Medical Claims Specialist
Virtual Vocations Inc
Experienced in medical claims processing, the remote Medical Claims Specialist will review, research, and process claims while ensuring accuracy and compliance with insurance policies and patient records. Key responsibilities Review, research, and process medical claims submitted by healthcare providers Verify claim information for accuracy and compliance with insurance policies Investigate claim denials and communicate with healthcare providers and patients to resolve issues Required qualifications At least one (1) year of recent, verifiable experience in Medical Claims Processing Strong understanding of medical terminology, coding, and billing practices, including ICD-10, CPT, and HCPCS Experience using medical billing software and Microsoft Office applications Availability with no planned time off during the first 90 days of employment Positive attitude with a willingness to support patients and team members
- ...Job Description MET Healthcare Solutions is seeking a Claims Eligibility Specialist I to join our fast-paced organization in Houston, Texas (just... ...the company’s demand. · Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500,...SuggestedFull timeWork at officeMonday to Friday
$16.74 - $26.92 per hour
...Job Description Job Description The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel. This role is available for...SuggestedHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$43.5k - $48k
...contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a Medical Claims Recovery Specialist to manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid...SuggestedFull timeContract workWork at officeMonday to FridayFlexible hours2 days per week$115k - $125k
...client, a well-established insurance carrier specializing in professional liability coverage, is seeking an experienced Medical Malpractice Claims Adjuster to join its Claims team. This individual will independently manage a portfolio of medical malpractice and healthcare...SuggestedRemote work- ...Job Description Job Description Join Community Medical Group Community Medical Group is seeking a detail-oriented, analytical, and results-driven Medical Claims Specialist to join our team. As a Contestation Specialist, you will play a critical role in identifying...Suggested
$30.5k - $43.5k
...contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a Medical Claims Recovery Specialist to manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid...Full timeContract workWork at officeFlexible hours$19 per hour
...Job Description Job Description Job Title: Medical Records Specialist Location: Buckhead, GA (Hybrid) Shift: M-F 9am-5pm Pay: $19... ...obtaining, organizing, and verifying medical records required for claims processing and compliance. This role ensures timely and...Work at officeShift work- ...Description About Company: Founded in 1993, Intercoastal Medical Group is an association of more than 100 highly credentialed... ...Medical Group is the place for you. About the Role: The Claims Specialist plays a critical role in the healthcare revenue cycle by managing...Work at office
- ...Job Description Job Description MET Healthcare Solutions is seeking a Medical Claims Eligibility Specialist II to join our fast-paced organization. The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine...Full timeWork at officeMonday to Friday
- ...To support a growing healthcare practice, the fully remote Medical Benefits & Claims Support Representative will review and process medical claims, assist patients with inquiries, and verify claim information while working flexible hours between 8 am and 9 pm EST, Monday...Remote workMonday to FridayFlexible hours
- ...assistance to claimants as needed, by guiding claimants through the claim filing process, and supporting in other ways as needed. #... ...identified programs. # Assist in research and gather work history and medical records as necessary. # Help claimants file initial claims and...Work at officeRemote work
- The Cincinnati Insurance Companies is seeking a HQ WC Specialist I to handle medical-only workers’ compensation claims, with a starting salary range of $45,000-$65,000. This role rewards accuracy, strong communication, and a service-oriented approach to agents, employers...
- Gainwell Technologies is actively seeking a Medical Claims Recovery Specialist in Arizona to manage subrogation cases involving state Medicaid beneficiaries. The role requires strong analytical abilities and effective communication with various stakeholders. Candidates...Flexible hours
- Allied Benefit Systems, LLC is seeking a Claims Repricing Specialist to reprice medical and dental claims remotely. The role requires accurate data entry, familiarity with CMS1500/UB04, and proficiency in Word/Excel/Outlook. You will coordinate with teams to resolve issues...Remote jobFlexible hours
- Globalchannelmanagement is seeking a Medical Claims Biller to monitor insurance carrier adjudication and manage claim transmission using the EHR system and clearinghouse. The role involves reviewing open balances, monitoring denials, posting payments, and coordinating...
- Socket.dev in Los Angeles is seeking a Claims professional to perform technical and administrative duties for medical malpractice claim files, under supervision. You will manage defense counsel and ensure bills are reviewed for reasonableness, in line with the Claims Technical...
- Northwest Administrators, Inc. in Seattle is seeking an Appeals Specialist to join the Health and Welfare Claims Department. You will focus on member disputes and appeals, reviewing and processing appeals with accuracy and adherence to policies. This role offers a hybrid...Work at office
$11 - $13 per hour
A medical billing company in Oklahoma City is seeking an Appeals Specialist to manage insurance claim discrepancies. The role requires great work ethic, attention to detail, and the ability to multitask. While prior medical billing experience is beneficial, it's not mandatory...Hourly pay$18 per hour
NTT DATA North America is seeking a Remote Claims Processing Associate to manage various aspects of claims processing effectively. The role requires a high school diploma and 1-3 years of healthcare claims experience. Key responsibilities include processing claims forms...Remote jobHourly pay- Signature Performance is seeking a Follow Up Specialist III to manage timely follow-up on outstanding insurance claims and ensure accurate reimbursement. You will review EOBs, contact payers, and coordinate with billing and clinical staff to gather necessary documentation...Remote job
$22 - $23.75 per hour
...and growth. If this resonates with you,then read on! Aboutour Claims Specialist: Our Claims Specialist aids inthe day-to-day operations of the claims department by gathering information andprocessing medical and psychiatric healthcare claims. What a Claims Specialist Does...Temporary work$24.64 per hour
Northwestadministratorsinc is seeking an experienced medical claims processor in Mountlake Terrace, WA. The role involves processing claims accurately and timely, along with client follow-ups and handling problem claims. Ideal candidates will have a minimum of one year...- Signature Performance is seeking a Follow Up Specialist III to manage insurance claim follow-up, review EOBs, contact payers, and resolve issues to expedite payments. Candidates should have 2+ years in medical billing or revenue cycle, experience with EHRs (Epic, Meditech...Remote job
- CampusPoint in Seattle is seeking an Appeals Specialist to support health and welfare claims disputes and appeals, joining a team focused on accuracy and policy compliance. You will review appeals, analyze claims and contracts, communicate outcomes to members and providers...Work at office
$17 per hour
Local First Arizona is looking for a Claims Processor to join our remote team. You will handle the submission, review, and resolution of medical claims, ensuring accuracy and compliance with policies. The ideal candidate has at least one year of relevant experience and...Remote jobHourly payLocal area- CorVel Corporation's CERIS division is seeking a Setup Analyst to process medical claims with accuracy and timely entry into our internal system. The role supports the Setup department, promotes personal growth, and aligns with our ACE-IT values. Responsibilities include...
- NTT DATA Americas is seeking a Medical Claims Processor to work remotely in the United States. This entry to mid-level role handles processing of professional and hospital claim forms, reviews coverage, and ensures HIPAA compliance while meeting strict turnaround times...Remote job
- Spine Team Texas is seeking a Claims Processing Specialist to ensure timely and accurate submission of medical claims and proper posting of payments. You will monitor batch status, resolve edits in clearinghouses and payor portals, and support secondary billing with organized...
- Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The ideal candidate will have a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent...Remote jobFlexible hours
- Redirect Health Inc in Phoenix, Arizona, is seeking a Medical Claims Processor to ensure accurate processing of medical claims and to support members, providers, and internal teams. This hybrid role requires 3 days in office and emphasizes precision, clear communication...Hourly payWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Claims Specialist. Be the first to apply!
- healthtrust hca United States
- patient care technician United States
- medical authorization specialist United States
- hca rn United States
- medical review specialist work from home United States
- medical specialist United States
- healthcare support worker United States
- patient care technician - prn United States
- pct night United States
- pediatric patient care technician United States


