Remote Claims Examiner II - Healthcare Adjudication
HealthEdge Software, Inc.
- Remote job
HealthEdge Software, Inc. is seeking a Claims Examiner II to join our remote team in the United States. You will adjudicate healthcare claims using policy guidelines, review data in the processing system, and determine if services meet coverage criteria. You will pay attention to accuracy and timeliness while supporting team goals. Responsibilities include processing assigned claims per client guidelines, meeting productivity metrics, mentoring junior teammates, and collaborating on special #J-18808-Ljbffr HealthEdge Software, Inc.
- 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 jobFlexible hours
- ...us and shape the future of healthcare technology. Learn more at HealthEdge... ...HealthEdge is looking for Claims Examiner II, reporting to the Claims... ...II is responsible for the adjudication of healthcare claims... ...Geographic Responsibility: Remote, US Type of Employment:...Remote workPermanent employmentFull timeWork at office
- MedPOINT Management in Sherman Oaks, CA is seeking a detail-oriented Claims Examiner to join our growing team. This role focuses on accurate and timely processing of medical claims within a healthcare management context. You will review claims, verify eligibility, apply...Remote job
$41.6k - $68.7k
...Description: Summary: The Claims Examiner resolves a wide... ...limited to, entry, adjudication or adjusting simple or... ...supporting the Lifetime Healthcare Companies’ mission and... ...management. Level II (in addition to Level... ...may be opportunity for remote work within all jobs posted...Remote workFull time$80k - $110k
...for niche markets. Position Summary The Claims Examiner II is responsible for the accurate and... ...is necessary for claims processing and adjudication. Must be able to adapt to software changes... ...| Property & Casualty (Hybrid) Remote Insurance Customer Service Representative...Remote workFull timeFlexible hours$23 - $30 per hour
Position Title: Health Claims Collections Specialist II Location: Remote - United States Position Type: Full time Description Why Orthofix? Guided by our... ...heal musculoskeletal pathologies for patients and the healthcare professionals who treat them. Looking to change...Remote workHourly payFull timeContract workWork at officeLocal areaWorldwide- ...Claim Examiner Position WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions... ...Examiner, you will handle processing and adjudication for healthcare claims. This will include claims...Remote workTemporary workPart timeWork experience placementMonday to FridayFlexible hours
- ...This approach optimizes both remote and in-person interactions, enabling... ...tasks and projects. The The Claims Specialist analyzes complex... ...determines benefits owed, manages and adjudicates high‑exposure claims to meet... ...11) or Claims Specialist II (grade 12) depending on...Remote workWork experience placementWork at officeLocal area
- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- Markel seeks a Claims Examiner II to resolve construction claims of moderate complexity across multiple jurisdictions. The role requires a 2-... ...The position offers a hybrid work model (3 days in office, 2 remote) with competitive salary and incentives. US work authorization...Remote workWork at office
- ...in the United States, is seeking a Customer Service representative to support U.S. customers in a remote role from Mexico, handling inbound calls and assisting with claims inquiries. The role acts as a liaison between the claims department and providers to resolve issues...Remote jobFlexible hours
- MSI, part of The Baldwin Group, is seeking a Claims Examiner II to manage highly complex claims. You will review policies, determine coverage... ...analysis, timely reserves, and subrogation opportunities. This remote-friendly position requires a Property & Casualty license, 5-9...Remote job
$250k
...complexity and moderate exposure Construction claims in multiple jurisdictions. The position... ...of 3 days in the office and 2 days remote. US Work Authorization US Work Authorization... ...average salary range for the Claims Examiner II is $62,400 - $85,800 with 12% incentive....Remote workFull timeWork experience placementWork at officeLocal areaWork from home- ...challenges and let us show you how we build insurance better. The Claims Examiner II is considered an expert in managing insurance claims for our... ...Must have Property & Casualty Insurance License #LI-JW1 #LI-REMOTE Click here for some insight into our culture!...Remote workFull time
$20 - $25 per hour
...Undisclosed, Job Category: Insurance Claims, Claims Referral Specialist II (Remote - Eastern Time Zone State) Bring... ...and efficiently. Review and adjudicate claims in accordance with plan guidelines... .... Flexible Spending Accounts for healthcare and dependent care expenses....Remote workFull timeWork at officeImmediate startRelocationVisa sponsorshipFlexible hours- Commercial Auto & General Liability Claims Examiner II Role Summary Empower your professional journey in a role that values intellectual curiosity... ...with multi-jurisdictional claims handling requirements. Remote Proficiency: Ability to work productively and independently...Remote workFull time
- MSI seeks an experienced Claims Examiner II to manage complex property claims with technical underwriting knowledge and a service-focused approach. You will analyze policies, determine coverage, and work with carriers, counsel and SIU to resolve claims efficiently. With...Remote job
$55k - $60k
Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If... ...followed by a hybrid or 100% remote work schedule. Responsibilities... ...accordance with plan provisions. Examine claim submissions and...Remote workFull timeTemporary workPart timeWork experience placementLocal area$52.45k - $65.57k
A leading insurance firm in Phoenix is seeking a Claims Analyst to manage and adjudicate disability claims. The ideal candidate will have at least 2 years of experience in long-term disability claims processing with strong analytical skills and a background in medical terminology...- A national healthcare staffing firm in Los Angeles is seeking a Claims Examiner responsible for the accurate and timely adjudication of claims. The ideal candidate will have 1-3 years of experience in processing managed care claims, strong knowledge of medical terminology...Work at officeMonday to Friday
- A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
$75k - $90k
...Claims Adjuster II AvonRisk is the nation's leading specialty risk manager for self-insured organizations... ...Work Arrangement: Position is fully remote with preference for candidates in... ...• Consult police and hospital records, examine photographs and statements, and take...Remote workWork experience placementWork at office$20 per hour
...Contract Job Title: Health Insurance Claims Processor Pay: $20/hr Location: 100% Remote (must reside in North Dakota,... ...are dedicated to making the healthcare experience simpler, better, and... ..., and ensuring accurate claim adjudication. Review, adjust, and...Remote workContract workWork at office$79.5k - $158.5k
...day. Join us! Make an Impact as a Clinical Research Associate II at Worldwide As a Clinical Research Associate II, you'll play a... ...team of clinicians, scientists, and researchers who want to make healthcare better. We were founded on an unwavering commitment to authentic...Remote workHourly payWork from homeWorldwide$17 - $18 per hour
...Job Title : Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations Level... ...on the claims Prioritize work and adjudicate claims as per turnaround time/SLAs... ...The starting hourly range for this remote role is $17.00-18.00. This range...Remote workHourly payTemporary workWork at officeWork from homeFlexible hours- ...NTT DATA is seeking a Remote Claims Processing Associate to join the Plano, Texas team. In... .... The position emphasizes independent adjudication of claims, adherence to SLAs, and accurate... .... Candidates should have 3 years of healthcare claims processing experience and...Remote work
- Unite Here Health is seeking a Claims Adjudicator II in Oak Brook, IL. The role involves reviewing and inputting medical claim data, determining... ...CPT codes, and, preferably, Spanish language proficiency. Remote work is available after onboarding. #J-18808-Ljbffr UNITE HERE...Remote job
$29.33 per hour
...Mercury Insurance Claims Team Opportunity Preference will be given to candidates located... ...process. For positions that work remotely or in a hybrid work-from-home environment... ...guidance and support, the Claims Specialist II takes the lead in guiding customers through...Remote workHourly payWork from homeMonday to Friday- ...Claims Processor II Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for submittal. Resolves denied/unpaid insurance claims in a timely manner. Entity: MUSC Community Physicians (MCP)...Remote workHourly payWork at office
- UNITE HERE HEALTH seeks a Claims Adjudicator II to review and adjudicate medical, disability, vision and dental claims, ensuring eligibility and... ...systems. The position offers a 37.5-hour week, with fully remote work after one week of onsite training in Oak Brook, IL. Fluency...Remote job
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