Remote Claims Research & Resolution Specialist
Humana Inc
- Remote job
Humana Inc in Puerto Rico is seeking a Claims Research & Resolution Representative 3 to join our claims operations. You will investigate discrepancies, verify documentation, and resolve complex medical claims with providers, members, and third-party services. The role requires 1+ years in claims or customer service, English proficiency, and willingness to participate in virtual training and ongoing schedule commitments while supporting a remote work model. #J-18808-Ljbffr Humana Inc
- Humana Inc is seeking a Claims Research & Resolution Professional 2 to manage claims operations involving customer contact, investigation, and settlement... ...emphasis on interpreting and applying guidelines. This remote position offers 40 hours weekly, occasional travel to...Remote jobClaims
- ...United States is seeking a Healthcare Claims Specialist to bridge communications between healthcare... ...insurance payers to expedite claim resolutions. Your responsibilities include... ...denials to secure reimbursement. This remote role demands excellent communication,...Remote workClaims
- ...Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities... ...with thorough documentation in billing systems. This remote position operates Monday through Friday during standard...Remote workClaimsMonday to Friday
$17 per hour
...Flexible hours & Work from home remote option Starting Salary: $17 AND UP (depending... ...over insurance denials, ensuring prompt resolution and securing payments for all stakeholders... ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and...Remote workClaimsWork at officeWork from homeFlexible hours- Digitech is seeking a detail-oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote role requires reviewing pending/denied claims and following through to payment, with strong analytical...Remote jobClaimsMonday to Friday
- ...Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaims
$18 - $20 per hour
...My client, Digitech Computer, is seeking a Health Insurance Claims Resolution Specialist to work remotely full time. Digitech is seeking a Health Insurance Claims Resolution Specialist to work claims after they’ve been submitted to commercial insurance carriers. This...Remote workClaimsFull time- ...The Planet Group is seeking an Epic Resolute PB Analyst for a 6-month fully remote contract opportunity. The analyst will focus on supporting Epic Professional... ...configuring charge capture workflows, managing claims, and developing reporting tools. Strong knowledge of professional...Remote workClaimsContract work
$110k - $120k
...Multiple remote perm, full-time Epic Certified Lead Analyst, Resolute PB positions. Location: CST Time Zone. Salary: $110-120K + Full Benefits. *** Remote... ...hold Epic Certification in Resolute PB Admin or PB Claims. Hands-on experience with application configuration...Remote workClaimsPermanent employmentFull timeVisa sponsorshipWork visa- ...Claims Resolution Specialist The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate... ...payment issues; escalate trends to management as needed. Research payer policies and claim-specific requirements to ensure accurate...Remote workClaimsWork at office
- ...Making high-volume outbound calls to investigate and maximize insurance payments, the full-time remote Claims Resolution Specialist will research auto accident details, confirm payer information, and submit accurate bills to ensure timely payments for client hospitals...Remote workClaimsFull timeWork at office
- ...expanding its lien division. We seek a detail-oriented Lien Resolution Specialist Paralegal to handle EDD and medical provider liens for insurance... ...defense while aligning with California regulations. Strong claims management experience is preferred. #J-18808-Ljbffr Russell...Remote jobClaims
- TEKsystems seeks an expert Epic Resolute Professional Billing Analyst for a remote contract engagement. The role emphasizes PB Claims build, Charge Router optimization, and ongoing system enhancements within an established Epic Professional Billing environment. The ideal...Remote jobClaimsContract work
- Domestic & General is seeking a Remote Customer Resolutions Agent in the United States to handle escalations, complaints, service repairs, and claims. You’ll work autonomously to resolve cases while ensuring customer interests are prioritized and KPIs are met. The role...Remote jobClaims
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a claims supervisor to lead the daily operations of the claims resolution team. You will assign work, coach staff, and monitor performance to ensure timely resolutions. The role requires 3-5 years in healthcare...Remote jobClaims
- Sovereign Insurance Group is seeking a Claims Specialist to manage the claims lifecycle from notice to resolution. The role collaborates with customers and carriers to ensure... ...work options are available in Berwyn, PA, with remote opportunities in PA/NJ. #J-18808-Ljbffr...Remote jobClaims
- Sarnova HC, LLC is seeking a Medicaid Account Resolution Specialist for Digitech with 100% remote work. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle. The role requires attention to...Remote jobClaims
- ...doing it well. Whether you're managing claims, supporting clients, or improving processes... ...: This role is eligible for fully remote work How you'll make an impactApply claims... ...process to ensure effective communication and resolution. Provide exceptional customer service to...Remote workClaimsLocal area
- Account Resolution Specialist - Insurance HMOs - Digitech - Remote United States Job Description The Sarnova Family of companies... ...to manage and resolve insurance claims after submission to Medicare... ...Duties and Responsibilities: Research and resolve outstanding insurance...Remote jobClaimsWork from homeMonday to Friday
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaimsHourly pay$104.8k - $157.2k
...Pain InterventionsThis position is fully remote in the USA and will include 5% travel.The Senior Health Economics & Outcomes Research Specialist designs and executes real-world... ...conduct real-world evidence studies using claims, electronic health record, and linked datasets...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$20 per hour
...Days in Office, 2 Days Remote Join Our High-... ...As a Patient Account Specialist, you will play a vital... ...insurance inquiries, claims, and billing matters.... ...support timely and accurate resolution in accordance with... ...outstanding accounts. Research and resolve claim denials...Remote workClaimsWork at officeLocal areaWork from home- ...our past-due portfolio. As our Account Resolution Specialist, you'll be the dedicated point person for... ...or account information to our proof-of-claim vendor when needed. Prepare and send... ...highly collaborative team environment Work from home stipend #J-18808-Ljbffr Remote JobsRemote workClaimsWork from homeFlexible hours
$17.69 - $23.56 per hour
...requests and customer inquiries, researches account information and... ...analyze and resolve Home Warranty claims in a timely manner while... ...investigation of the claim through resolution Make decisions and... ...Spanish a plus Pay Range: $17.69 - $23.56 Hourly, Remote...Remote workClaimsHourly payContract workFor contractorsWork at office- ...zilliontechnologies(dot)com Debit Card Dispute Resolution Specialist Duration: 6 Months Contract... ...onsite in Pensacola, FL / 2 Days Remote "Work sponsorship is not... ...process and resolve Debit Card dispute claims. Research and process chargebacks, arbitration,...Remote workClaimsContract workLocal areaWork from home3 days per week
$35k - $50k
...Technologies is responsible for Claims Operations and Management functions... ...Services programs. As a Claims Resolution Analyst , you will play a key role in researching, resolving, and processing... ...applications on an ongoing basis. #LI-REMOTE #LI-JT1 The pay range for...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hours- ...oriented and strategically-minded Lien Resolution Specialist Paralegal to join our team. In this role... ...interested in candidates with a strong claims management background. About the Role... ...hearings. What We Offer Flexible Schedule Remote and Hybrid work arrangements Generous...Remote workClaimsFlexible hours
- ...// (***) ***-**** Debit Card Dispute Resolution Specialist $25-$27/HR W2 Duration: 6 Months... ...week onsite in Pensacola, FL / 2 Days Remote "Work sponsorship is not available... ...and resolve Debit Card dispute claims. Research and process chargebacks, arbitration,...Remote workClaimsContract workLocal area3 days per week
$104.8k
...Senior Health Economics & Outcomes Research Specialist at Medtronic designs and executes real-world evidence studies using healthcare... ...for the Pain Interventions portfolio. The fully remote role involves analyzing claims and electronic health record datasets, developing...Remote workClaims$24 - $26 per hour
Epic Resolute - PB Claims Biller (REMOTE) Job Category : IKS Posted : September 16, 2026 Full-Time Remote Locations Showing 1 location Virtual, USA Description On July 9, 2026 IKS Health, a global leader in care enablement solutions across the patient journey, successfully...Remote jobClaimsHourly payFull timeWork experience placementWork at officeLocal area
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