Remote Care Coordinator - LTC Claims & Eligibility
illumifin
- Remote job
illumifin is a leading provider of long-term care claims processing and is seeking a qualified candidate to determine initial and ongoing claimant eligibility. You will review medical records, verify provider credentials, and communicate decisions to claimants and providers, all while ensuring timely processing and adherence to plan language and regulations. Remote work options may be available; Associates degree or equivalent, 3+ years of claims experience, and MS Office proficiency are #J-18808-Ljbffr illumifin
$24 per hour
...administrator of long term care insurance services is... ...claimant and provider eligibility. RESPONSIBILITIES... ...claimant eligibility, coordinate a benefit eligibility... ...written, all aspects of the claim benefit determination... ...Location Remote #J-18808-Ljbffr illumifinRemote workClaimsContract workWork experience placementWork at office- An established insurance client in Austin is seeking a Remote Long Term Care Claims Eligibility Specialist. This position requires 5+ years of claims management experience and a certification/licensure as LVN, LPN, or LSW. Responsibilities include investigating claims,...Remote jobClaimsFlexible hours
- Overview The HT Group has partnered with an established insurance client in Austin, TX looking for a Remote Long Term Care Claims Eligibility Specialist who is experienced, detail-oriented, and customer-focused to review and manage claims of varying complexity. This is...Remote jobClaimsWeekly payTemporary workWork at officeFlexible hours
$125k - $140k
...$125,000 - $140,000,Category: Claims & UnderwritingCompany: Munich Re***This is a fully remote position in the United States.*... ...a highly experienced Long-Term Care (LTC) claim professional. The role is... ...bonus based upon a percentage of eligible pay.The salary estimate...Remote workClaimsTemporary workWork experience placementShift work- ...what is best for our customers. The Care Coordinator will coordinate the with the Care Team... ...calls with Care Team Lead Provide adhoc claims review as required Identify... ...benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits....Remote workClaimsHourly payDaily paid
$30 per hour
...evaluates medical or behavioral eligibility regarding benefits and... ...Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive... ...to assess, plan, implement, coordinate, monitor, and evaluate... ...Services, Subrogation, Quality of care Referrals, etc.)....Remote jobClaimsContract work- ...Registered Nurse / RN - Managed Care Coordinator to work for our client located in... ...and evaluate medical or behavioral eligibility regarding benefits and clinical... ...using your clinical proficiency and claims knowledge. This is a REMOTE opportunity for candidates living...Remote workClaimsContract workTemporary workLocal areaShift work
- ...of those with chronic care diseases while providing... ..., the Hospital Care Coordinator is responsible for coordinating... ...accurate and patient eligibility is verified prior to... ...Stark Law, and False Claims Act (FCA). Do not... ...Time Off Sick Time Remote Work Opportunity Growth...Remote workClaimsWork experience placementImmediate startLong distanceFlexible hours
- 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 jobClaims
- ...authentic dedication to patient care, you don’t need to look... ...: The Bilingual Care Coordinator assists patients and... ...limited to processing pharmacy claims, obtaining authorizations... ...flexibility only to eligible employees to work hybrid or remotely without compromising work...Remote workClaimsFull timeTemporary workPart timeWork at officeLocal areaHome officeMonday to FridayFlexible hours
- ...an enthusiastic and creative Care Coordinator to join our Housing... ..., helps determine needs and eligibility for government subsidized services... ...telecommuting work option, remote work option Employee referral... ...Transparency: While we don't claim to be 100% transparent (there...Remote workClaimsInternshipWork at officeFlexible hours
- ...Care Coordinator UnitedHealth Group is a health care and well-being company... ...the flexibility to work remotely* as you take on some tough... ...primary care manager for dual eligible members Engage people... ...nonclinical questions (credentialing, claims, etc.) connecting them to...Remote jobClaimsMinimum wageFull timeWork experience placementLocal area
- Medwiz of Illinois LTC Pharmacy Open Position: Data Entry Pharmacy... ...is fluent in data entry and claims adjudication. The appropriate... ...Pharmacy Technician Long Term Care experience Framework LTC experience... ...Evening Shift Available No remote work available at this time...Remote workClaimsFull timeWeekend workAfternoon shift
- ...health record system, and to obtain benefits and eligibility information from insurers to ensure successful claim payments. The role emphasizes exceptional service... ...environment, with a hybrid schedule (2 days in the office, 3 days remote). #J-18808-Ljbffr Reliable RespiratoryRemote workClaimsWork at office
- CorroHealth Inc. is hiring for a remote, US-based billing claims specialist operating in Hawaii time zone. The role focuses on resolving complex LTC, SNF, and ICF claims, submitting to Medicare, Medicaid, and private payers, and ensuring regulatory compliance. The position...Remote jobClaims
- Liviniti, LLC is seeking a Senior Director of Claims and Eligibility Operations to lead strategic direction for Claims Adjudication, QA, and Eligibility Operations. This role requires partnering with the technology team to ensure platform readiness and drives continuous...Remote jobClaims
- Boomerang Healthcare’s Manager, Eligibility and Benefits role at Walnut Creek, CA is a senior administrative position overseeing eligibility... ...clinical specialties. You will standardize workflows, reduce claim denials, and ensure accurate patient liability is determined before...Remote jobClaims
$29 - $36 per hour
...Program of All-Inclusive Care for the Elderly (PACE)... .... We deliver coordinated clinical and social care... ...administrative, community, or remote environments,... ...This position is also eligible for an annual bonus of... ...suspicious communications claiming torepresentHabitat Health...Remote workClaimsHourly payContract workFixed term contractWork at officeLocal areaFlexible hours- ...Job Description Job Description Remote SUMMARY: In support of Managed Care Case Management perform the duties of triaging daily referral requests... ...a skilled nursing facility ~ Understanding of how claims are paid under Commercial and Medicare Advantage plans...Remote workClaims
- ...Lucent Health combines top-tier claims management with a... ..., human-focused, data-driven care management solution. This approach... ...Summary : The Billing/Benefits Eligibility Specialist is a key part of... ...Responsibilities Administer and coordinate the day-to-day operations of...Remote jobClaimsWork at office
$16 - $18 per hour
...Insurance Eligibility & Follow-Up Specialist Are you experienced in insurance verification, claim follow-up, and resolving payer issues? Do you... ...receive the coverage and care they need. This role combines... ...: 5/26/2026 Location: Remote (Must pass an internet...Remote jobClaimsHourly payFull timeTemporary workWork experience placementWork at officeFlexible hours$28.4 per hour
...re looking for a Lead Care Manager for the... ...will work from both a remote home office and field... ...Perks Program Benefit eligible employees working 30 hours... ...members with enhanced coordination of care. Core... ...reports. Submit claims to Managed Care Plans...Remote workClaimsHourly payLive outLocal areaWork from homeHome office- CLAIMS ELIGIBILITY SPECIALIST - CLINICAL (Full Time, Hourly, Non-Exempt) Looking to join a growing... ...lives of others! We are also open to remote candidates! About Continental General:... ...insurance, including life and long-term care policies, to individuals and groups for...Remote workClaimsHourly payFull timeTemporary workWork at office
$22 - $32 per hour
...Care Coordinator (Specialty Pharmacy) - Lufkin, TX We're looking for an on-site Specialty Pharmacy... ...behalf of patients Process pharmacy claims Coordinate medication dispensing and... ...ideasno matter how radical. We are a remote-first company, however some pharmacy...Remote workClaimsHourly payWork from home- TMG is seeking an Eligibility Screener to complete Adult Long-Term Care Functional Screens (LTC-FS) for Wisconsin IRIS participants. This remote role involves home visits and collaboration with IRIS Consultants and providers to ensure accurate, timely screenings. The successful...Remote job
- Burrell Behavioral Health in Kirksville, MO is seeking an Insurance Billing Specialist to prepare, review, and submit insurance claims for private payers, audit claims for accuracy, and maintain comprehensive billing records. This role involves monitoring reimbursements...Remote jobClaims
$18 - $21 per hour
...Care Coordinator I We've been helping people get back to work and life since 1992 Salary Range: $ 18-21 Location: Remote/In Office Position Summary As a Care Coordinator I at MTI America... ...care, medical coordination, or claims environment Familiarity with...Remote workClaimsWork at office$40k - $60k
...Job Description Job Description Care Coordinator (Hybrid) Bastion Health Farmington,... ...Farmington, CT office and the remainder remote. Key Responsibilities Patient Outreach... ...orders when appropriate Coordinate claims submission and fulfillment processes...Remote workClaimsFull timeWork at office2 days per week3 days per week$52k
...patient experience navigating their MSK care journey with unparalleled customer service... ...1 year of experience working in a fully remote or hybrid environment Ability to problem... ...or an email from a different domain claiming to represent Icon Health, please do not engage...Remote workClaimsFull timeWork at officeHome officeFlexible hours$26 - $28 per hour
....00/hr - $28.00/hr Location: Remote - Training will be a few days... ...inform and educate them on health care programs to address their... ...the various groups regarding claims which involves conducting... ...systems OR RN OR 3 years care coordination for a state managed or waiver...Remote workClaimsContract workWork at office
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