Medical Claims Adjudication Specialist — Remote
Captrue Benefits LLC
- Remote job
Captrue Benefits LLC in Minneapolis, Minnesota, is looking for a Claims Analyst to review and adjudicate medical and dental claims for accuracy and compliance with client plans. This full-time position offers opportunities to grow within healthcare-financing processes and to support internal and external stakeholders. The role requires 4+ years of claims adjudication experience, strong attention to detail, and proficiency with Microsoft Office; VBA experience is a plus. #J-18808-Ljbffr Captrue Benefits LLC
- 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 jobMedical
$24 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy working... ...-Time position.This is a remote/hybrid opportunity,... ...benefits including: ~ Medical; Dental; Vision ~401k with... ...Specialist will adjudicate pharmacy claims, review claim responses for...Remote workMedicalFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...seeking an Examiner I to join our Claims department. The primary... ...Claims Processing System, then adjudicate claims with accuracy and... ...experience, familiarity with medical billing terminology, and proficiency... ...the ability to work from a remote home-based setup and meet...Remote jobMedicalWork from home
- 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...Remote jobMedicalFull timeWork at office
$52k - $62k
Captrue Benefits seeks a Claims Analyst to review and adjudicate medical and dental claims for accuracy in a fast-paced environment. The role supports HIPAA... ...client plan provisions. Located in Blaine, MN, or remote depending on location, the position is full-time with...Remote workMedicalFull time$18 per hour
...in business and technology services is looking for a Healthcare Claims Processor in Wisconsin. The role involves processing claims and... ...requires effective communication and the ability to manage time in a remote work environment. The pay rate is $18.00 per hour, and training...Remote workMedicalHourly pay- ...Inc. is seeking an Accounts Receivable Claims Specialist (Chesapeake Specialty Care) to work remotely in handling payer denials and... ...and appealing denials to ensure proper adjudication. The ideal candidate has 2-3 years in medical billing, familiarity with CPT/ICD-10,...Remote jobMedical
$40 per hour
...Claims Specialist / Contract - Remote to Office-Based Setting - Jericho, NY (#25322A) Location: Remote to Office... ...managing appeal and dispute adjudication programs. Why Join Us? Competitive... ...to work collaboratively with peers, medical staff, analytical teams, and administrative...Remote workMedicalHourly payFull timeContract workPrivate practiceWork at officeFlexible hours$28 per hour
...Title: Claims Specialist Location: Remote Duration: 03-06 months contract position Shift: Mon to Fri... ...Conducts retrospective review of medical/surgical claims and behavioral health... ...to receive a favorable Interim and adjudicated final Department of Defense (DoD)...Remote workMedicalContract workFor subcontractorInterim roleShift work$18 per hour
A global innovator in business services is seeking a Medical Claims Processor in Texas for a remote role. The position requires 2 years of healthcare claims processing and proficiency in Windows applications. Responsibilities include processing claims accurately and adhering...Remote jobMedicalHourly pay- ...Claims SpecialistAs a Claims Specialist, you will combine veterinary medical knowledge, critical thinking, and policy expertise to assess... ...workplace! This is a remote position for candidates in Germany... ...patient care, claims adjudication, or insurance operations is...Remote workMedicalFull timeCasual workWork at officeFlexible hours
$57.5k - $98.9k
...) specializing in innovative claims management solutions. At CRS,... ...Workers’ Compensation Claims Specialist to join our team. Experience... ...Generates checks for indemnity and medical payments daily. Develops and... ...will possess the ability to adjudicate lost time claims across...Remote jobMedicalFull timeWork experience placement$55k - $60k
...Claims Specialist IIAon is looking for a Claims Specialist II. Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'... ...followed by a hybrid or 100% remote work schedule.... ...and assess claims.Review medical records, itineraries and...Remote workMedicalFull timeTemporary workPart timeWork experience placementLocal area$57.5k - $98.9k
...looking to add a Workers’ Compensation Claims Specialist to join our Creative Risk Solutions... ...Generates checks for indemnity and medical payments daily. Develops and monitors... ...procedures. They will possess the ability to adjudicate lost time claims across multiple...Remote workMedicalFull timeTemporary workWork experience placement- ...Compensation, the full-time hybrid Workers Compensation Claims Specialist will manage operational excellence of the Workers' Compensation... ...experience required Demonstrated knowledge in claim adjudication, medical management, and litigation management Strong written and...Remote workMedicalFull time
$100k
...the unique coverage and claims-handling needs of... ...Defect Technical Claims Specialist Employment Type: Full-... ...Location: In-Officeor Remote Summary: We are looking... ...VT. This role will be adjudicating our most complex construction... ...denial of family and medical care leave, disability...Remote workMedicalFull timeLocal area$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... ...on experience and qualifications. You will review and adjudicate medical and dental claims, including pricing, documentation,...Remote jobMedicalHourly payMonday to Friday$27.52 per hour
...Position Summary The Claims Technical Review Specialist provides advanced technical review of all types... ...with local union offices, medical service providers, employers, and members... ...benefits claims processing and claims adjudication principles and procedures....Remote workMedicalLocal area- Allsup, LLC is seeking a VA Claims Consultant to review and address technical, medical and viability issues on veteran claims across the VA process. You will... ...medical evidence, VA decisions, and draft briefs for adjudicators. You will mentor peers and support staff,...Remote jobMedical
- ...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... ...with Windows-based tools, and experience with claims adjudication systems. This remote position offers benefits and an...Remote workMedical
- ...established industry player is seeking a Medical Review Nurse to join their dynamic... .... This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards... ...the flexibility of a primarily remote work environment. If you are passionate...Remote workMedical
- ...creating and evaluating realistic claims and risk-selection scenarios.... ...in disability definitions, medical and vocational evidence, and... ...in disability claims adjudication, disability underwriting, vocational... .... Work Terms Remote, open to candidates located in...Remote workMedicalContract workTemporary workWork at officeImmediate start
- Judi Health in Charlotte, NC is seeking a self-driven Claims Adjudication Associate to support medical claims adjudication workflow on our enterprise health platform. In year one you will train on the JUDI Medical adjudication system and manage operational adjudication...Medical
- Blue Cross of Idaho is seeking a Claims Examiner to review and adjudicate paper/electronic claims in accordance with organizational policies and procedures... ...meticulous approach to reviewing claims, knowledge of medical terminology, and the ability to follow detailed...Medical
$18.5 - $42.35 per hour
...Medical Claims Adjudication Specialist We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with...Remote workMedicalHourly payFull timeWork experience placement- TCH Medical Center is seeking a Claims Examiner to support our growing team. You will process and adjudicate claims for reimbursement to Providers based on our detailed claim processing procedures. You will thoroughly review, investigate, and adjudicate claims daily, aiming...Medical
$57.5k - $98.9k
...administrator specializing in innovative claims management solutions. We... ...Workers’ Compensation Claims Specialist to join our team. Experience... ...checks for indemnity and medical payments daily. Develops and... ...procedures. Ability to adjudicate lost time claims across multiple...Remote jobMedicalWork experience placement$17.71 - $25.28 per hour
...teams drive groundbreaking medical discoveries and invite all... ..., and much more. The D‑SNP Claims Review Specialist reviews and processes Senior... ...manual intervention when auto‑adjudication is not achieved. The... ...Working Condition This is a remote role that can be done from...Remote workMedicalHourly payFull timeWork at officeFlexible hoursShift work- ...managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the provider... ...school diploma or equivalent with significant experience in medical claims research. The role offers a competitive salary range and...Remote workMedicalWork from homeFlexible hours
$70k - $85k
...Financial Services & Insurance Claims Examiner - Workers... ...& IL | Licensing: Required - Remote Are you looking for an opportunity... ...due, while ensuring ongoing adjudication of claims within service expectations... ...benefits offering including medical, dental vision, 401K on day...Remote workMedicalFull timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Claims Adjudication Specialist — Remote. Be the first to apply!
- medical specialist Minneapolis, MN
- medical insurance specialist Minneapolis, MN
- patient transport technician Minneapolis, MN
- medical information specialist Minneapolis, MN
- medical review specialist Minneapolis, MN
- hca Minneapolis, MN
- health care assistant hospital Minneapolis, MN
- patient care associate Minneapolis, MN
- patient care technician Minneapolis, MN
- health care worker Minneapolis, MN


