Remote Healthcare Claims Examiner - Adjudication & Research
GuideWell
- Remote job
WebTPA, a GuideWell Company, is seeking a dedicated Claim Examiner to join our team in San Antonio, TX. You will handle processing and adjudication for medical, dental, vision, and mental health claims, conducting claims research as needed and verifying coverage under policy guidelines. This full-time, in-office role requires 2+ years of healthcare claims experience, CPT/ICD-9 coding knowledge, and strong analytical and communication skills. #J-18808-Ljbffr GuideWell
- Visa Hunt is seeking an experienced claims adjudication specialist to review and process medical claims in a remote team. You will apply plan benefits, COB rules, and contractual terms to approve, pend, or deny claims while maintaining quality standards. This role supports...Remote job
$40k - $52.3k
...a part of our caring community The Claims Research & Resolution Representative 2 manages claims... .... This is an opportunity to work remotely and use your research, resolution and customer... ...(within the past 5 years) Previous healthcare related experience or education...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work$18 per hour
A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...Remote workHourly payFull timeWork from home- ...Healthcare Claims Research Business Analyst Location: Remote Duration: 6 Months Interview: Virtual round Position Summary The... ...Experience with claims systems, trial claims, or claims adjudication processes. Experience supporting digital...Remote workWork at office
- ...Refer a Friend Back Remote Work from Home Share... ..., investigation, and adjudication of medical claims. Receive requests as either... ...directed with the vendors, researching, and ensuring accurate and... ..., and engage in equitable healthcare delivery and workforce practices...Remote workFull timeWork experience placementLocal areaWork from homeDay shift
- ...Health Incorporated (ASH) is seeking an Examiner I to join our Claims department. The primary purpose is to... ...the Claims Processing System, then adjudicate claims with accuracy and compliance.... ...Office, with the ability to work from a remote home-based setup and meet production...Remote jobWork from home
- ...looking for a detail-oriented Claims Examiner to join our growing team.... ...to play a key role in the healthcare management space, ensuring... ...coverage details prior to claims adjudication Identify and resolve... ...in the healthcare industry. This is a remote position....Remote work
- ...Claim Examiner WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building... ...Examiner, you will handle processing and adjudication for healthcare claims. This will include claims research where applicable and a range of...Remote workFull timeWork experience placementMonday to Friday
$17 - $20 per hour
...Job Description: Claims & Appeals & Grievances (A&... ...Specialist Department: Healthcare Operations Location: United States (Remote) Employment Type:... ...healthcare claims, researching and resolving claim-related... ...prior to claim adjudication or escalation. ~ Analyze...Remote workFull timeWork at office- ...Claim Examiner Position WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building... ...you will handle processing and adjudication for healthcare claims. This will include claims research where applicable and a range of...Remote workTemporary workPart timeWork experience placementMonday to FridayFlexible hours
$47.84k - $64.58k
...Claims Examiner Join Us in this Amazing Opportunity... ...shape the future of healthcare where you'll be an integral... ...related to claims adjudication. Together, we are building... ...Medi-Cal pricing; researches, adjusts and adjudicates... ...0, 505 Building or a remote work location:...Remote workTemporary workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift2 days per week- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- HealthEdge Software, Inc. is seeking a Claims Examiner II to adjudicate healthcare claims remotely in the United States. You will review data in the claims processing system to determine service appropriateness and whether benefits meet coverage criteria, reporting to the...Remote job
$20 - $25 per hour
...Medical Claims Examiner Join a team where your attention to detail... ...help us deliver exceptional healthcare support. In this role, you... ...for the accurate and timely adjudication of CMS 1500 and UB-04 claims... ..., flexible schedule, and remote work choices provided...Remote workHourly payLocal areaFlexible hours$24 - $30 per hour
Johnson Service Group (JSG) is seeking a Claims Examiner II for a remote opportunity with a health plan organization. Typical schedule is Monday... ...depending on experience and qualifications. You will review and adjudicate medical and dental claims, including pricing,...Remote jobHourly payMonday to Friday- A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote jobFlexible hours
$18 per hour
...Remote Medical Claims ExaminerNTT DATA is currently seeking remote... ...medical claims examiners to join our team. Must... ...independently to research, review and act on the... ...prioritizing work and adjudicating claims as per... ...include 2+ years of healthcare claims processing (full...Remote workMonday to FridayFlexible hours- ...Claims Examiner - Remote We are looking for an experienced Claims Examiner to join our rapidly... .... Responsibilities: Review and adjudicate medical claims, ensuring accurate coding... ...of experience working closely with healthcare claims or in a claims processing/adjudication...Remote job
- Jobtailor in Houston is seeking a Claims Adjudication Assistant to help process medical, dental and vision claims, ensuring accuracy while... ...turnaround goals. Ideal candidates have at least 6 months in healthcare or insurance operations, proficiency with Excel and Windows...
- WebTPA is seeking a Claim Examiner to handle processing and adjudication of healthcare claims in an in-office, full-time role. You'll perform CPT/ICD-9 based reviews, research claims, and ensure correct application of policy guidelines while maintaining strong accuracy...Full timeWork at office
- A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
- ...Job Title: Claims Examiner Job Type: Full Time FLSA Status: Non... ...: Health Plan and Healthcare Services Reporting to:... ...information that required for claims adjudication. The claims need to be completed... ...may work onsite or remotely from home. Physical Demands...Remote workHourly payFull timeLocal areaWork from home
$22 - $28 per hour
...Remote setup sorted. Get fiber internet for $55/month... ...’s vision is to make healthcare easy. All of us can... ...currently seeking a Claims Processor who will be... ...verifying claim information, researching and resolving claim... ...timely and accurate adjudication and payment of medical...Remote workHourly pay- ...professional liability insurance carrier is seeking a Senior Claims Examiner for a remote role. The ideal candidate will have over 7 years of... ...This position offers meaningful work in a collaborative environment focused on healthcare stability and growth. #J-18808-LjbffrRemote work
$40 per hour
...Claims Specialist / Contract - Remote to Office-Based Setting - Jericho, NY (#25322A) Location: Remote to... ...on-site position. About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing... ...managing appeal and dispute adjudication programs. Why Join Us? Competitive...Remote workHourly payFull timeContract workPrivate practiceWork at officeFlexible hours$16 - $17 per hour
...Claims Processing (Remote) This remote position is open to any qualified candidate living in the... ...Claims Processing Executive in the healthcare sector where you will utilize your expertise... ..., and private insurance plans. Adjudication: Approve, deny, or adjust claims...Remote jobHourly payTemporary workLocal areaWork from homeDay shift$17 - $18 per hour
Medical Claims Processor 2026-08-09 NTT DATA Americas... ...Processor Industry : Healthcare FSLA status : Non-... ...Work independently to research, review and act on the... ...Prioritize work and adjudicate claims as per turnaround... ...hourly range for this remote role is $17.00-18.00....Remote workHourly payTemporary workWork at officeWork from homeFlexible hours- NTT DATA is seeking a Remote Claims Processing Associate to work for our end client. In this role you will process professional claim forms... ...HIPAA and PHI confidentiality. You will prioritize work, adjudicate claims per client workflows, maintain quality scores above 98...Remote job
- Core Specialty Insurance Holdings, Inc. is seeking a Claims Examiner for their Dallas office to manage Commercial Healthcare Claims across the U.S. The ideal candidate will ensure compliance with established guidelines while maintaining contact with insureds and agents....Remote jobWork at office
$40 per hour
Greenlife Healthcare Staffing in Jericho, NY, is seeking a Claims Specialist for a remote-to-on-site opening. This full-time contract position offers a competitive hourly... ...role involves managing appeal and dispute adjudication programs, liaising with various stakeholders...Remote jobHourly payFull timeContract work
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