Remote Medical Claims Repricing Specialist
Allied Benefit Systems, LLC
- Remote job
Allied Benefit Systems, LLC is seeking a Claims Repricing Specialist to reprice medical and dental claims remotely. The role requires accurate data entry, familiarity with CMS1500/UB04, and proficiency in Word/Excel/Outlook. You will coordinate with teams to resolve issues and ensure pricing accuracy, supporting PPO networks from a remote home setup. The position emphasizes efficient use of multiple applications and 99%+ accuracy, with benefits and flexible remote work culture from Allied. #J-18808-Ljbffr Allied Benefit Systems, LLC
- # Claims Repricing Specialist (Remote)Fully Remote • Allied Benefit Systems - CHICAGO, IL 60606## OverviewSalary Range$20.00 - $20.00 HourlyPosition... ...The Repricing Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims using multiple applications...Remote jobMedicalWork experience placementWork from home
- Allied Benefit Systems is seeking a Repricing Coordinator to re-price medical (CMS1500, UB04) and dental claims using multiple applications to obtain discounted rates. This remote-friendly role requires at least 1 year of data entry, strong MS Word/Excel/Outlook skills,...Remote jobMedical
- Allied Benefit Systems, LLC is seeking a Repricing Specialist I to re-price medical and dental claims (CMS1500, UB04) using multiple applications. The role emphasizes... ...across departments. This is a full-time, remote-friendly position within Operations. The role requires...Remote jobMedicalFull time
- ...managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the provider... ...school diploma or equivalent with significant experience in medical claims research. The role offers a competitive salary range and...Remote workMedicalWork from homeFlexible hours
- ...support patients in their healthcare journey, the full-time Remote Claims Specialist will manage and coordinate patient cases, assist with... ...of recent, verifiable experience in healthcare insurance, medical claims, or case management Ability to complete the hiring...Remote workMedicalFull timeWork from home
- ...seeking a Casualty Representative to proactively investigate coverage, liability and damages, gathering medical documentation to evaluate and settle or deny injury claims. You will maintain file quality, compare results with prior and peer benchmarks, and present...Remote jobMedicalWork from homeFlexible hours
- CorVel Corporation is seeking a Liability Claims Specialist for a remote role. You will handle non-complex medical and minor liability claims under supervision, acknowledge claims, assess validity, and communicate status with clients and claimants. You will reserve and...Remote jobMedical
- ...Corporation in Downers Grove, IL is seeking a Liability Claims Specialist to manage non-complex medical and minor liability claims under close supervision.... ..., claim review, and reserving within authority. Remote, onsite, and hybrid work arrangements are available....Remote jobMedical
- Encova Mutual Insurance Group is seeking a Lost Time Claims Specialist in Workers’ Compensation to manage indemnity claims, investigate, evaluate... ...emphasizes cost-effective outcomes and collaboration with medical teams and internal stakeholders. Reporting to the Director,...Remote jobMedical
$83k - $154k
...USD $83000.00 - $154000.00 Job Category: Claims Description Liberty Mutual's... ...Flexibility with structure. This role is primarily remote, with a light-touch office cadence - just... ..., defense counsel, SIU when appropriate, medical and causation experts, accident...Remote workMedicalFull timeWork at officeLocal areaImmediate startHome office- Trexis Insurance in Phoenix, AZ seeks a Casualty Claims Representative to investigate coverage, liability and damages, gather medical documentation, and determine settlements or denials with careful reserves. The role requires strong negotiation and thorough knowledge...Remote jobMedical
- A healthcare startup is seeking a Claims Specialist to manage healthcare claims processing, including investigating and resolving claim issues. This entry-level role requires a background in medical billing and strong attention to detail. Responsibilities include making...Remote jobMedical
- ...Benefit Systems, LLC in Chicago is seeking a Stop Loss Claim Specialist to prepare and file medical stop loss claims for reimbursement with carriers. You... ...terminology, and strong Excel and communication skills. This remote-friendly position supports flexible work arrangements...Remote jobMedicalFlexible hours
- ...seeking a Reinsurance Administrator to manage and file excess risk medical claims. In this role, you will collaborate with various departments... ...abilities, and proficiency with Microsoft Office. This is a remote position available to candidates within the continental United...Remote jobMedicalWork at office
- Encova Mutual Insurance Group seeks a Lost Time Claims Specialist to manage indemnity and medical-only workers’ compensation claims across jurisdictions. The role involves investigation, evaluation, and determination of compensability, with collaboration across medical,...Remote jobMedical
- Premera is hiring a Claims Processor III to review, research, and resolve moderate to complex claims across Medicare, DSHS, subrogation, and coordination of benefits for dental, medical and hospital claims. You will act as a technical resource, train trainees, and ensure...Remote jobMedicalTraineeship
- ...Reviewing medical insurance claims for resolution and payment, the full-time Claims Resolution Specialist will handle inquiries and payment denials from insurance providers while working remotely. Key responsibilities Review all medical insurance claims to ensure proper...Remote workMedicalFull time
- MetLife is seeking a Premium Waiver Claims Examiner to review Total & Permanent and Premium Waiver claims in a virtual/remote capacity. You will investigate claims, obtain medical and vocational evidence, and determine payable status in accordance with policy provisions...Remote jobMedicalPermanent employment
$23 per hour
...seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...-Time position. This is a remote hybrid opportunity, after onsite... ...of benefits including: ~ Medical; Dental; Vision ~401k with... ...Specialist will adjudicate pharmacy claims, review claim responses for...Remote workMedicalFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...Resolving medical claims that are not automatically adjudicated, the full-time remote Claims Specialist I will ensure timely and accurate claim processing by conducting investigations and communicating with necessary parties to gather information. Key responsibilities...Remote workMedicalFull timeContract workWork at office
$100 per hour
...Claims Specialist | $100/hr Remote | Mercor This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience... ...third-party documentation including police reports, medical records, and vendor estimates. Claims Drafting: Draft...Remote workMedicalHourly payContract workFor contractorsFlexible hours- ...for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job... ...High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical...Remote workMedicalContract workVisa sponsorship
$53k - $85.47k
...Workers' Compensation Claims Specialist The Workers' Compensation Claims Specialist manages... ...department and of CorVel. This is a remote position. Essential Functions & Responsibilities... ...-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Combining veterinary medical knowledge with critical thinking, the full-time remote Claims Specialist will assess pet insurance claims by reviewing medical records and policy information, ensuring accurate and timely claim decisions while providing exceptional customer...Remote workMedicalFull time
$29.33 per hour
...Claims Specialist II Join an amazing team that is consistently recognized for our achievements... ...process. For positions that work remotely or in a hybrid work-from-home environment... ...Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and...Remote workMedicalHourly payWork from homeMonday to Friday$28 per hour
...Title: Claims Specialist Location: Remote Duration: 03-06 months contract position Shift: Mon to Fri between 7 am to 7 pm AZ time zone (Will... ...Job Summary: Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient...Remote workMedicalContract workFor subcontractorInterim roleShift work- ...Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing... ...locations and may be eligible for 100% remote work. Please note that this policy is... ...and origin experts and independent medical examiners. Refers to claim to subrogation...Remote workMedicalWork experience placement
- ...Claims Specialist III Trillium Health Resources is a Tailored Plan and Managed Care Organization... ...employer ~ Quarterly stipend for remote work supplies Required: High... ...health setting, including extensive medical claims research; OR Associate's degree...Remote workMedicalLocal areaImmediate startWork from homeFlexible hours
- ...Liability & Bodily Injury Claims Adjuster We are hiring a Liability & Bodily Injury Claims... ...office with 3 days in office and 2 days remote. Are you a confident decision-maker... ...claims toward resolution. Understand medical aspects of claims management. Retain and...Remote workMedicalWork at officeRelocation package
$1,000 per month
...Claims Specialist I We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop... ...required Work Experience ~6 months of experience in medical claims or health insurance-related customer service or the...Remote workMedicalWork experience placementWork at officeLocal areaRelocation
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