Remote Claims Review Specialist
Partner's Healthcare
- Remote job
Mass General Brigham Health Plan Holding Company, Inc. offers a remote healthcare claims processing role with a 40-hour weekly schedule. You will adjudicate, review, and enter claims, ensuring accurate application of benefits and compliance with internal procedures. We require high school diploma (associate degree preferred) and experience with healthcare claims and coding (ICD-10, HCPCS, CPT-4). A customer-focused approach is essential for success in this role. #J-18808-Ljbffr Partner's Healthcare
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$17.71 - $25.28 per hour
...options, career growth opportunities, and much more. The D‑SNP Claims Review Specialist reviews and processes Senior Care Options (SCO) and One... ...Additional Job Details (if applicable) Working Condition This is a remote role that can be done from most US states This is a full-...Remote workHourly payFull timeWork at officeFlexible hoursShift work- ...established industry player is seeking a Medical Review Nurse to join their dynamic team in... ...reviewing and adjudicating medical claims, ensuring compliance with industry standards... ...enjoying the flexibility of a primarily remote work environment. If you are passionate about...Remote work
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, documenting determinations and maintaining screening criteria. The role supports telecommuting from anywhere in the U.S. and requires...Remote jobWork at office
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- ...continent. Ready to Put Your Property Claims Expertise to Work? CCA Global... ...an experienced Property Claims Estimate Reviewer Specialist to join our Strategic Partners Group in... ...Role Hybrid work schedule with remote work on Mondays and Fridays and in-office...Remote workFull timeFor contractorsWork at officeMonday to Friday
$71.03k
...supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned... ...competitive industry. Come join our dynamic and dedicated team. Claims Medical Review Nursing Consultant Division of Fee for Service Management (DFSM...Remote workFull timePart timeInternshipWork from homeFlexible hours- AHCCCS, Arizona Health Care Cost Containment System, seeks a Claims Medical Review Nursing Consultant to monitor, evaluate, and approve or deny... ..., coding, and utilization review, with the state offering remote work options and a comprehensive benefits package in a mission...Remote job
$61k - $113k
...- $113000.00 Job Category: Claims Description Are you looking... ...Workers Compensation Claims Specialist within the West Region! As... ...the latest technology to review, analyze, and process claims... ...and may be eligible for 100% remote work. Please note that this policy...Remote workWork experience placementLocal area- ...Digitech is seeking a Medicaid Account Resolution Specialist to resolve Medicaid claims after submission, ensuring accurate reimbursement and timely... ...service for clients and patients. Responsibilities include reviewing pending/denied claims, identifying hold reasons,...Remote work
- ...Claims Specialist III Trillium Health Resources is a Tailored Plan and Managed Care Organization... ...will also be responsible for tracking, reviewing, and coordinating timely and accurate... ...employer ~ Quarterly stipend for remote work supplies Required: High...Remote workLocal areaImmediate startWork from homeFlexible hours
- ...Join Our Team as a Claims Review Specialist at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Review Specialist. This is an in-office position, that offers the flexibility...Work experience placementWork at officeWork from homeFlexible hours2 days per week
$22 - $33.95 per hour
...offers a thrilling chance to become part of our team as a Claims Intake Specialist ! About the role Deliver timely, accurate, and... ...their employment with our company. Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization...Remote workHourly payFull timeWork experience placementImmediate startWork from homeFlexible hours$120k - $150k
...Sr. Claims Specialist, Cyber This is your opportunity to join AXIS Capital – a trusted global... ...where necessary. Obtain relevant policies, review policy wordings to validate coverage... ...a plus. Attain expert comfort level in remote and work from home virtual working...Remote workWork at officeWork from homeFlexible hours3 days per week- ...company is looking for a Part-Time Data Entry Claims Intake Processor based in California, San... ...role involves accurately entering and reviewing data from insurance claims and... ...Flexible working hours available, with the position being fully remote. #J-18808-Ljbffr...Remote workPart timeFlexible hours
- ...NTT DATA is seeking a Remote Claims Processing Associate to join the Plano, Texas team. In this role you will handle professional claims, review policies and benefits, and ensure compliance with HIPAA and PHI. The position emphasizes independent adjudication of claims...Remote work
$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... ...Interaction and Claims Process Management: Review and explain coverage details and the...Remote workHourly payWork from homeMonday to Friday$250k
.... THE OPPORTUNITY: The Complex Claims Specialist exercises independent judgment and discretion... ...financial exposures. LOCATION: Remote/Hybrid (Bel Air, MD office) WHAT YOU... .... Actively coordinate claim file reviews with insured and agent. Provide...Remote workWork experience placementWork at officeLocal area$17 per hour
...As a Claims Specialist, your primarily responsible for providing a high level of customer service to all customers and retailer partners... ...and customers alike, responding to emails, creating claims, reviewing documentation, monitoring progress queues, and authorizing services...Remote workHourly pay- Encova Insurance is seeking an Injury Resolution Specialist to investigate, evaluate, negotiate and settle bodily injury claims in a home-based role. You must reside in a... ...auto, homeowners and liability claims, reviewing coverage, gathering information, evaluating reserves...Remote jobWork from home
$70k - $120k
...Republic Bitco Corporation is seeking a Sr. Claims Specialist, Workers' Compensation to join our... .... This position is open to a hybrid/remote work arrangement, blending flexibility... .... Primary Responsibilities: Review and evaluate claim reserves to ensure that...Remote workTemporary workWork at officeFlexible hoursNight shift- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast... ...Team, using the latest technology to review, analyze and process claims that are routinely... ...locations and may be eligible for 100% remote work. Please note that this policy is...Remote workWork experience placement
$61.05k - $98.33k
...Senior Liability Claims Specialist The Senior Liability Claims Specialist manages mid to complex... ...company best practices. This is a remote position. Essential Functions &... ...guidelines and participates in claims review as needed Collaborates with team members...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$67k - $75k
Healthcare Claims Resolution Specialist Fully Remote $67,000-$75,000 annually Monday-Friday | Full-Time Temp-to-Hire Position... ..., contracts, and escalations using Salesforce. ~Review payer policies and contracts to ensure regulatory...Remote workFull timeContract workTemporary workLocal areaMonday to Friday- Sedgwick Claims Management Services Ltd in Ohio seeks a Sr Adjuster/Marine Surveyor to investigate and adjust property and casualty claims... ...options in Ohio. You will inspect and investigate claims, review policies, prepare repair estimates, interview claimants and witnesses...Remote job
$61.05k - $98.33k
...Senior Claims Specialist The Senior Claims Specialist handles complex and high-profile Workers... .... This role is available for both remote and hybrid work arrangements. Essential... ...guidelines and participates in claims review as needed Develops and maintains professional...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$22 - $33.95 per hour
...About the role Deliver timely, accurate, and customer-centered claim information to call center callers. Gather necessary details... ...States throughout their employment with our company. Please review Symetra's Remote Network Minimum Requirements Minimum Internet Speed:100 Mbps...Remote workHourly payFull timeWork experience placementImmediate startFlexible hours
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