Claims Resolution Specialist - Medical Billing Payer Edits
United States Digital Space LLC
United States Digital Space LLC, a dermatology network with 150+ locations across 17 states, seeks a Revenue Cycle Management specialist to identify and resolve third-party payer rejections. You will assist in resolving edits that may lead to nonpayment and enter charges into the EMR with input from the coding team. The role requires 1–3 years in medical/insurance billing, attention to detail, and teamwork. #J-18808-Ljbffr United States Digital Space LLC
$20 - $26 per hour
...Claims Specialist Remote | Full-Time Base pay range... ...working knowledge of payer policies and procedures... ...with each insurer’s medical policies and guidelines... ...background in medical billing or healthcare... ...early and drive it to resolution. Be the expert in...SuggestedFull timePrivate practiceRemote workShift work- EnableComp is seeking a Resolution Analyst to bridge client contacts with the denials and underpayment... ...emphasizes accurate documentation and timely payer communication. Ideal candidates have 5+ years in healthcare billing, strong knowledge of revenue cycle concepts, and...Suggested
- Signature Performance is seeking a Follow Up Specialist for a remote, nationwide role in the... ...follow-up of outstanding insurance claims, analyzing account activity, and resolving... .... Ideal candidates bring 2+ years in medical billing or revenue cycle operations, EPIC EMR experience...SuggestedRemote jobFlexible hours
- ...based healthcare revenue cycle professionals with extensive medical billing and claims management experience. The role focuses on evaluating AI‑assisted billing outputs, reviewing claim edits, and ensuring payer compliance across CMS and HIPAA standards. Ideal candidates...SuggestedRemote jobPart time
$24 - $26.45 per hour
...that collaborates with medical groups, health plans,... ..., the Medical Claims Specialist (AR Manager) is responsible... ...to the RCM team. Resolution of SalesForce cases and... ...may include contacting payer representatives... ...a physician medical billing office Must understand...SuggestedHourly payFull timeContract workWork at officeLocal areaRemote workHome office- ...Workers’ Compensation Disability Claims Specialist – NY PPD/Pension Job Summary... ...and regulations. Analyze medical reports, employment records,... ...timely and accurate claim resolution. Calculate and process indemnity... ...with medical terminology, billing practices, and disability...Permanent employment
- Reserv is seeking a Resolution Specialist to support a remote-first claims operation focused on transportation-related auto claims. You will handle calls, guide claimants through the process, triage inventory, and collaborate with product and engineering teams to drive...Remote job
- Reserv is an insurtech focused on AI-driven claims processes and remote-first operations. We seek a Resolution Specialist to educate customers, triage claims, and drive efficient resolution across transportation-related claims. The role collaborates with product, engineering...Remote job
- Remote Jobs is seeking a Medical Billing Specialist to manage claims processing, verifications, and collections within a medical practice. The role involves... ...candidate will handle daily reconciliations, contact payers on denials, and support revenue cycle activities while...Remote work
- 1199SEIU is seeking a healthcare claims processor to review hospital claims, determine actions to resolve pended items, and process claims using the QNXT system. You will validate data, ensure eligibility and benefits coverage, apply pre-authorization rules and contractual...
- MetroPlus in New York is looking for a Claims Service Correspondent responsible for providing accurate responses to claim inquiries from healthcare providers. This role involves coordination with multiple departments and resolving issues professionally. Qualifications...
- A healthcare startup is seeking a Claims Specialist to manage healthcare claims processing, including investigating and resolving claim issues. This entry-level role requires a background in medical billing and strong attention to detail. Responsibilities include making...Remote job
$80k - $95k
...staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring... ...plus bonuses, along with comprehensive benefits including medical, dental, and 401(k) matching. #J-18808-Ljbffr King's...Remote job$16.5 per hour
...and final adjudication of paper/electronic claims. Determines whether to return, deny or... ...is complete and correct. Resolves claim edits, reviews history records and determines benefit... ...of claims processing experience Inquiry resolution system, OCWA, Oscar, Outlook experience...For contractorsWork at officeLocal area- ...All Jobs Bodily Injury Claims Adjuster Fully Remote • AL, AZ... ...claims to ensure fair and timely resolution. The ideal candidate will... ...understanding of insurance policies, medical terminology, and legal... ...Analyze medical reports and bills to assess the nature and severity...Full timeWork experience placementWork at officeRemote work
$122.6k - $130k
...terms and applicable risk parameters, and proposing amendments or edits which fit firm’s credit appetite and assessment of current... ...retention awards. Citi offers competitive employee benefits, including: medical, dental & vision coverage; 401(k); life, accident, and...Full timeRemote work- ...G Douglas MD PC in New York, NY is seeking a detail-oriented Medical Billing Clerk to support billing operations. You will collect and audit... ...slips, obtain missing information, and prepare insurance claims for mailing. The role also handles mail sorting, payment processing...Work at office
- A local healthcare provider in Idaho is seeking an experienced claims processor to manage and ensure the accuracy of insurance claims... ...school diploma and at least two years of experience in healthcare billing. You will be responsible for reviewing and appealing unpaid...Local area
$115k - $135k
...Join Hiscox as a Complex Claims Specialist Build a brilliant future with Hiscox. Put your... ...of authority to provide fair and fast resolution of claims for our insured and broker partners... ..., vision, dental and FSA plans (medical, limited purpose, and dependent care)...Temporary workPrivate practiceWork at officeLocal areaRemote work2 days per week- ...directly handle lawyers' and accountant's professional liability claims. What you will do: Be responsible for primary and excess... ...engineers professional liability claims from first notice through resolution, including coverage evaluation and litigation management. Provide...Remote workWeekend work
$125 - $155 per hour
...Complex Claims Specialist A&EBuild a brilliant future with HiscoxPut your claims skills to the... ...given authority to provide fair and fast resolution of claims for our insured and broker... ..., vision, dental and FSA plans (medical, limited purpose, and dependent care)Company...Temporary workWork at officeLocal areaRemote work2 days per week$100k - $140k
...Financial Holdings Limited. Position Summary: The Senior Claims Specialist is responsible for managing all aspects of complex third-... ...investigations. Manage litigation from inception through resolution. Make coverage determinations and prepare coverage position...Worldwide$100k
...Senior Construction Defect Technical Claims SpecialistArgo Group is an underwriter of... ...capable Senior Construction Technical Claims Specialist Team Lead to join our team and work from... ...the best financial outcome and timely resolution.Properly setting claim reserves, taking...Local areaRemote work$69.6k - $92.4k
...you turn to when you need a specialist who not only knows workers’ comp... ...an inventory of claims to evaluate compensability/liability... ...prioritize caseloads, ensuring timely resolution of claims. Excellent... ...time employees have access to medical, dental, and vision coverage,...Full timePart timeSeasonal workWork at officeRemote work- ...Plum Benefits seeks a Cashless Claims Associate to provide on-site support to insured members during hospitalization, coordinating between... ..., explaining policy coverage, and managing documentation and follow-up inquiries to ensure timely claim resolution. #J-18808-Ljbffr...
$117k - $184.4k
...AXA XL is an Equal Opportunity Employer. Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise... ...coverage, investigation, evaluation, reserving, recovery, and resolution. Providing oversight, guidance and direction to TPA claim...$78.86k - $112.5k
...our team as a Property Field Inspection Claim Specialist and showcase your expertise in... ...concerns about ongoing inspections or claim resolutions Provide exceptional customer service... ...including a high deductible plan. All medical plans provide 100% coverage for in-...Work experience placementInternshipWork at officeLocal areaRemote workWork from homeFlexible hours- ...Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims.Handle claims in accordance with Claim Handling Best Practices... ...the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.Provide top-notch customer service...Work at office
$125k - $155k
...Join Our Dynamic Claims TeamBuild a brilliant future with Hiscox... ...Hartford, CTOur Complex Claims Specialist-Miscellaneous Professional... ...organization from inception to resolution. This includes, but is not limited... ..., dental and FSA plans (medical, limited purpose, and dependent...Temporary workWork at office- ...Summary Our client is seeking a highly skilled Claims Specialist to manage high-exposure medical professional liability claims. This role is designed... ...manage significant files from investigation through resolution, act as a mentor to junior staff, and serve as a...Temporary workWork at officeLocal areaRemote work
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