Remote Medicare/Medicaid Claims Analyst II
CoventBridge Integrity
CoventBridge Integrity is seeking a Claims Analyst II for a remote role. You will review Medicare/Medicaid claims, re-pricing overpayments, and support Medical Review during fraud investigations.
A strong grasp of medical terminology and coding principles is essential, with daily pre-pay edit tracking and reporting responsibilities. The role reports to the Medical Review Project Manager and may work from a home office if not local to Grove City, OH.
#J-18808-Ljbffr- ...Working remotely in a full-time capacity, the Medicare Claims Analyst II will be responsible for the organization and review of Medicare and Medicaid claims, including re-pricing and calculating overpayments, while supporting fraud investigations and program integrity...Remote workFull time
- ...Trillium Health Resources seeks a Claims Specialist II to analyze and audit claims per NC Medicaid guidelines. The role supports providers by phone/email and collaborates... ...within NC, is expected. The position offers remote work within North Carolina, standard hours, and...Remote work
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist II FLSA Status: Non... ...$42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS... ...policies established by CMS, and NC Medicaid as well as Trillium policies and procedures...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Revecore is hiring a Health Claims Specialist to bill and investigate health insurance... ...claims for hospitals and providers. Remote role with extensive training,... ...environment.You will work on commercial health, Medicare, and Medicaid claims, ensuring maximum payments and...Remote workWork at office
- ...TEKsystems seeks a Claims Analyst II to examine and process paper and electronic claims, deciding to return, pend, deny, or pay in line with... ...awareness, and maintaining confidentiality while handling professional and facility claims in a remote setting. #J-18808-LjbffrRemote work
- ...Medica Services Company LLC is seeking a remote Claims Appeals & Correspondence II to manage inventory of claim appeals and VIP cases, researching and resolving processing issues with limited supervision. The role collaborates across departments to ensure timely outcomes...Remote work
$80k - $98k
...Epic HB Claims Analyst IIWe are looking for an Epic HB Claims Analyst II for a full-time permanent remote role in Durham, NC. We are looking for someone that is heavy in general claims with exposure to Epic Home Care (Dorothy) and Hospice (Comfort) billing would be ideal...Remote workPermanent employmentFull timeWeekend work$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive... ...and growth. This approach optimizes both remote and in-person interactions, enabling you to... ...Specialist I (grade 11) or Claims Specialist II (grade 12) depending on candidate...Remote workFull timeWork experience placementWork at officeLocal area$70k - $77k
Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of... ...techniques to detect aberrancies in Medicare and Medicaid claims data, and proactively seeks out and develops leads/...Remote workFull timeFor contractorsH2bH1bWork at officeLocal areaHome office$73.88k - $108.97k
...Epic Resolute HB /PB/Claims Application Systems Analyst II Under the direction of the IT Application Manager, this position is responsible for the continuing... .... Annual Salary Range: $73,881.60 - $108,971.20 Remote position Qualifications Education : Requires a Bachelor'...Remote work- Molina Healthcare is seeking a Senior Analyst, Claims Research (Medicaid Claims) for a fully remote role in the United States. The position emphasizes research on Medicaid claims, advanced Excel usage, and deep root-cause analysis to improve claim accuracy and regulatory...Remote job
- ...Job Information Job Title Claims Representative II (Workers’ Compensation) Home Department: Claims Employment Status: Exempt... ...Position Location: Home Office, Hybrid, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI...Remote workFull timeLocal areaHome officeFlexible hours
- ...seeking an Eligibility Specialist 2 to help patients access Medicaid, Medicare, disability and charity programs. You’ll conduct screenings,... ...while maintaining strict confidentiality. You’ll work in a remote setting with flexible hours, supporting multiple hospital locations...Remote workFlexible hours
$94k - $174k
...USD $94000.00 - $174000.00 Job Category: Claims Description Join Liberty Mutual's... ...has a Senior Technical Claims Specialist II opening. This is a senior individual-contributor... .... We will also consider highly qualified remote candidates who do not reside near a hub location...Remote workFull timeWork at officeLocal areaHome officeFlexible hours$59k - $79k
...The Auto Club Group is seeking an Auto Liability Michigan Claim Representative II to handle investigations, evaluations, negotiations, and resolutions... ...delivering fair outcomes for insureds. The position is remote with a Monday-Friday 9am-6pm ET schedule. It offers a...Remote workMonday to Friday- ...Auto Club Services is seeking a Temporary Claim Representative II to support Auto Physical Damage (APD) claims. This remote 3-6 month assignment involves handling moderately complex claims from review to resolution, investigating losses, negotiating settlements, and documenting...Remote workTemporary work
$85.34k - $95.99k
...POSITION SUMMARY Process insurance claims for property losses based on coverage, appraisal, and verifiable damage. Interact with independent... ...from $100,000 to $300,000 in damages, but the Claims Examiner II may receive larger or smaller claims when necessary....Remote workFull timeWork experience placement$62.5k - $93.5k
...will encompass IA and surrounding states. Claims inspections will include onsite and virtual... ..., Paid time off and more. #LI-JJ1 #LI-Remote Job Description Summary No two property... ...salary range for Field Claims Specialist II, Property Content : $62,500.00-$115,500.00...Remote workFull timeTemporary workPart timeCasual workWork at officeLocal areaWork from homeFlexible hoursNight shift3 days per week- ...Reviewing and adjudicating claims in a remote full-time capacity, the Claims Processor II will manage paper and electronic claims, ensuring compliance with organizational policies and timely payments while conducting extensive research and collaborating with customer...Remote workFull time
- Job Information Job Title Claims Representative II- General Liability (Bodily Injury focused) Home Department: Claims Employment Status: Exempt... ...Opportunities Position Location: Home Office, Telecommuting, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI...Remote workFull timeLocal areaHome officeFlexible hours
$56.7k - $94.9k
...SUMMARY This is the intermediate level of the claims handling career path responsible for... ...high complexity. The Claim Representative II investigates and administers both litigated... ...and compliant claim handling. This fully remote opportunity is available for candidates residing...Remote workContract workWork at office- ...Acceptance Corporation is seeking an Auto Liability Specialist II to investigate, evaluate, negotiate, and settle auto liability claims. Work location includes Tampa, FL or Nashville, TN with potential for remote full-time work. Responsibilities involve complex coverage...Remote workFull time
$74.2k - $92.7k
...Job Title: Claims Representative II, Professional Liability Pay Information: Non Exempt, $74,200 - $92,700 per year Location: Remote first work environment with occasional travel and in office meetings. Preference for candidates in California, Oregon, Washington...Remote workTemporary workNight shift$59.9k - $98.2k
...an accomplished Workers Compensation Claims Specialist II for our Northeast region. This position... ...Parsippany or Boston offices, or a fully remote setup based in one of the following... ...as needed EDI filing requirements MSA/Medicare knowledge WCCA, WCCP Designations Knowledge...Remote workFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaVisa sponsorship- ...Zurich NA is seeking a Claims Shared Services Support II to work remotely. You will provide a variety of administrative tasks for our Claims organization, collaborating with colleagues and customers to deliver high-quality support and identify process improvements....Remote workFull time
- ...curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault... ...Familiarity with multi-jurisdictional claims handling requirements. Remote Proficiency: Ability to work productively and independently...Remote workFull time
- ...Zurich NA is seeking a Claims Shared Services Support II to provide administrative support for the Claims organization on a remote basis. You will collaborate with team members and customers to deliver high-quality, timely administrative tasks and identify process improvements...Remote work
- ...Warranty Claims Representative IIThe Warranty Claims Representative II receives and processes warranty returns for defective products or parts incoming from customers... ...a hybrid position with 4 days in office and day remote after training.ResponsibilitiesDeliver exceptional...Remote workContract workFor contractorsWork at office
$75k
...of America Job Description Posted Thursday, August 13, 2026 at 6:00 AM Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote depending on level of experience. WoodmenLife is looking to hire Claims Examiner I or II to...Remote workContract workWork experience placementHome office$70k - $85k
...Adjustment Coding Specialist II - Orange CountyWe are... ...to verify that all Medicare Advantage, Affordable Care... ...monitor, and document claims and encounter coding... ...about changes in Medicare, Medicaid, and private payer... ...approximately 50% travel) with remote support to help...Remote workWork at officeWork from homeHome office
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