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$121.79k - $158.32k
...is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Provider Billing Group Division of Supplier Claims Processing. About the Role As a Health Insurance Specialist (Claims Processing and Systems...ClaimsCenters for Medicare & Medicaid Services
Riverdale, MD1 day ago$40k - $52.3k
Become a part of our caring community The Claims Processing Representative reviews and adjudicates complex or specialty claims, submitted... ...efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service...ClaimsFull timeTemporary workApprenticeshipWork at office- ...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
United States4 days ago - ...BlueCross BlueShield of South Carolina is seeking a full-time Claims Processor to ensure accurate and timely processing of health insurance claims. The role requires on-site work in Columbia, SC, with standard 40-hour weeks and potential coordination with internal teams...ClaimsFull time
Southcarolinablues
Brooklyn, NY1 day ago - ...Driving strategic business initiatives, the full-time Senior Business Process Analyst will leverage advanced analytical tools to optimize claims operations, enhance process efficiency, and translate insights into measurable business impact while collaborating with cross...ClaimsFull timeRemote work
Virtual Vocations Inc
United States3 days ago $20 per hour
...Medical Claims Specialist II (COB & Medicare Coordination) Remote Work Pay: $20/hr 5-Month Contract Skills, Experience, Qualifications,... ...Specialist II with strong knowledge of medical claims processing and Coordination of Benefits (COB) . The ideal candidate...ClaimsHourly payFull timeContract workWork at officeRemote workStrategic Staffing Solutions
Baton Rouge, LA10 hours ago- ...Detail-oriented and organized, the full-time Document Processing Specialist will manage mid-level to complex back office tasks, including... ...office. Key responsibilities Operate scanning equipment to image claim documents and manage document indexing and routing Handle...ClaimsFull timeWork at officeRemote work
Virtual Vocations Inc
United States2 days ago - ...oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on... ...with strong emphasis on follow‑through, analytics, and process improvement in a fast‑paced environment. #J-18808-...ClaimsRemote jobMonday to Friday
$110k - $138.5k
...named owner of complex, multi-stakeholder projects that touch process, systems, and vendors at the same time — not a coordinator feeding... ...to deliver themAct as the primary point of contact across claims operations, IT, and external vendors for the projects you own,...ClaimsPlymouth Rock Assurance
Boston, MA21 hours ago- ...Job Description Job Description Position Summary Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO’s. Job Duties Monitor the progress of insurance claims from submission...Claims
Hudson Regional Hospital
Clifton, NJa month ago - ...handling all complex or past-due third-party billing claims for the purpose of securing reimbursement of services (Medicare, Medicaid, Managed Care); Serves as the "... ...account after all insurance payments have been processed if the resident responsible portion doesn't make...ClaimsContract work
Lutheran Senior Services
Saint Louis, MO3 days ago $20 per hour
...Job Description Medical Claims Specialist II (COB & Medicare Coordination) \n Remote Work \n Pay: $20/hr \n 5-Month Contract \n \n... ...Specialist II with strong knowledge of medical claims processing and Coordination of Benefits (COB) . The ideal candidate...ClaimsHourly payFull timeContract workWork at officeRemote workStrategic Staffing Solutions
Baton Rouge, LA22 days ago$23 per hour
...IQVIA seeks a remote medical billing representative to process patient insurance claims and administer payment assistance programs. The role involves reviewing claims documentation, interpreting insurance forms, and determining eligibility against program guidelines while...ClaimsHourly payRemote workWork from homeIQVIA
Phoenix, AZ6 days ago$60 - $65 per hour
...center, mail order medications, Insurance Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient... ...service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing...ClaimsHourly payFull timeTemporary workLocal areaImmediate startMonday to FridayShift work2 days per weekA-Line
Newton, NJ4 days ago- ...populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical... ...for the accuracy of the super bill/claim prior to transmission to payer, including... ...part of the super bill/claim validation process. Prepare and review super bill/claims...Claims
Centrum Medical Ventures
Miami, FL3 days ago - Providence Swedish is seeking a claims specialist to remotely prepare, edit and submit insurance claims to Medicare, Medicaid, L&I, VA, and other payers. You will verify accuracy... ..., and help identify recurring errors for process improvements. The role requires medical...ClaimsRemote job
- Claims Processing Representative Immediate opening for a full time Claims Processing Representative at our Germantown, TN location. Job duties... ...secondary medical insurance claims in accordance to Medicare and Medicaid benefit rules. Data entry into various insurance...ClaimsFull timeWork at officeImmediate start
- ...of risk-based contracts across Medicaid, Medicare Advantage and Commercial managed care... .... The analyst will translate complex claims, clinical, social risk and revenue cycle... ...Supports reconciliation and settlement processes with MCOs. Works with Sinai Chicago’s...ClaimsFull timeContract workWork experience placementShift work
Sinai Chicago
Chicago, IL3 days ago - ...Business Analyst (Federal Health Insurance / Medicare / Medicaid) Location: Dallas, TX (... ...Solution Architect with deep expertise in process reimagination and AI-driven healthcare... ...understanding of: Health plan domains like claims, membership, provider network, UM/CM,...ClaimsLong term contractRemote work
MethodHub
United States1 day ago - ...and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.NeueHealth delivers clinical care to health... ...translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with...ClaimsWork at office
Centrum Medical Ventures
Miami, FL4 days ago - ...in US providing services in Florida state, NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation...ClaimsContract workMonday to FridayShift workWeekend work
NTT DATA
Plano, TX2 days ago - ...Detail-oriented and proactive, the remote Hospice Billing Specialist will manage the billing process for hospice claims, ensuring accuracy and compliance with Medicare and other payor requirements while collaborating with clinical and operational teams. Key responsibilities...ClaimsRemote work
Virtual Vocations Inc
United States1 day ago $23.82 per hour
...Responsible for the timely and accurate submission of Insurance claims. Coordinate billing procedures and working payer edits in... ...system updates as directed by Payer bulletins and notifications. Process claims daily in the system work queues and Payer clearinghouse...ClaimsFlexible hours- ...business (commercial, health plan, Cigna, Medicare), developing concepts, creating &... ...including the Analyst toolPerforming analysis of claims utilization and volume, including margin,... ...to complete the online application process, please email ****@*****.***...ClaimsFull timeLocal areaRemote workWork from home
CIGNA
Harrisburg, PA2 days ago - ...Position Title: Medicare/Medicaid Customer Support Representative (Remote After Training) Location: Tampa, Florida... ...knowledgeable about Medicare and Medicaid benefits, enrollment processes, eligibility requirements, claims, and member services while delivering exceptional...ClaimsFull timeWork at officeRemote work
Leeds Professional Resources
Tampa, FL3 days ago - ...Senior Health is seeking a Medical Coder I to support the Medicare Operations team by reviewing claims for coding accuracy, assigning ICD-10-CM and CPT codes... ...and standard tools to drive accuracy, compliance, and process improvements across office visits, procedures, and...ClaimsWork at office
Amazon
Arlington, VA3 days ago $150k - $250k
...data including federal spending and contracting databases, Medicare and Medicaid claims and reasons across that information to identify specific... ...uncomfortable working on US government applications Interview Process The process is designed to assess both technical depth...ClaimsFull timeInternshipWork at officeLocal areaRelocationVisa sponsorship2 days per week3 days per weekCGS
Baltimore, MD3 days ago- ...into a long-lasting and rewarding career! Job Description Claims Processing: investigate insurance claims; properly resolve by follow-up... ...receiving payment. Update patient files for insurance information, Medicare status, and other changes as necessary or required....ClaimsPrivate practice
- ...based care arrangements, including ACOs, Medicare, Medicaid, Medicare Advantage,... ...is responsible for analyzing healthcare claims, utilization, cost trends, risk adjustment... ...of actuarial data structures, reporting processes, and repeatable analytical tools.Communicate...ClaimsContract work
Wilmington Health
Wilmington, NC4 days ago - ...analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’... ...Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor... ...HIPAA, data privacy, and/or data security processes. Experience working with regulators...ClaimsWork at officeLocal areaRemote work
Marwood Group
New York, NY2 days ago
