Remote Health Claims Specialist
Good Samaritan Society
Sanford Health, Remote SD, is seeking a Claims Processor for our Health Plan team. You will process health insurance claims submitted via paper or electronically and release them for payment according to established workflows. The role requires attention to detail, analytical ability, and basic Microsoft Office skills. A high school diploma and one year of medical claims experience are preferred. This is a full-time position with a standard 40-hour week and a comprehensive benefits package. #J-18808-Ljbffr
- ...accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs,... ...meaningful impact for the hospitals and health systems we serve. We are building a... ...of confidentiality obligations US remote-based colleagues are not permitted to work...Remote workHourly payPermanent employment2 days per week
- ...CalOptima Health is seeking a Claims Resolution Specialist (Customer Service) to join the Claims Administration team. This role supports providers on claims payments and resolutions, with telework options and California-based on-site needs for partial telework arrangements...Remote work
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist II FLSA Status: Non-... ...: $42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is a Tailored Plan and Managed...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- Sentara Health is seeking a remote Claims Resolution Coder to review medical documentation and assign modifiers to claims according to NCCI, OCE, and payer guidelines. You will collaborate with coding and reimbursement teams to resolve edits and improve accuracy. The ideal...Remote job
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a D-SNP Claims Review Specialist to adjudicate SCO and One Care claims with accuracy and compliance. This remote role supports a nationwide team and requires familiarity with QNXT or similar adjudication...Remote job
- Nestlé Health Science is seeking a Customer Solutions & Claims Specialist to manage end-to-end order fulfillment and claims for key NHS customers. The role supports remote or hybrid work, with preference for candidates near Bridgewater, NJ or other Nestlé locations. The...Remote job
- Nestlé Health Science seeks a Customer Solutions & Claims Specialist to manage end-to-end Order-to-Cash, from order entry to returns. You will handle high-volume... ...delivery and customer satisfaction. The role supports a remote or hybrid setup, with preference for candidates...Remote job
- Luminare Health is seeking a Reinsurance Administrator to manage and file excess risk medical claims. In this role, you will collaborate with various departments to ensure accurate... ...with Microsoft Office. This is a remote position available to candidates within the...Remote jobWork at office
- Privia Health in Houston, TX is seeking an Accounts Receivable Manager to oversee AR operations... ...and Thursdays at 1200 Binz St, and remote on other days. The AR Manager will guide... ...stakeholders, and ensure timely processing of claims while maintaining HIPAA compliance....Remote workWork at office
$24 - $30 per hour
Johnson Service Group (JSG) is seeking a Claims Examiner II for a remote opportunity with a health plan organization. Typical schedule is Monday through Friday, 8am-5pm, with a pay rate range of $24-$30 per hour depending on experience and qualifications. You will review...Remote jobHourly payMonday to Friday- Claims Review Specialist / Medical Coding ** Largely Remote ** Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of the largest health delivery systems in California, seeks an accomplished Claims Review Specialist / Medical...Remote jobContract workTemporary work
- ...: Government Programs Professional Review Claims Specialist Number of Positions: 5 Location: Okemos, MI Location Specifics: Fully Remote Job Summary: Candidates must reside in Michigan... ...Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and...Remote workTemporary workWork at officeLocal areaFlexible hours
- ...A healthcare solutions company is seeking a Claims Specialist in Milwaukee, WI. The role involves reviewing and processing claims while maintaining... ...coding certification and strong analytical skills. Benefits include health insurance and flexible time off. #J-18808-Ljbffr...Remote workFlexible hours
- ...largest multi-specialty physician group, seeks a Medical Claims Denial & Appeals Specialist to join the Accounts Receivable Resolution team. You will... ...certification is preferred. Strong communication skills are essential; remote work option is available. #J-18808-Ljbffr...Remote workContract work
$20 - $26 per hour
Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission to... ...small private practices in an industry dominated by large health systems. Through strategic partnerships with insurance carriers...Remote workFull timePrivate practiceShift work$55.8k
...leading property & casualty, accident & health, specialty and standard commercial lines... ...our website: Job Description Examines claims data and conducts investigations into routine... .../or performance-based variable pay programs. #LI-AV1 #LI-Remote #J-18808-Ljbffr CfinsRemote workWork at office- Sedgwick is seeking a driven Claims Examiner to adjudicate medical-only workers' compensation claims for a dedicated client, ensuring accurate benefit determinations and timely adjudication to company standards. You will identify subrogation where applicable, negotiate...Remote jobFlexible hours
$17.71 - $25.28 per hour
Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies... ..., and much more. The D‑SNP Claims Review Specialist reviews and processes Senior Care Options... ...applicable) Working Condition This is a remote role that can be done from most US states...Remote workHourly payFull timeWork at officeFlexible hoursShift work- ...Experienced in medical claims processing, the remote Medical Claims Specialist will review, research, and process claims while ensuring accuracy and compliance with insurance policies and patient records. Key responsibilities Review, research, and process medical claims...Remote workWork at office
- EverHealth is seeking a Backend Claims Management Specialist (Remote, US) to drive timely claim resolution by applying revenue cycle expertise, analyzing... ...data-driven recommendations to improve client health and reimbursement performance. You will collaborate with...Remote job
$17 per hour
...Local First Arizona is looking for a Claims Processor to join our remote team. You will handle the submission, review, and resolution of medical claims, ensuring accuracy and compliance with policies. The ideal candidate has at least one year of relevant experience...Remote workHourly payLocal area$18 per hour
...NTT DATA North America is seeking a Remote Claims Processing Associate to manage various aspects of claims processing effectively. The role requires a high school diploma and 1-3 years of healthcare claims experience. Key responsibilities include processing claims forms...Remote workHourly pay- ...NTT DATA Americas is seeking a Medical Claims Processor to work remotely in the United States. This entry to mid-level role handles processing of professional and hospital claim forms, reviews coverage, and ensures HIPAA compliance while meeting strict turnaround times...Remote work
- ...Joining a remote team, the part-time hourly Remote Medical Claims Specialist will review and process medical claims, assist patients with inquiries, and verify claim information to ensure accuracy and compliance with insurance policies. Key responsibilities: Review and...Remote workHourly payPart time
$20 - $25 per hour
...Claims Referral Specialist II (Remote - East Coast) Bring Your Dental Claims Expertise to a Mission-Driven Organization Eastern Time Zone - Uniondale... ...Liberty Dental Plan, we are committed to improving the oral health of the communities we serve through quality care,...Remote workWork at officeImmediate startRelocationVisa sponsorshipFlexible hours$18.5 - $42.35 per hour
...We’re building a world of health around every individual — shaping a more connected, convenient... ..., sensitive, and specialized medical claims in accordance with established plan... ...‑specified claims and those that exceed specialist adjudication authority or processing expertise...Remote workHourly payFull timeWork experience placementLocal area- A leading pet insurance provider is seeking a Claims Adjuster in New York, NY. The role involves managing claims processing and evaluating... ...experience and be capable of working independently in a remote setting. This position offers an opportunity to work with a compassionate...Remote job
$34.8k
...customer service platform. Our claims and risk engineering services... ...Crum & Forster’s Accident & Health division (A&H) has offered a... ...: The role of Claims Support Specialist is a unique opportunity to work... ...variable pay programs. #LI-AV1 #LI-Remote #J-18808-Ljbffr...Remote workWork at office- A growing insurance company in Austin, Texas is seeking a Claims Eligibility Specialist - Clinical to review and manage long term care claims. Candidates should have at least 5 years of experience in claims management and possess a bachelor's degree in a relevant field....Remote job
- ...Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively... ...delivery while enjoying the flexibility of a primarily remote work environment. If you are passionate about making a difference...Remote work
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