Remote Medical Claims Adjudicator II - Impactful, Detail-Driven

UNITE HERE HEALTH

Remote job

UNITE HERE HEALTH seeks a Claims Adjudicator II to review and adjudicate medical, disability, vision and dental claims, ensuring eligibility and accurate payment liability. The role requires interpretation of SPD/Plan Documents and accurate coding across multiple systems. The position offers a 37.5-hour week, with fully remote work after one week of onsite training in Oak Brook, IL. Fluency in Spanish is preferred; benefits include medical, dental, vision, and retirement programs. #J-18808-Ljbffr UNITE HERE HEALTH

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Remote Medical Claims Adjudicator II - Impactful, Detail-Driven in Oak Brook, IL vacancy

Virtual Claims Processor Needed ASAP !!!
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working... ...Office Location: Remote within North Carolina... ...POSTING DETAILS: Make an Impact Trillium Health... ..., mission-driven work environment... ...and finalizes adjudication results for claims... ...attachments/medical documentation necessary...
Remote work
Medical
Claims
Work at office
Local area
Immediate start
Work from home
Flexible hours
Trillium Health Resources
United States
1 day ago
Remote Claims Adjudicator - Temp
$20.36 - $24.97 per hour
...drives us to develop impactful programs and benefits... ...great opportunity! The Claims Adjudicator II position will receive... ...and input submitted medical claim data, determine... ...provider and member driven inquiries. Essential... ...hours per week) Fully Remote, after 1-week training...
Remote work
Medical
Claims
Hourly pay
Temporary work
Work experience placement
Monday to Friday
Flexible hours
UNITE HERE HEALTH
Oak Brook, IL
1 day ago
Workers' Compensation Claim Representative II
$60k - $80k
...Workers' Compensation Claim Representative II Location: Irvine, CA - reporting remotely Schedule: 8:00am... ...at CCMSI, we look for detail-driven problem-solvers who... ...guidelines. Review medical, legal and miscellaneous... ..., accuracy, and impact. We measure success by...
Remote work
Medical
Claims
Work at office
CCMSI
Irvine, CA
18 hours ago
Senior WC Claims Adjuster II Remote, High-Impact
EMPLOYERS is seeking a Senior Work Comp Claims Adjuster II for a 100% remote opportunity across the United States. The role handles high or catastrophic... ...include data integrity, independent case analysis, medical treatment coordination, collaboration with defense counsel...
Remote job
Medical
Claims
Employers
Dallas, TX
3 days ago
Remote Property Claims Adjuster II - Northern SA
...Nationwide is looking for a Property Claims Adjuster II to work from home while servicing Northern San Antonio, TX area. The position demands... ...to provide exceptional customer service. Benefits include medical, dental, vision, and a 401(k) plan with company match. #J-...
Remote work
Medical
Claims
Work from home
Nationwide
United States
18 hours ago
Remote WORK FROM HOME / CLAIMS PROCESSOR - AT
$29.33 per hour
...positions that work remotely or in a hybrid work... ...Mercury Insurance Claims team could be the place... ...make a meaningful impact. With ongoing... ...Claims Specialist II takes the lead in... ...and explain coverage details and the claims... ...Management : Analyze medical records to evaluate...
Remote work
Medical
Claims
Hourly pay
Local area
Work from home
Monday to Friday
Mercury Insurance Services, LLC
United States
1 day ago
Fraud Investigator II
...This position is remote within our NC,... ...have a lasting impact on a member's... ...Fraud Investigator II at Truliant... ...following the details, making sound decisions... ...member claims, and document clear... ...~ Purpose-driven work that directly... ...-cost employee Medical, dental, vision...
Remote work
Medical
Claims
Full time
Temporary work
Local area
Flexible hours
Truliant Federal Credit Union
Whitakers, NC
3 days ago
Claims Adjuster II
$63.1k - $92k
...IIJob DescriptionJOB SUMMARYA Claims Adjuster II is responsible for the... ...required Service Call reports detailing current case status. Actively... ...positions also offer coverage for medical, dental, vision, health care... ..., MD will be considered for Remote positions.About the...
Remote work
Medical
Claims
Full time
Flexible hours
Marriott
Bethesda, MD
18 hours ago
Workers' Compensation Claims Adjuster II
...one (1) Workers' Compensation Claims Adjuster II to join our Risk Management... ...chance to create a positive impact on the individuals we serve.... ..., employer contacts, medical providers, and legal counselAble... ...dynamic teamWe offer a hybrid remote work scheduleYou will have access...
Remote work
Medical
Claims
Permanent employment
Full time
Temporary work
Local area
Immediate start
GovernmentJobs.com
Martinez, CA
18 hours ago
Payment Integrity Analyst II
...reviewing pre and post pay claim audits based on... .... This is a remote position. ESSENTIAL... ...attention to detail and ability to deliver... ...areas required: ~ Medical bill auditing ~... ...leveled roles (I, II, III, Senior, Lead,... ...role. The level may impact the salary range and...
Remote work
Medical
Claims
Minimum wage
Full time
Work experience placement
Work at office
Local area
Flexible hours
CorVel
Fort Worth, TX
3 days ago
Fully Remote Claim Processor-Healthcare
$17 - $19 per hour
...we have created real impact for members. UST HealthProof... ...is looking for Claims Examiner II, reporting to the... ...responsible for the adjudication of healthcare claims... ...coding, billing and medical terminology, CPT, HCPCS... ...Geographic Responsibility: Remote, US Type of...
Remote work
Medical
Claims
Hourly pay
Permanent employment
Full time
Work at office
HealthEdge
United States
2 days ago
Senior Machine Learning Engineer II
$180.4k - $225.5k
...Learning Engineer II Charlotte,... ...s first Unified Claims Processing™ architecture... ...pharmacy and medical benefit... ...to make lasting impact towards transforming... ...focusing on AI-driven applications.... ...skills, attention to detail, and a strong capacity... ...in a remote environment....
Remote work
Medical
Claims
Local area
Flexible hours
Judi Health
New York, NY
1 day ago
Healthcare Analyst II
$85k - $92k
...Healthcare Analyst II We are... ...opportunity to directly impact company growth... ...outcomes using claims and... ...review, and analyze detailed data sets leveraged... ...systems, medical terminologies,... ...Perks: Fully remote opportunity with... ...Validate™, an AI-driven clinical and coding...
Remote work
Medical
Claims
Flexible hours
Venturefizz Product Management Community
United States
2 days ago
Workers Compensation Litigated Claims Specialist II
$59.9k - $98.2k
...Compensation Litigated Claims Specialist IIAt... ...a sharp, solutions-driven Workers Compensation... ...Claims Specialist II to join our high-performing... ...to make meaningful impact at a company known... ...and Indiana (fully remote). We are seeking a... ...involving complex medical, legal, and...
Remote work
Medical
Claims
Temporary work
Apprenticeship
Work at office
Local area
Zurich Insurance Company Ltd
Schaumburg, IL
18 hours ago
Coding Specialist II
...Coding Specialist II Join our Team as a Coding Specialist II Are you detail-oriented and passionate about ensuring accuracy in medical coding and billing? We're looking for a compassionate... ...to support compliant and timely claim submission. You'll also provide feedback...
Remote work
Medical
Claims
Apprenticeship
Day shift
Deaconess
United States
18 hours ago
Data Analyst II - Contingent
$50k - $60k
.... Position: Data Analyst II Location: Remote About J29 J29 is an employee... ..., reviewing, and analyzing medical claims, records, disputes, and... ...effectively quantify their impact on healthcare improvement.... ...SAS templates or menu-driven analytic tools to build efficient...
Remote work
Medical
Claims
Full time
Contract work
J29, Inc
Millersville, MD
23 days ago
Workers' Compensation Claims Adjuster II
...one (1) Workers' Compensation Claims Adjuster II to join our Risk Management... ...chance to create a positive impact on the individuals we serve.... ..., employer contacts, medical providers, and legal counsel... ...dynamic team We offer a hybrid remote work schedule You will have...
Remote work
Medical
Claims
Permanent employment
Full time
Temporary work
Work at office
Local area
Immediate start
County of Contra Costa
Martinez, CA
1 day ago
Software Engineer II - IntelliScript (Remote)
$78.8k - $199.07k
...-defining, data-driven, software-as-a-service... ..., social impact, and sustainability... ...Engineer II will play a pivotal... ...prescription, health, and medical record ordering... ...attention to detail and the ability... ...of medical claims and electronic health... ...is open to remote work. Applicants...
Remote work
Medical
Claims
Full time
Temporary work
Work experience placement
Work at office
Flexible hours
Milliman IntelliScript
Brookfield, WI
3 days ago
Coder II
...Coder II Our client, a healthcare company, is looking for a... ...Discrepancies are identified that may impact quality of care and/or billing... ...coding charge review and claim edits in Epic or other... ...years of work experience as a medical coder. Preferred: Coding experience...
Remote work
Medical
Claims
Work experience placement
ICONMA
United States
4 days ago
Coding Specialist II
...that all data elements (claim requirements - CPT, ICD... ...documentation that may impact coding and billing.... ...coding. Understanding of medical insurance guidelines and... ...Progressive computer skills. Detail oriented. Ability to... ...with our partners, are driven by our shared...
Remote work
Medical
Claims
Work at office
Local area
Flexible hours
Medical College of Wisconsin
United States
1 day ago
Coding Specialist II
$34.15 - $46.15 per hour
...looking for a Coding Specialist II based in the United States.... .... The position combines detailed medical coding expertise with compliance... .... This is primarily a remote position with flexible working... ...resolve coding edits before claim submission. Coordinate billing...
Remote work
Medical
Claims
Hourly pay
Full time
Flexible hours
Jobgether
United States
4 days ago
GOVERNMENT ANALYST II
...GOVERNMENT ANALYST II - 64080473 Do you enjoy... ...-paced, deadline-driven team? Do you... ...and appreciate the details of regulation and statutory... ..., Division of Medical Quality Assurance,... ...with no provision for remote work. The Benefits... ...requirements.Candidates claiming Veterans’...
Remote work
Medical
Claims
Full time
Work at office
Monday to Friday
State of Florida
Tallahassee, FL
3 days ago
Trinity Health: Coder II ER (REMOTE)
$24.05 - $36.08 per hour
...Clinic The American Medical Association (AMA) for CPT... ...help resolve billing, claims, denials and appeals... ...Ability to perform frequent detailed tasks and provide productivity standard driven results. Ability to... ...telecommuting (working remotely), must be able to comply...
Remote work
Medical
Claims
Hourly pay
Full time
Work at office
Local area
Flexible hours
Shift work
Day shift
CloudDevs
United States
3 days ago
Appeals and Grievances Specialist II
$60.78k
...Grievances Specialist II Job Category: Customer... ...(DMHC), Managed Risk Medical Insurance Board (MBMIB)... ..., and complex provider claim disputes. The position... ...Required: Must be organized, detail oriented, able to... ...weekends, holidays, a hybrid remote schedule, occasional...
Remote work
Medical
Claims
Full time
Local area
Shift work
Weekend work
LOS Angeles Care Health Plan
Los Angeles, CA
3 days ago
Professional Billing Coder II
$22.62 per hour
...Professional Billing Coder II role at Onvida Health 2... ...Work Status Details: REGULAR FULL TIME | 80... ...Type: Hourly Location: Remote Listed is the base hiring... ...independently reviewing medical documentation and assigning... ...rejections to support clean claim submission. Meet or...
Remote work
Medical
Claims
Hourly pay
Full time
Local area
Shift work
Onvida Health
Yuma, AZ
1 day ago
Coding Specialist II
...Insight Hospital and Medical Center Chicago At Insight... ..., loving, expert, and impactful care in the world to... .... Investigates claims denials and/or appeals... ...Ability to perform frequent detailed tasks and provide... ...telecommuting (working remotely), must be able to...
Remote work
Medical
Claims
Temporary work
Local area
Immediate start
Flexible hours
INSIGHT HEALTH SYSTEMS, INC.
Chicago, IL
4 days ago
Actuarial Analyst II
$79.1k - $105.95k
...The Actuarial Analyst II will partner across Actuarial... ...emerging financial impacts, and communicate key... ...regulatory, operational, and claims-related developments... ...supported by a mission‑driven organization that... ...Comprehensive health benefits (Medical/Dental/Vision)...
Remote work
Medical
Claims
Local area
Horizon Blue Cross Blue Shield of New Jersey
United States
2 days ago
Technical Support Representative II
$31 - $33.5 per hour
...in people's lives. Our medical devices, software and related... ...Tier I and Tier II support of our medical... ...resolutionAccurate data entry of claim into Oracle tracking... ...to detail and well organizedProper... ...position is filled. For fully remote positions, compensation...
Remote work
Medical
Claims
Hourly pay
Minimum wage
Ongoing contract
H1b
Local area
Worldwide
Relocation
Shift work
Weekend work
Afternoon shift
ZOLL Medical
Chelmsford, MA
2 days ago
Coder II
$23 - $29 per hour
...make a meaningful impact by helping providers... ...environment? As a Coder II, you’ll play an... ...opportunity for a detail-oriented coder who... ...working with complex medical records,... ...resolve coding-related claims scrubber edits to help... ...expectations in a deadline-driven environment. Why...
Medical
Claims
Local area
Savista, LLC
Brooklyn, NY
18 hours ago
Credentialing Specialist II
$24 - $26 per hour
...Credentialing Specialist II Job Type: Full-Time;... ...assignment Shift Details: Monday-Friday 8:00AM-5... ...Need Work Location: Remote Salary/Hourly Wage:... ...licensing applications to medical boards for new and... ...working with EHR, healthcare claims systems, and/or...
Remote work
Medical
Claims
Hourly pay
Full time
Temporary work
For contractors
Work at office
Monday to Friday
Shift work
RI International
United States
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medical Claims Adjudicator II - Impactful, Detail-Driven. Be the first to apply!