Remote Medical Claims Repricing Specialist
Allied Benefit Systems, LLC
- Remote job
Allied Benefit Systems, LLC is seeking a Claims Repricing Specialist to reprice medical and dental claims remotely. The role requires accurate data entry, familiarity with CMS1500/UB04, and proficiency in Word/Excel/Outlook. You will coordinate with teams to resolve issues and ensure pricing accuracy, supporting PPO networks from a remote home setup. The position emphasizes efficient use of multiple applications and 99%+ accuracy, with benefits and flexible remote work culture from Allied. #J-18808-Ljbffr Allied Benefit Systems, LLC
- # Claims Repricing Specialist (Remote)Fully Remote • Allied Benefit Systems - CHICAGO, IL 60606## OverviewSalary Range$20.00 - $20.00 HourlyPosition... ...The Repricing Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims using multiple applications...Remote jobMedicalWork experience placementWork from home
- Allied Benefit Systems, LLC is seeking a Claims Repricing Specialist to reprice medical and dental claims remotely. The role requires accurate data entry, familiarity with CMS1500/UB04, and proficiency in Word/Excel/Outlook. You will coordinate with teams to resolve issues...Remote jobMedicalFlexible hours
- ...To support the claims unit, the full-time Claims Specialist II will process claims edits, determine primacy for... ...for overpaid claims while working remotely. Key responsibilities Accurately... ...Minimum of 2 years of experience in medical claims processing Experience with...Remote workMedicalFull time
$83k - $157k
...- $157000.00 Job Category: Claims Description Looking for an... ...Complex Construction Claims Specialist - Complex CGL & Construction... ...structure. This role is primarily remote, with a light-touch office... ..., SIU when appropriate, medical and causation experts, accident...Remote workMedicalFull timeWork at officeLocal areaImmediate startHome office$23 per hour
...seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...-Time position. This is a remote hybrid opportunity, after onsite... ...of benefits including: ~ Medical; Dental; Vision ~401k with... ...Specialist will adjudicate pharmacy claims, review claim responses for...Remote workMedicalFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the provider... ...school diploma or equivalent with significant experience in medical claims research. The role offers a competitive salary range and...Remote jobMedicalWork from homeFlexible hours
- ...Resolving medical claims that require manual adjudication, the full-time remote Claims Specialist I will ensure timely and accurate processing of claims while managing additional investigations and communications as needed. Key responsibilities Process and resolve pended...Remote workMedicalFull timeContract workWork at office
- ...Claims Specialist The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine... ...experience. Knowledge of legal liability, insurance coverage and medical terminology preferred. Licensing may be required in some...Remote workMedical
- Sedgwick is seeking a Liability Claims Associate for a remote role (Central or Eastern Time Zone) in NY or HI licensing preferred. You will adjudicate... ...claims teams, and process documentation with clients and medical contacts. The position emphasizes integrity, collaboration...Remote jobMedicalFlexible hours
- A healthcare startup is seeking a Claims Specialist to manage healthcare claims processing, including investigating and resolving claim issues. This entry-level role requires a background in medical billing and strong attention to detail. Responsibilities include making...Remote jobMedical
- ...Corporation in Downers Grove, IL is seeking a Liability Claims Specialist to manage non-complex medical and minor liability claims under close supervision.... ..., claim review, and reserving within authority. Remote, onsite, and hybrid work arrangements are available....Remote jobMedical
$28 per hour
...Claims Specialist Location: Remote Duration: 03-06 months contract position Shift: Mon to Fri between 7 am to 7 pm AZ time zone (Will work between... ...28/h Job Summary Conducts retrospective review of medical/surgical claims and behavioral health claims for...Remote workMedicalContract workFor subcontractorInterim roleShift work- ...the United States** Manages litigation of severely complex claims. Promptly investigates and evaluates severely complex auto and... ...referrals to the Estimatics, Special Investigation, Subrogation, Medical Review Units, , Corporate Office Coverage Counsel and outside...Remote workMedicalWork at officeLocal areaWork from home
- ...Claims Specialist III Trillium Health Resources is a Tailored Plan and Managed Care Organization... ...employer ~ Quarterly stipend for remote work supplies Required: High... ...health setting, including extensive medical claims research; OR Associate's degree...Remote workMedicalLocal areaImmediate startWork from homeFlexible hours
- ...seeking a Reinsurance Administrator to manage and file excess risk medical claims. In this role, you will collaborate with various departments... ...abilities, and proficiency with Microsoft Office. This is a remote position available to candidates within the continental United...Remote jobMedicalWork at office
- Allied Benefit Systems, Inc. is seeking a Stop Loss Claims Specialist II to manage medical stop loss claims and ensure reimbursements from carriers. The... ...skills, and proficiency in Microsoft Office. This fully remote position offers a competitive salary and generous...Remote jobMedicalWork at office
- MetLife is seeking a Premium Waiver Claims Examiner to review Total & Permanent and Premium Waiver claims in a virtual/remote capacity. You will investigate claims, obtain medical and vocational evidence, and determine payable status in accordance with policy provisions...Remote jobMedicalPermanent employment
- ...Hiring Policies, please click here. Job Summary The Claims Specialist resolves medical claims that are not automatically adjudicated by the... ...Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance...Remote workMedicalContract workWork at office
- ...the highest quality and full spectrum of medical, surgical, and esthetic skin care... ...individuals to our team! Schedule (remote): Monday - Friday Hours: 8:00 AM - 4... ...growth opportunities from within. The Claims Specialist performs electronic billing/batch submission...Remote workMedicalFull timeTemporary workMonday to Friday
$1,000 per month
...Claims Specialist II Duties may include the following responsibilities or functions required to support the claims unit. Accurate processing... ...equivalent required Work Experience ~2 years in medical claims processing required ~ Coordination of Benefits (COB)...Remote workMedicalWork experience placementWork at office$53k - $85.47k
...Workers' Compensation Claims Specialist The Workers' Compensation Claims Specialist manages... ...department and of CorVel. This is a remote position. Essential Functions & Responsibilities... ...-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation... ...and efficiently. *This is a remote role. We are only hiring in the... ...claim history, payer correspondence, medical records, authorizations, and supporting...Remote workMedicalHourly pay- ...Remote Jobs Solutions is seeking a detail-oriented individual to manage the entry of medical claim forms and maintain adherence to privacy standards. The ideal candidate will possess a High School Diploma and have over 2 years of experience in the healthcare industry....Remote workMedical
$67k - $75k
...Healthcare Claims Resolution Specialist Fully Remote $67,000-$75,000 annually Monday-Friday | Full-Time Temp-to-Hire Position Overview... ...package. Generous paid time off and holiday schedule. Medical, dental, and vision coverage. Retirement savings...Remote workMedicalFull timeContract workTemporary workLocal areaMonday to Friday$29.33 per hour
...Claims Specialist II Join an amazing team that is consistently recognized for our achievements... ...process. For positions that work remotely or in a hybrid work-from-home environment... ...Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and...Remote workMedicalHourly payWork from homeMonday to Friday- ...Claim Specialist III Remote Candidates must have GA, VA, TN claims experience. The Claim Specialist III investigates, evaluates, negotiates... ...of timely, appropriate and accurate indemnity and medical benefits. Evaluating claim exposure, negotiating and resolving...Remote workMedicalTemporary workFlexible hours
- ...Liability Claims Adjuster You'll manage third-party homeowners liability claims from... ...help most. Founded in 2016, Kin is a remote-first employer with Kinfolk across more than... ...experts, inspect property damage, and review medical records to build a complete claim picture...Remote workMedicalTemporary workFlexible hours
$78.68k - $132.69k
...better everyday! Learn more about why you want to be here! The Claims Specialist position is responsible for handling complex claims with a... ...and strategic initiatives involving complex litigation, medical exposure, catastrophic injuries, fatality, PTD, or long-duration...Remote workMedicalFull timeWork at officeLocal area$1,000 per month
...responsibilities or functions required to support the claims unit. Accurate processing of claims... ...fulfill this position, the Claims Specialist II must be in contact with personnel in... ...Work Experience ~2 years in medical claims processing required ~ Coordination...Remote workMedicalWork experience placementWork at officeLocal areaRelocation- ...Claims Specialist As a Claims Specialist, you will combine veterinary medical knowledge, critical thinking, and policy expertise to assess pet insurance claims and deliver... ...believe in a flexible workplace! This is a remote position for candidates in Germany or...Remote workMedicalFull timeCasual workWork at officeFlexible hours
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