Remote Payment Integrity & Claims Recovery Analyst
CareOregon
- Remote job
CareOregon is seeking a Payment Integrity Analyst to execute claims investigation and recovery strategies. This role analyzes claims data to identify cost containment opportunities and conducts audits, coordinating with Clinical, Contracting, Finance, and Claims teams to ensure alignment. The position emphasizes timely, accurate analyses and strong collaboration across departments. Ideal candidates leverage Medicare/Medicaid experience, advanced analytics, and proficient use of claims systems. #J-18808-Ljbffr CareOregon
- ...Seeks a Construction Claims Analyst | Construction Engineering... ...No Overtime Pay Basis Remote (within USA - W/ On-... ...holidays.Pre-Tax Payment Programs: Pre-Tax Payment... ...protection during your recovery from a disability.----... ...Above All," emphasizes integrity, overcoming challenges...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
- ...6-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact... ...(Brillio)/ Last option is remote Experience- 7+ Years We are seeking... ..., retries, and failure-recovery scenarios. Validate data accuracy...Remote workContract work
- ...employees to balance in-office collaboration with the benefits of remote work. We provide the necessary tools and technology to ensure... ...you're working from home or the office. SUMMARY: The Payment Recovery Specialist I oversees the daily operations of loans under...Remote workFor contractorsWork experience placementFor subcontractorWork at officeLocal areaWork from homeFlexible hours
$100k
...an experienced Senior Claims Analyst with deep expertise... ...secure claim adjustments, recoveries, and repricing. This... ...skills. This is a remote role. Key... ...carriers regarding claim payment accuracy. ~ Prepare... ...auditing, or payment integrity, with direct exposure...Remote workFull timeContract work$22.27 - $33.43 per hour
PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible... ...excellence including punctuality, integrity, and accountability Comfortable in a metrics... .... Unless otherwise indicated as fully remote, reporting into a designated City...Remote workHourly payWork at officeFlexible hours- ...is looking for a dedicated Payment Integrity to join the team. This role... ...located in these states to work remote - VA, MD, DC, DE, FL, GA, NC... ...payment policies. Analyzes claims, remittances, contractual... ...recoupments to identify overpayment recovery opportunities. Determines...Remote workFull timeContract workMonday to Friday
- ...Medicare SME- Payment Integrity Analyst This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios... ...to remediate issues quickly across the inputs that support claims payment (medical policy, authorization, benefits, CMS rules...Remote work
$32k - $42k
...Senior Healthcare Claims Processor Location : Remote, Eastern Standard Time... ...exceptions, edits, payment questions, and... ...reimbursement, payment integrity, claims review, or... ..., trainer, mentor, analyst, or subject matter... ...coordination, and recovery processes. ~ Experience...Remote workFull timeContract work- ...Ensuring the accuracy and compliance of claims and payments, the full-time remote Payment Integrity Specialist will manage payment audits, identify discrepancies, and drive process improvements while collaborating with cross-functional teams. Key responsibilities Review...Remote workFull timeContract work
$100k
...Job Type: Contract Workplace Type: Remote, but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business...Remote workFull timeContract workLive inWork at officeMonday to FridayFlexible hours- CorVel Corporation seeks a Payment Integrity Analyst III - QA Analyst to lead the PPI team and conduct audits per CMS guidelines and client policy... ...to detail, and expertise in revenue cycle processes. This remote position supports multiple clients with quality assurance...Remote job
$50k
...employees. With access to an integrated network of road, rail and... ...Responsibilities The Cargo Claims Analyst role is part of the Claims Department... .... Pursue collections and recovery efforts against third... ...There is no option for fully remote or hybrid work in this role,...Remote workTemporary workWork at officeLocal areaWorldwideMonday to FridayFlexible hours$61.05k - $98.33k
...Senior Claims SpecialistThe Senior Claims Specialist... ...is available for both remote and hybrid work... ...reserves and authorizes payments within reserving authority... ...appliesManages potential claim recoveries of all typesReports... ...most innovative and integrated solutions to our...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$20 - $25 per hour
...alternative application process. Claims Analyst Full Time Staff South... ...accurate and timely claims payment through pre-payment audits,... ...claims analysis, and payment integrity activities. This role reviews... ...updates, refunds, and overpayment recovery activities as needed....Remote workHourly payFull time- ...Claims Payment Specialist At Blue Cross Blue Shield Global Solutions℠ (BCBS Global Solutions℠), we make it easy for people and organizations... ...or compliance-focused environment Experience supporting remote or cross-functional teams What you'll get in return:...Remote workWork at office
- ...analyze, investigate, and authorize payment of benefits within authority... .... Analyze and evaluate claim/benefit request forms and documents... ..., which may be office or remote based, or a combination thereof... ...their company email account as an integral part of their job...Remote workFull timeContract workWork experience placementWork at officeHome officeMonday to Friday
$19.25 per hour
...Claims Analyst II Are you detail-oriented, analytical, and passionate about... ...* Process approved claims for payment while maintaining confidentiality and data integrity. * Investigate and resolve pending... ...Workplace Type*This is a fully remote position. *Application...Remote workContract workTemporary work- ...FEMA-Disaster Recovery Specialists (Cost Estimators) Join the Dewberry Team! Are you looking... ...and its territories. Please note, remote work is not permitted for this role. This... ...commitment to excellence stems from our personal integrity and from other defining attributes,...Remote workFull timeContract workFor contractorsWork experience placement
$110k
...If you have spent time in payment integrity, you know the industry's quiet... ...enough. We review high-dollar claims before they are paid,... ...Philadelphia area preferred, but remote work is possible for a highly... ...it. As our Senior Claims Analyst, you will build the pipeline...Remote workFull timeTemporary workWork at officeWork from home2 days per week- ...: On Site Monday - Thursday. Remote Friday. Duration: 2 year contract... ...you will manage and support claims-related activities, focusing... ...claims and supporting recovery efforts. Key responsibilities... ...processing and coordinating payments to third-party providers. Monitoring...Remote workContract work
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing Edits team. In this pivotal role... ...& Implementation Identify Opportunities: Use claim data analysis to pinpoint high-impact edit opportunities...Remote workLocal area$38.22 per hour
...Claims Analyst Trillium Professional is now seeking a Claims Analyst for a contract, remote position in Boston! The assignment will last for... ...claims, pursues insurance payments, analyzes reimbursement discrepancies... .... We believe in honesty, integrity, and a simple philosophy...Remote workContract workWork at office- ...off) insurance management, claims administration, and risk... .... Location : Remote or Hybrid in Manchester,... ...guides less experienced claim analysts. Manages external relationships... ...Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s...Remote workContract work
- ...The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONSAND RESPONSIBILITIES: Reviews, analyzes, and completes...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
$112.7k - $193.2k
...the product strategy for one of Optum Payment Integrity's Intelligent Fraud Detection products.... ...plans and healthcare organizations ensure claims are paid accurately and fairly,... ...execution.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$130k - $180k
...the Health Insurance business in the United States! The Payment Integrity solution we provide is key to our customers and you will be managing... ...manage multiple opportunities simultaneously #LI-MG1 #LI-REMOTE The range listed is for base compensation. Your actual...Remote workPermanent employmentFull timeContract workApprenticeshipInternshipFlexible hoursShift work$112.7k - $193.2k
...defining and executing the product strategy for one of Optum Payment Integrity's Facility Claim Review products. These are established, widely adopted... ...driving execution.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$81.15k - $137.95k
...housing, economic impacts, and infrastructure recovery after disaster strikes. ICF is seeking a... ...This policy is in place to maintain the integrity and authenticity of the interview... ...employment is:$81,147.00 - $137,949.00California Remote Office (CA99)SummaryLocation: Los...Remote workFull timeContract workWork experience placementWork at officeLocal area$91.7k - $163.7k
..., specifically, the EHR and integrated applications and tools. By joining... ...Epic Professional Billing Claims Analyst with hands-on experience... ...enjoy the flexibility to work remotely * from anywhere within the U... ...knowledge such as billing, payment posting, self-pay/insurance...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- Overview Capability Manager, Payment Integrity - Remote at UnitedHealthcare. This role focuses on capability management for payment integrity services... ...experience in healthcare operations - payment integrity, claim, and/or provider operations Solid proficiency in Excel and...Remote jobMinimum wageLocal area
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