- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Professional Liability Claims Advisor | Remote (Must be in California) **Experience** ... executive, cyber, professional liability, error and omissions, and complex liability claims ; to provide resolution of highly complex nature and/or severe injury… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $16.4877-$24.7316) Performs day-to-day payment posting ... posting processes are followed. This position reports to the Supervisor Payment Posting. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed ... clinical best practices. The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands,… more
- HomeSafe Alliance (Columbus, OH)
- …methodologies and best practices that enhance claims service. The **Assistant Claims Manager** role is a remote opportunity responsible for ensuring the ... **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the... adjusting experience preferred + Prior experience in a Supervisor or leadership role. + Prior experience assessing employee… more
- Allied Universal (Boise, ID)
- …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims / SIU Investigator. Claims / SIU Investigator investigate claims ... fraudulent behavior In relation to an Insurance claim. The Claims / SIU Specialist must use their extensive knowledge...agency for prosecution. + **Job flexibility offering field and remote work ** + **Auto Allowance and Company Credit… more
- Bozeman Health (Bozeman, MT)
- This position is remote possible if you live in one of the following 14 approved remote work states. Approved Remote States: 1. Arizona 2. Florida 3. Georgia ... Iowa 6. South Dakota 7. Texas 8. South Carolina 9 . Wisconsin *Updated Remote States to Align with Business Needs Position Summary: The Hospital / Professional… more
- MD Anderson Cancer Center (Houston, TX)
- …The primary purpose of the PBS Associate position is to follow-up on billed claims within regulatory guidelines. The PBS Associate must ensure that all claims ... calls in order to ensure prompt payment of medical claims . 2. Responds to requests made by third party...from customer service. 4. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Atrius Health (Chelmsford, MA)
- …system in the country. *SUMMARY* * * *This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a ... 6:00p Monday- Friday. This location offers great benefits, an option for hybrid/ remote schedule, and endless opportunity for growth in the healthcare field. * Under… more
- Chenega Corporation (VA)
- …a **Chenega Professional Services** ' company, is looking for a **Call Center Supervisor .** The **Call Center Supervisor ** will supervise, train, coach, and ... multi-channel contact center environment that manages Department of Defense claims , enrollment, approved medical authorizations, and appointment scheduling. +… more
- Insight Global (Dallas, TX)
- …reports and run those, combine those and see what they are doing o Need a hands on supervisor that can jump in and help team at month end if they need to get caught ... up on coding or working claims Growth Opportunities once converted FTE - Bonus -...2 years managing and delegating as a lead or supervisor .. o Associates in finance, business, or equivalent OR… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $26.8786-$40.3179) Supervises and coordinates the day-to-day ... government accounts at an assigned PBS location. Monitors timeliness of claims billed, paid/settled, and reviews documentation in appropriate system(s). Ensures… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment resolution ... variances from expected reimbursement, and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the … more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution ... received on denied accounts, and resolving or escalating issues to the Supervisor Payment Resolution Supervisor for resolution. Provides training and guidance… more
- University of Rochester (Rochester, NY)
- Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are ... required. Remote location must be within 2 hours of RTP...the accurate and timely preparation and submission of third-party billing/ claims to governmental or third-party payers. Re-submits claims… more
- University of Rochester (Rochester, NY)
- Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are ... required. Remote location must be within 2 hours of RTP...of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities… more
- Trinity Health (Farmington Hills, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18. 4663-$27.6994) Performs the day-to-day billing and ... problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Rate: $16>4877-$24.7316) Performs day-to-day billing and follow-up ... and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Mathematica (Columbus, OH)
- …predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round ... involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you'll contribute:** The Denials Management Coding Specialist is high ... prevention. The Denials Management Coding Specialist addresses both Inpatient and Outpatient claims and serves as a resource for all coding related questions and… more