Remote Health Claims Specialist - Medicare/Medicaid Focus
Revecore
- Remote job
Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers, ensuring maximum payment from commercial payers, Medicare, and Medicaid. You will pursue unresolved claims and contribute denial reports and audits to the team. The role is remote with US residency, starts with 8–10 days of instructor-led training, and requires experience with UB04/HCFA forms, EPIC, and Microsoft Office. #J-18808-Ljbffr Revecore
- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. This remote role requires reliable home office setup, on-camera participation, and strict eligibility to work in the U.S. The position includes...Remote jobHome office
- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance... ...payments from commercial insurers, Medicare, and Medicaid while supporting the team with... ...comprehensive training, remote work setup, and a focus on productivity metrics in a fast...Remote job
- Revecore is hiring a Health Claims Specialist to bill and investigate health insurance claims... ...medical providers. You will work remotely across the United States, focusing on maximizing payments from commercial, Medicare, and Medicaid payers. The role requires experience...Remote job
$76k - $140k
...work. Job Summary The Health Insurance Claims Specialist role will support... ...payer-provider contracts, Medicare/Medicaid rules and regulations, and... ...litigation support with focus on managed care or regulatory... ...$76,000 - $120,000 Other US locations #Remote...Remote workFull time- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals... ...payments from commercial payers, Medicare, and Medicaid while meeting productivity targets. The position is remote within the United States and includes comprehensive...Remote job
- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims... ...research claims across commercial, Medicare, and Medicaid to maximize payments while following... ...camera presence as part of our culture. Remote role requiring US residency and CST...Remote job
- Revecore in the United States is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and providers... ...will research and resolve claims across commercial, Medicare, and Medicaid, and ensure accurate UB04/HCFA filing with subrogation...Remote job
- Revecore seeks a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. You will work remotely, handle claims for commercial health, Medicare, and Medicaid, and strive to maximize client payments while following up...Remote job
$69.39k - $84.81k
...actively seeking a talented Senior Supplemental Health Claims Specialist to join our Team in Omaha, NE or remote in Tennessee. As a Senior Supplemental Health... ...evolving regulations to maintain compliant and customer-focused claims practices. Demonstrate a high level of...Remote workFull timeFlexible hours- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals... ...providers across the U.S., with remote work. You’ll maximize payments from commercial insurers, Medicare and Medicaid, and contribute to denial reports and audits...Remote work
- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims... ...You will research commercial health, Medicare, and Medicaid claims, perform follow-up to secure... ...-led, interactive activities. Remote work is available. Proficiency in EPIC...Remote jobWork at office
- Sutherland is hiring remote support specialists to assist one of our largest health insurance customers. You will handle claims, authorizations, eligibility verifications, and education... ...5 PM EST role with paid training and a focus on accurate, timely information. Ideal...Remote jobWeekday work
- ...individuals to our team!Schedule (remote): Monday - FridayHours: 8:00... ...opportunities from within.The Claims Specialist performs electronic billing/... ...including but not limited to: Medicaid, government programs, private and Medicare for health center. Resolves all insurance...Remote work
$65k - $88.6k
...Care Manager, Behavioral Health assesses and evaluates... ...to an organization focused on continuously improving... ...work directly with LDH’s Medicaid Division cannot be... ...Travel: While this is a remote position, occasional travel... ...life for people with Medicare and Medicaid, families,...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- Gainwell Technologies LLC is seeking a Business Analyst - Medicaid Claims to join our team and help improve health outcomes through technology. You will analyze and... ...implemented effectively. This role offers fully remote options from Contiguous US locations and a...Remote job
- Crowell & Moring LLP is seeking a Health Insurance Claims Specialist to support attorneys by reviewing claim files, summarizing facts, and guiding liability analyses. The role focuses on payor/provider disputes, medical necessity, and data-driven claim assessments. The...Remote job
$88.8k - $184.46k
...or in the future.Milliman’s CMH Health Practice is seeking a consultant with strong Medicaid managed-care experience to lead... ...and in a team environmentClient focused and results-oriented Ambition and... ...Milwaukee, Chicago, or Harford office. Remote candidates will be considered....Remote workFull timeTemporary workWork experience placementWork at officeFlexible hours$26.5k - $37.8k
...Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support... ...reimbursement. This role focuses on third-party billing,... ...ensuring compliance with Medicaid and payer guidelines. You... ...employer match, comprehensive health benefits, and educational...Remote jobFull timeWork at officeFlexible hoursShift work- Remedial Pro in Boca Raton, FL seeks a Charge Entry / Billing Specialist to handle behavioral health billing duties, including entering charges, rebilling, and resubmitting denials in a fast-paced setting. Ideal candidates bring 3+ years of experience in substance abuse...Remote job
- ...seeking a detail-oriented Healthcare Claims Specialist with behavioral health billing experience to join a busy... ...claims department in Phoenix. The role focuses on eligibility verification, claims... ...has hands-on experience with Medicaid billing, CPT/HCPCS codes, and proficient...Contract work
$22 - $24 per hour
...specializes in behavioral health revenue cycle... ...efficiency, and focus on delivering... ...Charge Entry / Billing Specialist Behavioral Health... ...rebilling and corrected claims submission Hands-... ...Experience with Medicaid billing rules for... ...Paid time off Remote #J-18808-Ljbffr Southeast...Remote workShift work$131 per hour
...Job Description Licensed Mental Health Therapist \n Up to $131/hour | Flexible Schedule | Remote Pay & Flexibility \n \n \n Hourly Pay: Up to... ...Insurance Access: Work with major plans, including Medicare Advantage and Medicaid \n Benefits \n \n \n Fast Client...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours$55.6k - $79.4k
Gainwell Technologies LLC is hiring a Business Analyst for Medicaid Claims. The role focuses on analyzing and improving healthcare business processes,... ...in claims, and strong Excel/data analysis skills. Fully remote from contiguous US locations; salary ranges from $55,600...Remote job$84.38k - $135k
...Work from Home Work Arrangement:Remote : Work at home employee... ...Underwriter on the Specialty Health team, you will underwrite new... ...participation, benefit design, claims experience, and other underwriting... ...version of a successful future. We focus on identifying a clear path to...Remote workWork experience placementWork at officeWork from homeRelocation package$31.68 - $47.05 per hour
Description This is a remote role. Responsible for... ...and timely insurance claims (electronic and manual... ...regulatory payers (including Medicare, Medicaid, L&I, VA, Crime... ...our culture of patient-focused, whole-person care built... ...Management or health care administration....Remote jobMinimum wageFull timeLocal areaShift work- ...UnitedHealth Group is seeking a Behavioral Health Care Advocate to join our remote team. This role conducts telephonic... ...will work from a home office with a Monday-Friday CST schedule, focusing on outpatient services across commercial, Medicaid and Medicare #J-18808-LjbffrRemote workWork from homeHome officeMonday to Friday
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist... ...$61,546 Office Location: Remote within North Carolina POSTING... ...Make an Impact Trillium Health Resources is a Tailored Plan... ...established by CMS, and NC Medicaid as well as Trillium policies...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$20 per hour
...Medical Claims Specialist II (COB & Medicare Coordination) Remote Work Pay: $20/hr 5-Month Contract We are seeking an experienced Medical Claims Specialist... ...and recovering overpayments Healthcare payer or health insurance industry experience Pay & Assignment...Remote workHourly payFull timeContract workWork at office- ...Centauri Health Solutions, Inc. is hiring a Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate). The role focuses on empathetic member support to determine eligibility for Medicaid, MSP, and LIS, while ensuring accurate enrollment and adherence to HIPAA...Remote workMonday to Friday
- Miami Jewish Health is seeking a Claims Adjudicator to adjudicate medical and non-medical provider claims... ...enrollments/disenrollments to Florida Medicaid and CMS. This role supports revenue and expense processes, including Medicare rate tables and accruals across multiple...
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