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
$78.63k - $105k
...Quality Assurance AnalystUSA Remote - Nashville, TN 37203OverviewPosition... ...is the leader in healthcare workforce solutions. We help... ...OverviewThis position is for a Senior QA Analyst.Key ResponsibilitiesYou will... ...receive a suspicious message claiming to be from HealthStream,...Remote workClaimsFull timeShift work- ...IT Healthcare Consultant – Quality Assurance AnalystAdvanced Work Type: Hybrid (3 days onsite / 2 remote) Location: Columbia, SC (Must be SC resident or... ...requirements into detailed QA and UAT scenarios • Build... ...preferably Medicaid (eligibility, claims, enrollment, etc.) •...Remote workClaimsContract workRelocation
- 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- ...Quality Assurance Analyst - AdvancedLocation: Columbia SC 29201On-site/Remote/Hybrid: OnsiteDuration: 12... ...enrollment, eligibility, and claims processing and their... ....• Develop test plans, QA and/or User Acceptance... ...technical, business, or healthcare field. Or equivalent...Remote workClaims
- ...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
- A leading healthcare services provider is seeking a Claims Resolution Specialist (Insurance Biller) to work from home. The ideal candidate will have strong computer skills, excellent communication abilities, and attention to detail. This role will involve working with...Remote workClaimsFull timeWork from homeMonday to Friday
- ...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
$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- 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
- ...Remote Medical Billers 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 Healthcare Administration...Remote workClaimsFull timePart timeFor contractorsWork from homeFlexible hours
$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- ...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
- ...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
- ...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
- ...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
- ...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
- ...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
- ...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
- ...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
- At least 5 years Medicaid/Healthcare/Insurance industry experience required. Must have in-depth Medicaid claims knowledge. Bachelor's Degree in Business, IT, Engineering, or other relevant field (Required). Advanced Degree in Business (Preferred).Remote workClaims
- 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
- ...involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The ideal candidate will... ...enjoying the flexibility of a primarily remote work environment. If you are passionate about...Remote workClaims
- 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$20 - $25 per hour
A leading provider of home healthcare solutions is seeking a Home Infusion Reimbursement Coordinator... ...billing procedures, resolve complex claims, and ensure compliance with regulations.... ...strong problem-solving abilities. This remote full-time position offers a competitive...Remote workClaimsFull time- ...& 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
- ...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
- ...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
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