Remote Medical Claims Adjudication Specialist
Evry Health
- Remote job
Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The ideal candidate will have a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent communication skills, and familiarity with medical terminology. Benefits include a competitive salary, comprehensive insurance, and flexible work arrangements. #J-18808-Ljbffr Evry Health
$23 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...Full-Time position. This is a remote hybrid opportunity, after... ...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- Visa Hunt is seeking an experienced claims adjudication specialist to review and process medical claims in a remote team. You will apply plan benefits, COB rules, and contractual terms to approve, pend, or deny claims while maintaining quality standards. This role supports...Remote jobMedical
- ...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 investigations and communications as needed. Key responsibilities Process and resolve pended...Remote workMedicalFull timeContract workWork at office
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- ...Claims Specialist The Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and accurate manner according to... ...normally works in an office setting or remotely and routinely travels for work within...Remote workMedicalContract workWork at office
$18 per hour
A global innovator in business services is seeking a Medical Claims Processor in Texas for a remote role. The position requires 2 years of healthcare claims processing and proficiency in Windows applications. Responsibilities include processing claims accurately and adhering...Remote jobMedicalHourly pay$18 per hour
...in business and technology services is looking for a Healthcare Claims Processor in Wisconsin. The role involves processing claims and... ...requires effective communication and the ability to manage time in a remote work environment. The pay rate is $18.00 per hour, and training...Remote jobMedicalHourly pay$40 per hour
Claims Specialist / Contract - Remote to Office-Based Setting - Jericho, NY (#25322A) Location: Remote to Office... ...managing appeal and dispute adjudication programs. Why Join Us? Competitive... ...to work collaboratively with peers, medical staff, analytical teams, and administrative...Remote jobMedicalHourly payFull timeContract workPrivate practiceWork at officeFlexible hours- ...Compensation, the full-time hybrid Workers Compensation Claims Specialist will manage operational excellence of the Workers' Compensation... ...experience required Demonstrated knowledge in claim adjudication, medical management, and litigation management Strong written and...Remote workMedicalFull time
$55k - $60k
...review and processing of claims within the claims... ...procedures related to claim adjudication. Audit auto-... ...a minimum of 3 years' medical claim adjudication/examination... .... Certified Coding Specialist (CCS) or Certified Coding... ...This is a remote position. Our whole company...Remote workMedicalLive inWork at officeFlexible hoursWeekday work$49.7k - $88.8k
...This position is National Remote. You'll enjoy the flexibility... ...As a Long-Term Disability Claims Specialist , your primary responsibilities... ..., and reviewing for ongoing medical, vocational, and financial... ...negotiating, processing, and adjudicating Long Term Disability claims...Remote workMedicalMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayShift work- ...Senior Claims Specialist Trillium Health Resources is a Tailored Plan... ...analysis, auditing and finalizes adjudication results for claims... ...and audit claim attachments/medical documentation necessary to appropriately... ...~ Quarterly stipend for remote work supplies...Remote workMedicalLocal areaImmediate startWork from homeFlexible hours
- ...Description Summary Review claims to ensure accurate coding, appropriate... ...and payer guidelines. Adjudicate claims to pay, deny, or pend... .... Review and adjudicate medical claims submitted by healthcare... ..., 8:30-5 schedule This is a remote role that can be done from most...Remote workMedicalFull timeWork at officeMonday to FridayFlexible hours
$27.52 per hour
...Position Summary The Claims Technical Review Specialist provides advanced technical review of all types... ...with local union offices, medical service providers, employers, and members... ...benefits claims processing and claims adjudication principles and procedures....Remote workMedicalLocal area- ...NTT DATA Americas is seeking a Medical Claims Processor to work remotely in the United States. This entry to mid-level role handles processing of professional... ...with Windows-based tools, and experience with claims adjudication systems. This remote position offers benefits and an...Remote workMedical
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...Revenue Cycle Specialist NOCD is the #1 telehealth provider... ...efforts. Full-time, Remote | 9:00 AM 5:30 PM CT, MondayFriday... ...the full insurance claims lifecyclefrom eligibility... ...a strong foundation in medical billing, insurance adjudication, and payer-specific guidelines...Remote workMedicalFull timeContract workWork at officeFlexible hours- TCH Medical Center is seeking a Claims Examiner to support our growing team. You will process and adjudicate claims for reimbursement to Providers based on our detailed claim processing procedures. You will thoroughly review, investigate, and adjudicate claims daily, aiming...Medical
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## Workers' Compensation Claims Specialist (REMOTE - AZ, CO, WV, SD)Applylocations: West Des Moines... ...* Generates checks for indemnity and medical payments daily.* Develops and monitors... ...procedures. They will possess the ability to adjudicate lost time claims across multiple...Remote jobMedicalFull timeWork experience placement- ...established industry player is seeking a Medical Review Nurse to join their dynamic... .... This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards... ...the flexibility of a primarily remote work environment. If you are passionate...Remote jobMedical
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Tata Consultancy Services is seeking a Claims Manager to handle Absence case management and adjudication of claims. You will analyze claims, review medical information, and determine benefits due according to US regulations. The ideal candidate will have over 1 year of...Medical$70k - $100k
...Job Title ~ Claims Operations Specialist Location ~1010 Northern Blvd.... ...– 3 days in office/2 days remote Reports to ~ Senior... ...conduct pre- and post-payment adjudication audits on claim matters to... ...a plus Benefits ~ Medical (PPO), dental (PPO),...Remote workMedicalFull timeCasual workWork at officeMonday to FridayFlexible hours- Tata Consultancy Services is seeking a claims professional to manage absence cases, adjudicate FMLA/PFL claims, and determine benefits based on medical documentation and applicable regulations. The role requires reviewing medical records and communicating decisions to...Medical
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Tata Consultancy Services in McKinney, Texas is looking for a Claims Adjudicator to manage absence case management based on medical documentation. Your responsibilities will include approving or denying claims, analyzing medical information, and communicating with clients...Medical$100k
...the unique coverage and claims-handling needs of... ...Defect Technical Claims Specialist Employment Type: Full-... ...Location: In-Officeor Remote Summary We are looking... ...VT. This role will be adjudicating our most complex construction... ...denial of family and medical care leave, disability...Remote workMedicalFull timeLocal area$17.34 - $21.34 per hour
...Claims Processor Pay Range: $17.34hr - $21.34hr The Claims Processor is responsible for examining, researching, and resolving non-adjudicated claims to ensure accurate and timely processing in accordance with medical policies, contracts, and procedures. The role...Remote workMedical- Tata Consultancy Services in Marietta, GA is seeking a Claims Adjudicator specializing in Absence case management. This role involves managing... ...Family Leave claims and determining benefits due based on medical documentation. The ideal candidate will possess strong...Medical
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