Remote LTC Claims Specialist (Medicare/Medicaid)
CorroHealth Inc
- Remote job
CorroHealth Inc. is hiring for a remote, US-based billing claims specialist operating in Hawaii time zone. The role focuses on resolving complex LTC, SNF, and ICF claims, submitting to Medicare, Medicaid, and private payers, and ensuring regulatory compliance. The position requires 5+ years in registration, billing or collections, UB-04 knowledge, and strong remote-work capabilities. Collaborative work with clinical and finance teams is essential. #J-18808-Ljbffr CorroHealth Inc
- CorroHealth, Inc. is seeking an Insurance Specialist 3 for remote work within the US (Hawaii Time Zone). You will resolve complex LTC/SNF/ICF unpaid or denied claims, prepare submissions to Medicare/Medicaid/private insurers, and ensure UB-04 and RAI/MDS compliance. The...Remote job
- Gallagher Bassett is seeking a Senior Claims Specialist for Healthcare Professional Liability - Long Term Care. The role focuses on managing... ...complex claims from coverage analysis to resolution, remotely across jurisdictions. Strong analytical and negotiation skills...Remote job
- An established insurance client in Austin is seeking a Remote Long Term Care Claims Eligibility Specialist. This position requires 5+ years of claims management experience and a certification/licensure as LVN, LPN, or LSW. Responsibilities include investigating claims,...Remote jobFlexible hours
- ...a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on timely... ...documentation in billing systems. This remote position operates Monday through Friday during...Remote workMonday to Friday
- ...aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve... ...demonstrable awareness of confidentiality obligations US remote-based colleagues are not permitted to work from...Remote workPermanent employment
- Overview The HT Group has partnered with an established insurance client in Austin, TX looking for a Remote Long Term Care Claims Eligibility Specialist who is experienced, detail-oriented, and customer-focused to review and manage claims of varying complexity. This is...Remote jobWeekly payTemporary workWork at officeFlexible hours
- PharMerica is seeking a Claims Specialist for a 100% remote role. You will manage and resolve rejected pharmacy claims to ensure clients... ...reimbursement, while collaborating with Medicare D plans, insurers, and Medicaid programs. The ideal candidate has customer service...Remote job
$23 per hour
...seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...-Time position. This is a remote hybrid opportunity, after... ...Specialist will adjudicate pharmacy claims, review claim responses for... ...knowledge/understanding of Medicare, Medicaid, and commercial insurance,...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...seeking an experienced Registered Nurse Case Manager to support Medicare/Medicaid members in Illinois. You will assess needs, coordinate care,... ...experience, ability to travel up to 50%, and a home-based/remote-friendly setup. Documentation and collaboration across teams...Remote workFull timeWork from home
$120k - $225k
Job Details 100% REMOTE Salary: $120,000 - $225,000 per year Why Join Us Comprehensive benefits package Multiple bonus... ...motivated attorney with at least two years of experience with Medicare/Medicaid fraud/FCA claims. The attorney should be proactive, self‑driven, and...Remote workWork from home- ...leading legal services provider is seeking a motivated attorney to work remotely in Phoenix, Arizona. The ideal candidate will have at least two years of experience in Medicare/Medicaid fraud and FCA claims, along with strong writing, research, and analytical skills. This...Remote jobWork from home
$28 - $35 per hour
...Claims Resolution SpecialistThe Claims Resolution Specialist is responsible for the day-to-day investigation and resolution... ...and efficiently.*This is a remote role. We are only hiring in the... ...documentation.Maintain knowledge of Medicare, Medicaid, Workers' Compensation, and...Remote work- ...Claims Specialist Step into a rewarding role as a Claims Specialist with... ...advance their careers. Remote Flexibility: This position is... ...claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum...Remote workWork experience placementWork at officeLocal areaFlexible hoursShift work
- Premera is hiring a Claims Processor III to review, research, and resolve moderate to complex claims across Medicare, DSHS, subrogation, and coordination of benefits for dental, medical and hospital claims. You will act as a technical resource, train trainees, and ensure...Remote jobTraineeship
$26.5k - $37.8k
...and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts... ...follow-up, and appeals while ensuring compliance with Medicaid and payer guidelines. You will play a key role in maximizing...Remote workFull timeWork at officeFlexible hoursShift work$17.71 - $25.28 per hour
...opportunities, and much more. The D‑SNP Claims Review Specialist reviews and processes Senior Care... ...for (D-SNP/fully-integrated Medicare & Medicaid/Mass Health highly preferred. Knowledge... ...applicable) Working Condition This is a remote role that can be done from most US states...Remote workHourly payFull timeWork at officeFlexible hoursShift work$5,000 per month
...across the United States. 3rd Party Claims Specialist Team Lead The 3rd Party Claims... ...both. Shift: Nights and Weekends Remote position Benefits and perks for... ...requirements in one of the following areas: Medicare Part D, Medicaid, and Commercial billing....Remote workLocal areaFlexible hoursShift workNight shiftWeekend work- ...analyst to identify overpayments and drive recovery across Medicaid, Medicare, and commercial claims. You will analyze claims, review eligibility data, and... ...CMS guidelines, and strong analytical skills. Fully remote in the United States with growth and learning opportunities...Remote job
- ...twiceasnice Recruiting seeks an Medicare & Medicaid Enrollment Representative to join our client’s mission-driven healthcare team. This fully remote role focuses on Florida enrollments, managing the full enrollment process, ensuring compliance, and resolving issues to...Remote work
- Position: Billing and Denial Claims Specialist Location: Harwood Heights, IL Remote Status: On-Site Job Id: 532 # of Openings: 2 Simple Laboratories... ...and denial and appeal processes. Experience with Medicare, Medicaid, commercial payers, and laboratory-specific...Remote workFull timeWork at office
- ...scenarios, executing tests, and providing UAT support. Key skills include a strong knowledge of Medicaid, CHIP, SNAP, and TANF programs. The position is contract-based and remote, geared towards candidates with mid-senior level expertise in IT consulting and services. #J-...Remote workContract work
$71.03k
...Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its... ...work environments, including remote work opportunities. With... ...our dynamic and dedicated team. Claims Medical Review Nursing Consultant... ...termination, EPSDT, acute, LTC, chronic long-term elderly and...Remote workFull timePart timeInternshipWork from homeFlexible hours- ...Coordinator to ensure timely and accurate submission of medical claims. The role supports value-based care billing and... ..., knowledge of ICD-10/CPT/HCPCS, and experience with Medicare/Medicaid. Hybrid in-office and remote work options are available within the Houston area....Remote workWork at office
- ...join our mission-driven team serving Veterans. This role is remote from the United States and focuses on developing functional tests... ...in a fast‑paced federal environment. Ideal candidates have Medicare claims experience, strong Agile skills, SQL proficiency, and...Remote job
$83k - $154k
...Time Salary Range: USD $83000.00 - $154000.00 Job Category: Claims Description Liberty Mutual's Specialized Claims group has an... .... Flexibility with structure. This role is primarily remote, with a light-touch office cadence - just two in-office days per...Remote workFull timeWork at officeLocal areaImmediate startHome office$21.25 - $31.92 per hour
Lead Accounts Receivable Claims Specialist (Chesapeake Specialty Care) Job Category : Office... ...Requisition Number : LEADA009820 Full-Time Remote Hourly Range : $21.25 USD to $31.92... ...plans including commercial, Medicare, Medicaid, and Tricare. Advanced understanding...Remote workHourly payFull timeWork experience placementWork at office- Centauri Health Solutions, Inc. is seeking a Remote Medicare & Medicaid Eligibility Specialist (Advocate) to guide members through eligibility processes and benefits. You will communicate with callers, verify information, and ensure accurate enrollment with HIPAA-compliant...Remote job
- ...Medicaid Project ManagerLocation: Raleigh, NC (Remote) Duration: 8+ Months Type: ContractThis 100% federally funded position is critical to the technical implementation... ...Document (IAPD) with the federal Centers for Medicare & Medicaid Services (CMS) and NC Medicaid.This...Remote work
- A leading automotive service provider is looking for a Mechanical Claims Adjuster to investigate and negotiate vehicle repair claims in a professional remote environment. The role requires automotive knowledge and a strong background in claims adjustment. Candidates should...Remote workHourly payWork from home
- ...Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. Candidate should have hands-on experience on claims processing and adjudication processes. Must have good experience in reference code/data sets...Remote work
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