Remote Federal Claims Lead REA & Certified Claims
$163.71k - $215kGilbane Federal
Gilbane Federal is seeking a Senior Claims Manager to lead complex claims management for their Federal division. This role supports project teams, ensuring compliance and financial recovery through effective resolution of Requests for Equitable Adjustment (REAs) and Certified Claims.
Your expertise in Federal dispute resolutions will be crucial. The position offers remote flexibility, competitive salary range from $163,710 to $215,000, and a generous benefits package including profit-sharing and 401k.
#J-18808-Ljbffr$163.71k - $215k
...Gilbane Federal is seeking a Senior Claims Manager to oversee complex claims for its Federal division. This position can be remote or based at any U.S. location where Gilbane has an office. The ideal candidate will manage REAs, lead project teams, and ensure compliance...Remote workClaimsWork at office- ...Supervising a team of Coding Validation analysts, the full-time Certified Coding Team Lead will manage queue distribution, optimize performance, and... ...Oversee onshore/offshore teams in reviewing claims and producing appeals that meet integrity and metric standards...Remote workClaimsFull timeWork at office
$163.71k - $232.8k
...A leading construction management firm is seeking a Senior Claims Manager to oversee complex claims for their Federal division. This role requires strong leadership and communication skills... ...partners. The position offers remote work flexibility and a salary range...Remote workClaims- ...do: The Coding Team Lead is responsible for mentoring... ...needed systems for newly hired certified coders Work with providers... ...General knowledge of current claims filing principles and... ...characteristic protected by applicable federal, state, or local laws and...Remote workClaimsLocal area
$60.4k - $83.05k
...team as Subrogation Team Lead. In this role, you will... ...escalations and claims review. Provide employees... ...claims experience. CSRP - Certified Subrogation Recovery Professional... ...Current Location: US Remote, ideally within... ...characteristic protected by federal, state and local laws....Remote workClaimsLocal area- ...Job Summary The Remote Medication Use Lead supports operational coordination... ...programs. Ability to review claims information, billing... ...Licenses and Certifications ~ Certified Pharmacy Technician (CPhT)... ...complies with all applicable federal, state and local laws...Remote workClaimsLocal area
- ...policy requirements of federal and state government agencies... ...denial management claims and addressing patient... ...coding assistants, coders, leads, supervisors, and... ...by one of the following certifying bodies: American Academy... ...perform other related duties. #Remote #LI-Remote...Remote workClaimsWork at office
$15.61 - $23.82 per hour
...The Setup Team Lead is responsible for assisting and... .... This is a remote position. ESSENTIAL... ...Organize and distribute claims according to established... ...the following factors: federal, state, and local minimum... ...CorVel Corporation, a certified Great Place to Work® Company...Remote workClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...DESCRIPTION Job Summary Provides lead level analyst support for... ...integrity (PI) and provider claims accuracy. Makes recommendations... ...(HCPCS), Revenue Codes), and federal/state Medicaid payment rules.... ...Marketplace lines of business. • Certified Business Analysis Professional...Remote workClaimsTemporary workWork at office
- ...Lead Medical Records Technician – Outpatient (Remote) Leads outpatient/professional coding operations... ...coordinate with billing/claims teams. Assist... ...emergencies. Arrow is a certified Service-Disabled, Veteran... ...driven approach in the federal sector. Arrow provides management...Remote workClaimsSeasonal workWork at office
$163.71k - $232.8k
...A leading construction management firm is seeking a Senior Claims Manager to oversee complex claims for its Federal division, either remotely or from any U.S. office. The ideal candidate will have a Bachelor... ...include managing REAs, coordinating with internal teams...Remote workClaimsWork at office- ...Woundlocal. Hiring a clinical back certified medical billing professional... ...billing and commercial and federal insurance benefits... ...submission to payers, review claim denials, submit appeals, and... ...for solutions. Manages expert remote coder to ensure properly assigned...Remote workClaimsFull timePrivate practiceWork at officeImmediate startMonday to Friday
$72.7k
...and external entities; leads activities with provider... ...audit results to claims, and thoroughly reviews... ...any of the following) Certified Professional Coder (CPC... ...CONDITIONS Position Type Remote Office-based Teaches... ...to applicable federal and state laws, rules,...Remote workClaimsContract workFor contractorsWork at officeLocal areaFlexible hours$99k - $225k
...Construction Manager, Lead The Opportunity:... ...well as compliance with federal standards. You will also... ...contract modifications, claims, labor provisions, progress... ...Association of America Certified Construction Manager (... ...during meetings. Remote: If this position is...Remote workClaimsFull timeContract workPart timeFor contractorsWork at officeLocal area- ...Claims Adjuster At Gallagher Bassett, we're there... ..., stands together, and leads with purpose. Role Specifics... ...is eligible for fully remote work. How you'll... ...licensed and/or certified in all states in which... ...characteristics") by applicable federal, state, or local laws....Remote workClaimsLive outWork at officeLocal areaFlexible hours
$99k - $225k
...Job Description Remote Work: No... ...Construction Manager, Lead The Opportunity:... ...well as compliance with federal standards. You will also... ...contract modifications, claims, labor provisions, progress... ...Association of America Certified Construction Manager (CCM...Remote workClaimsFull timeContract workPart timeFor contractorsWork at officeLocal area$153.6k - $241.34k
...Director, Global Labeling Lead where you will be... ...product strategy, product claims and information in the... ...life‑changing work. Certified as a Global Top Employer... ...currently classified as "remote" following Takeda's... ...accordance with applicable federal, state and local laws,...Remote workClaimsMinimum wageFull timeTemporary workLocal areaWorldwide- ...Summary In accordance with state and federal regulations, assists the pharmacist, under... ...prescriptions. If PTCB or Except certified, assists with and coaches pharmacy technicians... ...(corrects and resubmits) manual claims for third party program prescription services...ClaimsWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
$68.8k - $94k
...A leading public sector solutions firm is seeking a TPA Claiming Lead to oversee claims management and ensure the accuracy of TPA processes.... ...stakeholders. The TPA Claiming Lead will work remotely and will need to understand both federal and state policies to guide operations....Remote workClaims- ...sector solutions firm is seeking a TPA Claiming Lead to manage claims operations within its education... ...the team, and ensuring compliance with federal and state Medicaid policies. Candidates... ...capabilities. The position is remote, emphasizing collaboration and continuous...Remote workClaims
$86.53k - $110.44k
...Job Type: Full-Time Remote Employment: Flexible/... ...loss through effective claims management, insurance administration... .... In compliance with federal law, all persons hired... .... # Serves as lead and mentor to Risk... ...Underwriter CRM - Certified Risk Manager RIMS-...Remote workClaimsFull timeContract workTemporary workPart timeFor contractorsSeasonal workFlexible hours- ...Whether you’re managing claims, supporting clients, or... ..., stands together, and leads with purpose. Overview... ...is eligible for fully remote work How you'll make an... ...licensed and/or certified in all states in which... ...characteristics") by applicable federal, state, or local laws....Remote workClaimsFull timeLive outWork at officeLocal areaFlexible hours
$68.8k - $94k
A leading public sector solutions firm is seeking a TPA Claiming Lead to lead their operations team in Lincoln, Nebraska. The ideal candidate will manage claims processes to ensure accuracy and compliance with federal and state policies. Responsibilities include coaching...Remote workClaims- ...classified environments, navigating federal security and compliance... ...dynamic AI environment. Lead the professional services effort... ...travel. Bonus points: Certified Kubernetes Administrator... ...suspicious emails or messages claiming to be from DataRobot, please...ClaimsWork experience placementLocal areaWorldwideFlexible hours
- ...Remote - Part Time to Full Time Company Overview: TestPros is a successful and growing... ...to a wide range of Commercial and U.S. Federal, State, and Local Government customers.... ...NIST SP 800‑171), and CMMC implementation. Certified CMMC Professional (CCP). Certified CMMC...Remote workHourly payFull timeContract workPart timeFor contractorsFor subcontractorLocal areaFlexible hours
- ...TX 76109, USA The CERIS Certified Coder reverse codes... ...responsible for making claim-related recommendations... ...stakeholders. This is a remote position. Essential Functions... ...the following factors: federal, state, and local... ...roles (I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours
$24.57 - $30.71 per hour
...Certified Coding Specialist- Outpatient Clinic Job Category: Prof... ...May 4, 2026 Full-Time Remote Rochester, MN 55901, USA... ...Assists in monitoring pre-claim edit data to ensure correct claims... ...of their rights pursuant to federal employment laws. For further...Remote workClaimsFull timeTemporary workDay shift$75.11k - $100.98k
...Full Time - Permanent Remote Employment: Remote... ...Description Lead Medical Coder (MPS3/DAIO... ...medical and other benefits claims and billing. If you have... ...ensure compliance with federal and state regulations.... ...certification such as Certified Professional Coder (CPC...Remote workClaimsPermanent employmentFull timeContract workPart timeWork at officeImmediate startFlexible hoursShift work$48.14k - $71.85k
...CERIS Certified Coder II The CERIS Certified Coder reverse... ...responsible for making claim-related recommendations... .... This is a remote position. ESSENTIAL... ...the following factors: federal, state, and local minimum... ...roles (I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours- ...A leading crop insurance company is looking for an Area Claims Supervisor to support Crop Insurance Adjusters across Ohio. This role involves managing performance... ...claims accuracy, and ensuring compliance with federal regulations. Candidates should have a bachelor’s degree...Remote workClaims
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