Remote Claims Specialist Healthcare Adjudication
Insurance
Insurance Inc in Tulsa, OK is seeking a Claims Examiner to manage and resolve insurance claims efficiently. The ideal candidate will verify claims for accuracy and ensure compliance with regulations while working closely with clients and providers. Candidates should possess strong analytical and interpersonal skills, have a high school diploma, and at least one year of relevant experience. The position offers competitive pay and a comprehensive benefits program. #J-18808-Ljbffr
- ...MVP Health Care in New York is looking for a dedicated Claims Examiner to enhance healthcare delivery. The position entails using PC-based systems to adjudicate health care claims while ensuring accuracy and compliance with company protocols. Qualified candidates should...Remote work
- ...Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The... ...will have a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent communication...Remote workFlexible hours
- ...SilverRock Automotive, Inc. is seeking an Ancillary Specialist for Claims Review & Adjudication focused on GAP products. The role requires reviewing and adjudicating claims, verifying documentation, and ensuring accurate financial transactions with customers. The ideal...Remote workWork from home
- ...guides everything we do: healthcare only works when people can... ...better. Summary The Claims Resolution Specialist is responsible for ensuring... ...Responsibilities Claims Review, Adjudication & Resolution Review,... .... Maintain a secure remote work environment....Remote workFull timeWork at officeFlexible hours
- ...CareMed Specialty Pharmacy is seeking a Pharmacy Adjudication Specialist for a remote hybrid opportunity. The successful candidate will adjudicate pharmacy claims, resolve third-party rejections, and provide support to health care providers and patients. Qualifications...Remote workHourly payRelocation package
- ...Inc. is seeking a Pharmacy Adjudication Specialist for their Scottsdale, AZ location... ...the potential for hybrid remote work after training.... ...candidates will adjudicate pharmacy claims, ensuring accuracy and... ...of 1 year in a pharmacy or healthcare environment, with strong...Remote workFull time
- ...Senior Complex Claims Specialist Amerisure creates exceptional value... ...construction, manufacturing and healthcare. Ranked as one of the top 1... .... This role will sit remote. The ideal candidate will have... ...and mitigating costs. Adjudicate claims in accordance with Amerisure...Remote workContract workLocal areaNight shift
$55k - $60k
...the review and processing of claims within the claims transactional... ...procedures related to claim adjudication. Audit auto-adjudicated and/... ...Grievance. Certified Coding Specialist (CCS) or Certified Coding Professional... ...Requirements This is a remote position. Our whole company...Remote workLive inWork at officeFlexible hoursWeekday work$28 - $32 per hour
...Hill Physicians Medical Group is seeking an experienced Full Risk Claims Analyst to process claims accurately and timely in Stockton, California. This role involves adjudicating claims for various healthcare services and ensuring compliance with regulations. The ideal...Remote workHourly pay$17 per hour
...Professional & Industrial comes in. We’re seeking Claims Specialist to work in a temporary to hire opportunity with a Top Healthcare Client in Springfield, IL. We’re here to help... ...the opportunity to work a hybrid schedule (remote for two weeks and onsite for one week...Remote workTemporary workWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...Pharmacy Solutions Group (PSG) is looking for a Claim Adjudication Department Specialist to manage real-time insurance claims while providing excellent customer service. This full-time remote position requires close communication with various pharmacy departments and the...Remote workFull time
- ...Caremed-Specialty-Pharmacy in Houston, TX is seeking a Pharmacy Adjudication Specialist. The role involves adjudicating pharmacy claims and managing communications with patients and insurers to ensure timely medication delivery. This is a Full-Time position offering a...Remote workFull timeRelocation package
- ...CommuniCare Health is seeking a Pharmacy Adjudication Specialist based in Broadview Heights, OH. In this full-time remote role, you will be responsible for managing real-time insurance claims while providing exceptional customer service. The ideal candidate will have...Remote workFull time
$21 per hour
...Claims Operations Specialist Looking to start or grow your career in healthcare? Join Quartz as a Claims Operations Specialist and play... ...work environment Full-time, remote, in-person or hybrid work... ...gather information needed to adjudicate claims appropriately and timely...Remote workFull timeWork at officeWork from homeFlexible hours$28 - $32 per hour
...Medical Group, we're shaping the healthcare of the future: actively... ...fast-growing Medicare Advantage claims for the full risk line of... ...Facility, Ambulance, etc. Adjudicating and/or adjusting claims, specifically... ...Additional Information Remote - Multiple Positions...Remote workHourly pay- CareMed Specialty Pharmacy is hiring a Pharmacy Adjudication Specialist in Louisville, KY. This role involves adjudicating pharmacy claims, ensuring timely responses, and communicating effectively with patients and providers. Ideal candidates have a minimum of 1 year of...Remote job
$23 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...Full-Time position.This is a remote hybrid opportunity, after... ...will adjudicate pharmacy claims, review claim responses for... ...years experience in Pharmacy/Healthcare Setting or pharmacy claims...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$16.5 - $22.2 per hour
A healthcare provider in the United States is seeking a Claims Processor responsible for evaluating and adjudicating claims. This role requires strong communication skills and the ability to navigate multiple systems. Candidates should have a high school diploma and at...Hourly payWork at office- ...Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry... ..., and working collaboratively with healthcare providers. The ideal candidate will possess... ...the flexibility of a primarily remote work environment. If you are passionate...Remote work
$22 - $28 per hour
...TITLE: Claims Specialist EDUCATION: Must have Associate's or Bachelor... ...weekly pay) LOCATION: Remote (must be able to work EST)... ...-of-contact for appeal/dispute adjudication programs. 2. Liaise with healthcare plans, providers, patients, and...Remote workWeekly payLong term contractFull timeContract workFor contractorsLocal areaMonday to FridayFlexible hours- ...~ Flexible Spending Accounts for Healthcare and Dependent Care. ~ Ancillary... ...process eligible beneficiary referrals and claims for services not directly available at ANTHC... ...to fiscal intermediary; assesses adjudicated claims. Identifies liability and guarantors...Remote workTemporary workWork experience placementWork at officeImmediate startFlexible hours
$18 per hour
...A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...Remote workHourly payFull timeWork from home- ...Claims Processor Location: Texas (Remote); Austin, TX (preferred) Job Type: Full-time, Non-Exempt Health... ...Admins is a leading force in healthcare administration, on a journey to become... ...to determine appropriate claim adjudication. Provide recommendations for...Remote workFull timeLive out
$22 per hour
...This position is working in a remote call center environment... ...future of hospice and post-acute healthcare. This is where innovation, collaboration... ..., and process pharmacy claims with accuracy, timeliness,... ...with pharmacy claims adjudication is required ~ Experience working...Remote workHourly payWork at officeMonday to FridayShift workWeekend workAfternoon shiftWeekday work- ...Workers Comp Code: Onsite/Remote: Requirements... ...is seeking to hire a Remote Claims Processing Associate to work... ...claims Prioritize work and adjudicate claims as per turnaround time... ...(s) hands-on experience in Healthcare Claims Processing ~2+...Remote work
- ...drafting cases, client interaction, and ensuring compliance with regulations. The ideal candidate will have prior experience in healthcare or insurance, strong communication skills, and the ability to work efficiently under deadlines. We offer a comprehensive benefits...Remote work
- ...who we are looking for. The role we are looking to fill: Claims Specialist If you are a passionate and detail-oriented professional... ...to be a BCBSWY Claims Specialist today. As a claims adjudicator you will be responsible for reviewing, assessing, and processing...Remote workFull timeWork at officeLocal areaWork from homeVisa sponsorshipWork visa
- ...inspired in our goal to unburden healthcare and ensure it reaches all,... ...HealthProof is looking for Claims Examiner II, reporting to the... ...Examiner II is responsible for the adjudication of healthcare claims... ...Geographic Responsibility: Remote, US Work Environment: The...Remote workTemporary workWork at office
- ...OneAmerica Financial is seeking a Long Term Care Claims Associate in Indianapolis, IN, responsible for adjudicating less complex long-term care claims with close... ...diploma with 0–2+ years of experience in insurance or healthcare, demonstrating critical thinking and...
- ...Gainwell Technologies is seeking a Claims Specialist in Anchorage, AK to process complex claims... ...allows for office work with potential remote options, requiring Alaska Time hours. The... ...the benefits offered. Join us in making healthcare work better for everyone! #J-18808-...Remote workWork at officeFlexible hours
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