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- ...is seeking a Business Analyst for a remote position focused on Medicare Product management and requirements gathering. The ideal candidate... ...deliverables, and supporting program activities. Knowledge of claims, finance, or clinical editing are preferred. Join us to make an...ClaimsRemote work
Vytwo
New York, NY2 days ago $40k - $52.3k
Become a part of our caring community The Medicare Initial Claims team is looking for Claims Processing Representatives. You will review and adjudicate complex or specialty claims, submitted either by paper or electronically. Reporting to the aligned Supervisor as a Claims...ClaimsWeekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$150k - $206.3k
...our caring community As a remote Director, Process Improvement, you will report to an... ...iterative solution strategies You will monitor Claim Deferral inventories ensuring provider... ...a better quality of life for people with Medicare and Medicaid, families, individuals, military...ClaimsBi-weekly payWeekly payFull timeContract workTemporary workApprenticeshipInterim roleRemote workWork from homeHome office- ...Billing firm is seeking fresh UG graduates for the position of PROCESS Trainee. This role offers a unique opportunity to gain hands-on... ...shifts. Key responsibilities include calling insurance companies for claim status, handling US healthcare billing, and analyzing claims....ClaimsTraineeshipNight shift
Prochant
New York, NY2 days ago - Infosys is looking for a Process Specialist in Atlanta, GA, who will oversee life insurance claims processing, ensuring accuracy and compliance. Responsibilities include validating documentation, processing claims, and maintaining detailed records. Candidates should have...Claims
- ...the United States. This role involves reviewing and processing healthcare appeals related to Medicaid or Medicare coverage decisions. The ideal candidate will have... ...of experience in healthcare appeals or medical claims and a strong understanding of CMS guidelines. Responsibilities...ClaimsRemote work
Ghost RX
New York, NY2 days ago - ...A healthcare solutions company in Minnesota is seeking a Medicare IT Analyst to manage and analyze pricing procedures while ensuring... ...a relevant bachelor's degree and experience in Medicare claims processing. This position allows for remote work options and offers competitive...ClaimsRemote work
WPS Health Solutions
Minneapolis, MN2 days ago - ...Billing Specialist Medicaid, VA & Medicare We are seeking an experienced and detail-oriented Billing... ...Specialist to manage Medicaid, VA, and Medicare billing processes. The Billing Specialist will be responsible for accurate claim submission, payment posting, denial management,...ClaimsPart timeWork at officeMonday to Friday
Senior Helpers
High Point, NC2 days ago - A leading insurance company seeks a Claims Processing Coordinator to understand business models and manage claims. This in-office role allows for hybrid work up to 2 days weekly post-training. Responsibilities include correspondence with clients and carriers, managing claim...ClaimsWork at officeFlexible hours
$80k - $90k
Clever Care Health Plan, located in Huntington Beach, CA, is seeking a Claims Supervisor to oversee claims processing and staff management. You'll lead the claims processing team, ensure adherence to CMS regulations, and foster professional development among staff. Required...ClaimsRemote job- ...seeking an Assistant Business Office Manager in Rio Rancho, New Mexico, responsible for high-volume data entry and processing insurance claims including Medicare and Medicaid. Ideal candidates should have excellent communication skills, attention to detail, and a strong...ClaimsWork at office
$24 - $26 per hour
...attorneys, brokers, medical providers, and Medicare to create a seamless experience. Our... ...administration of funds from insurance claim settlements post-settlement. We continue... ...Healthcare experience and knowledge of claims processing are a plus. The estimated salary range...ClaimsHourly payWork at officeRemote workAmetros
Wilmington, DE4 days ago- Infosys Limited is looking for a Process Specialist in Atlanta, GA, who will monitor and validate life insurance claims operations. The role involves training new team members, maintaining compliance with internal and regulatory standards, and identifying process improvements...Claims
- A leading insurance firm seeks a Claims Processing Coordinator to join their team. This office-based position allows for remote work up to two days a week after training. Responsibilities include managing claim reports, corresponding with clients and administrators, and...ClaimsWork at officeRemote work2 days per week
- Physicians Mutual is looking for a Medicare Supplement Claims Examiner in Omaha, NE. This role involves evaluating and processing claims, ensuring accurate payments or denials by analyzing policy provisions and medical information. Candidates should have a high school...Claims
- ...Location: Tarentum, PA Department: Claims At Blackburn's Physicians Pharmacy, we... ...to join our Claims team and support the processing, follow-up, and resolution of medical... ...coordination preferred Understanding of Medicare, Medicaid, and commercial insurance...ClaimsFull timeWork at office
BLACKBURN'S PHYSICIANS PHARMACY
Tarentum, PA4 days ago - ...team in Wichita, Kansas. You will play a crucial role in processing medical insurance claims and managing customer billing and collections. The... ...detail-oriented professional with a strong understanding of Medicare policies and insurance claims. The right candidate will...Claims
$19 - $22.36 per hour
...looking for a Reimbursement Advocate in Plano, Texas, responsible for working with various insurance companies to ensure medical claims are processed accurately and timely. The role demands a high level of customer support and the ability to analyze claims for errors or...ClaimsHourly pay- ...Compliance Professional to develop and implement compliance policies, particularly regarding Medicare Part C claims. In this role, you'll assess and audit business processes to address compliance issues, serve as a subject matter expert, and ensure adherence to relevant...ClaimsRemote work
Humana
Phoenix, AZ2 days ago - American Health Communities is seeking a Claims Auditor in Oklahoma City, OK. This role involves ensuring accurate claims payment, regulatory... ...at least two years of experience in health insurance claims processing or auditing, along with knowledge of CMS regulations. A coding...ClaimsWork at office2 days per week3 days per week
$21.42 per hour
...Overview Physicians Mutual is actively hiring Medicare Supplement Claims Examiners to join our growing Claims team! In this role, you'll... ...secure your spot! Responsibilities Review, analyze, and process Medicare Supplement insurance claims with accuracy and...ClaimsPhysicians Mutual Insurance Company, Inc.
Omaha, NE1 day ago- ...A healthcare service provider seeks a Medicare IT Analyst to research and respond to interdepartmental... ...referrals, ensuring the accuracy of processing guidelines. This role involves... ...least one year of experience in Medicare claims, and strong analytical skills. Benefits...ClaimsRemote work
WPS Health Solutions
Omaha, NE2 days ago - ...healthcare solutions provider based in Michigan is seeking a Medicare IT Analyst to oversee pricing procedures and ensure the... ...guidelines. The ideal candidate will have experience in Medicare claims processing and skills in navigating CMS systems. This role supports...ClaimsRemote work
WPS Health Solutions
Detroit, MI2 days ago $23 - $25 per hour
...attorneys, brokers, medical providers, and Medicare to create a seamless experience for our... ...revolutionizing the way funds from insurance claim settlements are administered after... ...Understanding of Worker's Compensation Claims Process. Working knowledge of Workers...ClaimsWork at officeRemote workAmetros
United States3 days ago$86.3k - $118.7k
...Compliance Professional in Providence, RI. The role involves ensuring compliance with Medicare Part C claims through the development of compliance policies, auditing business processes, and conducting regulatory research. Candidates should possess a Bachelor's degree...ClaimsRemote workHumana
Providence, RI4 days ago$21.85 per hour
...requires at least 2 years of experience in follow-up roles, particularly with Medicare or Managed Medicare. Candidates should possess knowledge of portals, basic denial processes, and professional claims, with familiarity in EPIC being desirable. Local pay is $21.85 per hour,...ClaimsHourly payLocal areaRemote workDay shiftTEEMA Solutions Group
Roseville, CA4 days ago- ...Claims Examiner Prominence Health is a value-based care organization bridging the gap... ..., physicians, and health systems across Medicare, Medicare Advantage, Accountable Care... ...attention to detail and accuracy in claims processing. Excellent communication and...ClaimsWork at officeLocal area
Wellington Regional Medical Center
Reno, NV3 days ago - ...American Health Plans is seeking a Medicare Risk Adjustment Coding Specialist to conduct... ..., experience with Medicare and Medicaid claims, and excellent communication skills. Ideal... ...years of relevant experience in claims processing or coding auditing. A collaborative mindset...ClaimsRemote work
American Health Plans Inc.
Franklin, TN3 days ago - A healthcare solutions provider seeks a Medicare IT Analyst to research and ensure accurate processing of pricing procedures. Responsibilities include maintaining... ...system updates, and collaborating with the Technical Claims team on projects. Ideal candidates have a Bachelor...ClaimsRemote work
WPS Health Solutions
Des Moines, IA2 days ago - ...hiring for an Auditing Specialist. The role involves auditing claims processes, preparing trend analysis summaries, and recommending process... ..., alongside 2+ years in claim processing within Medicaid/Medicare systems. Strong organizational and communication skills are essential...Claims
