Remote Health Claims Specialist - Maximize Hospital Payments
Revecore
- Remote job
Revecore is seeking a Health Claims Specialist to bill and investigate health insurance claims for hospitals and medical providers. You will maximize payments from insurers, work with commercial, Medicare, and Medicaid claims, and contribute to denial reports and audits. The role offers an 8–10 day training, equipment provided, and a performance-driven environment. Candidates must reside in the United States and complete a background check. #J-18808-Ljbffr Revecore
$21.66 - $27.51 per hour
Baptist Health is the region's largest not-for-profit... ...organization, with 12 hospitals, over 29,000 employees,... ...assigned portfolio to maximize reimbursement potential... ...collections, refunds, payment remittance advices from... ...regulations including UB04 ;1500 claim form requirements ; MN...Remote jobWork at office- ...Medical Claims Specialist JOIN OUR GROWING CLAIMS DEPARTMENT... ...(physician and hospital) bills that involve motor... ...claim submission and payment, including updating insurances... ...or GED required ~ Health Information Management... ...role) OR Ohio (fully remote) Why Medlytix ?...Remote work
- Lifepoint Health is seeking a remote Patient Financial Services Representative to support insurance claims and follow up on payments for hospital services. You will work to resolve Medicare rejections, rekey data in the DDE system, and maintain knowledge of CMS billing...Remote job
$100k
...seeking an experienced Senior Claims Analyst with deep expertise in hospital claims adjudication,... ...skills. This is a remote role. Key Responsibilities... ...regarding claim payment accuracy. ~ Prepare... ...(CPC), Certified Coding Specialist (CCS), Certified Medical...Remote workFull timeContract work- ...High Dollar Review Specialist Brighton Health Plan Solutions REMOTE- 100% FULL TIME The full job description... ...Specialist to review high dollar claims for appropriate and accurate billing... .... Familiarity with hospital billing systems and methodologies...Remote workFull timeFlexible hours
$36.4k
...Revecore, our work helps hospitals recover the revenue... ...Plan As a Health Claims Specialist at Revecore, you will... ...claims to ensure maximum payment from insurance companies... ...Medicaid, ensuring maximized payments to our clients... ...check Location: Remote Must reside in...Remote workFull timeTemporary workWork at officeWork from home$5,000 per month
Reliance Matrix is seeking a Supplemental Health Claims Examiner I to evaluate Wellness, Accident, Critical Illness, and Hospital Indemnity claims in a fast-paced environment... ...eligibility, calculate benefits, and process payments up to $5,000 while delivering respectful...Remote job$110k
...Description About Highlight Health If you have spent time in payment integrity, you know the... .... We review high-dollar claims before they are paid,... ...review, payment integrity, hospital billing, and reimbursement... ...Philadelphia area preferred, but remote work is possible for a...Remote workFull timeTemporary workWork at officeWork from home2 days per week$60 - $80 per hour
We are seeking a fully remote Medical Malpractice Complex Claims Associate:Description1)Manages... ...and authorizing payments within scope of authority... ...Critical Illness, Accident, and Hospital 401(k) Retirement Plan... ...and long-term disability Health Spending Account (HSA) Transportation...Remote workContract workTemporary workWork at officeLocal area$20 - $25 per hour
...Claims Referral Specialist II (Remote - Eastern Time Zone State)Bring Your Dental Claims Expertise to a Mission... ...are committed to improving the oral health of the communities we serve through... ...including accident, critical illness, and hospital indemnity insurance.Long-term...Remote workWork at officeImmediate startRelocationVisa sponsorshipFlexible hours$40.04k - $54.04k
...assigned* The Supplemental Health Claims Examiner I evaluates and... ...Accident, Critical Illness, and Hospital Indemnity benefits. The goal... ...law. Authorizes claim payments up to $5,000. Determines... ...employment depends solely on your qualifications. #LI-Remote #LI-MR1...Remote workHourly payFull timeContract workWork experience placementWork at officeImmediate startFlexible hoursShift work- TruBridge is seeking a dedicated Institutional & ProFee Claim Biller - Commercial to manage day-to-day billing operations for Critical Access Hospital and Rural Health Clinic providers in New Hampshire. You will oversee patient billing, third-party payer relations, and...Remote job
- Lifepoint Health is seeking a Patient Financial Services Representative to support hospital billing and claims processing. The role focuses on insurance claims submission, timely follow-up, and accurate billing for patient services. As part of the Health Support Center...Remote job
$84.38k - $135k
...Home Work Arrangement:Remote : Work at home employee... ...Underwriter on the Specialty Health team, you will... ...Critical Illness, and Hospital Indemnity) products. You... ...participation, benefit design, claims experience, and other... ...applicants to provide payment during the hiring...Remote workWork experience placementWork at officeWork from homeRelocation package$71.03k
AHCCCS Arizona Health Care Cost Containment System Accountability... ..., including remote work opportunities.... ...dynamic and dedicated team. Claims Medical Review Nursing... ...approving or denying payment of medical and/or... ...Determine appropriate hospital levels of care and lengths...Remote workFull timePart timeInternshipWork from homeFlexible hours- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, document determinations, and maintain screening criteria. This multifaceted role offers telecommuting from anywhere in the U.S. and...Remote job
- EPIC CLAIMS & REMITTANCE APPLICATIONS ANALYSTCategory: Information... ...administrative users, vendors, hospital management/administration, and... ...This position is eligible for remote work; however, candidates must... ...Mission: We heal people, promote health and strengthen communities.Our...Remote workFull timePart time
$17 - $23 per hour
...We are seeking a Billing Specialist with collections experience... ...party payors and patients, maximizing re-imbursement of services provided... ...to achieve established hospital goals. Responsible for accurate... ...data entry of charges, payments, adjustments and other...Hourly payPart timeWork at officeLocal areaFlexible hours- ...Claims Processor II Under general supervision assures accurate and timely insurance claim... ...Cycle Pay Rate Type: Hourly Pay Grade: Health-22 Scheduled Weekly Hours: 40 Job... ...of billing and insurance follow up in a hospital or physician office setting required. Thorough...Remote workHourly payWork at office
- ...operational infrastructure for health insurance companies,... ...HealthEdge is looking for Claims Examiner II, reporting to the... ...around physician practices and hospital coding, billing and medical terminology... ...Geographic Responsibility: Remote, US Type of Employment: Full...Remote workPermanent employmentFull timeWork at office
$21 per hour
...accounts receivable motor vehicle accident claims workers compensation Veterans Affairs... ...and creating meaningful impact for the hospitals and health systems we serve. We are building... ...of confidentiality obligations US remote-based colleagues are not permitted to work...Remote workPermanent employmentFull time2 days per week- ...Reports To: Director of Claims Department: Claims Location/Schedule: Remote Classification:... ...Old Republic Accident & Health is seeking a collaborative... ...detail-oriented Claims Specialist to join our fast-... ...Authorize and process payment, partial payment, or denial...Remote workFull timeLocal area
$17 - $21.25 per hour
...opportunities. We are in the top 1% of hospitals internationally for... ...-for-profit, Physician-led health system based in Billings... ...Click here ( to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL... ...requirements, and verifying payments and adjustments are...Full timeContract workPart timeWork at officeWorldwideShift work$180k - $200k
...world’s most pressing health challenges. Across our... ...to make it happen, from hospital labs to mobile clinics.... ...Group and will be fully remote.In this role, you will... ...internal stakeholders to maximize program impact.· Build... ...Experience with system quality, payment models, and ACO·...Remote workFull timeWork experience placementWork from homeWorldwideFlexible hours- ...Ensuring accurate and timely payment for services, the full-time remote Priority Claims Specialist III will manage high-dollar medical collections, adhere to compliance... ...with NextGen and/or OnBase preferred Proficient in MS Office and Electronic Health Records (EHR)...Remote workFull time
$18 - $26.5 per hour
...6_70458 At Accendra Health, we understand that healthcare... ...health outside the hospital and a presence in... ...allowing our patients to maximize their available health... ...Collect credit card payments and billing... ...opportunities - from remote-friendly to hybrid and...Remote workFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hours- Contact providers to educate and negotiate post-pay appealed claims. Manage post payment queues and meet turnaround standards. Responsibilities:... ...understanding. HSA/FSA, PTO, disability leave, and EAP. Reliant Health Partners Reliant Health Partners is an innovative medical...Remote job
- Katch is a leading healthcare technology company enabling payment coordination for health plans, providers, and stakeholders. The role focuses on... ...policies, reimbursement rules, and contract terms, with remote work options available for eligible states. #J-18808-Ljbffr...Remote jobContract work
$18.5 - $42.35 per hour
...We’re building a world of health around every individual - shaping... ..., and specialized medical claims in accordance with established... ...claims and those that exceed specialist adjudication authority or processing... ...and confirms that payments align with company policies and...Remote workHourly payFull timeWork experience placementLocal area- ...seeking a Medical Billing Representative for a 100% remote, home-based role in the United States. You will receive medical claims from healthcare providers or patients, review... ..., and apply programmatic rules to decide payment or rejection. This contract position is managed...Remote workFull timeContract work
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