Remote Contractual Claims Analyst: Reimbursement Recovery
Health Business Solutions LLC
- Remote job
Health Business Solutions (HBiz) is seeking a Contractual Claims Analyst to review and resolve complex reimbursement discrepancies across payer contracts and remittance data. You will validate contractual adjustments, perform disputes and appeals, and document recovery efforts. The role emphasizes analyzing contract terms, reimbursement methodologies, and payment variances, with collaboration across Revenue Cycle, Contracting, and Patient Financial Services to maximize recoveries and ensure #J-18808-Ljbffr Health Business Solutions LLC
- CLAIMS ANALYST - CONTRACTUAL JOB OVERVIEW Under the direct supervision of the Manager... ...emphasis on contractual reimbursement accuracy, underpayments,... ...appeals, and documenting recovery efforts. This role requires... ...applicable employment laws for remote and multi-state hiring and...Remote workReimbursementDaily paidPrice workContract workWork at officeLocal area
$40.56k - $44.72k
...Come join our amazing team and work remote from home! The Supplemental Claims and Recovery Specialist is responsible for performing financial reconciliation... ...to help Carrington and Vylla grow. Educational Reimbursement. Carrington Charitable Foundation contributes...Remote workReimbursementFull timeImmediate startWork from home$50k - $65k
Identify and pursue reimbursement when benefit plans have paid medical expenses... ...'s responsibility. Manage recovery files, coordinate with... ...Responsibilities: Investigate claims, communicate with carriers and... ...Office proficiency. Full-time remote role based in the US. Competitive...Remote jobReimbursementFull timeWork at office$56.16k - $99.36k
...visit emblemhealth.com . Senior Claims Overpayment & Recovery Analyst Proactively assess and monitor vendor... ...operational performance to ensure contractual targets and quality expectations... ..., contracts, payment history, and reimbursement methodologies to determine...ReimbursementContract workWork experience placementH1bVisa sponsorship$54.1k - $81.2k
...Sun Life U.S. Claims - Health & Dental Sun Life U.S. is one of the largest providers... ...and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the... ...This requires applying the appropriate contractual provisions; plan specifications of the...Remote workReimbursementContract workWork at officeLocal areaFlexible hours- ...Support Representative India (Remote) XO Health believes... ...-Virtual Contact Center and Claims Operations The Operations... ...and submissions; billing and reimbursement policy questions; and provider... ...overpayment reviews, coordinate recovery actions, and correct claim financial...Remote workReimbursementWork at officeLocal area
- ...Claims Business Analyst The Claims Business Analyst is responsible for investigating complex... ...changes, and ensure compliance with contractual, regulatory, and business requirements... ...system configuration, provider reimbursement methodologies, and fee schedule maintenance...Remote workReimbursementContract workWork experience placementLocal area
$23 per hour
...Nexiya is seeking a motivated ** Claims Analyst I ** professional with... ...Mon-Thurs onsite, Friday is remote) opportunity in their Kearny... ...and insurers, and pursuing recovery when third parties damage company... ...Leave Phone & Internet Reimbursement Pay Range: Min: $23/hour Max...Remote workReimbursementWork at officeLocal area- Strala is seeking a Recovery Specialist to manage uninsured and contractual recovery claims, including motor vehicle accidents and unreturned rental vehicles arising from rental agreements. You’ll investigate the basis for recovery, review supporting documents, and work...Remote job
- Position: Billing and Denial Claims Specialist Location: Harwood Heights, IL Remote Status: On-Site Job... ...maximize appropriate reimbursement, reduce avoidable... ...concerns, and potential contractual issues to management.... ...appeal turnaround, and recovery targets. Maintain...Remote workReimbursementFull timeWork at office
- ...Revenue Recovery Specialist Recover Revenue. Restore Care. Your Impact Revenue keeps healthcare running. As a Revenue Recovery... ...providers reclaim underpayments, resolve denials, and improve reimbursement processes — so providers can focus on patients while the financial...Remote workReimbursement
- EmblemHealth Remote position seeks a Health Care Claims Data Analyst to develop business requirements for queries that analyze vendor payment data and to leverage post-claim editing and recovery programs. You will analyze claims, payments, and vendor data to identify overpayments...Remote job
- ...The Senior Claims Analyst will serve as the initial triage and research point for complex healthcare claims and provider-related escalations... ...claims processing, provider setup, configuration, coding, reimbursement, benefits, or another operational area. Key...Remote workReimbursement
- Xsolis is seeking an Appeals Analyst to investigate denied claims, document findings, and pursue reimbursement for services denied. The... ...based research. You will work remotely with training at home offices... ...analytical skills to identify recovery opportunities. #J-18808-...Remote jobReimbursementWork at officeWork from homeHome office
- LoanCare, LLC is seeking an Internal Mortgage Claims Analyst to audit and reconcile government-backed mortgage claims, focusing on recoveries and compliance. You will work with FHA,... ...reporting findings to management. This remote role supports scalable claims processing...Remote job
- ...Recovery Specialist Sanford Health, the largest rural health system... ...'s heartland. Facility: Remote WI Location: Remote, WI Shift... ...and research of third party claims. Works for the recovery of overpayments... ...subrogation, liens, and reimbursement recoveries. Applies...Remote workReimbursementFull timePart timeWork experience placementWork from homeShift workDay shift
$41.6k
...we're Oscar. We're hiring a Claims Processor 1 to join our Claims... ...with company policies, contractual agreements, and regulatory requirements... ...status, and support prompt reimbursement. You will report into... ...Work Location: This is a remote position, open to candidates...Remote workReimbursementFull timeWork at officeWork from homeHome office- Knowtion Health is hiring a Specialist II, Revenue Recovery for a remote role. The position focuses on resolving denied claims and recovering revenue through ethical... ...ensure regulatory compliance to optimize reimbursements. Ideal candidates bring 3+ years in revenue...Remote jobReimbursement
$35k - $50k
...Technologies is responsible for Claims Operations and Management... ...programs. As a Claims Resolution Analyst , you will play a key role... ...on an ongoing basis. #LI-REMOTE #LI-JT1 The pay range... ...allowances, hotel accommodations, reimbursement for travel expenses, and...Remote workReimbursementFull timeWork at officeMonday to FridayFlexible hours- ...is seeking a Clinical Editing Dispute Review Analyst 1 to research, review, and resolve clinical editing inquiries, claims disputes, and appeals. You will collaborate... ...accurate claims processing and timely provider reimbursement. You will coordinate with multiple...Remote jobReimbursement
- Crawford is seeking a detail-oriented Medical Claim Analyst for a fully remote role in the United States. You will manage medical-only and maintenance... .... You will review and approve payments and claimant reimbursements for lost-time disability claims once compensability is...Remote jobReimbursement
- Sun Life Financial, a leader in employee benefits, is seeking a Stop Loss & Health Claim Analyst to review claims, interpret contracts, and determine reimbursements. This role blends analytical review with client service, ensuring documentation supports each decision while...Remote jobReimbursement
- Now Hiring: Medical Claim Analyst (Remote) Step into a role where precision meets purpose. As a Medical Claim Analyst, you’ll manage medical... .... You’ll also review and approve payments and claimant reimbursements for lost-time disability claims (within authority) once compensability...Remote workReimbursementImmediate start
$31.6k - $57.74k
...direct supervision, processes medical only claims within authority, processes other claims... ...); approves payments and claimant reimbursements on lost time disability claims, within authority... ...in order to advance. #LI-ET1 #LI-Remote Why Crawford? Because a claim is more...Remote workReimbursementFull timeLocal area- Currance, Inc. is seeking a Revenue Recovery Specialist to review hospital accounts... ...underpayments, and submit appeals to maximize reimbursements. This remote role requires 3-5 years in hospital... ...payors and hospital staff to resolve claims. The role also involves monitoring...Remote jobReimbursement
- ...will work closely with HDVI’s Claims and Fleet Services Teams. The... ..., indemnification, and other recovery opportunities. Manage... ...distractions ~ Birthday meal reimbursement, because celebrating our... ...our company culture ~ A remote-friendly environment with the...Remote workReimbursementFull timeTemporary workH1bVisa sponsorshipWork visaFlexible hours
$67.3k - $104k
...Description: Location Details: Remote Position Schedule / Shift:... ...Position Summary: As a Claim Specialist, you will evaluate... ...limits, exclusions, and recovery opportunities. ~ Analyze... ...certification support with 100% reimbursement for eligible programs. ~...Remote workReimbursementFull timeTemporary workPart timeWork experience placementLocal areaImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims and policy inquiries in a remote capacity. You will research, validate, and resolve issues... ...learning about the TRICARE program and reimbursement methodologies, while maintaining...Remote jobReimbursement
$36.92k - $49.92k
...Our partner is looking for a Claims Associate Representative –... ...contribute to efficient healthcare reimbursement operations within a fast-... ..., collaborative, and fully remote environment. \n... ...legitimate interest and pre-contractual measures under applicable data...Remote workReimbursementHourly payFull timeWork at office- ...all 50 states. We developed proprietary claims technology, expanded our offerings to include... ...of members. The Reinsurance Claims Analyst plays a crucial role in the management... ...will support the timely filing of reimbursement claims and collaborate with multiple departments...Remote workReimbursementWork at office
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