Remote Repricing QA Analyst I - Healthcare Claims
$19.21 - $28.73 per hourCorVel Corporation
- Remote job
CorVel Corporation is seeking a Repricing Quality Assurance Analyst to ensure accuracy and compliance in repricing audit data. This remote position requires analyzing processes and collaborating with internal teams to enhance operational effectiveness. Ideal candidates will have at least 5 years in medical/insurance repricing and strong analytical skills. The role offers a competitive pay range of $19.21 - $28.73 per hour, along with various benefits including medical, dental, and a 401(k). #J-18808-Ljbffr CorVel Corporation
- Fully Remote • Springfield, ILDescriptionAt CSpring, we believe in... ...direct downstream effect on how healthcare information reaches the people... ...real communication between QA engineers, ETL developers, and... ...healthcare data standards (837/835 claims, ICD-9/10, CPT, HL7)Bachelor's...Remote workClaims
- Allied Benefit Systems, LLC is seeking a Claims Repricing Specialist to reprice medical and dental claims remotely. The role requires accurate data entry, familiarity with CMS1500/UB04, and proficiency in Word/Excel/Outlook. You will coordinate with teams to resolve issues...Remote jobClaimsFlexible hours
$19.21 - $28.73 per hour
...Job Description The Repricing Quality Assurance Analyst is responsible for... ...satisfaction. This is a remote position.... ...Develop and implement QA policies and procedures... ...understanding of repricing claims processing, and... ...Knowledge of healthcare revenue cycle and reimbursement...Remote workClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Functionalities of Facets which includes Membership, Provider Management, Claim Processing, Billing, Plan/Product, NetworX Pricing, Customer... ...effective at reporting status on tasks daily.Experience with Healthcare domain..Ability to work in team environment and client...ClaimsPermanent employmentFull timeH1b
- ...To support a growing healthcare startup, the full-time Medical Biller will manage medical claims submissions, resolve billing issues, and assist with credentialing processes while working remotely. Key Responsibilities Submit and manage medical claims accurately and in...Remote workClaimsFull time
- PLEXIS Healthcare Systems Inc a progressive software development company in Medford OR is looking... ...to hire an enthusiastic and experienced QA Analyst The candidate must be local to the... ...methodologiesExperience in the healthcare payer claims processing industryHands on experience...ClaimsWork at officeLocal areaWork from homeFlexible hoursWeekend workAfternoon shift
- ...To support a growing healthcare initiative, the remote Claims Processor will manage the timely and accurate processing of insurance claims and appeals, ensuring member satisfaction through effective communication and issue resolution. Key responsibilities Ensure timely...Remote workClaims
$60.47k - $80.39k
PLEXIS Healthcare Systems, Inc., a progressive software development company in Medford, OR,... ...to hire an enthusiastic and experienced QA Analyst. The candidate must be local to the Southern... ...Experience in the healthcare payer claims processing industry Hands-on experience...ClaimsFull timeWork at officeLocal areaWork from homeFlexible hoursWeekend workAfternoon shift- Payment Integrity Analyst III - QA Analyst Job Category : CERIS Requisition Number :... ...accurately reviewing pre and post pay claim audits based on client, policy,... ...initiatives; researching various healthcare policies. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
- ...organizations overcome language barriers across the healthcare, legal, customer service, and social... ...-the-Phone Interpretation (OPI), Video Remote Interpretation (VRI), On-Site... ...Global is seeking a Quality Assurance (QA) Analyst to monitor interpreter performance, ensure...Remote work
- ...patients with payments, billing education, insurance verification, and claims‑related inquiries. This remote role emphasizes empathetic, accurate, and compliant service while navigating complex healthcare billing systems and policies. Responsibilities include processing...Remote jobClaims
$45k - $70k
...Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... ...Apple equipment and a media stipend for remote workspace. Company Commitment We are... .... We process over 200,000 insurance claims annually for leading national and regional...Remote workClaimsTemporary workWork at officeWork from home- ...Remote Medical Biller Company: Rooted Talent Solutions Location: Remote (Work From... ...with long-term growth potential in healthcare? We are currently seeking both experienced... ...Revenue Cycle Management Insurance Claims Processing Medical Coding Healthcare...Remote workClaimsFull timePart timeFor contractorsWork from homeFlexible hours
- ...Proficiency in test automation design using Selenium or Sahi Pro automation frameworks. Experience with healthcare EDI transaction standards including HIPAA X12 and claims processing systems. Experience in formal test design techniques including Equivalence...Claims
- ...6-09-02Surgical Coder - PHYSAt Piedmont Healthcare, you'll love a shared purpose, be motivated... ...medical necessity. Audits orders and claims before submission for entirety and accuracy... ...coding across multiple specialties and remote coding experience is PreferredLicenses...Remote workClaims
- ...to start an exhilarating experience in healthcare? Pick up the phone and call Global Medical... ...read Annual average of 24k RVUs Remote teleradiology opportunity Competitive... ...paid travel and housing Paid AAA-rated claims made malpractice Licensing assistance...Remote workClaimsWork visaDay shift
- ...Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions... ...with long-term growth potential in healthcare? We are currently seeking both... ...Revenue Cycle Management • Insurance Claims Processing • Medical Coding • Healthcare...Remote workClaimsFull timeContract workPart timeFor contractorsWork from homeFlexible hours
- ...schedule About the Role: APremium Healthcare Solution, LLC is looking for a detail-oriented... ...: Process and submit medical claims to insurance carriers accurately and in... ...where every team member is valued and empowered to grow. This is a remote position....Remote workClaimsWork at officeFlexible hours
$20 - $21 per hour
...Category: Operations POSITION SUMMARY The Repricing Specialist I is responsible for re-pricing medical (CMS1500, UB04) and dental claims through the use of multiple applications to... ...and computer work WORK ENVIRONMENT Remote Here at Allied, we believe that great talent...Remote workClaimsHourly payWork experience placementWork from home- ...vulnerable populations, safeguard the quality of care, and influence healthcare outcomes on a meaningful scale. Enjoy the freedom of working... ...review, case management, quality improvement, compliance, or claims review is a plus—but not required.Why Join Us:Mission-driven...Remote workClaimsWork from home
- A healthcare organization is seeking a remote Billing Analyst to assist with pre-bill audits and manage patient data entry. The ideal candidate will have strong interpersonal communication skills, a commitment to quality and integrity, and be adept in a collaborative setting...Remote workClaims
$85k - $110k
...BenefitsA rapidly growing multi-specialty healthcare organization is seeking a Physician... ...broader Northern California region. This is a remote, field-based role with daily local... ...Personal injury case management Insurance claims adjusting Legal or plaintiff-side injury...Remote workClaimsLocal area- ...& apply policy guidelines and healthcare terminology and delineate when... ...criteria are/are not met. Evaluates claims for conflict of interest and... ...as an additional level of QA and clinical knowledge/review... ...plus. Experience working in a remote environment is preferred. Experience...Remote workClaimsExtra incomeFreelanceWork at office
- ...you are currently employed at Piedmont Healthcare, please click the “Current Employee” button... ...medical necessity. Audits orders and claims before submission for accuracy and to minimize... ...Required Coding experience Preferred Remote coding experience is Preferred Licenses...Remote workClaimsWork at office
- ...looking for a Medical Review Nurse to perform medical claims audits for government clients. This remote position requires expertise in coding and a minimum... ...in a dynamic environment, focusing on improving healthcare outcomes. The ideal candidate will possess strong...Remote workClaims
- ...Support Center, based in Portsmouth, NH. Remote opportunities available for residents of... ...is responsible for resolving aging claims, working denials, overseeing secondary claims... ...with patients, insurance providers, and healthcare systems. Demonstrate effective call...Remote workClaimsFull time
- Career Strategies is seeking a Claims Specialist/Analyst to be a customer-facing role in a Health Organization... ...The position is hybrid; most work is remote, but you must reside in the Los... .... Requires bachelor’s degree in healthcare-related field and 4+ years in claims...Remote workClaims
$62.4k
..., and joint pain. Full-Time Fully Remote Medical Billing and Revenue Cycle Management... ...eager to be part of an innovative healthcare startup? Protera Health is seeking a... ...operations. You will be responsible for ensuring claims are accurately submitted and followed...Remote workClaimsFull timeWork from homeShift work- ...A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation, ensuring quality medical...Remote workClaimsFull time
- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing...Remote workClaimsFull time
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