Remote HMO Claims & Provider Support Specialist
Medix
Medix is seeking a dedicated Customer Service Representative to join their Provider Contact Center team in Southern California. The selected candidate will work remotely and provide exceptional service, familiar with HMOs, claims processing, and authorization/referral procedures. This role involves maintaining a high service level and managing a substantial call volume while assisting healthcare providers and members. The position offers various benefits, including health coverage and 401(k) eligibility after 6 months. #J-18808-Ljbffr
- ...Vaya Health is seeking a remote MRS Provider Support Line Representative based in North Carolina. This role involves assisting providers with inquiries related to claims, contracts, authorizations, and services, while ensuring high-quality customer service. The ideal...Remote workClaims
- ...Providing comprehensive support to healthcare providers, the full-time remote Provider Support Specialist will manage inquiries regarding network enrollment, claims submissions, and technology troubleshooting while ensuring effective communication and assistance within...Remote workClaimsFull timeWork at office
- ...JOB SUMMARY/PURPOSE Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans' procedures,... ...department collaborates with internal stakeholders including Claims, Utilization Management, IT, and Configuration to...Remote workClaimsWork at office
- ...Join Our Team as a Remote Provider Support Specialist Are you passionate about supporting healthcare providers and enhancing their experience?... ...Relations, Referral Authorization, Provider Data Maintenance, or Claims Processing. Ready to make a difference? Apply...Remote workClaimsWork at office
- ...North Central Massachusetts provides comprehensive information and... ...with personalized choices and claim their rights to a life of safety... ..., updating care plans, and supporting program staff in addressing... ...ability to be productive in a remote work setting. Proficient computer...Remote workClaimsPermanent employmentContract workPart timeSeasonal workWork at office
$22.9 - $29.19 per hour
The Provider Support Line Specialist handles calls from providers and answers questions about joining the... ...member information, navigating the EHR, claims submissions, authorization requests,... .... This position is full-time remote opportunity. The selected candidate must...Remote workClaimsHourly payFull timeContract workWork at officeFlexible hours- ...Provider Dispute Claims Processor We are seeking an experienced Provider Dispute... ..., coverage, CPT codes, and supporting documentation for both... ...position is currently offered on a remote work basis after successful... ...Additional Benefits: HMO - Medical & Dental (coverage...Remote workClaimsWork at officeImmediate start
- ...Representative in the United States. This fully remote position involves assisting Dental and... ...callers with eligibility, benefits, and claims inquiries. The ideal candidate will... ...opportunities for professional growth are provided in a rewarding environment. #J-18808-Ljbffr...Remote workClaimsFlexible hours
- ...Working remotely, the part-time Subrogation Support Specialist will manage inbound calls, initiate new files, and identify potential subrogation claims while providing professional customer service during designated hours of 9a-6p, 10a-7p, or 11a-8p EST. Key responsibilities...Remote workClaimsPart time
$16.32 per hour
...Payfuture Technologies is seeking a Remote Call Center Representative to provide essential customer support for Conduent’s Supplemental benefits portfolio. This position... ...home. Responsibilities include handling claims inquiries, assisting with documentation requests...Remote workClaimsHourly payFlexible hours- ...Assisting in provider affiliation and contracting... ...Provider Contract Specialist will coordinate... ..., and support accreditation initiatives... ...initiatives while working remotely. Key... ...health insurance/HMO environment Experience... ...customer service, claims processing, billing...Remote workClaimsFull timeContract workWork at office
- ...A major healthcare solutions provider is seeking a remote Patient Support Medical Claims Processing Representative. In this role, you will handle medical claims, ensuring the documentation is correct and following specific guidelines for approval or rejection. The position...Remote workClaimsFull timeContract work
- ...A leading remote service provider is seeking an Inbound, Claims Call Center Representative to manage clients' claims in a remote environment. The ideal candidate should possess a high school diploma, experience in customer service, and strong problem-solving abilities....Remote workClaims
$65k - $75k
...Underwriter Support Specialist-DHI Title Insurance D.R. Horton, Inc., the... ...markets. The Company also provides mortgage financing and title... ...right candidate will manage claims and assist with risk analysis... ...offers the opportunity to work remotely. Essential duties and...Remote workClaimsNight shift$16.5 per hour
Cardinal Health, Inc. is seeking a Revenue Cycle Management (RCM) Support role in Twinsburg, OH. This position provides essential onsite administrative support for remote RCM Analysts, ensuring claims and appeals are accurate before mailing to insurance companies. Candidates...Remote workClaimsHourly pay$23 per hour
...A leading global provider of clinical research services is seeking a Patient Support Medical Claims Processing Representative for a remote position. Responsibilities include receiving and vetting medical claims, ensuring proper documentation, and determining claim payments...Remote workClaimsHourly pay$14 per hour
...A leading business process management provider is seeking a Customer Service Representative with remote work flexibility. The role involves conducting outbound calls, documenting customer transactions, and ensuring compliance with regulatory guidelines. Candidates should...Remote workClaimsHourly payFull time$73.92k - $120.96k
...Nurse Case Manager l - California HMO Virtual: This role enables... ...in-person training sessions, providing maximum flexibility and... ...approach promotes productivity, supports work-life integration, and ensures... ...solving with providers, claims or service issues. Minimum...Remote workClaimsFull timeWork experience placementWork at officeLocal areaShift work- ...Title: Temporary Claims Specialist II - Provider Claims Assignment Length: Six Months WORK LOCATION: 10801 6th St STE 120, Rancho Cucamonga... ...& adjustments, and customer service, preferably in an HMO or Managed Care setting A thorough understanding of medical...Remote workClaimsTemporary workWork at office
$27.2k - $38.9k
...Customer Service Representative in Topeka, KS. In this role, you'll provide exceptional service to clients and help improve the health of... ...with proficiency in various software. The position offers remote work initially, transitioning to an on-site role as needed, with...Remote workClaims- ...platform to help healthcare providers generate more cash with less... ...celebrate together. The Janus Support Specialist delivers high-quality... ...causes. Location: Remote (preference for Mountain or... ...revenue cycle management (e.g., claims, eligibility, prior...Remote workClaims
$14.09 - $16 per hour
...leading insurance consultancy is seeking a Customer Service Representative to join its medical claims department. This remote position involves managing incoming calls, providing claim information, and resolving payment issues while adhering to HIPAA regulations. The...Remote workClaimsHourly payFull time$19.81 - $26.43 per hour
First American is looking for a Sales Support professional in Georgia to maintain relationships with agents and assist in claims management. The role involves overseeing all claim... ...making decisions for the Sales Field, and providing crucial support for sales representatives....Remote workClaimsHourly pay$21 - $23 per hour
...tools, resources, and support you need to grow your... ...success. As a Support Specialist I for Brex, your goal... ...This role will be fully remote and based in Salt Lake... ...of compensation may be provided as part of a total... ...domain. Any outreach claiming to be from Brex via other...Remote workClaimsHourly pay- ...Technical Support Specialist The Technical Support Specialist (phone +... ...support) is responsible for providing Level II technical hardware... ...and process Hardware warranty claims and issues, and facilitate warranty... ...with Citrix or other remote access technologies Nice...Remote workClaims
- ...Desktop Support Specialist The Desktop Support Specialist will serve as the initial... ...printers, video conference, and remote technologies. The position will provide onsite and remote system and... ...reports of individuals falsely claiming to represent Ventra Health or one...Remote workClaimsWork at officeFlexible hours
$23 per hour
A leading provider in healthcare solutions is seeking candidates for a medical claims processing role in Houston, Texas. This position... ...status. Candidates will work remotely from anywhere in the U.S. Responsibilities... ...claims, providing customer support, and identifying operational...Remote workClaimsHourly payFull time- ...to join their team as a Purchasing Support Analyst! This is a remote one year contract that takes place in... .... What You Will Be Doing Provides customer support by assisting members... ...returns, follows-up on freight billings/claims. Ensures effective service by...Remote workClaimsContract workWork at office
$19.81 - $26.43 per hour
...First American seeks a Sales Support professional in Santa Rosa, CA, responsible for managing claims and relationships with agents. The successful candidate will coordinate... ...such as medical, dental, and 401(k) will be provided, with a salary range of $19.81 – $26.43 per...Remote workClaimsHourly pay$23 per hour
...IQVIA is seeking a Patient Support Medical Claims Processing Representative for a contract remote position open to candidates in the U.S. You will help provide payment assistance solutions to patients, ensuring claims are processed accurately. This role requires a High...Remote workClaimsHourly payContract work
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