Remote Claims Specialist — Resolve Denials & Streamline Claims
Zaya Care
- Remote job
A healthcare startup is seeking a Claims Specialist to manage healthcare claims processing, including investigating and resolving claim issues. This entry-level role requires a background in medical billing and strong attention to detail. Responsibilities include making calls to clarify claims, correcting errors, and submitting appeal letters. Candidates should possess strong organizational skills and be adaptable in a fast-paced environment. Join us to contribute to affordable healthcare solutions in the US and enjoy benefits like medical insurance and unlimited PTO. #J-18808-Ljbffr Zaya Care
$15.5 - $19.63 per hour
Franciscan Health is looking for a Denial Collections Specialist to work from home in Indiana. The specialist will review denied medical insurance claims, identifying the basis for appeal and ensuring timely and compliant resubmissions. Applicants must have a high school...Remote jobHourly payWork from home- A national physician enablement company is seeking a Medical Claims Billing Specialist responsible for efficient claims processing, denial management, and collaboration with internal teams. The role requires 3+ years of experience in physician billing offices, knowledge...Remote jobHourly pay
$78.68k - $132.69k
...PURPOSE OF THE JOB This Claims Specialist is responsible for handling... ...., mediation, negotiation, denial, litigation or offer) to... ...Makes recommendations for streamlining processes and adopting the... ...with company policies. Resolves claims fairly and equitably...Remote workWork at officeLocal area- CorroHealth is looking for a remote Insurance Specialist to help resolve insurance claims denials and processing errors. This role involves tasks such as reviewing medical documentation, meeting production goals, and ensuring compliance with HIPAA. The ideal candidate...Remote job
- ...The Default Foreclosure Claims Specialist is responsible for managing... ...expectations. This is a fully remote position. We are looking to... ...up to prevent curtailments, denials, or lost recoveries.... ...corrective actions. Research and resolve claim exceptions,...Remote work
- Ascendo Resources is seeking an experienced Claims Processor to join our client's team remotely. The position requires processing and adjudicating Guaranteed Asset Protection (GAP) claims, ensuring compliance and excellent customer service. Ideal candidates will have 2+...Remote jobHourly pay
- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible... ...appropriate actions needed to resolve outstanding balances in... ...processes, claim workflows, denial reasons, and reimbursement... ...Dr Tampa 33612 Eligible for Remote Work: Hybrid Remote Job: Patient...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
$24 - $26 per hour
...Stop Loss Claims Specialist II-Specific Fully Remote • Allied Benefit Systems Overview Salary Range $24.00 - $26.00 Hourly Position... ...with other internal departments to resolve claim issues. Appeal the denials or reduction of reimbursements by the stop loss...Remote workHourly payFull timeWork experience placementWork at officeWork from home- ...AR Team Lead to support the Accounts Receivable team in resolving complex insurance claims while providing mentorship to new hires. This role requires... ...AR or collections and expertise in insurance billing and denial management. Candidates should possess strong analytical,...
- ...Basic knowledge of insurance claim forms # Working knowledge in... ...public JOB SUMMARY The Denials Specialist is responsible for reviewing, analyzing, and resolving denied medical claims to... ...position is in office/person (not remote). WORK ENVIRONMENT Work...Work at office
$125k
...Whether you're managing claims, supporting clients, or improving... ...is eligible for fully remote work. The Senior Claims Specialist within GB Specialty is... ...of rights and coverage denial letters. Negotiates settlements... ...to make decisions and resolve issues inherent in...Remote workFull timeLive outWork at officeLocal areaFlexible hours$19 - $21 per hour
...APPLY TODAY!!!! FULL-TIME DENIAL FOLLOW UP SPECIALIST Our Company: Revco Solutions provides best... ...Responsibilities: Handle and resolve assigned group of accounts Resolve... ...to overturn the denial to get the claims paid What We Offer: Insurance...Remote workFull time$83k - $108k
...litigated Auto and/or general liability claims. These claims should not involve any major... ...resolution. Evaluate, negotiate, and resolve claims within delegated authority. Handle... ...claim. Close claim by issuing check or denial and securing appropriate releases. Prepare...Remote workWork experience placement- ...Senior Claims Specialist At Gallagher Bassett, we're there when it matters most because helping... ...reservation of rights and coverage denial letters. Negotiates settlements with... ...skill necessary to make decisions and resolve issues inherent in handling of claims....Remote workFull timeLive outWork at officeLocal areaFlexible hours
- 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 jobFull timeWork from homeMonday to Friday
$124k - $160k
...Selective Insurance is seeking a Complex Claims Specialist for this remote position. The purpose of this... ...Responsibilities Effectively evaluate and resolve coverage issues for Directors &... ...authority utilizing the appropriate denials or releases. Provide required...Remote work- Job Location: ADDISON, TX 75001 Overview A Healthcare Claims Denial Management Specialist is responsible for identifying, analyzing, and resolving denied or underpaid medical insurance claims. This role ensures accurate reimbursement by working with payers, internal billing...
- ...professional, detail-oriented Medical Claims Specialist who excels in phone... ...Billing Solutions office. Remote or hybrid work arrangements... ...skilled at researching and resolving outstanding insurance claims... ...processes, including claim status, denials, and appeals. Proficiency in...Remote workWork at office
$28 - $32 per hour
...fast-growing Medicare Advantage claims for the full risk line of... ...analyst will be Responsible for resolving/responding to complex issues... ...level review of all Medicare denials for Not Authorized and/or Not... ...Additional Information Remote - Multiple Positions Available...Remote workHourly pay$165k
...Whether you’re managing claims, supporting clients, or improving... ...is eligible for fully remote work The Senior Claims Specialist within GB Specialty is... ...of rights and coverage denial letters. Negotiates settlements... ...to make decisions and resolve issues inherent in...Remote workLocal area- ...reimbursement. From challenging denials and zero balance... ...vehicle accident claims, workers’ compensation... ...ensuring work is aligned, streamlined, and executed with... ...accountability Identify and resolve bottlenecks,... ...confidentiality obligations US remote-based colleagues are...Remote workPermanent employmentFull time
$100k
...the unique coverage and claims-handling needs of... ...Defect Technical Claims Specialist Employment Type: Full... ...Location: In-Officeor Remote Summary:... ...nature to expeditiously resolve claims. We offer a work... ...language use restrictions), denial of family and medical care...Remote workFull timeLocal area- ...Responsibilities Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical... ...monthly audit results and review denial trends for documentation or charging... ...**This position offers a fully remote work opportunity. Employees in...Remote work
$16.5 - $23.3 per hour
...dedicated Accounts Receivable Clerk in Phoenix, Arizona. Responsibilities include following up on accounts, resolving denials, and improving processes for claim resolution. Candidates should have a High School diploma or GED along with clerical experience, preferably in...Hourly payWork at office$50k - $55k
Provider Claims Training Specialist - San Diego, CA - Remote Gainwell Technologies is seeking a Provider Claims Training... ...policies and procedures to resolve provider issues and ensures compliance... ...providers on claim submission, denials, and reimbursement processes; Medi...Remote jobFull timeWork at officeWork from homeFlexible hoursNight shift- *THIS IS A REMOTE POSITION* RESPONSIBILITY: Primarily responsible for effective... ...Specialty Partners offices. Is able to resolve claim issues by utilizing knowledge of company... ...responsible for all AR follow up including denials, reconsiderations, and appeals...Remote workWork experience placement
$24 - $28 per hour
...Senior Revenue Cycle Specialist with strong expertise... ...experience in payment posting, denial management, and... ...Location: Northbrook, IL (Remote work is not an option)... ...balances. Analyze and resolve claim denials , including... ...opportunities to streamline workflows and implement...Remote workFull timeMonday to Friday$46.8k - $66.9k
Summary The Provider Claims Training Specialist also known as Regional Representatives, support the provider... ...policies and procedures to resolve provider issues, and to work with the... ...educating providers on claim submission, denials, and reimbursement processes; Medi‑...Remote jobFull timeWork at officeWork from homeFlexible hoursNight shift- ...Title: Medical Billing and Claims Specialist Position type: Part‑Time Work... ...Job code: NF-HS Workplace: Remote Preferred Candidate... ...verification, and follow‑ups on denials, underpayments, and outstanding... ...responsibilities to help streamline operations. The ideal candidate...Remote workHourly payContract workPart timeFor contractorsWork experience placementLocal areaMonday to Friday
- ...process eligible beneficiary referrals and claims for services not directly available at... .... Tracks and monitors claim processing, resolving outstanding claims. Verifies all... ...Issues and explains letters of intent or denials (i.e. vacationer/mover, student enrollment...Remote workTemporary workWork experience placementWork at officeImmediate startFlexible hours
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