Remote Healthcare Claims Specialist - Adjudication & QA
Visa Hunt
- Remote job
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 coordination with multiple departments to ensure accurate adjudication. The ideal candidate has 3+ years in health insurance claims, CPT/ICD-10/HCPCS knowledge, strong communication, and experience with CRM systems and claim #J-18808-Ljbffr Visa Hunt
$25 per hour
Onco360 is seeking a Pharmacy Claims Adjudication Specialist based in St. Louis, MO with opportunities to work remotely. This full-time role involves adjudicating pharmacy claims... ...years of experience in pharmacy claims or healthcare. The position offers a starting salary...Remote jobFull timeRelocation package- Onco360 in Scottsdale, AZ is seeking a Pharmacy Claims Adjudication Specialist for a hybrid remote position after an onsite training period. You will adjudicate... ...resolve third-party issues, and provide service to healthcare providers and patients. The ideal candidate has a...Remote jobRelocation package
- ...Inc. is seeking a Pharmacy Adjudication Specialist to work full-time in St. Louis... ...Missouri, with options for remote work. Responsibilities include adjudicating pharmacy claims and resolving third-party rejections... ...experience in a pharmacy or healthcare setting. Benefits include a...Remote jobFull timeRelocation package
$26 per hour
...Inc. is seeking a Pharmacy Adjudication Specialist for its Specialty Oncology pharmacy... ...-time role offers potential remote work opportunities and involves managing pharmacy claims effectively while ensuring... ...experience in pharmacy or healthcare settings. Salary starts at $...Remote jobHourly payFull time$23 per hour
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...a Full‑Time position and a remote hybrid opportunity after an... ...Specialist will adjudicate pharmacy claims, review claim responses for... ...experience in a Pharmacy/Healthcare setting or pharmacy claims...Remote workFull timeTemporary workWork experience placementFlexible hoursShift work$23 per hour
Position Pharmacy Claims Adjudication Specialist Location Scottsdale, AZ Job Id 5312 # of Openings 1... ...be a Full‑Time position. This is a remote hybrid opportunity, after onsite training... ...: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- 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 workFlexible hours
- Cognizant is seeking a Claims Processing Executive who will leverage MS Excel to manage and process commercial healthcare claims. This fully remote position is open to Iowa residents only and offers day-shift hours, enabling you to balance work and personal commitments...Remote jobDay shift
- NTT DATA, Inc. seeks a claims processor to manage professional claim forms and adjudicate according to client workflows and HIPAA... ...candidates have 1-3 years in healthcare claims processing, strong MS... ...skills, and the ability to work remotely 8:00-16:30 EST. Training is...Remote job
- Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The... ...will have a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent communication...Remote jobFlexible hours
- Carrington is looking for a Remote Default Claims Quality Assurance Analyst responsible for reviewing and reconciling mortgage insurance claims... ...a high school diploma. Carrington offers comprehensive healthcare plans and additional perks for employees. #J-18808-Ljbffr...Remote job
- The Claims Quality Assurance Analyst is responsible for... ...candidate has prior healthcare claims auditing experience... ...; DME preferred. Other QA/production experience a... ...it, including how to adjudicate an audit appeal. Subject... ...opportunities Remote Opportunities We are actively...Remote workTemporary workFlexible hours
- Carrington is looking for a Default Claims Quality Assurance Analyst to work remotely. This position involves reviewing and reconciling mortgage insurance... ...mortgage servicing. Benefits include comprehensive healthcare plans, 401(k) matching, training programs, and educational...Remote job
- 6AM City, LLC is looking for a Claims Examiner to adjudicate claims according to regulations and contractual obligations. Responsibilities include reviewing claims, coordinating with departments, and assisting in training new personnel. The ideal candidate will have a high...
$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing... ...more visit: . What We Offer: Comprehensive healthcare plans for you and your family. Plus, a discretionary...Remote workWork from home$40 - $44 per hour
GreenLife Healthcare Staffing is seeking a Claims Specialist for a remote-to-on-site position based in Jericho, NY. The role offers competitive compensation of... ...healthcare industry and support accurate claims adjudication. #J-18808-Ljbffr GreenLife Healthcare StaffingRemote job- Humana Inc. is recruiting for a Claims Processing Representative 2 in Louisville, KY. The role involves reviewing and adjudicating complex or specialty claims, performing computations, and determining whether to return, deny, or pay claims according to policy. Training...Remote job
- ...Atlanta, is searching for a Claims Recovery Adjuster to enhance... ...third-party claims, allowing remote work alongside office presence... ...possess 5-10 years of auto claim adjudication experience and a strong track... ..., including employer-paid healthcare, competitive salary, and a supportive...Remote workWork at office
- ...Automotive Group, Inc. is looking for a full-time Ancillary Specialist who will review and adjudicate claims for the GAP product while ensuring accuracy in... ...processing and customer satisfaction. This role is performed remotely. The ideal candidate will possess a High School...Remote jobFull time
$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 jobHourly pay- Park Nicollet is seeking a Claims Specialist to join our team and help improve the care and experience... .... Responsibilities include pre-adjudication and follow-up for facility and... ...supporting strong cash flow and patient satisfaction. #J-18808-Ljbffr Remote JobsRemote work
$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$55k - $60k
...the review and processing of claims within the claims transactional... ...procedures related to claim adjudication. Audit auto-adjudicated and/... ...Grievance. Certified Coding Specialist (CCS) or Certified Coding... ...Telecommuting Requirements This is a remote position. Our whole company...Remote jobLive inWork at officeFlexible hoursWeekday 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 jobHourly payFull timeContract workPrivate practiceWork at officeFlexible hours$75k - $140k
...00 - $140000.00 Job Category: Claims Description If you're looking... ...meaningful. The Senior Claims Specialist works within a Claims Team navigating... ...who may work in office or remote depending on their location.... ...communication, contributing to improved QA outcomes and consistent...Remote workFull timeContract workFor contractorsFor subcontractorWork at officeLocal area- ...Oncology Pharmacy in Columbus, OH is looking for a Pharmacy Claims Adjudication Specialist to work full-time. Candidates must have active Ohio... ...sign-on bonus and various health perks. Flexibility to work remotely is offered. #J-18808-Ljbffr Onco360 Oncology PharmacyRemote jobFull timeRelocation package
- Onco360 is seeking a Pharmacy Claims Adjudication Specialist for their Specialty Oncology pharmacy in Columbus, OH. The role involves adjudicating pharmacy claims, resolving rejections, and providing patient outreach regarding claims. Applicants must have active Ohio Pharmacy...Remote jobRelocation packageFlexible hours
- A fast-paced healthcare company in New York is seeking a Quality Analyst to manage the medical file review process and ensure excellence in client interactions. The ideal candidate will have strong communication skills, critical thinking abilities, and experience in healthcare...Remote job
$26 per hour
Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Hartford, CT. This full-time position involves adjudicating pharmacy claims, ensuring accuracy, and resolving third-party rejections. Candidates must possess active Connecticut Pharmacy Technician credentials...Remote jobHourly payFull timeRelocation package- ...Inc. is seeking a Pharmacy Adjudication Specialist for their Scottsdale, AZ location... ...the potential for hybrid remote work after training.... ...candidates will adjudicate pharmacy claims, ensuring accuracy and... ...of 1 year in a pharmacy or healthcare environment, with strong...Remote jobFull time
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