTemporary work
- ...Company EmblemHealth Location REMOTE Summary of Position Develop/gather... ...analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery programs... ...with contracts, regulations, internal policies, and SLAs. Develop and execute vendor...Remote workSeniorPolicyClaims
- This role is a remote US based position. The... ...OF JOB The Senior Coding Specialist... ...and resolve coding edits and denials.Assists... ...a Subject Matter Expert with a sustained accuracy... ...Organizational policies and procedures. Knowledge... ...as they relate to claims processing. Apply...Remote workSeniorPolicyClaimsWork at officeLocal area
$24 - $43 per hour
...Senior Medical Coder Optum is a global organization that delivers... ...within charge review, claim edits, and denials and play a critical... ...Friday, 8 AM - 5 PM Location: Remote Nationwide You will enjoy... ...Group's Telecommuter Policy. Pay is based on several factors...Remote workSeniorPolicyClaimsHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday- ...Functions as a subject matter expert in support of other PFS... ...coverage, submit claims, and follow up on... ...PFS in accordance with policy and procedures. Provides... ...understanding of electronic claims editing and submission... ...experience with Medicare Remote (FISS) DDE. Licenses,...Remote workSeniorPolicyClaimsFull timeContract workMonday to Friday
- ...Senior Backend Engineer (Ruby on Rails), Plan: Knowledge... ..., used under license. Claim based on GitLab data.... ...to solve backend scale, editing experience, and AI... .... All of our roles are remote, however some roles may... ...recruiting process. Privacy Policy: Please review our...Remote workSeniorPolicyClaimsFull timeFlexible hours
$93.77k - $179.24k
...USAA roles may offer remote or hybrid... ...consistent with applicable policy and business needs... ...As a dedicated Senior Fraud Governance Advisor... ...subject matter expert to ensure... ...partner ~ Fraud & Claims experience required... ...experience writing and editing business...Remote workSeniorPolicyClaimsFull timeH1bWork at officeRelocation packageFlexible hours- ...identifying trends related to the root cause of edits. Responsibilities Reviews,... ..., reference material, documentation, and policies for CDM-related and Compliance issues/... ...requirements related to charges and associated claim forms. Knowledge of cost accounting...Remote workSeniorPolicyClaimsWork experience placementInterim roleShift work
$53.2k
...creation, product maintenance and editing, compliance review and... ...including Sales, Marketing, IT, Claims and Customer Care, as well as... ...plan documents and other related policy forms Use structured problem... .../or performance-based variable pay programs. #LI-BS1 #LI-REMOTERemote workSeniorPolicyClaimsWork at office$20.38 - $36.44 per hour
...National Remote Billing Specialist Explore opportunities with Optum, in strategic partnership... ...: Ensuring that coding and up front claim edits are resolved timely so claims can... .... Possesses knowledge of payer policies and guidelines to successfully overturn...Remote jobSeniorPolicyClaimsHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayShift work$112.7k - $193.2k
As a Senior Clinical Program Manager - Devices and... ...the flexibility to work remotely from anywhere within... ...guidelines, internal policies, and regulatory requirements... ...as a subject matter expert and liaison to address... ...process flows, claims edit changes, code updates,...Remote jobSeniorPolicyClaimsMinimum wageFull timeWork experience placementLocal area$1,150 - $1,450 per month
...Position: Health Insurance Expert Type: Contract Compensation... ...task Location: Remote Role Responsibilities Review... ...design, coverage determination, claims adjudication, and medical... ...ICD coding accuracy and payer policy interpretation. Provide structured...Remote workPolicyClaimsHourly payContract workSummer work$94.3k - $117.9k
...Senior Employer Branding Manager The Senior Employer Branding Manager... ...editorial calendar, writing, editing, and measurement — making it... ...scheduling and work from home policy depending on role and... ...saving assistance, and streamline claims. Headquartered in Cambridge, MA...Remote workSeniorPolicyClaimsTemporary workSummer workFreelanceWork from homeWorldwideFlexible hours$136k - $180k
Senior Director of Compensation and Benefits Road Scholar... ...human resources policies (ensuring compliance with... ...Road Scholar offers a remote work environment. The compensation... ...changes and pricing/claims projections. Oversee... ...(writing, editing, verbal, and presentation...Remote workSeniorPolicyClaimsWork at office$45k - $60k
...are powered by both on-site and remote agents, leveraging advanced... ...oriented, excellent proofreading and editing skills ~ Ability to work... .... In addition, MCI's policy is to provide reasonable accommodation... ...Process Outsourcing (BPO), Claims Processing, Collections, Customer...Remote workSeniorPolicyClaimsFull timeContract workTemporary workWork experience placementCasual workWork at officeLocal areaFlexible hours$51.7k - $73.8k
...generous, flexible vacation policy and educational... ...medical providers to verify claims data Contact drug... ...act as a subject matter expert to team Assist in required... ...MS Office Suite, PDF Editing Software (Adobe, Nitro... ...this role United States remote opportunity Video...Remote workSeniorPolicyClaimsFull timeFlexible hours$91.26k - $152.1k
...currently seeking a TPL Senior Business Analyst... ...Liability (TPL), claims processing, and... ...federal/state TPL policies into system requirements... ...rules and edits, reporting, letters... ...pay range for this remote role is $91,260 -... ...Employer, we have experts in more than 50 countries...Remote workSeniorPolicyClaimsFull timeTemporary workWork at officeLocal areaFlexible hours- ...: 4x a week in office, remote on Friday Role Mandate... ...events. • Provides senior level administrative and... ...may include writing, editing and distributing communications... ..., presentations, policies & procedures). •... ...logs departmental expense claims and reports. Tracks expenses...Remote workSeniorPolicyClaimsFor contractorsWork at officeLocal areaImmediate startRelocation
$108.4k - $154.8k
...generous, flexible vacation policy and educational... ...Summary We are seeking a Senior Manager to lead service... ...execution for healthcare claims configuration and... ...processing, including edit configuration and pricing... ...use. For all hybrid and remote positions employees' Broadband...Remote workSeniorPolicyClaimsPermanent employmentFull timeMonday to FridayFlexible hours$100k - $130k
A leading National Insurance Carrier is looking for a Senior Commercial Property Claims Examiner to join their remote team. In this role, you will manage complex claims, including litigated files up to $2M, collaborate with legal stakeholders, and ensure timely resolution...Remote jobSeniorClaims- ...traditional bedside setting to review and audit claims, support program integrity initiatives,... ...outcomes for vulnerable populations Remote work – enjoy the convenience and balance... ...to verify compliance with MA policies and identify potential fraud, waste, or abuse...Remote jobPolicyClaimsFull timeTemporary workWork at officeWork from home
- ...DFS Audit Response Specialist for a fully remote, 6+ month contract position. This role... ...insurance administration systems and legacy policy records. Job Description The Life... ...one or more of the following areas: ~ Claims ~ Policyholder Services ~ New Business...Remote workPolicyClaimsContract workFor contractors
- ...Insurance expertise toward shaping advanced AI systems that replicate real-world workflows across insurance models, policy pricing, risk assessment, and claims operations. We welcome actuaries, underwriters, claims analysts, risk modelers, and general insurance...Remote workPolicyClaimsCurrently hiringWeekday work
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