Remote Claims Team Lead II — Drive Healthcare Ops
HealthEdge Software, Inc.
- Remote job
HealthEdge Software, Inc. seeks a Claims Team Lead to manage a staff of 12–15 associates supporting US health plan clients. You will ensure adherence to client guidelines and drive accuracy and performance across the claims operation. Remote work across US time zones is available; you will collaborate on projects, monitor productivity, and coach the team to meet SLAs and KPIs. Candidates should have 5+ years in healthcare claims processing, strong leadership, Excel proficiency, and knowledge of #J-18808-Ljbffr HealthEdge Software, Inc.
$121.3k - $140.8k
...solutions in civic healthcare. Our dedication... ...our distributed teams that support the... ...authority to drive progress. As... ...an agile team lead , you know that... ...years working on a remote team ~... ...~ Background in claims processing ~... ...Product Manager II is $121,300-$140...Remote workClaimsTemporary workWork from homeFlexible hours- A leading operations management firm is seeking a Remote Operations Supervisor to manage a team and ensure efficiency in workflow. Candidates should have a strong background... ...in operations, particularly in healthcare benefits or claims processing. Responsibilities include...Remote jobClaims
$26 - $30 per hour
...is a national leader in healthcare revenue cycle... ...Medical Coding Specialist II is responsible for correctly... ...correctly coding healthcare claims and analyzing denials... ...Coder II Location: Remote Schedule: 8am - 5pm in... ...-18808-Ljbffr Meduit | Driving Revenue Cycle PerformanceRemote jobClaimsHourly pay$24 - $26 per hour
...is to revolutionize healthcare by pioneering... ...Join a groundbreaking team at the forefront of... ...Credentialing Specialist II Job Type: Full-... ...Work Location: Remote Salary/Hourly Wage... ...EHR, healthcare claims systems, and/or credentialing... ...carrier (if driving is required for...Remote workClaimsHourly payFull timeTemporary workFor contractorsWork at officeMonday to FridayShift work$17 - $19 per hour
...shape the future of healthcare technology. Learn... ...barriers to scale and drive strategic growth.... ...HealthProof is looking for Claims Examiner II, reporting to the Claims Team Leader. The Claims... ...by the team leads; special projects can... ...Responsibility: Remote, US Type of Employment...Remote workClaimsHourly payPermanent employmentFull timeWork at office- ...Operating System for healthcare, the foundation... ...processing billions in claims, all on a single AI... ...The Year." Our team works directly... ...marketing qualified leads is your north star,... ...reviewing reports. Driving Net New Business:... ...measurement, creative, ops — to run it at 10x...Remote workClaimsImmediate start
$85k - $92k
...Healthcare Analyst II We are seeking a Healthcare Analytics... ...our Analytics team. In this role,... ...conduct analyses that drive our strategy,... ...outcomes using claims and authorization... ...Perks: Fully remote opportunity with... ...2024. Backed by leading investors such as...Remote workClaimsFlexible hours$69.3k - $78k
A healthcare payment integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial Payers. The position requires an... ...and documenting findings, all in a remote work environment. This role offers...Remote jobClaims- ...To support healthcare improvement initiatives, the full-time remote Data Engineer II will design, develop, and maintain data pipelines... ...collaborating with cross-functional teams to address data-related... ...transformation Analyze healthcare claims data to identify patterns and...Remote workClaimsFull time
$63.65k - $92.57k
...that high-performing teams drive groundbreaking... ...to be within the healthcare industry. As a member... ...of the world’s leading integrated healthcare... ...Actuarial Analyst II position will... ...reporting to monitor claims and risk score trends... ...This is a remote role that can be done...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hoursShift work- ...~ Room for growth Work Status: Remote, day shift- M-F 8am-4:30pm. Only applicants... ...financial obligations and concerns once claims are adjudicated. Ensures that incoming... ...staff. Work seamlessly within diverse teams, bringing together professionals from various...Remote workClaimsWork at officeFlexible hoursDay shift
- ...Coder II Our client, a healthcare company, is looking for a Coder II for their Costa Mesa, CA location. Responsibilities: The coder reviews... ...to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system which would...Remote workClaimsWork experience placement
- ...Patient Access Representative II - Benefits/Authorizations is responsible... ...on previously denied claims. Coordinate with the Benefit... ...Humana Military (Tricare), United Healthcare, etc.) to obtain referrals/... ...high level Patient Access team! Orthopaedic Solutions Management...Remote jobClaimsFull timeWork at office
- ...position that is partial remote. Must be local in San... ...publications. Becker’s Healthcare ranked Scripps Health on... .... The Coder II is responsible for ensuring... ...concurrent and/or retrospective claims data reviews for... ...issues and supports the team with appeals and projects...Remote workClaimsFull timeLocal areaRelocationWeekend work
- ...way people experience healthcare by simplifying the process... ...seeking a Data Analyst II to own recurring... ...by tracing them through claim adjudication, prior authorization... ...: Columbus, OH or Remote (US). Schedule :... ...account and operations teams and manufacturer program...Remote workClaimsFull time
- ...Certified Medical Coder II - Surgical Coder Hybrid - Remote. Hourly salary plus monthly bonus! As Mount... ...committed to recruiting and training top healthcare workers from across the country. We... ...issues such as medical necessity, claims denials, bundling issues and charge...Remote workClaimsHourly payWork at office
- A healthcare services organization is seeking an RCM Manager to oversee... ...The role entails supervising team members, ensuring compliance with... ...qualities. This position is remote and requires collaboration with cross-functional teams to drive performance improvement in revenue...Remote workClaims
- ...Client Success Coordinator who combines advanced healthcare claims analytics with proactive client management to drive measurable improvements in program performance.... ...actionable insights for executives and clinical teams, support client reviews, and collaborate with data...Remote jobClaims
$160k - $200k
...simple: shift power in healthcare away from large... ...denial rate, clean claim rate, and days in A... ...providers. Build and lead a high-performing... ...best-in-class RCM team, setting clear... ...underperforming contracts, and drive interventions to... ...), but are open to remote candidates for this...Remote workClaimsContract workRelocationFlexible hoursShift work$22.02 - $25 per hour
...Admissions Advisor II Clearwater (CLW)... ...Academy is a non-profit healthcare educational... ...such as Microsoft Teams. Compliance:... ...include a flexible remote schedule for online... ...members, at all levels, lead by example and strive... ...by someone claiming to be from UMA about...Remote workClaimsFlexible hoursAfternoon shift$20.75 - $22.5 per hour
...Health, we understand that healthcare is complex, and we’re... .... As part of the care team, our teammates play a... ...Adjudicate NCPDP online claims and collect past due balances... ...Pharmacy Technician II may work on the IVC... ...career opportunities ─ from remote-friendly to hybrid and...Remote workClaimsHourly payFull timeTemporary workWork experience placementLocal areaImmediate startWork from homeFlexible hoursShift work$79.1k - $105.95k
...Jersey's health solutions leader driving innovations that improve... ...Surprises Act (NSA) actuarial team, with a strong focus on data management... .... The Actuarial Analyst II will partner across Actuarial,... ...regulatory, operational, and claims-related developments that may...Remote workClaimsLocal area- ...opening for a S ystems Analyst II , and we want to hear from you!... ...are trying to fix a very broken healthcare system by reducing the cost of healthcare claims through bill review, case management... ..., QA analysts, and other project team members to implement or enhance systems...Remote workClaimsFlexible hoursShift work
- ...Business Office Remote Position: Southeast... ...region’s top-performing healthcare network with 10... ...(PAR) Level II position serves as... ...being part of work teams when necessary and... ...ensure that meetings lead to solutions. Qualifications... ...terminology, claims submission, customer...Remote workClaimsFull timeWork experience placementWork at officeDay shift
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation... ...premier independent healthcare payment integrity... ...primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical... ...Payers. You will work remotely in a fast paced and dynamic...Remote workClaimsFor contractorsWork at officeWork from homeHome officeShift work- ...Medical Coder, Remote Redstone Arsenal, Alabama... ...that believes our team members are the... ...are shareholders. Drive like the Latin origin... ...transformation of healthcare diagnosis, procedures... ..., and creating a claim to be paid by insurance... ...-4 and HCPCS Level II codes based on...Remote workClaimsContract workWork from home
$53.92k
...GOVERNMENT ANALYST II - 64007489 Pay... ...employees, (includes OPS, Career Service,... ...in supporting the healthcare career success of Florida... ...our community can lead healthier lives.... ...regular telework or remote option. The Benefits... .... Candidates claiming Veterans’ Preference...Remote workClaimsFull timeWork at officeFlexible hours$15 per hour
...industries, including healthcare, retail,... ...both on-site and remote agents,... ...customer journeys, drive scalability and... ...expanding, industry-leading organization.... ...and support a team of customer service... ...Supervisor II conduct regular... ...Outsourcing (BPO), Claims Processing,...Remote workClaimsFull timeContract workTemporary workCasual workWork at officeLocal area- ...Customer Success Lead (CSL) Notable is the leading healthcare AI platform for transforming... ...in patient care, drive member enrollment,... ...across Notable teams. This is a highly... ...days a week. For remote employees, occasional... ...by someone claiming to be a recruiter from...Remote workClaimsWork at office3 days per week
$187.6k - $257.95k
...improve lives by helping healthcare professionals do... ...best work. Join a team using innovation... ...businesses. This role leads the development of... ...Integration Drive integrated alignment... ...Work location: Remote Travel : 20% domestic... ...that falsely claim to represent Solventum...Remote workClaimsFull timeH1bRelocation packageFlexible hours
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