"Claims" jobs in Remote

Portsmouth, New Hampshire

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13d ago

Kellton Tech is a full-service software development company, offering end-to-end IT solutions, strategic technology consulting and product development services in Web, SMAC (Social, Mobile, Analytics, Cloud), ERP-BPM, and IoT space Our methodology of inventing infinite possibilities with technology helps us develop best in-class and cost effective solutions for our clients. Currently Kellton Tech is looking for talented resources for one of our listed client. Below are the position details Posit

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Contract

Depends on Experience

Sr Epic Resolute (Billing & Claims) Certified Analyst

Morrisville, North Carolina

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Today

Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflow

Full-time

Compensation information provided in the description

Sr Epic Resolute (Billing & Claims) Certified Analyst

Morrisville, North Carolina

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Today

Full-time

Compensation information provided in the description

Claims Adjuster, Accident & Health

Hybrid in Lenexa, Kansas

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2d ago

Immediate need for a talented Claims Adjuster, Accident & Health . This is a 06+months contract opportunity with long-term potential and is located in Lenexa, KS (Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID:26-24581 Pay Range: $28 - $32/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: The Accident & Health

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Contract

$28 - $32

Position: Claims Examiner Commercial Auto Litigation

Irving, Texas

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5d ago

Subject: Hiring: Claims Examiner Commercial Auto Litigation | Irving, TX | $40/hr W2 Hello, We are currently hiring for Claims Examiner Commercial Auto Litigation positions with Sedgwick. Position DetailsPosition: Claims Examiner Commercial Auto Litigation Location: Irving, TX 75063 Duration: 3 Months Work Arrangement: Onsite/Local candidates preferred Required ExperienceStrong experience in Commercial Auto Claims Mandatory experience handling Commercial Auto Bodily Injury (BI) Litigation Experi

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Contract

$40 - $50

Technical Claims Specialist

Hybrid in New York, New York

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26d ago

Job Title: Technical Claims Specialist Location: USA NY New York other locations Chicago and Plano- Dallas Texas (Hybrid) Duration: 12+ months The Opportunity The purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values, ensuring adherence to policy terms and conditions in alignment with the Client Claims Philosophy. The role also entails supporting the claims function in specific insurance classes to drive operational eff

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Contract

$60 - $80

HRSN Medicaid Claims Analyst With QNXT

Remote

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5d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Third Party, Contract

Depends on Experience

Mailroom Clerk - Claims Operations Warwick RI, ONSITE

Warwick, Rhode Island

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Mailroom Clerk is responsible for supporting Claims Operations through the receipt, sorting, preparation, tracking, and dist

Full-time

USD 30,500.00 - 43,500.00 per year

PBM and Pharmacy Claims QA Tester (7+ years of Experience required)

Remote

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2d ago

Job Description: Job Title: QA Tester (Pharmacy claims and PBM testing experience) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: We re looking for a Test Engineer with strong pharmacy claims and PBM testing experience to support an NCPDP D.0 to F6 implementation. This role is responsible for validating transaction changes, claim adjudication outcomes, eligibility and coordination of benefits scenarios, reject messaging, payer sheet impacts, data mapping, r

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Full-time

$70,000 - $85,000

Epic Claims Analyst III

Rockledge, Florida

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Today

Job#: 3042045 Job Description: Epic Certified Applications Analyst - Claims (Revenue Cycle) Location: Remote (Preferred: Florida) Job Type: Direct Hire / Full-Time Salary Range: based on experience Overview Apex Systems is seeking an experienced Epic Certified Applications Analyst - Claims to join a leading healthcare organization. This is a full-time, direct hire opportunity supporting Revenue Cycle operations and claims management initiatives. This position is primarily remote, with oc

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Full-time

$100,000 - $120,000

Workers Compensation Claims Specialist

Brea, California

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Today

Description Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed. Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses. Coordinates and performs investigations and evaluates claims and suits through contact w

Full-time

USD 60.00 - 80.00 per hour

Annuity Claims Specialist

Remote

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17d ago

Our client, a major Life Insurance carrier is seeking an Annuity Claims Specialist for a long term (2 year minimum) contract position. This job can be worked remotely. The Annuity Claims Specialist will review contestable death claims related to annuities and evaluate Medical Information Bureau (MIB) inquiries for an existing book of business. Annuity Claims Specialist responsibilities include the following: - Contestable claims review will require an evaluation of the cause of death and valida

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Contract

$40 - $45

Hospital Billing Claims & Remittance Analyst

Cleveland, Ohio

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Today

Job#: 3044879 Job Description: Hospital Billing Claims & Remittance Analyst Location: Cleveland, Ohio (Remote) Role Overview The Senior Epic Analyst designs, configures, tests, and implements changes for assigned Epic system applications. This role leads operational work groups to gather and analyze requirements for new requests. The analyst will consult with internal representatives, leadership, and subject matter experts to engage stakeholders in configuring and building software and applic

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Full-time

$100,000 - $110,000

Technical Business Analyst (Healthcare Claims Domain and Medicaid/MMIS, Overall 10+ years of experience)

Remote

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2d ago

Job Description: Job Title: Technical Business Analyst (Claims Domain, MMIS) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle.

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Full-time

$70,000 - $95,000

Business Analyst - CMdS Claims, Member & Finance Implementation (MES)

Richmond, Virginia

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Today

JOB TITLE: Business Analyst - CMdS Claims, Member & Finance Implementation (MES) JOB LOCATION: Remote WAGE RANGE*: $50-60/hr JOB NUMBER: 26-01186 REQUIRED EXPERIENCE: Required qualifications 12+ years business analysis experience in Medicaid MMIS / MES, with deep hands-on work in at least two of: Claims, Member/Eligibility-Enrollment, Finance/Financial Accounting. Proven experience developing and implementing claims systems / MMIS / MES platforms, such as Conduent CMdS (Conduent Medicaid Sui

Full-time

USD 50.00 - 60.00 per hour

Snowflake Architect -Epic/Claims

Remote

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2d ago

Epic/Snowflake Architect 100% Remote 6-12 months + extensions. MUST HAVE CLAIMS DATA ON THE PROVIDER SIDE. Need Expert level. Project Overview Over the past year, the team rebuilt its data foundation and successfully integrated Milliman MedInsight data.Focus is now shifting from foundational data movement to developing new Population Health data products and analytics capabilities.Team has identified an opportunity to accelerate delivery but lacks the healthcare provider claims expertise needed

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Contract

$90 - $100

Claims Service Supervisor- West Sacramento, CA (Hybrid)

Hybrid in San Francisco, California

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Claims Service Supervisor, you will be responsible for overseeing the day-to-day operations of healthcare claims processing

Full-time

USD 60,000.00 - 82,044.00 per year

Senior C/Unix Batch Developer (Healthcare Claims)

Austin, Texas

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 75,000.00 - 95,000.00 per year

Business Data Analyst (P&C) Insurance Claims

Hybrid in Jersey City, New Jersey

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2d ago

Title: Business Data Analyst (P&C) Insurance Claims Location: Jersey City, NJ (Hybrid 3 a week) Duration: 6 months + JD: Job Summary: We are seeking a Business Data Analyst with a strong background in large-scale data applications, data analysis, and transformation to support enterprise-level initiatives in the Property & Casualty (P&C) Insurance domain. The ideal candidate will bring hands-on expertise in SQL, data mapping, and business analysis, along with deep domain knowledge of policy and

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Contract

Depends on Experience

Claims Service Supervisor- West Sacramento, CA (Hybrid)

Hybrid in San Diego, California

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Claims Service Supervisor, you will be responsible for overseeing the day-to-day operations of healthcare claims processing

Full-time

USD 60,000.00 - 82,044.00 per year