Remote Medical Benefits & Claims Reviewer
Conduent
Conduent seeks a Medical Benefits Review Associate to analyze Medicare, Medicaid, and Commercial claim overpayments from audits. This fully remote role supports CPIS overpayment programs and requires attention to detail and strong data-entry skills. You will review claims, verify eligibility, and document findings across client systems while collaborating with a remote team in a fast-paced environment. Prior benefit/coverage knowledge is a plus; MS Office proficiency is essential. #J-18808-Ljbffr
- ...Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization... ...inquiries with appropriate referrals to Medical Directors. Requirements include a... ...and offers full-time employment with competitive pay and benefits. #J-18808-LjbffrRemote workMedicalClaimsFull time
$82.72k - $120.63k
...Associate, Itemized Bill Reviewer to join our Payment... ...solutions. You will ensure claims are paid accurately and... ...This position is fully remote and open to candidates... ...eligible for employee benefits, participation in Oscar... ...4+ years experience in medical coding ~ Medical coding...Remote workMedicalClaimsFull timeContract workWork from homeHome office$23 per hour
...Freelance Annotation Quality Reviewer (Korean) Please... ...user reviews, identifying medical terminology in clinical... ...language, misleading claims, or inappropriate... ...artificial intelligence. Benefits Get paid for your expertise... ...part in a part-time, remote, freelance project that...Remote workMedicalClaimsPart timeFreelance$248.92k - $311.15k
...Position Title: Physician Reviewer Location: Montebello... ...Physician Reviewer, Medical Management, provides a... ...recommendations on retro claims reviews for outpatient... ...bonuses or incentives. Benefits & Career Development... ...background report. Remote Type: Remote About US...Remote workMedicalClaimsLocal areaFlexible hours$85k - $90k
...Outlier, and Readmission Reviews. Under the direction of... ...reviews of inpatient claims to ensure coding accuracy... .... This is a fully remote position. Candidates must... ...College level courses in medical terminology, anatomy,... ...extended periods of time. Benefits and perks include:...Remote workMedicalClaims$62.4k - $117.62k
...of physical health (PH) medical and healthcare services... ...Medical Director for review. Refer to and work closely... ...and contractual benefits as well as State and Federal... ...pricing, coding, researching claims to ensure accurate... ...may be opportunity for remote work within all jobs...Remote workMedicalClaimsFull timeContract workWork at office$70k - $80k
...Exception only) It takes great medical minds to create... ...Auditor, Itemized Bill Reviewer who is responsible for... ...performed, are covered benefits, were appropriately ordered... ...reviews of multiple claim types to provide a flexible... ...in this role 100% Remote Position Up to 10% travel...Remote workMedicalClaimsFull timeContract workFlexible hours$22 - $28 per hour
.... Summary The Auditor reviews completed Workers’ Compensation... ...Review late-reported claims identified during... ...independently in a hybrid or remote environment while... ...for the role. Teammate Benefits & Total Well-Being We... ...including: Health Benefits: Medical/Rx, Dental, Vision,...Remote workMedicalClaimsHourly payWork at office$19.81 - $28.3 per hour
...teams drive groundbreaking medical discoveries and invite... ...conducting thorough and accurate reviews of healthcare billing and claims documentation. Essential... ...are required for this remote position. Following... ..., we offer comprehensive benefits, career advancement opportunities...Remote workMedicalClaimsHourly payMonday to FridayShift work$68.64k - $72.8k
...Opportunity Overview: The RN Reviewer position is a crucial... ...to determine the medical appropriateness of the... ...collaboration skills across remote teams Customer-... ...; as part of a total benefits package which includes... ...data with post-service claims validation, we’re creating...Remote workMedicalClaimsHourly payFull timeFlexible hoursShift workWeekend work- ...turnaround times. Our reviewers are compensated on a per... ...Reviews all medical records and addresses... ...Paid Time Off, excellent benefits package and a competitive... ...stipend is provided for remote work space. Come up to... ...over 200,000 insurance claims annually for leading national...Remote workMedicalClaimsFor contractorsWork experience placement
- ...Working remotely, the full-time Disability Benefits Examiner will investigate and evaluate disability claims to determine eligibility for benefits, gather and analyze relevant... .... Key Responsibilities Review and evaluate medical, occupational, and policy information...Remote workMedicalClaimsFull time
$85k - $95k
...seeking an experienced DRG Reviewer to join our Payment Integrity... ...for analyzing inpatient medical records and claims to validate coding accuracy... ...independently in a fast-paced remote environment. This is a... ...commensurate with experience. Benefits Comprehensive Medical,...Remote workMedicalClaimsWork at officeFlexible hours- ...Crawford & Company is seeking a Disability Benefit Specialist to evaluate claims, determine benefit eligibility, and... ...return-to-work strategies. This remote role lets you work from your... ...while applying disability policies and medical/vocational insights to deliver timely...Remote workMedicalClaims
- ...Evaluating and adjudicating Group Claims for Accident, Critical Illness, and Hospital Indemnity, the full-time remote Benefit Claims Technician will manage end-to-end claims processing... ...using salary data, contract terms, and medical documentation Required qualifications...Remote workMedicalClaimsFull timeContract work
- ...Pharmacy is seeking a dedicated Benefit Verification Specialist to... ...coordinating benefits for oncology medications. You will load primary/secondary coverage, run test claims, and document outcomes in CPR+... ...license is required to work remotely. You will resolve benefits...Remote workMedicalClaimsRelocation package
- ...To support a compassionate team, the full-time remote Disability Benefit Specialist will evaluate claims, determine benefit eligibility, and guide employees in... ...determinations Communicates with claimants, employers, and medical professionals to gather necessary information for...Remote workMedicalClaimsFull timeTemporary work
$90k - $103k
...RecruiterForge is seeking a Benefits Specialist to manage health and welfare programs, with responsibility for a self-insured medical plan, claims analytics, and vendor performance across medical, dental, vision, life, disability, 401K, and wellness offerings. Reporting...Remote workMedicalClaims- ...Workers' Compensation Report Reviewer / Quality Analyst Job... ...various aspects of the medical file review process.... ...from home position. Benefits Join our team at Dane Street... ...are provided for remote workspace. ABOUT DANE... ...over 200,000 insurance claims annually for leading national...Remote workMedicalClaimsTemporary workWork from home
- ...Virtual Vocations Inc. seeks a part-time Medical Reviewer, Coder to perform automated and complex reviews of Medicare Fee-for-Service claims from a remote setting. The role focuses on ensuring compliance with Medicare policies and documenting findings accurately. Key...Remote workMedicalClaimsPart time
- ...George Hills, and AS&G Claims Administration, we’re a... ...processing and auditing medical bills in accordance... ...information. Forwards to Bill Review supervisor any... ...are able to work fully remote. Education and/or... ...and work location. Benefits: We take care of our...Remote workMedicalClaims16 hoursShift work
- ...Board Certified Physician Reviewers - Reproductive Endocrinology/Infertility Remote Networking- Physician Recruitment... ...Chiropractor - Independent Medical Examinations ~ Chiropractor... ...Hiring Full time Disability Claims QA Specialist Disability Claims...Remote workMedicalClaimsFull timeContract workFor contractors
- ...Conduent seeks a Medical Benefits Review Associate to support overpayment programs across Medicare, Medicaid and commercial claims in a fully remote environment. You will review claims, verify eligibility, and document findings while communicating with a remote team. The...Remote workMedicalClaimsWork at office
- ...Benefits Specialist Reports To: Team Lead, Benefits Specialist... ...Hybrid (3 days in office / 2 days remote) Position Summary The... ...guidance on employee benefits, claims resolution, enrollments,... ...benefit questions regarding medical, dental, vision, life, disability...Remote workMedicalClaimsFull timeWork at office
- ...DescriptionTitle: Veterans Benefits Paralegal Status: Full-time Location: Remote Salary: Salary to be... ...through the VA disability claims and appeals process.... ...authorizations, and releases for medical, military, and Social... ...client communication.Review VA decisions and verify...Remote workMedicalClaimsFull time
- ...Healing Strides Counseling seeks a qualified RN with coding expertise to review medical claims, evaluate records, and apply Medicare rules. The role involves regulatory interpretation and narrative decision writing, with attention to quality standards. The position...Remote workMedicalClaims
- ...emploi Crawford - Mondiales is seeking a Disability Benefit Specialist for a remote role. You will evaluate disability claims, determine benefit eligibility, and guide... ...compassionate support to employees navigating complex medical and vocational considerations. #J-18808-Ljbffr...Remote jobMedicalClaims
- ...experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician... ..., and compliantEvaluate medical records, diagnostic findings,... ...with DRG Validation, CDI, or claims review strongly preferredProven...Remote workMedicalClaims
$65k - $75k
...via video conference to review client needs.... ...and assist clients with claims or policy adjustments.... ...but not required. Benefits & Perks: Comprehensive... ...benefits package including Medical, Dental, Vision, and... ...This position is 100% remote. Due to state compliance...Remote workMedicalClaimsFull timeWork from homeHome officeFlexible hours$24.5 per hour
...Accident, Critical Illness and Hospital Indemnity Benefit Claim Technician Location: Remote Work Type: Full Time Regular Job No: 505359 Categories: Claims... ...skills, and will be responsible for interpreting medical and contractual information, detecting potential fraud,...Remote workMedicalClaimsHourly payFull timeContract workShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Benefits & Claims Reviewer. Be the first to apply!




