Remote Claims QA Analyst - Medi-Cal & Disputes Expert
ImagenetLLC
- Remote job
ImagenetLLC is seeking a Claims Quality Analyst to ensure the accuracy and compliance of claims processing. This remote role requires 3-5 years of experience in healthcare claims, preferably hands-on experience with EZCap. The analyst will conduct audits, analyze disputes, and support training initiatives. Benefits include medical, dental, vision, 401(k), paid time off, and more. Join a supportive team that values growth and operational excellence. #J-18808-Ljbffr ImagenetLLC
- Imagenetllc in Tampa is looking for a Claims Quality Analyst to ensure accuracy and compliance in claims processing.... ...Responsibilities include auditing claims, analyzing provider disputes, and supporting training initiatives. This remote position offers comprehensive benefits...Remote job
- ...notable publishing company is seeking a Claims Analyst based in Lebanon, IN. In this hybrid... ...include resolving claims, negotiating disputed charges, and providing detailed analysis... ...for three days in the office and two days remote. #J-18808-Ljbffr Hachette Book GroupRemote workWork at office
- ...intelligence to maximize their revenue cycle. The Subject Matter Expert (SME) for Dispute Resolution is a strategic individual contributor... ...Partners effectively with diverse teams Location Open to remote or in-office position (New York City) Reports to...Remote workFull timeWork at officeShift work
- Sierra Systems, An Ntt Data Company is seeking a Claims Examiner for a remote temporary role based in Ontario, California. The ideal candidate will... ..., and effectively communicate with providers to resolve disputes efficiently. The position demands attention to detail and...Remote jobTemporary work
- Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor... ...effectiveness of claims processing and provider dispute resolution. The ideal candidate has... ..., with a particular focus on Medi‑Cal and commercial health plans. This...Remote jobFull time
$24.5 - $26 per hour
...Default FHA Claims QA Analyst II Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for...Remote workWork from home$69.15k - $110.64k
A leading mutual insurance provider is seeking a Property Claims Analyst. This remote role focuses on the administration of the Quality Assurance Program and oversight of the appraisal process in property claims. Candidates should have a bachelor's degree preferred and...Remote job- Encova Insurance is looking for a Property Claims Analyst to ensure the quality and consistency of the property claims organization. This remote-friendly role involves administering the Property Claims Quality Assurance Program and overseeing appraisal processes while collaborating...Remote jobFlexible hours
$80.06k - $106.06k
Inland-Empire-Health-Plan- is looking for a Product Configuration Quality Analyst in Rancho Cucamonga, CA. This hybrid role involves ensuring the integrity of claims system configurations, auditing for accuracy, and working closely with various teams for effective claims...Remote job$27 - $30 per hour
Libertana is looking for a Medi-Cal Eligibility Resolution Specialist to identify and resolve eligibility issues impacting access to services... ...coordinating Medi-Cal redeterminations. The role is primarily remote with field visits required for in-person resolutions. Strong...Remote jobHourly pay- QVC, Inc. is looking for a QA Performance Claims Specialist to work remotely from Pennsylvania. This role involves evaluating product performance claims, ensuring compliance with regulatory standards, and guiding vendors through claim support processes. The ideal candidate...Remote job
$27 - $30 per hour
Libertana is looking for a Medi-Cal Eligibility Resolution Specialist to manage eligibility issues impacting member access to services and reimbursement in Riverside, California. The role involves remote work with necessary field visits to county Medi-Cal offices. Responsibilities...Remote jobHourly pay$67.1k - $76.96k
...looking for a qualified individual to support the navigating of Medi-Cal eligibility for older adults. The role involves managing... ...is essential. The expected salary range for this position is $67,100 - $76,960 with associated benefits. #J-18808-Ljbffr Remote JobsRemote work$22.27 - $33.43 per hour
A financial institution based in Phoenix is seeking a Payment Claims Specialist to handle payment fraud claims and disputes. The successful candidate will investigate issues while ensuring timely processing of credits and maintaining efficient communication with clients...Hourly payWork at office$27.65 - $39.27 per hour
...Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work... ...toggle section visibility As a Medi-Cal Collections Representative, you will manage... ...portfolio of inpatient and outpatient claims, ensuring effective and efficient collection...Remote workHourly payContract workWork at officeMonday to FridayFlexible hours- NTT DATA is seeking a Claims Examiner - Xcelys for a remote, temporary position based in Ontario, California. In this role, you will review dispute requests from providers regarding denied payments, interpret contracts, and identify system issues. Strong communication skills...Remote jobTemporary work
- ...Job Description Job Description This is a remote position. Summary: · Job Title: Quality Assurance Analyst · Work Type: Remote – mostly remote with... ...Quality Assurance Analyst - Subject Matter Expert. BizFirst is assisting our client with recruiting...Remote workWork at officeFlexible hours
$27 - $30 per hour
Medi-Cal Eligibility Resolution Specialist - Inland Empire Position: Medi-Cal Eligibility Resolution Specialist Pay Range: $27.00-$30.... ...To: Lead Medi-Cal Eligibility Resolution Specialist Work Type: Remote/Field Position Summary The Medi-Cal Eligibility Resolution...Remote workWork at officeLocal area$78.45k - $113.76k
...Claims Encounter Data Analyst Fully Remote • Main Office - Santa Barbara, CA 93110 Overview Salary Range $78,454.00 - $113,758.00 Salary/year... ...the encounter/claim submission process Knowledge of Medi-Cal program guidelines, regulations and data reporting requirements...Remote workFull timeWork at office$70k
...French Bilingual, Claims Quality Assurance Analyst Trupanion is a leading provider of medical insurance for cats and dogs in North America. Our... ...talented pet-loving professionals are everywhere. This is a remote position open to candidates anywhere in Canada....Remote workFull timeCasual workWork at officeImmediate startFlexible hours$24 per hour
...Claims Quality Assurance Analyst The Claims Quality Assurance Analyst is responsible... ...requirements; DME preferred. Other QA/production experience a... ...appeal Subject matter expert in the Policy and... ...development opportunities Remote Opportunities We are actively...Remote workHourly payTemporary workLocal areaFlexible hours- State Farm Mutual Automobile Insurance Company is hiring a Claim Specialist for Property Field Inspection, based in Los Angeles, CA. This is a remote-field position, combining home-based work with in-person appointments to assess property damages for claims. The ideal...Remote jobWork from homeFlexible hours
- Imprint is looking for a Quality Assurance Analyst in New York to perform audits on fraud operations and disputes. The role focuses on evaluating agent decisions, ensuring... ...ideal candidate has 2-4 years of experience in QA or compliance within a fintech environment, with...
- Liberty Mutual Insurance is seeking a Senior Claims Specialist to join our team. This remote position involves reviewing, analyzing, and processing moderately complex to complex claims while making decisions about liability, evaluating losses, and negotiating settlements...Remote job
- MedPOINT Management is seeking an EDI Claims Specialist to ensure accurate processing of electronic claims. This remote role requires over 2 years of EDI claims experience, strong knowledge of HIPAA regulations, and proficiency in relevant software. Key responsibilities...Remote job
$75k - $105k
Arthur J. Gallagher & Co. (AJG) is looking for a Senior Claims Examiner based in California. In this remote position, you’ll manage Workers' Compensation indemnity claims, ensuring efficient resolutions and client satisfaction. You will utilize your knowledge in litigation...Remote jobFlexible hours- Sedgwick is hiring a Claim Examiner for remote work in Atlanta, Georgia. This role involves analyzing complex water damage claims, determining benefits due, managing liability exposure, and negotiating settlements. Candidates should possess a bachelor's degree and have...Remote jobFlexible hours
- ...client needs, documenting visits, and ensuring compliance with Medi-Cal regulations. The ideal candidate holds a Bachelor's degree in a... ...excellent organizational skills and the ability to work independently. Remote and field work is expected, with some driving required across...Remote job
- A prominent service provider is seeking a Remote Data Entry Associate to process FSA and HSA claims. Candidates will need to review, research, and process claims on a web-based application. The ideal candidate is computer literate, can work independently with good attendance...Remote jobFull timeTemporary work
- A leading pet insurance provider is seeking a Claims Adjuster in New York, NY. The role involves managing claims processing and evaluating... ...experience and be capable of working independently in a remote setting. This position offers an opportunity to work with a compassionate...Remote job
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