Remote Claims Adjudication Specialist (Contract)
nTech Workforce
- Remote job
nTech Workforce is seeking a Claims Resolution Representative for a remote US-based role in McLean, VA. The position focuses on direct payer-side claims adjudication, reviewing provider-submitted claims, applying policy rules, and determining outcomes. This is a six-month contract (with potential extension) paid on a W2 at $23/hr. Responsibilities include resolving suspended claims, researching discrepancies, processing denials with clear explanations, and ensuring HIPAA/privacy compliance. #J-18808-Ljbffr nTech Workforce
- ...Resolving medical claims that require manual adjudication, the full-time remote Claims Specialist I will ensure timely and accurate processing of claims while managing additional... ...pended claims by entering data, reviewing contract benefits, and determining benefit eligibility...Contract workRemote workFull timeWork at office
- ...Claims Specialist The Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and... ...reviewing and interpreting contract benefits; conducting... ...in an office setting or remotely and routinely travels for...Contract workRemote workWork at office
$23 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...-Time position. This is a remote hybrid opportunity, after... ...Specialist will adjudicate pharmacy claims, review claim responses for... ..., PBM and Medical contracts, knowledge/understanding of...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$40 per hour
...Healthcare Staffing in Jericho, NY, is seeking a Claims Specialist for a remote-to-on-site opening. This full-time contract position offers a competitive hourly rate of... ...role involves managing appeal and dispute adjudication programs, liaising with various stakeholders,...Contract workRemote jobHourly payFull time$50k - $60k
...Revenue Cycle Specialist NOCD is the #1 telehealth... ...efforts. Full-time, Remote | 9:00 AM 5:30 PM CT,... ...managing the full insurance claims lifecyclefrom... ...medical billing, insurance adjudication, and payer-specific guidelines... ...to leadership for contract and process...Contract workRemote workFull timeWork at officeFlexible hours$75k - $140k
...- $140000.00 Job Category: Claims Description If you're looking... .... The Senior Claims Specialist works within a Claims Team navigating... ...who may work in office or remote depending on their location.... ...multi-part litigation, contract interpretation, and risk transfer...Contract workRemote workFull timeFor contractorsFor subcontractorWork at officeLocal area$40 per hour
Claims Specialist / Contract - Remote to Office-Based Setting - Jericho, NY (#25322A) Location: Remote to Office-Based Setting, Jericho, NY Employment... ..., fast‑paced environment managing appeal and dispute adjudication programs. Why Join Us? Competitive Compensation:...Contract workRemote jobHourly payFull timePrivate practiceWork at officeFlexible hours- Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The... ...will have a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent communication...Remote jobFlexible hours
$85.04k - $162.55k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...Opportunity As a dedicated Injury Claims Examiner (Central to West... ...evaluating, negotiating, and adjudicating claims in compliance with... ...understanding of the auto claims contract, investigation, evaluation,...Contract workRemote workFull timeH1bWork at office3 days per week- ...Providing exceptional customer service in a remote environment, the full-time Claims Specialist, Level 1 will efficiently process new claims requests, maintain... ...logs Provide high-quality customer service to contract holders and repair facilities Required Qualifications...Contract workRemote workFull timeWork at office
- ...Reviewing and determining claim requirements for initial and continuation claims, the full-time Claims Intake Specialist will assist Care Managers and Care Coordinators while providing... ...databases, client guidelines, and policy contract language to determine claim requirements...Contract workRemote workFull time
$18 per hour
...DATA is seeking to hire a Remote Claims Processing Associate to work... ...Medical Claims Processing Specialist Location: Remote-Work From... ...0 pm CT Employment Type: Contract to Hire In this Role... ...claims Prioritize work and adjudicate claims as per turnaround...Contract workRemote workHourly payWork from homeFlexible hoursShift work- Overview Location: Remote Duration: Long Term Contract Responsibilities 6+ years of experience in AS400 + Synon + Rx Claim. Experience in Rx CLAIM PBM application (Adjudication) is STRONGLY PREFERRED. Must have real work experience in Healthcare domain. Should be able to...Contract workRemote workLong term contractWork experience placement
$60 - $100 per hour
A claims referral partner is seeking a Claims Specialist to execute full-cycle claims tasks in a remote environment. The successful candidate will manage FNOL intake, simulate claims... ...communication skills. This hourly contract role offers flexible commitment options...Contract workRemote jobHourly pay10 hours per weekFlexible hours$20 - $22 per hour
*Claims Processor I* *Location: *Fresno, CA *Work Arrangement:* Remote after successful completion of onsite training Overview... ...have experience in claims adjudication, medical terminology, and healthcare... ...& Location* This is a Contract position based out of Fresno,...Contract workRemote workTemporary workWork at office$86.8k - $198k
...nation safe. As a Undersea Warfare Wargame Adjudicator, you'll bring your tactical expertise to... ..., and experience, as well as contract-specific affordability and organizational... ...to have their cameras on during meetings.Remote: If this position is listed as remote, there...Contract workRemote workFull timePart timeWork at officeLocal area- Claims Review Specialist / Medical Coding ** Largely Remote ** Our client, a Medical Center facility under the aegis of a California Public Ivy university and one... ...sponsorship *** *** Duration: 13 - 24 weeks contract with the possibility of extensions *** Notes: Hybrid...Contract workRemote jobTemporary work
- ...Claims Representative - Liability | BI and Premises Liability |... ...radius, the position will be remote. To process low level general... ...due; to ensure ongoing adjudication of claims within company standards... ...pursuant to the claim or client contract. Administers subrogation...Contract workRemote workWork at officeFlexible hours
$107.6k - $161.4k
Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance... ...with complex fact patterns requiring contract analysis, and coverage issues that may... ...Information This role can have a Hybrid or Remote work arrangement. Candidates who live...Contract workRemote workTemporary workFor contractorsHome office3 days per week$18.02 - $27.03 per hour
...lifestyle choices including remote work options. If you’re looking... ...at Banner Health. As a Claims Processor, your responsibilities... ...Knowledge and understanding of contracts with providers, CPT/HCPCS, excel... ...Functions Data-enters and adjudicates internal and external claims...Contract workRemote workWork experience placementMonday to FridayFlexible hoursShift work$20 per hour
...exclusive 8-spot cohort for Contact Center Senior Representatives to support our Claims Line of Business. Enjoy a primarily work-from-home setup, zero weekend shifts, competitive $20/hr pay, and contract-to-hire potential. To set you up for long-term success, you will complete...Contract workRemote jobWork from homeShift work$50k - $60k
...Claims Representative - Liability | BI and Premises Liability |... ...radius, the position will be remote. Primary Purpose Of The Role... ...benefits due; to ensure ongoing adjudication of claims within company... ...pursuant to the claim or client contract. Administers subrogation...Contract workRemote workWork at officeLocal areaFlexible hours$47k - $67.2k
...a full-time Pharmacy Post-Payment Claims Analyst to join its remote team across the United States. Offering... .... You’ll work with pharmacy data, adjudication systems, and client policies to... ...revenue cycle efficiency Review payer contracts and reimbursement trends to suggest...Contract workRemote jobPermanent employmentFull timeFlexible hours$23 per hour
...Employment • This position is fully remote. Candidates must be based in... .... Overview Our client is seeking a Claims Processor to review and adjudicate paper/electronic claims. Claims Processors... ...processing requirements based on contracts, policies and procedures. • Process...Contract workRemote workFull time$18 per hour
TEKsystems in Plano, TX is hiring for a contract-to-hire claims processor. The role centers on processing vehicle insurance claims, handling related... ...for first-shift hours (7:00 AM start). This fully remote position offers hourly pay of $18.00 and eligibility for benefits...Contract workRemote jobHourly payTemporary workLocal areaDay shift- Remote Medical Claims Processor I (Temporary role) Remote United States At Broadway Ventures , we... ...accuracy and compliance. Critical Analysis Adjudicate claims according to program guidelines... ...licensure, geographic work location, contract funding and budget. For positions...Contract workRemote jobTemporary workFor contractorsWork at officeMonday to FridayFlexible hours
$100k - $143k
...Job Description Location: Remote ERGO NEXT's mission is to... ...where you come in. As a Claims Specialist, you will be deemed a... ...policy document and legal contract interpretation Ability to... ...management as part of your ongoing adjudication of claims Manage,...Contract workRemote workFull timeLocal areaFlexible hours$67k - $85k
...Claims Team Lead - Workers Compensation By joining Sedgwick, you'll be part of something... ...direction to examiner reports on claims adjudication; and to maintain a diary on claims in... ...with audit requirements, service contract requirements, and quality standards....Contract workRemote jobWork at officeFlexible hours- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote jobFlexible hours
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