Remote Medicaid Claims Resolution Specialist
Sarnova HC, LLC
- Remote job
Sarnova HC, LLC is seeking a Medicaid Account Resolution Specialist to remotely resolve Medicaid claims ensuring accurate reimbursements. This role requires strong detail orientation and the ability to manage multiple priorities effectively. Candidates should possess a high school diploma and strong computer skills. The position demands excellent communication, high attention to detail, and the ability to work independently in a metrics-driven environment. A competitive salary and benefits, including a 401(k) plan, are offered. #J-18808-Ljbffr Sarnova HC, LLC
$53.81k - $80.72k
...Claims Resolution Specialist Join Us in this Amazing Opportunity The Team You'll Join We are... ...required. • 1 year of HMO, Medi-Cal/Medicaid and healthcare/managed care experience... ...located at the 500, 505 Building or a remote work location: • Work is typically...Remote workTemporary workWork at officeLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift2 days per week- ...Job Description Overview Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they’ve been submitted to commercial... ...and finding resolutions. Responsibilities This role is a remote, work from home position. The Claims Resolution Specialist...Remote workWork from homeMonday to Friday
- A leading educational institution is seeking a Claims Resolution Representative III to handle claims follow-up, resolve unpaid accounts, and... ...problem-solving, communication, and customer service skills. This remote position allows the successful candidate to work with a...Remote work
- A leading educational institution in Rochester is seeking a Claims Resolution Representative III. This full-time role involves managing open... ...position offers a competitive salary based on experience and successful candidates will work in a remote setting. #J-18808-LjbffrRemote workFull time
- ...The University of California seeks a Claims Resolution Specialist to enhance member health services. This role supports claims payment resolutions through active provider communication and involves administrative tasks to maintain departmental performance. Candidates...Remote work
- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution... ...Building 13220 USF Laurel Dr Tampa 33612 Eligible for Remote Work: Hybrid Remote Job: Patient Financial Services...Remote workFull timeWork at officeMonday to FridayShift work
- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution... ...Building 13220 USF Laurel Dr Tampa 33612 Eligible for Remote Work: Hybrid Remote Job: Patient Financial Services Organization...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...with the same commitment. Our Complex Casualty Claims Team is expanding, and we’re seeking a Senior Claims Resolution Specialist who brings deep technical expertise, sharp... ...experience.Flexibility Meets PurposeThis role is remote or hybrid depending on location, with only a...Remote workCurrently hiringWork at officeLocal areaHome officeRelocation package
- ...BCA Financial Services, Inc. is seeking a full-time Insurance Claim Collector to work remotely. You will engage with insurance companies to address claim denials and ensure payment resolution. The ideal candidate has a minimum of 2 years in medical insurance billing and...Remote workFull time
- ...Digitech is seeking a highly motivated Insurance Account Resolution Specialist to manage insurance claims in a remote work environment. The role involves researching outstanding claims, communicating with insurance carriers, and ensuring timely resolution of issues. Ideal...Remote work
$17 per hour
...MPF Federal, LLC is seeking a Dental Claims Resolution Specialist I to accurately enter and process dental claims in a fully remote environment. The role requires strong attention to detail and problem-solving skills to ensure claims are processed on time. This position...Remote workHourly pay- NTT DATA, Inc. is hiring a Remote Provider Research & Resolution Specialist in Dallas, Texas. The role requires 2+ years of experience in medical claims and will involve analyzing provider-related transactions and maintaining compliance with standards. The ideal candidate...Remote jobWork at officeFlexible hours
$64k - $92.6k
...Senior Claims Resolution Analyst Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older... ...Pay Range: $64,000 - $92,602 Annually ~ Work Mode: Mostly Remote ~ An annual employee bonus program ~ Robust Wellness Program...Remote work$40k - $50k
...Claims Recovery Specialist - Albany, NY - Hybrid Great companies need great teams... ...involving several state Medicaid beneficiaries or deceased Medicaid... ...to advance cases toward resolution. Meet departmental... ...This position is primarily remote; however, candidates must reside...Remote workFull timeWork at officeFlexible hours$21 - $26 per hour
...Manager of the RCM Team, the Claims Escalation Specialist/Team oversees stakeholder... ...response time, and final resolution as required Provides... ...understanding of Medicare, Medicaid, and Commercial policies,... ...assigned to work on-site, remotely, or a combination of both....Remote workWork at officeLocal areaFlexible hoursShift work- ...Advocate Construction is seeking an Insurance Processing Specialist to work fully remotely. The role involves facilitating the release of funds for roofing and exterior property claims, securing final customer payments, and acting as a liaison between customers and insurance...Remote work
$57k - $69k
GEICO in Tampa, Florida is hiring an Auto Claims Specialist responsible for guiding customers through the claims process with empathy and care... ...one, and workplace flexibility with a mixture of office and remote work. Join a company with a strong commitment to employee...Remote workWork at office$50k
...seeking an experienced Epic Resolute Hospital Billing (HB)... .../eligibility, claim edit WQs.Soft skills/charac... ...more $80.00 hourly Remote Part-time Quick Apply... ...overall experience.Medicare/Medicaid regulatory healthcare... ...Full-time Collections Specialist Remote Job Duties: •...Remote workHourly payFull timeTemporary workPart timeFor contractorsWork from home- ...Automotive Group, Inc. is looking for a full-time Ancillary Specialist who will review and adjudicate claims for the GAP product while ensuring accuracy in... ...processing and customer satisfaction. This role is performed remotely. The ideal candidate will possess a High School...Remote jobFull time
$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience and an active adjuster’s license. The position offers a competitive salary...Remote job- ...Claims Resolution Representative The Claims Resolution Representative primary role is to resolve high volumes of aging insurance claims... ...of Monday, Tuesday, Thursday in office and Wednesday/Friday remote. Ability and self-confidence to communicate effectively, and...Remote workWork at office
- ...Claims Resolution Specialist Job Category: Sleep Management, LLC Requisition Number: CLAIM003394 Posted: July 6, 2026 Full-Time Lafayette... ...and compliance regulations/policies for Medicare & Medicaid Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB...Full timeWork at office
$25 per hour
...Pharmacy Adjudication Specialist for our Specialty Oncology... ...State of Missouri; remote work available. Shift... ...Responsibilities Adjudicate pharmacy claims, review claim... .... Practice first‑call resolution to help healthcare... ...of Medicare, Medicaid, and commercial insurance...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...Responsible for investigating, analyzing, and resolving complex claims and payment disputes. This role ensures accurate claims... ...(3) years of experience in claims adjudication, dispute resolution, or Medicaid managed care. Strong knowledge of Texas Medicaid policies...Contract workWork at office
$55.8k - $81k
.... Position: Associate Claims Clinical Specialist Location This position is available to remote applicants residing in the US... ...expertise through problem resolution, while maintaining composure... ...Long Term Care, Medicare, or Medicaid Assessments Telephonic case...Remote workWork at office$61k - $113k
...1000.00 - $113000.00 Job Category: Claims Description The Claims Specialist works within a Claims Team, using the... ...investigation of the claim through resolution. This includes making decisions... ...service to our customers. This is a remote / hybrid position. Candidates within...Remote workFull timeWork experience placementWork at officeLocal area$67k - $126k
...0 - $126000.00 Job Category: Claims Description Are you looking for... ...Workers Compensation Claims Specialist within the West Region! The... ...and may be eligible for 100% remote work. Please note that this policy... ...a timely and cost-effective resolution; attends trials as a...Remote workFull timeWork experience placementLocal area$61k - $113k
...0 - $113000.00 Job Category: Claims Description Are you looking for... ...Workers Compensation Claims Specialist within the West Region! As a... ...and may be eligible for 100% remote work. Please note that this policy... ...a timely and cost-effective resolution; attends trials as a...Remote workFull timeWork experience placementLocal area$23 per hour
...Pharmacy Adjudication Specialist at our Specialty pharmacy... ...‑Time position and a remote hybrid opportunity... ...will adjudicate pharmacy claims, review claim... ...Practices first‑call resolution to help health‑care providers... ...knowledge of Medicare, Medicaid, and commercial insurance...Remote workFull timeTemporary workWork experience placementFlexible hoursShift work- ...Huntsville, AL. This role entails providing exceptional customer service by conducting inspections, investigating claims, and ensuring timely resolutions. Candidates should possess strong communication and negotiation skills, with experience in using estimating software...Remote work
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