Remote Claims Research & Resolution Specialist
Humana Inc
- Remote job
Humana Inc is seeking a Claims Research & Resolution Professional 2 to manage claims operations involving customer contact, investigation, and settlement, and to approve settlements for and against Humana. The role involves working with providers, members, and other services, with emphasis on interpreting and applying guidelines. This remote position offers 40 hours weekly, occasional travel to Humana offices, and eligibility for a bonus plan along with competitive benefits. #J-18808-Ljbffr Humana Inc
- ...United States is seeking a Healthcare Claims Specialist to bridge communications between healthcare... ...insurance payers to expedite claim resolutions. Your responsibilities include... ...denials to secure reimbursement. This remote role demands excellent communication,...Remote workClaims
$17 per hour
...Flexible hours & Work from home remote option Starting Salary: $17 AND UP (depending... ...over insurance denials, ensuring prompt resolution and securing payments for all stakeholders... ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and...Remote workClaimsWork at officeWork from homeFlexible hours- Digitech is seeking a detail-oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote role requires reviewing pending/denied claims and following through to payment, with strong analytical...Remote jobClaimsMonday to Friday
- ...Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaims
- Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities... ...with thorough documentation in billing systems. This remote position operates Monday through Friday during standard...Remote jobClaimsMonday to Friday
- ...The Planet Group is seeking an Epic Resolute PB Analyst for a 6-month fully remote contract opportunity. The analyst will focus on supporting Epic Professional... ...configuring charge capture workflows, managing claims, and developing reporting tools. Strong knowledge of professional...Remote workClaimsContract work
$18 - $20 per hour
...My client, Digitech Computer, is seeking a Health Insurance Claims Resolution Specialist to work remotely full time. Digitech is seeking a Health Insurance Claims Resolution Specialist to work claims after they’ve been submitted to commercial insurance carriers. This...Remote workClaimsFull time- ...Claims Resolution Specialist The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate... ...payment issues; escalate trends to management as needed. Research payer policies and claim-specific requirements to ensure accurate...Remote workClaimsWork at office
$110k - $120k
...Multiple remote perm, full-time Epic Certified Lead Analyst, Resolute PB positions. Location: CST Time Zone. Salary: $110-120K + Full Benefits. *** Remote... ...hold Epic Certification in Resolute PB Admin or PB Claims. Hands-on experience with application configuration...Remote workClaimsPermanent employmentFull timeVisa sponsorshipWork visa- ...Making high-volume outbound calls to investigate and maximize insurance payments, the full-time remote Claims Resolution Specialist will research auto accident details, confirm payer information, and submit accurate bills to ensure timely payments for client hospitals...Remote workClaimsFull timeWork at office
- Metrocare Services is seeking a Remote RCM Coordinator - Claims Resolution to join our Revenue Cycle Management team. This role focuses on ensuring accurate claim submission, payment posting, and denial prevention across primary care, behavioral health, IDD, ECI, ABA therapy...Remote jobClaims
- TEKsystems seeks an expert Epic Resolute Professional Billing Analyst for a remote contract engagement. The role emphasizes PB Claims build, Charge Router optimization, and ongoing system enhancements within an established Epic Professional Billing environment. The ideal...Remote jobClaimsContract work
- ...doing it well. Whether you're managing claims, supporting clients, or improving processes... ...: This role is eligible for fully remote work How you'll make an impactApply claims... ...process to ensure effective communication and resolution. Provide exceptional customer service to...Remote workClaimsLocal area
- ...expanding its lien division. We seek a detail-oriented Lien Resolution Specialist Paralegal to handle EDD and medical provider liens for insurance... ...defense while aligning with California regulations. Strong claims management experience is preferred. #J-18808-Ljbffr Russell...Remote jobClaims
- UnitedHealth Group is seeking a Senior Recovery Resolution Analyst to validate provider claims against medical records and apply coding guidelines in post-... ...teams while maintaining caseload and productivity in a remote telecommute setting. This role requires AHIMA/AAPC...Remote jobClaims
- ...will serve as the primary contact for members and providers, delivering first-call resolution and high-quality service. You will troubleshoot inquiries about eligibility, benefits, and claims, and navigate multiple systems to ensure accurate responses and timely...Remote jobClaims
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a Claims Resolution Supervisor to lead our claims review team with remote-capable options. Based in Massachusetts, this full-time role oversees daily operations, assigns work, coaches staff, and ensures timely...Remote jobClaimsFull time
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a claims supervisor to lead the daily operations of the claims resolution team. You will assign work, coach staff, and monitor performance to ensure timely resolutions. The role requires 3-5 years in healthcare...Remote jobClaims
- Sarnova HC, LLC is seeking a Medicaid Account Resolution Specialist for Digitech with 100% remote work. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle. The role requires attention to...Remote jobClaims
- Sovereign Insurance Group is seeking a Claims Specialist to manage the claims lifecycle from notice to resolution. The role collaborates with customers and carriers to ensure... ...work options are available in Berwyn, PA, with remote opportunities in PA/NJ. #J-18808-Ljbffr...Remote jobClaims
- Job Summary The Elite Job is looking for a detail-oriented and highly organized Medical Coding and Healthcare Claims Resolution Specialist to join our remote healthcare operations team. This role involves analyzing medical records, assigning accurate diagnostic and procedural...Remote workClaimsFull timePart timeCasual workLocal areaWork from homeFlexible hoursAfternoon shift
$20 per hour
...Days in Office, 2 Days Remote Join Our High-... ...As a Patient Account Specialist, you will play a vital... ...insurance inquiries, claims, and billing matters.... ...support timely and accurate resolution in accordance with... ...outstanding accounts. Research and resolve claim denials...Remote workClaimsWork at officeLocal areaWork from home- Account Resolution Specialist - Insurance HMOs - Digitech - Remote United States Job Description The Sarnova Family of companies... ...to manage and resolve insurance claims after submission to Medicare... ...Duties and Responsibilities: Research and resolve outstanding insurance...Remote jobClaimsWork from homeMonday to Friday
- ..., WA, and WI This is a remote position . Client Environment... ...& Role Focus – AR Specialist II (Hospital Billing &... ...receivable from claim submission through final resolution. We are seeking AR Specialists... ...include researching and resolving complex insurance...Remote workClaimsWork at officeShift work
$104.8k - $157.2k
...Pain InterventionsThis position is fully remote in the USA and will include 5% travel.The Senior Health Economics & Outcomes Research Specialist designs and executes real-world... ...conduct real-world evidence studies using claims, electronic health record, and linked datasets...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$17.69 - $23.56 per hour
...requests and customer inquiries, researches account information and... ...analyze and resolve Home Warranty claims in a timely manner while... ...investigation of the claim through resolution Make decisions and... ...Spanish a plus Pay Range: $17.69 - $23.56 Hourly, Remote...Remote workClaimsHourly payContract workFor contractorsWork at office$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaimsHourly pay- ...oriented and strategically-minded Lien Resolution Specialist Paralegal to join our team. In this role... ...interested in candidates with a strong claims management background. About the Role... ...hearings. What We Offer Flexible Schedule Remote and Hybrid work arrangements Generous...Remote workClaimsFlexible hours
$22 per hour
...Customer Resolutions Agent Location: Remote Anywhere in the United States Salary: $22.00 per hour Contract: Full Time, 40 hours per week Protecting... ...case management, complaints, service repairs and claims, accidental damage/accessories and product replacements....Remote workClaimsHourly payFull timeContract work$59.61k - $140.41k
...Epic Resolute Hospital Billing Analyst South Shore Hospital, Southeastern Massachusetts... ...office in Weymouth, or hybrid in-person/remote, or fully remotely (must live in MA if fully... ...Hospital Billing, Professional Billing, Claims, Contracts. ~ Demonstrated knowledge of...Remote workClaimsContract workLive inWork at officeFlexible hours
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