Remote Claims Resolution Leader
8925 Mass General Brigham Health Plan Holding Company, Inc.
- Remote job
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 claims management or billing with 1–2 years of supervisory experience; strong knowledge of billing regulations and internal processes is essential. #J-18808-Ljbffr 8925 Mass General Brigham Health Plan Holding Company, Inc.
$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- 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
- ...the United States is seeking a Healthcare Claims Specialist to bridge communications... ...health insurance payers to expedite claim resolutions. Your responsibilities include resolving... ...denials to secure reimbursement. This remote role demands excellent communication, detail...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$86.4k - $129.6k
Team Leader Claims - CH08AEWe’re determined to make a difference and are proud to be an insurance... ...skills to effectively manage the resolution of assigned claims, manage claim deadlines... ...:This role can have a Hybrid or Remote work schedule. Candidates who live near...Remote workClaimsFull timeTemporary workCurrently hiringWork at office3 days per week- Vanguard Claims Administration, LLC (VCA) is seeking an experienced Liability Examiner... ...oversee the investigation, evaluation, and resolution of complex liability and construction... ..., attorneys, and other stakeholders.Location Headquarters- Remote.J-18808-Ljbffr ApponeRemote jobClaims
$225k - $275k
...manage and litigate plaintiff-side matters, including wage-and-hour, wrongful termination, and PAGA claims. The role involves leading cases from evaluation through resolution or trial, mentoring junior attorneys, and negotiating settlements. Flexible work-from-home...Remote jobClaimsWork from homeFlexible hours$67k - $107.2k
...operational goals. Provides guidance on problem resolution, ensures member and customer... ...purpose – giving you flexibility to work remotely with intentional in-person connection –... ...individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield...Remote workClaimsTemporary workWork at officeLocal areaFlexible hours2 days per week- 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
- ...Job Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim... ...claims are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA, NM,...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
$18 - $20 per hour
...client, Digitech Computer, is seeking a Health Insurance Claims Resolution Specialist to work remotely full time. Digitech is seeking a Health Insurance... ...(EMS) and respiratory markets and is the industry leader in revenue cycle management within emergency medical services...Remote workClaimsFull time- ...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
- ...Claims Resolution Specialist The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate and timely submission and resolution of insurance and patient claims. This position is responsible for claim billing, follow-...Remote workClaimsWork at office
- ...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
- 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
- ...is expanding its lien division. We seek a detail-oriented Lien Resolution Specialist Paralegal to handle EDD and medical provider liens for... ...defense while aligning with California regulations. Strong claims management experience is preferred. #J-18808-Ljbffr Russell Legal...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
- ...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
- 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
- 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
- Humana Inc is seeking a Claims Research & Resolution Professional 2 to manage claims operations involving customer contact, investigation, and settlement... ...emphasis on interpreting and applying guidelines. This remote position offers 40 hours weekly, occasional travel to...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
...Hybrid Following - 3 Days in Office, 2 Days Remote Join Our High-Energy Healthcare... ...Assisting patients with insurance inquiries, claims, and billing matters. Providing... ...insurance claims to support timely and accurate resolution in accordance with payer guidelines....Remote workClaimsWork at officeLocal areaWork from home- Account Resolution Specialist - Insurance HMOs - Digitech - Remote United States Job Description The Sarnova Family of companies includes Digitech Computer, Bound... ...Specialist to manage and resolve insurance claims after submission to Medicare HMOs, Medicaid MCOs, and...Remote jobClaimsWork from homeMonday to Friday
- ...NV, OH, OK, PA, SD, TN, TX, VA, WA, and WI This is a remote position . Client Environment & Role Focus – AR Specialist... ...for follow-up on outstanding accounts receivable from claim submission through final resolution. We are seeking AR Specialists with strong account...Remote workClaimsWork at officeShift work
$17.69 - $23.56 per hour
...contractors to analyze and resolve Home Warranty claims in a timely manner while maintaining a... ...the investigation of the claim through resolution Make decisions and authorize work... ...~ Fluent bilingual 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 and resolution of claim rejections... ...are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA, NM,...Remote workClaimsHourly pay
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