Remote Medicaid Claims Resolution Specialist
Tri-anim
Digitech is seeking a Medicaid Account Resolution Specialist to resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow‑up. The role requires meticulous attention to detail, the ability to manage multiple priorities, and commitment to high‑quality service for clients and patients. Responsibilities include reviewing pending/denied claims, identifying hold reasons, submitting documentation or appeals, and maintaining detailed records in the billing system while #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medicaid Claims Resolution Specialist in Brooklyn, NY vacancy
- ...Sarnova HC, LLC is seeking a Medicaid Account Resolution Specialist for Digitech with 100% remote work. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle. The role requires attention to...Remote work
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation... ...and efficiently. *This is a remote role. We are only hiring in the... .... Maintain knowledge of Medicare, Medicaid, Workers' Compensation, and Commercial...Remote workHourly pay$67k - $75k
Healthcare Claims Resolution Specialist Fully Remote $67,000-$75,000 annually Monday-Friday | Full-Time Temp-to-Hire... ...healthcare setting. ~Strong knowledge of Medicare, Medicaid, and commercial payer policies. ~Experience handling...Remote workFull timeContract workTemporary workLocal areaMonday to Friday- ...Claims Resolution Specialist (Remote) Denials * Appeals * Revenue Cycle * Reimbursement * Medical Billing * Insurance Claims Location: Fully Remote... ..., and formal appeals. Contact Medicare, Medicaid, Managed Care, Commercial, and Government payers regarding...Remote workFull timeContract workWork at officeLocal area
$26.5k - $37.8k
...and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts... ...follow-up, and appeals while ensuring compliance with Medicaid and payer guidelines. You will play a key role in maximizing...Remote workFull timeWork at officeFlexible hoursShift work- ...is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on... ...thorough documentation in billing systems. This remote position operates Monday through Friday during...Remote jobMonday to Friday
- ...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 workPart timeWork experience placementWork at officeMonday to FridayShift work
- ...Job Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections... ...are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA,...Remote work
- ...Digitech is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. The role requires... ...the ability to handle a high-volume workload in a remote work environment. The position operates Monday through...Remote workMonday to Friday
- ...Transportation Claims Resolution Specialist: APD Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to... ...a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv, we value diversity in backgrounds...Remote job
- CalOptima Health is seeking a Claims Resolution Specialist (Customer Service) to join the Claims Administration team. This role supports providers on claims payments and resolutions, with telework options and California-based on-site needs for partial telework arrangements...Remote job
- CorroHealth Inc. is hiring for a remote, US-based billing claims specialist operating in Hawaii time zone. The role focuses on resolving complex LTC, SNF, and ICF claims, submitting to Medicare, Medicaid, and private payers, and ensuring regulatory compliance. The position...Remote job
- Humana is seeking a Claims Research & Resolution Representative 2 to join a remote team that handles customer contact, investigation, and resolution of claims and related financial issues. The role involves semi-routine, call center tasks and intermediate math, with training...Remote job
- Trillium Health Resources is seeking a Claims Specialist II to join our North Carolina team.... ...review of claim adjudication per CMS, NC Medicaid, and Trillium policies. The person... ...stakeholders to facilitate efficient resolution. #J-18808-Ljbffr Trillium Health ResourcesRemote job
- Root Insurance is seeking an Early Injury Resolution Adjuster to help enforce fairness in auto claims across the United States. You’ll evaluate coverage, liability... ...an efficient, empathetic claims process. In this remote role, you will manage complex personal auto claims...Remote work
- Tampa General Hospital is seeking a Claims Resolution Specialist I to ensure timely submission, follow-up, and resolution of third-party insurance... ...and regulations. The position is part-time with hybrid remote eligibility in the Tampa area. Qualified candidates will have...Remote jobPart time
- ...based environment reviewing provider correspondence and disputes. You will review case details, claims information, documentation, and established processes to determine resolution steps. You will research provider concerns, document case activity, generate required system...Remote jobWork at office
- Humana is seeking a Claims Research & Resolution Representative 2 to join our remote-capable team. You will handle inbound calls, investigate and resolve claims and related financial issues, and maintain accurate notes across systems. Training starts day one with 8 weeks...Remote jobFlexible hours
$40k - $52.3k
Become a part of our caring community The Claims Research & Resolution Representative 2 manages claims... ...computations. This is an opportunity to work remotely and use your research, resolution and... ...of life for people with Medicare and Medicaid, families, individuals, military...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work- Humana is seeking a Claims Research & Resolution Representative 2 to manage calls, investigations, and resolutions of claims and related financial issues. This remote-friendly role involves semi-routine workload, intermediate math, and working within Humana's values of...Remote job
- Humana is seeking a Claims Research & Resolution Representative 2 to join our remote team. You will handle inbound calls, investigate claims, and resolve financial issues while maintaining compliance and high service standards. The role emphasizes semi-routine tasks with...Remote job
- US Acute Care Solutions seeks an AR Research & Resolution Representative to research and resolve claims, maximize cash collections, and minimize denials. This remote role supports hospitals and payer communications while upholding our values. The position requires knowledge...Remote job
- Humana is seeking a Claims Research & Resolution Representative 2 to support claim investigations and customer interactions. The role emphasizes remote work, confidentiality, and multi-system use to resolve financial issues with accuracy. Responsibilities include inbound...Remote job
- Humana is seeking a Claims Research & Resolution Representative 2 to remotely manage claims operations, contact customers, investigate issues and resolve claims or related financial matters. The role involves semi-routine call center tasks, administrative duties, and skilled...Remote job
- Humana is seeking a Claims Research & Resolution Representative 2 to work remotely in the United States. You will manage inbound calls, investigate claims and coordinate resolutions, using multiple systems to ensure accurate outcomes. Training is extensive, with an 8-week...Remote job
- Humana is hiring a Claims Research & Resolution Representative 2 to manage claims, investigate, and resolve financial issues. This remote role supports a Fortune 100 company with a strong culture and benefits, requiring handling semi-routine tasks and intermediate math...Remote jobWork at officeShift work
- Humana is seeking a Claims Research & Resolution Representative 2 to join a remote team focused on researching and resolving claims and related financial issues. The role involves inbound calls, some outbound follow-ups, and strict attention to documentation, compliance...Remote job
- Humana is hiring a Claims Research & Resolution Representative 2 to handle inbound calls, investigate and resolve claims and related financial issues. This remote role supports a Fortune 100 company with strong benefits and ongoing professional development. Training is...Remote job
- Humana is seeking a Claims Research & Resolution Representative 2 to manage claims operations from home. You will handle inbound calls, investigate... ...software systems. Training is provided and a stable remote position with growth opportunities is offered. #J-18808-Ljbffr...Remote job
- Humana Inc. is seeking a Claims Research & Resolution Professional 2 to manage claims operations, including customer contact, investigation, and... ...interpreting actions within established guidelines. The position is remote, with occasional travel to Humana offices for training or...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicaid Claims Resolution Specialist. Be the first to apply!
Related searches
- claim examiner Brooklyn, NY
- claims specialist remote Brooklyn, NY
- claims assistant workers compensation Brooklyn, NY
- senior claims specialist Brooklyn, NY
- claims analyst Brooklyn, NY
- medical insurance claims specialist Brooklyn, NY
- claim specialist Brooklyn, NY
- life insurance claim analyst Brooklyn, NY
- claim representative (remote) Brooklyn, NY
- insurance claims processor Brooklyn, NY


