Remote Federal Claims Lead — REA & Certified Claims
$163.71k - $215kGilbane Federal
- Remote job
Gilbane Federal is seeking a Senior Claims Manager to lead complex claims management for their Federal division. This role supports project teams, ensuring compliance and financial recovery through effective resolution of Requests for Equitable Adjustment (REAs) and Certified Claims. Your expertise in Federal dispute resolutions will be crucial. The position offers remote flexibility, competitive salary range from $163,710 to $215,000, and a generous benefits package including profit-sharing and 401k. #J-18808-Ljbffr Gilbane Federal
$163.71k - $215k
Gilbane Federal is seeking a Senior Claims Manager to oversee complex claims for its Federal division. This position can be remote or based at any U.S. location where Gilbane has an office. The ideal candidate will manage REAs, lead project teams, and ensure compliance...Remote jobClaimsWork at office- ...do: The Coding Team Lead is responsible for mentoring... ...needed systems for newly hired certified coders Work with providers... ...General knowledge of current claims filing principles and... ...characteristic protected by applicable federal, state, or local laws and...Remote workClaimsLocal area
- ...training new employees, and leading specific divisions.... ...Trainee License or Certified or Registered Pharmacy... ...Virginia Board of Pharmacy Remote Workers Only: Must... ...regulated at state and federal levels and must be followed... ...on rejected paid claims prior authorizations....Remote workClaimsTraineeshipLocal areaShift workAfternoon shift
- ...Lead Medical Records Technician – Outpatient (Remote) Leads outpatient/professional coding operations... ...coordinate with billing/claims teams. Assist... ...emergencies. Arrow is a certified Service-Disabled, Veteran... ...driven approach in the federal sector. Arrow provides management...Remote workClaimsSeasonal workWork at office
- ...policy requirements of federal and state government agencies... ...denial management claims and addressing patient... ...coding assistants, coders, leads, supervisors, and... ...by one of the following certifying bodies: American Academy... ...#Remote...Remote workClaimsWork at office
$15.61 - $23.82 per hour
...The Setup Team Lead is responsible for assisting and... .... This is a remote position. ESSENTIAL... ...Organize and distribute claims according to established... ...the following factors: federal, state, and local minimum... ...CorVel Corporation, a certified Great Place to Work® Company...Remote workClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...hiring for a Full-time Team Lead to join our Inpatient... ...new staff. This is a remote position. For more than... ...with State and Federal requirements on Inpatient... ...the billing system for claim submission. Must efficiently... ...) Associate of Science Certified Coding Specialist -...Remote workClaimsFull timeCurrently hiringLocal area
$83k - $132.8k
...Investigations Unit (SIU) Investigator Lead is the face of the SIU with external federal and state regulatory agencies and... ...research and interactions on claims, industry and other sources (... ...Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), or...Remote workClaimsHourly payWork experience placementLive inWork at office$83.25k - $155.51k
Job Summary Provides lead level analyst support for health plan payment... ...integrity (PI) and provider claims accuracy. Makes... ...(HCPCS), Revenue Codes), and federal/state Medicaid payment rules.... ...Marketplace lines of business. Certified Business Analysis Professional...Remote jobClaimsTemporary workWork experience placementWork at office$177k - $278.08k
...I) organization as the Lead of Immunology Analytics... ...datasets like patient-level claims, sales, patient access... ...life-changing work. Certified as a Global Top... ...with Takeda's Hybrid and Remote Work policy. Takeda Compensation... ...with applicable federal, state and local laws,...Remote workClaimsMinimum wageFull timeTemporary workLocal area$99k - $225k
...Construction Manager, Lead The Opportunity :... ...well as compliance with federal standards. You will also... ...contract modifications, claims, labor provisions, progress... ...cia tion of America Certified Construction Manager (... ...on during meetings. Remote: If this position is listed...Remote workClaimsFull timeContract workPart timeFor contractorsWork at officeLocal area- ...Whether you’re managing claims, supporting clients, or... ..., stands together, and leads with purpose. Overview... ...is eligible for fully remote work How you'll make an... ...licensed and/or certified in all states in which... ...characteristics") by applicable federal, state, or local laws....Remote workClaimsFull timeLive outWork at officeLocal areaFlexible hours
$19.5 - $22 per hour
...options Telework eligible No Remote job No Relocation expenses... ...series Supervisory status No Federal service type This job is in... ...position ends your ability to claim this preference. For... ...but must be in English or a certified translation. If you are relying...Remote workClaimsHourly payPermanent employmentFull timePart timeSummer workRelocationFlexible hours- ...Summary In accordance with state and federal regulations, assists the pharmacist, under... ...prescriptions. If PTCB or Except certified, assists with and coaches pharmacy technicians... ...(corrects and resubmits) manual claims for third party program prescription services...ClaimsWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
$72.7k
...and external entities; leads activities with provider... ...audit results to claims, and thoroughly reviews... ...Certifications Required Certified Professional Coder (CPC... ...CONDITIONS Position Type Remote Office-based Teaches /... ...adherence to applicable federal and state laws, rules,...Remote jobClaimsContract workFor contractorsWork at officeLocal areaFlexible hours- ...Job Title: Certified Occupational Therapist Assistant Location (On-site, Remote, or Hybrid?): Willows, CA (onsite) Contract Duration: 14 weeks Work Hours... ...Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participates in required...Remote workClaimsContract workFlexible hours
$153.6k - $241.34k
...Director, Global Labeling Lead where you will be... ...product strategy, product claims and information in the... ...through life‑changing work. Certified as a Global Top... ...currently classified as "remote" following Takeda's Hybrid... ...with applicable federal, state and local laws,...Remote workClaimsMinimum wageFull timeTemporary workLocal areaWorldwide$24.57 - $30.71 per hour
...Certified Coding Specialist- Outpatient Clinic Job Category: Prof... ...May 4, 2026 Full-Time Remote Rochester, MN 55901, USA... ...Assists in monitoring pre-claim edit data to ensure correct claims... ...of their rights pursuant to federal employment laws. For further...Remote workClaimsFull timeTemporary workDay shift$43.89k - $65.64k
...CERIS Certified Coder I The CERIS Certified Coder reverse... ...responsible for making claim-related recommendations... .... This is a remote position. ESSENTIAL... ...the following factors: federal, state, and local minimum... ...roles (I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours$86.53k - $110.44k
...Job Type: Full-Time Remote Employment: Flexible/... ...loss through effective claims management, insurance administration... .... In compliance with federal law, all persons hired... .... # Serves as lead and mentor to Risk... ...Underwriter CRM - Certified Risk Manager RIMS-...Remote workClaimsFull timeContract workTemporary workPart timeFor contractorsSeasonal workFlexible hours$31.95 - $39.95 per hour
...Certified Coding Specialist Fully Remote • MSO Corporate 1000 - Stamford, CT 06905 Overview Salary Range... ...Escalate documentation gaps prior to claim submission Partner with surgeons... ...characteristic protected by applicable federal, state, or local laws and...Remote workClaimsHourly payFull timeLocal areaShift work- ...AAPC Certified Medical Coder - Remote Join a dedicated healthcare team serving a broad regional community... ...to create accurate medical claims. Abstract specific data from patient... ...HCPCS Level II, AMA, CMS, and other federal, state, and local regulations. Adhere...Remote jobClaimsLocal areaHome office
- ...Description This is a remote position, with occasional... ...within Indiana. Certified Medical Coder / Medical... ...preliminary findings to the Lead Reviewer. Identify potential... ...aligns with state, federal, and national coding... ...year of medical coding, claims review, billing compliance...Remote workClaims
- ...Job Title: Certified Nursing Assistant Location (On-site, Remote, or Hybrid?): Orono, ME (onsite) Contract Duration:... ...of practice, as well as state and federal regulations permit. RESPONSIBILITIES... .../Code of Conduct, Federal False Claims Act and HIPAA. Participates...Remote workClaimsContract workShift workRotating shift
- ...classified environments, navigating federal security and compliance... ...dynamic AI environment. Lead the professional services effort... ...travel. Bonus points: Certified Kubernetes Administrator... ...suspicious emails or messages claiming to be from DataRobot, please...ClaimsWork experience placementLocal areaWorldwideFlexible hours
- Title: Certified Risk Coder Reports to: Manager, Risk Coding... ...Location: Boston (Remote) Job description revision... ...(ACO) governed by Federally Qualified Health Centers... ...combined expertise in claims submission processes to... .... This work ultimately leads to a greater understanding...Remote jobClaims
$110k - $180k
...Strategic Advisor & Engagement Lead We are seeking a high-potential Strategic Advisor... ...Lead strategic advisory engagements with Federal/SLED clients, serving as a trusted... ...Atlassian certification by passing two Atlassian Certified Professional exams and maintain them by...Remote workLocal areaWork from home$75.11k - $100.98k
...Full Time - Permanent Remote Employment: Remote... ...Description Lead Medical Coder (MPS3/DAIO... ...medical and other benefits claims and billing. If you have... ...ensure compliance with federal and state regulations.... ...certification such as Certified Professional Coder (CPC...Remote workClaimsPermanent employmentFull timeContract workPart timeWork at officeImmediate startFlexible hoursShift work$68.8k - $94k
A leading public sector solutions firm is seeking a TPA Claiming Lead to oversee claims management and ensure the accuracy of TPA processes.... ...stakeholders. The TPA Claiming Lead will work remotely and will need to understand both federal and state policies to guide operations....Remote jobClaims- ...Our client is seeking a Certified Professional Coder... ...accuracy and compliance with federal, state, and payer-... ...manage the submission of claims to insurance carriers,... ...will be hybrid (2-3 days remote). Benefits Paid... ..., Medix is a leading provider of workforce solutions...Remote workClaimsTemporary workWork at officeLocal areaShift work
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