Remote Claims Examiner II - Healthcare Adjudication
Blue Cross and Blue Shield of Nebraska
Lincoln, NE
- Remote job
Blue Cross and Blue Shield of Nebraska is seeking a Claims Examiner I to adjudicate healthcare claims, review data against CMS and billing guidelines, and ensure proper benefit coverage. This remote role requires Nebraska residency and offers opportunities to develop expertise while collaborating with a dedicated team. You will analyze claims, use multiple systems, and help maintain production and quality standards, while guiding less experienced colleagues and contributing to process #J-18808-Ljbffr Blue Cross and Blue Shield of Nebraska
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Claims Examiner II - Healthcare Adjudication in Lincoln, NE vacancy
- A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote jobFlexible hours
- ...Cross and Blue Shield of Nebraska is seeking a Claims Examiner I for a remote role. You will analyze healthcare claims, review medical records, and determine benefits... ...across departments to ensure accurate adjudication and timely processing. You'll use multiple systems...Remote job
- WebTPA, a GuideWell Company, a healthcare third-party administrator, seeks a Claims Examiner to handle processing and adjudication for healthcare claims. You will work on medical, dental, vision, and mental health claims, conducting research and ensuring coverage according...Remote jobMonday to FridayFlexible hours
- WebTPA, a GuideWell Company, is seeking a Claim Examiner to handle processing and adjudication of healthcare claims. The role requires researching complex cases, verifying coverage, and ensuring accuracy in medical CPT coding and HIPAA-compliant practices. Ideal candidates...Remote jobWork at office
- HealthEdge is a healthcare technology company focused on modernizing health insurance... .... This role is part of the Claims team and supports accurate claims adjudication. Responsibilities: Process... ...adaptability, and teamwork skills. Remote-based role within the US, with occasional...Remote job
- Join to apply for the Medical Claims Specialist II - DOE role at Alaska Native Tribal Health Consortium... .... Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash... ...to fiscal intermediary; assesses adjudicated claims. Identifies liability and guarantors...Remote jobTemporary workWork experience placementWork at officeImmediate startFlexible hours
- Trillium Health Resources seeks a Claims Specialist II to analyze and audit claims per NC Medicaid guidelines. The role supports providers by... ...travel availability within NC, is expected. The position offers remote work within North Carolina, standard hours, and benefits. A...Remote job
- Grow Therapy is seeking an experienced Specialist II, Collections, to improve financial accuracy by addressing claim denials and ensuring correct processing. You will identify root causes and craft fixes to be implemented upstream in the RCM process, including bulk corrections...Remote job
- ...and Blue Shield of Nebraska is seeking a Claims Examiner II for a remote, Nebraska-based role. You will interpret claim adjudication rules, analyze complex claims, and determine... ..., teamwork, and experience in healthcare claim adjudication, with a focus on collaboration...Remote job
- Vets Hired is seeking a qualified LTD Claims Examiner II to manage and adjudicate disability claims in accordance with policy provisions. The role involves reviewing medical and employment information, calculating benefits, and maintaining accurate records while handling...
- ...Claims Specialist II Trillium Health Resources is a Tailored Plan and Managed... ..., auditing and finalizes adjudication results for claims... ...~ Quarterly stipend for remote work supplies Required... ...Associate’s degree in Healthcare Administration, Business, or...Remote workLocal areaImmediate startWork from homeFlexible hours
Trillium Health Resources
United States1 day ago $85.34k - $95.99k
...POSITION SUMMARY Process insurance claims for property losses based on coverage, appraisal... ..., in a clear and concise manner. • Examine claims inspected by independent adjusters,... ...0,000 in damages, but the Claims Examiner II may receive larger or smaller claims when...Remote workFull timeWork experience placement- ## Claims Examiner IIApply: Work at Home - Nebraska: Full time: Posted Today: JR101463At... ...a powerful impact in our community.Adjudication of healthcare claims utilizing employer and payer... ...examiners.**Candidates applying to this remote position are required to live in the...Remote workFull timeContract workLive inLocal areaWork from home
- WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building... ...and managing customized health plans. As a Claim Examiner, you will handle processing and adjudication for healthcare claims, including research, and work...Remote job
- Medica, a nonprofit health plan, seeks a Claim Appeals & Correspondence II to manage inventory of claim appeals, VIP cases, and inquiries remotely from the United States. The role... ...researching, analyzing, and resolving post-adjudication issues with cross-functional partners...Remote job
- Medica Services Company LLC is seeking a remote Claims Appeals & Correspondence II to manage inventory of claim appeals and VIP cases, researching and... ...quality, and support process improvements in post-adjudication operations. Strong analytical skills and Excel proficiency...Remote job
- Trillium Health Resources is seeking a Claims Specialist II to perform data analysis, auditing, and adjudication finalization for pre- and post-payment reviews in NC... ...care billing software, and a diploma or degree in healthcare #J-18808-Ljbffr Trillium Health ResourcesRemote job
- Athens Administrators is seeking a full-time Claims Examiner II to support our Property & Casualty department in San Antonio, TX. The role handles... ..., coverage issues, and negotiation. Hybrid in-office/remote options, with weekly in-office attendance for this market area...Remote jobFull timeWork at office
- Athens Administrators has an immediate need for a full-time Claims Examiner II in its Property & Casualty department. The role supports commercial... ...within commuting distance of specified offices and may work remotely on non-office days. The position requires 5+ years of...Remote jobFull timeWork at officeImmediate start
- GuideWell's WebTPA, a healthcare third-party administrator, seeks a Claim Examiner in Irving, TX to process and adjudicate medical, dental, vision, and mental health claims. You will perform claims research, verify coverage under policy guidelines, and ensure accuracy...Remote jobMonday to Friday
$100k - $300k
POSITION SUMMARY Process insurance claims for property losses based on coverage, appraisal,... ...transactions, in a clear and concise manner. Examine claims inspected by independent adjusters,... ...0,000 in damages, but the Claims Examiner II may receive larger or smaller claims when...Remote jobWork experience placement- Commercial Auto & General Liability Claims Examiner II Role Summary Empower your professional journey in a role that values intellectual curiosity... ...with multi-jurisdictional claims handling requirements. Remote Proficiency: Ability to work productively and independently...Remote workFull time
- ...community. Candidates applying to this remote position are required to live in the... ...metro area. Job Responsibilities Adjudication of healthcare claims utilizing employer and payer... ...guidance to less experienced claims examiners. Responsible for interpreting claim...Remote jobContract workLive inLocal area
$55k - $60k
...Description Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for... ...followed by a hybrid or 100% remote work schedule. Responsibilities... ...accordance with plan provisions. Examine claim submissions and...Remote workFull timeTemporary workPart timeWork experience placementLocal area- US Remote Job Description Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience... ...weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This...Remote jobTemporary workPart timeWork experience placementMonday to FridayFlexible hours
$64.61k
Remote Health Insurance Claims Examiner Introduction: Shape the Future of Healthcare—From Anywhere Are you ready to make a meaningful impact in the healthcare industry while... ...and Duties Claims Review and Adjudication Examine health insurance claims for accuracy...Remote jobWork at office- The Claims Examiner II/III is a senior-level professional responsible for managing the full lifecycle of workers’ compensation indemnity claims... ...and reserve management. Location and Work Type Work Type: REMOTE Office Presence: Regular, timely attendance in the office is...Remote workWork at office
- ...the oversight and timely/accurate claims adjudication for all clients assigned. Claim... ...order to be eligible for a Claims Examiner II position. This is a remote work position. EXAMPLES OF DUTIES... ...preferred. ~1-2 years healthcare industry experience ~ CPT, ICD-...Remote workTemporary workFlexible hours
- Sedgwick is seeking a dedicated Claims Examiner to analyze lost-time workers' compensation claims for diverse clients. You will adjudicate benefits due, apply industry best practices, and ensure timely resolution in line with client service requirements. You’ll work within...Remote jobFlexible hours
- HealthEdge, a healthcare technology company, is seeking a Customer Service Associate to support... ...8am-6pm CST and may involve hybrid/remote arrangements, including work from Mexico... ...position requires 2-3+ years in healthcare claims operations or call center experience, a...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Examiner II - Healthcare Adjudication. Be the first to apply!
Related searches
- remote medical claims processor Lincoln, NE
- medical insurance claims specialist Lincoln, NE
- remote document review Lincoln, NE
- remote video game Lincoln, NE
- global remote customer service jobs Lincoln, NE
- software engineer internship remote Lincoln, NE
- remote banking Lincoln, NE
- remote tasks Lincoln, NE
- remote analyst Lincoln, NE
- implementation project manager remote Lincoln, NE