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
$158.95k - $220k
...Rare Neurology Medical Account Specialist (MS)The Rare Neurology Medical Account Specialist (MS) engages Neurology specialists and key stakeholders across diverse care settings (e.g., academic centers, large group practices, IDNs, and community accounts) within an assigned...SuggestedLocal area$14 - $16 per hour
...facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers,... ...Handling the full cycle process of figuring out WHY a CLAIM was DENIED and from there RESEARCHING and figuring out WHAT needs...SuggestedPrivate practice- ...Foothills Billing Solutions is a growing, nationally focused medical billing company partnering with mental health providers across... .... We are seeking a professional, detail-oriented Medical Claims Specialist who excels in phone communication, written correspondence, and...SuggestedWork at officeRemote work
- ...Medical Claims SpecialistCommunity 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 and recovering revenue opportunities by reviewing...Suggested
$158.95k - $220k
...Rare Neurology Medical Account Specialist (MS)The Rare Neurology Medical Account Specialist (MS) engages Neurology specialists and key stakeholders across diverse care settings (e.g., academic centers, large group practices, IDNs, and community accounts) within an assigned...SuggestedLocal area- ...Medical Claims SpecialistBerkshire Hathaway Homestate Companies has an opening in our Omaha, Nebraska office for a Medical Claims Specialist. After successful completion of the Medical Claims Training Program, this individual will manage a caseload of workers' compensation...Work at office2 days per week
- ...Sedgwick, Meridian location, is seeking a Claims Associate focused on medical-only claims for multi-state work. This onsite role requires licensing in Idaho and emphasizes accurate adjudication and client communication. Ideal candidates will handle routine and complex...
$158.95k - $220k
...Build our future together The Hematology Oncology Account Specialist is responsible for engaging Oncology specialists and other key Oncology... ...wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and...Local area- ...SCI Summit Consulting, LLC is seeking a Claims Representative (Medical Only) for a hybrid role in Baton Rouge, LA. The position emphasizes managing a claims inventory, investigating coverage, and negotiating settlements within authority while maintaining detailed claim...
- ...Mountain State Oral & Facial Surgery in Hurricane, Utah, is seeking a Medical Claims Specialist to ensure the timely and accurate billing of medical and dental claims. The role involves reviewing bills, entering insurance information, and responding to inquiries from patients...
- ...Markel is seeking a detail-oriented individual to support claims processing and information gathering for settlements. You will act as the primary contact for borrowers, clients, and vendors, coordinating status updates and ensuring complete documentation before adjustments...Work at office
- ...Neurocrine Biosciences in Los Angeles West is seeking a Long Term Care Account Specialist to promote products, build long-term relationships with physicians, nurses, and care facilities, and drive territory growth. The role requires a BS/BA in science or related field...
- ...A national insurance subsidiary is seeking a Claims Administrative Assistant to provide administrative support to their claims team. This hybrid position requires strong communication skills and attention to detail, along with experience in a similar role. The ideal candidate...
$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...Hourly payLocal areaRemote work$16.74 - $26.92 per hour
...Workers' Compensation Medical Only Claims Specialist 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 is...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$58k - $65k
A staffing agency is seeking a Medical Claims Coordinator for a fully remote role. The ideal candidate will have strong experience in medical billing and insurance claims processing, ensuring accurate submission and compliance with regulations. With responsibilities including...Remote work$20 - $24 per hour
...Park, KS Full-Time, In-Office, Monday - Friday Benefits Summary Medical, dental, vision, and 401K Health Savings Account (HSA) Matching... ...assistance to claimants as needed, by guiding claimants through the claim filing process, and supporting in other ways as needed....Hourly payFull timeWork at officeRemote workMonday to Friday- ...Athens Administrators, a nationwide family-owned claims administrator, seeks an administrative support specialist at our Orange, CA office. You will process invoice payment requests, maintain claim documentation, and route inquiries to the appropriate team member to support...Work at office
$158.95k - $220k
...Build Our Future Together The Rare Neurology Medical Account Specialist (MS) engages neurology specialists and key stakeholders across diverse care settings (e.g., academic centers, large group practices, IDNs, and community accounts) within an assigned geography. The...Local area- ...Litigation Account Specialist will be responsible for servicing clients on past due accounts and perform preliminary research on unidentified... ...needs, including debt consolidation, home and auto repairs, medical procedures and extending household budgets. We meet customers...Work at officeFlexible hours
- ...Travel Insured International, a Crum & Forster company, is seeking a Claims Analyst to join our team. This entry to mid-level role focuses on gathering information, reviewing and processing claims, and delivering excellent customer service while meeting established SLAs...
$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...Full timeContract workWork at officeMonday to FridayFlexible hours2 days per week$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$43.5k - $48k
...Medical Claims Recovery Specialist (Subrogation) - Tucker, GA - Hybrid Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company...Full timeContract workWork at officeFlexible hours2 days per week$22 per hour
...Job Description Job Description Medical Claims Eligibility Specialist - Billing & Collections $22/Hour | Contract-to-Hire | Houston Heights (77018) | Monday-Friday, 8 AM-5 PM | 100% Onsite A growing healthcare services organization is seeking a Medical Claims...Contract workWork at officeMonday to Friday- ...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
$19 per hour
...Job Title: Medical Records Specialist Location: Buckhead, GA (Hybrid) Shift: M-F 9am-5pm Pay: $19/hour About the role: The Medical... ...obtaining, organizing, and verifying medical records required for claims processing and compliance. This role ensures timely and...Work at officeShift work$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...Remote 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 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,...Full timeWork at officeMonday to Friday
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