CPC-Certified Medical Claims & Payment Specialist (Remote)
TEKsystems
- Remote job
TEKsystems is seeking a contract-based coder with CPC/CPC-A certification to determine payment outcomes for insurance claims. The role involves reviewing emergency services data, validating information, and selecting the correct resolution within TEKsystems’ internal claims system. Remote, contract position based out of Chicago, IL. No coding performed in this role; focus is on analysis, eligibility, and correct payout decisions with EOB familiarity and strong attention to detail. #J-18808-Ljbffr TEKsystems
$50k - $70k
...Overview Certified Medical Coder (CPC or CCS) - Remote | WFH job at Get It - Healthcare. Springfield, NJ. Job... ...ensure smooth and efficient medical payment collection. This is an exciting opportunity... ...Coder) or CCS (Certified Coding Specialist) certification. Strong...Remote workMedicalFull timeWork at officeWork from homeMonday to FridayFlexible hoursShift work$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title:... ...Office Location: Remote within North Carolina... ...designated for pre-payment review and post payment... ...claim attachments/medical documentation... ...billing software Certified Professional Coder (CPC), Certified Professional...Remote workMedicalFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$50.34k - $80.54k
...policies, procedures, medical terminology,... ...coding disputes area, certified professional... ...Professional Coder (CPC) certification is... ...flexibility to work remotely with intentional in... ...and internet sites claiming to represent Blue... ...and never requires payment or fees from job...Remote workMedicalFull timeWork at officeLocal areaFlexible hours2 days per week- ...Supporting Veterans Affairs medical centers remotely, the full-time CPC Certified Medical Coder will code inpatient professional services and surgical cases, ensuring compliance with coding guidelines and maintaining accuracy in documentation. Key responsibilities Code...Remote workMedicalFull time
$22.27 - $33.43 per hour
PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the... ...healthcare coverage, including Medical, Dental and Vision plans, available the... ...Unless otherwise indicated as fully remote, reporting into a designated City National...Remote workMedicalHourly payWork at officeFlexible hours- Revecore is seeking a Health Claims Specialist to bill and investigate health insurance... ...claims for hospitals and medical providers. You will focus on maximizing payments from commercial health,... ...training, equipment provided, and a remote work setup with a private home...Remote jobMedicalHome office
$50k - $70k
A healthcare company is seeking a detail-oriented Certified Medical Coder to work remotely. Responsibilities include analyzing medical records, assigning... ...experience in a busy medical setting and must hold a current CPC or CCS certification. This full-time position offers a...Remote jobMedicalFull time$53k - $85.47k
...Workers’ Compensation Claims Specialist manages within... ...of CorVel. This is a remote position. ESSENTIAL... ...reserves and authorizes payments within reserving... ...CORVEL: CorVel, a certified Great Place to Work®... ...employees and includes Medical (HDHP) w/Pharmacy, Dental...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours$53k - $85.47k
...Workers’ Compensation Claims Specialist manages within... ...of CorVel. This is a remote position ESSENTIAL... ...reserves and authorizes payments within reserving authority... ...: CorVel, a certified Great Place to Work®... ...employees and includes Medical (HDHP) w/Pharmacy,...Remote workMedicalHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$53k - $85.47k
...The Liability Claims Specialist manages non-complex and non... ...practices. This is a remote position. ESSENTIAL... ...and non-problematic medical only claims and minor... ...and authorizes payments within reserving authority... ...: CorVel, a certified Great Place to Work®...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- To support a dedicated Primary Care Coding Team, the full-time remote CPC Certified Primary Care Coder will evaluate medical records, assign appropriate clinical diagnosis and procedure codes, and collaborate with medical providers to ensure accurate coding in compliance...Remote workMedicalFull timeWork at office
- ...Billing and Denial Claims Specialist Location: Harwood Heights, IL Remote Status: On-Site... ...denials for a CLIA-certified laboratory, and works... ...billing, medical necessity, payer policies... ...status, denials, payment discrepancies, and... ...Professional Coder (CPC), Certified Coding...Remote workMedicalFull timeWork at office
- ...system stuck in 1995. Verse Medical is building the modern... ...that matters. As a Certified Professional Coder (CPC), DME , you'll be shaping... ...process instead of reworking claims one at a time. What You... ...Location. This role is fully remote, and we are open to strong...Remote workMedicalFull timeContract workWork at office
- ...LTSi is seeking a Certified Inpatient Medical Coder for a fully remote position located in the United States. This full-time role requires coding expertise and certifications in various coding systems. The selected candidate will ensure accurate assignment of medical...Remote workMedicalFull time
$34.82k - $55.99k
...The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non... ...and of CorVel. This is a remote position. ESSENTIAL... ...Establishes reserves and authorizes payments within established... ...CORVEL: CorVel, a certified Great Place to Work® Company...Remote workMedicalHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$24 per hour
...Pharmacy Adjudication Specialist at our Specialty... ....This is a remote/hybrid opportunity... ...including: ~ Medical; Dental; Vision... ...adjudicate pharmacy claims, review claim responses... ...reconciled and copay payments are charged prior... ...technical school, Certified Pharmacy...Remote workMedicalFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$61.05k - $98.33k
...Description The Senior Claims Specialist handles complex and... ...and authorizes payments within reserving authority... ...CORVEL: CorVel, a certified Great Place to Work®... ...employees and includes Medical (HDHP) w/Pharmacy,... ...with ADA regulations as applicable. #LI-Remote...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories... ...Reimbursement Department for claim submission and billing. Qualifications • Current CPC, CCS, CCA, RHIT, RMC, CIRCC,... ...and disciplined to work remotely • High school diploma or GED...Remote workMedicalPrivate practiceWork at office
- ...Documentation Compliance Specialist (CPC/CPMA) based in the... ...environment. In this remote, independent contractor... ...billing professionals, and medical leadership, you will... ...Merit-based Incentive Payment System (MIPS)... ...Requirements: Current Certified Professional Coder (...Remote workMedicalContract workFor contractors
- Virtua Health is seeking a skilled Medical Coder to abstract clinical information and assign CPT-4 and ICD-10 codes from medical records... ...modifiers, and ensure coding quality in a fast-paced environment. CPC certification and at least two years of coding experience are...Remote jobMedical
$61k - $113k
...- $113000.00 Job Category: Claims Description At Liberty, you... ...This approach optimizes both remote and in-person interactions,... ...and projects. The Claims Specialist analyzes complex Personal Injury Protection (PIP) and Medical Payment (Med-Pay) No Fault claims, determines...Remote workMedicalFull timeWork experience placementWork at officeLocal area- ...providing the highest-quality medical care in Los Angeles. We... ...in this role? In this remote role, under the general direction... ...Requirements: Certified Procedural Coder (CPC) required. Certified Evaluation... ...-10-CM, CPT-4 coding and payment methodologies. Working...Remote workMedical
$20 per hour
...Medical Claims Specialist II (COB & Medicare Coordination) Remote Work Pay: $20/hr 5-Month Contract We are seeking an experienced Medical Claims Specialist... ...have experience determining the correct order of payment between Medicare and commercial insurance plans...Remote workMedicalHourly payFull timeContract workWork at office$75k - $85k
...Position Title: Multi Line Claim Specialist (Auto, GL, PD, BI,... ...Claims) Location: Remote- Reporting to Chicago... ...reputations. We are a certified Great Place to Work®,... ...provide oversight of medical, legal, damage... .... Authorize and make payments of multi-line claims...Remote workMedicalLocal area- ExamWorks, Inc. is seeking a Medical Coding Specialist to join our team remotely. The role requires current CPC certification; CPMA and Life Care Planner are preferred. The Coding Specialist writes reports from medical records and ensures coding aligns with guidelines...Remote jobMedicalMonday to Friday
- ...Medical Claims Processor The Medical Claims Processor is responsible for the accurate and timely... ...codes (ICD-10, CPT, HCPCS), and payment readiness prior to final disposition.... ...Power BI, SQL, or data reporting tools. CPC, CPMA, or other relevant coding/billing...Remote workMedicalHourly payWork at office
$32.03 - $45.7 per hour
...Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status Full-time,... ...relating to health insurance claims processing and ensures... ...combined experience required in Medical Coding OR Healthcare (... ...network, including specialists, primary care physicians...Remote jobMedicalHourly payPermanent employmentFull timeTemporary workLive inCurrently hiringShift work- ...To support the claims unit, the full-time Claims Specialist I will process claims edits, determine... ...claims while working remotely. Key responsibilities Review... ...order of benefits for payment, making necessary corrections... ...months of experience in medical claims or health...Remote workMedicalFull time
- ...To support a growing team, the full-time Claims Resolution Specialist will review medical insurance claims for resolution and payment, resolve inquiries and payment denials from... ...collect on open account balances while working remotely. Key responsibilities Review all medical...Remote workMedicalFull time
$67.3k - $104k
...Description: Location Details: Remote Position Schedule / Shift... ...Position Summary: As a Claim Specialist, you will evaluate coverage,... ...closely with members, medical providers, attorneys, and... ...authorize appropriate claim payments. ~ Negotiate settlements...Remote workMedicalFull timeTemporary workPart timeWork experience placementLocal areaImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
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