Claims Resolution Specialist
Virtual Vocations Inc
Making high-volume outbound calls to investigate and maximize insurance payments, the full-time remote Claims Resolution Specialist will research auto accident details, confirm payer information, and submit accurate bills to ensure timely payments for client hospitals and medical providers. Key responsibilities Research and investigate auto accident details to determine the responsible payer Make frequent outbound calls to patients, insurance representatives, and attorneys to confirm payer information Investigate denied or underpaid claims, determine next steps, and resubmit for additional payment Required qualifications Experience with Coordination of Benefits and a general understanding of insurance billing (preferred but not required) Proficiency in Microsoft Office (Word, Excel, Outlook) Ability to work on multiple computer screens and software applications simultaneously Experience in a fast-paced, high outbound call center environment Strong organizational skills and ability to multitask effectively
$17.69 - $23.56 per hour
...with 3rd party contractors to analyze and resolve Home Warranty claims in a timely manner while maintaining a high level of customer... ...assigned caseload from the investigation of the claim through resolution Make decisions and authorize work orders up to a set level...SuggestedHourly payContract workFor contractorsWork at officeRemote work- ...Claims Resolution Specialist The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate and timely submission and resolution of insurance and patient claims. This position is responsible for claim billing, follow...SuggestedWork at officeRemote work
- ...improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: Job Summary The Claims Resolution Specialist is a pivotal role in ensuring the efficient and accurate processing of healthcare claims. Primary responsibilities will...SuggestedWork at officeLocal area
$18 - $20 per hour
...My client, Digitech Computer, is seeking a Health Insurance Claims Resolution Specialist to work remotely full time. Digitech is seeking a Health Insurance Claims Resolution Specialist to work claims after they’ve been submitted to commercial insurance carriers. This...SuggestedFull timeRemote work- ...improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: Job Summary: The Claims Resolution Specialist is a pivotal role in ensuring the efficient and accurate processing of healthcare claims. Primary responsibilities will...SuggestedWork at officeLocal area
- ...SHERLOQ Solutions in the United States is seeking a Healthcare Claims Specialist to bridge communications between healthcare providers and health insurance payers to expedite claim resolutions. Your responsibilities include resolving claims via verbal or online inquiries...Remote work
- Description Senior Field Property Claim Resolution Specialist, Large Loss When a policyholder's home is unlivable, they need more than a claim number - they need someone who knows exactly what to do next. That's you.As a Senior Field Claim Resolution Specialist, you'...For contractorsLocal area
- ...Claims Resolution Specialist Advantia is seeking a Claims Resolution Specialist to join our team! As a Claims Resolution Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role...
- ...Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on timely, accurate, and compliant resolution with thorough documentation in billing systems...Remote workMonday to Friday
- ...Digitech is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. The role requires strong analytical skills, accuracy, and the ability to handle a high-volume workload in a remote work environment...Remote workMonday to Friday
- Arizona Priority Care in Chandler, AZ seeks a Medical Claims Resolution Coordinator to research and resolve provider disputes, escalated claims inquiries, and claims projects compliant with government and Health Plan regulations. You will analyze root causes, ensure timely...
- Senior Complex Casualty Claims Resolution Specialist Southwest Region Lead With Expertise. Deliver Impact That Matters. Grow With a Company That Invests in You. At Liberty Mutual, we show up for people in their toughest moments, and we show up for our employees with the...Work at officeLocal areaRemote workHome officeRelocation package
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections, denials, edits, and reimbursement issues across a multi-site, multi-specialty healthcare organization specializing in pain...Hourly payRemote work- Teknion Corporation in Mount Laurel, NJ is seeking a Corporate Claims Representative for a hybrid role. The position manages end-to-... ...escalations, validating inquiries, and ensuring timely resolutions, while maintaining professional communication and adherence to...
- ...Job Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections, denials, edits, and reimbursement issues across a multi-site, multi-specialty healthcare organization specializing...Remote work
- ...Claims Associate The Claims Associate is responsible for supporting the claims management process by gathering documentation, entering... .... Monitor and follow up on claim status to ensure timely resolution. Communicate with claimants and other parties to update on...Full timeWork at office
- Continental General is hiring a Claims Specialist II in the Austin, TX area. This full-time, non-exempt, hourly role is hybrid with three... ...collaborate with internal teams to ensure accurate, timely resolutions. Ideal candidates will have 3+ years in insurance claims, strong...Hourly payFull timeWork at office3 days per week
- Ag Workers Mutual Auto Insurance is hiring a PD Claims Adjuster/Resolution Specialist (In-Office Only) in Fort Worth, TX. You will investigate auto claims, assess coverage, liability and damages, and settle claims with moderate supervision. This is a full-time, in-office...Full timeWork at office
- AgWorkers is looking for a Senior BI Claims Adjuster/Sr Resolution Specialist for an in-office position in Fort Worth, TX. The role involves investigating auto claims, evaluating coverage, and negotiating settlements while delivering high-quality customer service. Candidates...Work at office
- Trident Care is seeking a claims processor in Carrollton, TX. The role focuses on submitting accurate claims, verifying payer information... ...timely communications, data accuracy, and proactive issue resolution to support cash flow and payer compliance. #J-18808-Ljbffr Trident...
$26.5k - $37.8k
...contributions and puts a premium on work flexibility, learning, and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts by working with insurance carriers, providers, and...Full timeWork at officeRemote workFlexible hoursShift work- Sarnova HC, LLC is seeking a Medicaid Account Resolution Specialist for Digitech with 100% remote work. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle. The role requires attention to...Remote job
- ...Job Title: Claims Resolution Analyst Reports To: Claims Resolution Supervisor Department: Operations, Recovery About The Team At PMMC, our mission is to continuously improve the financial performance of healthcare organizations, so they have more resources...Full timeContract workLocal areaFlexible hours
- Sovereign Insurance Group is seeking a Claims Specialist to manage the claims lifecycle from notice to resolution. The role collaborates with customers and carriers to ensure a smooth process, with emphasis on accuracy, communication, and regulatory adherence. The position...Remote job
- JOIN OUR GROWING CLAIMS DEPARTMENT AT MEDLYTIX! The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. You will process medical (physician and hospital) bills that involve motor vehicle accidents, workers' comp, and third-party...Remote work
- Humana Inc in Puerto Rico is seeking a Claims Research & Resolution Representative 3 to join our claims operations. You will investigate discrepancies, verify documentation, and resolve complex medical claims with providers, members, and third-party services. The role...Remote job
- Humana Inc is seeking a Claims Research & Resolution Professional 2 to manage claims operations involving customer contact, investigation, and settlement, and to approve settlements for and against Humana. The role involves working with providers, members, and other services...Remote job
- United Road is seeking a Claims Analyst to support our Risk Management/Quality Department. The role involves analyzing cargo claims, managing resolution processes, and collaborating with various stakeholders to mitigate losses effectively. The ideal candidate will have...
$63.8k - $78k
...Federated Insurance in Owatonna is seeking candidates to assist clients through the claims process. The role involves resolving claims promptly and conducting thorough investigations. A four-year degree and customer service experience are preferred. The position offers...- ...UniGroup, Inc. is seeking a Claims Service Representative to reunite customers with items reported during the moving process. Based on-site at the Des Peres, Missouri headquarters, you will investigate overages/shortages and coordinate across customers, agents, and internal...
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