Remote W2 Only -- Claims Management -- Jobs in Raleigh, NC

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W2 Only -- Claims Management -- Remote

HuMetis Technologies Inc

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Remote or Dallas, Texas, USA

Contract

W2 Only -- Claims Management -- Alpharetta GA, Dallas TX, New Jersey (Remote/Hybrid) Purpose: Envision team member for Claims Management Key Role and Responsibilities: seeking a skilled professional to support the design and implementation teams responsible for a claims management system that tracks property damage assessments by third parties. This internal system facilitates the management of claims and remittance workflows, enabling efficient data collection and cost distribution. Requireme
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Posted 27 days ago | Updated 27 days ago

Claims Examiner - Workers Compensation(California)

MetaSense, Inc.

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Remote

Third Party, Contract

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates an
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Posted 60+ days ago | Updated 27 days ago

Epic Resolute HB & Claims Support Consultant

SecureKloud Technologies Inc

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Remote

Contract, Third Party

Hi , We have a job opening for the position of Epic Resolute HB & Claims Support Consultant Please find the job description below and if you are interested, kindly share your updated resume with contact details Job Title : Epic Resolute HB & Claims Support Consultant Location : Remote Duration : Long Term Overview: We are seeking an experienced Epic Resolute Hospital Billing (HB) and Claims Support Consultant for a 3+ month remote assignment. The role is focused on production support, ticket r
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Posted 1 day ago

Claims Examiner

CalOptima

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Remote

Full-time

Claims Examiner CalOptima CalOptima Health is seeking a highly motivated Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing. The incumbent will be responsible for adhering to the regulatory and internal processing guidelines in conjunction with CalOptima Health policies and procedures related to claims adjudication. Position Information: Department: Claims Administration Salary Grade: 301 - $47,840 - $6
Posted 2 days ago

Claims Senior Representative Customer Advocacy

Pyramid Consulting, Inc.

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Remote

Contract

Immediate need for a talented Claims Senior Representative Customer Advocacy. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-76331 Pay Range: $17.50 - $18/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: Delivers specif
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Posted 5 days ago

Hospital Billing Claims Consultant (Epic Hospital Billing Certification & Epic Hospital Billing Claim Certification

Tellus Solutions

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Remote

Contract

Job Description: Roles/Responsibilities:Day to day collaboration with Billing Teams Collaborate, prioritize and mentor HIT support staff on pending and complex issues Mandatory Skills:Epic Hospital Billing CertificationEpic Hospital Billing Claims Certification3yrs support production support in an Epic Hospital Billing environment.Statements, DNB's, Client Billing, Correctional Health.Ability to assess complex claims logic and work with 3rd party clearinghouse Experian
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Posted 7 days ago

Need Epic Billing Hospital Billing/Hospital Billing Claims Consultant- Remote

SRS Consulting Inc

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Remote

Contract, Third Party

Need Epic Billing Hospital Billing/Hospital Billing Claims 100%remote Contract role Must haves: Epic Hospital Billing Certification Epic Hospital Billing Claims Certification
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Posted 7 days ago

Epic Hospital Billing and Claims Consultant

Alkaeus

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Remote

Contract

Title- Epic Billing Hospital Billing/Hospital Billing Claims Consultant Location- 100% Remote Candidate must be comfortable to work in PST time zone. Job Summary: seeking an Epic Billing Hospital Billing/Hospital Billing Claims Consultant. Supporting Division: Health Admin. Description/Scope of Work: support the current backlog of work and FTE vacancy on the HB/Claims Team. Day-to-Day ticket resolution. Collaborate with Operational owners and prioritize workload. Examples of Duties: day to day c
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Posted 2 days ago | Updated 1 day ago

Life Insurance Claims Specialist

SynergisticIT

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Remote

Contract

Our client, a major Life Insurance carrier is seeking a part-time Life Insurance Claims Specialist. As a 100% remote job, this is an ideal position for a retired person or stay at home mom or dad with Life Insurance Claims experience. Very flexible hours (after some training you can do the work at any time as long as SLA's and deadlines are met). Life Insurance Claims Specialist will review contestable death claims, life insurance policy reinstatement requests, and evaluate MIB inquiries for an
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Posted 60+ days ago | Updated 5 days ago

Epic?Hospital Billing/Hospital Billing Claims Consultant

INSPYR Solutions

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Remote or San Mateo, California, USA

Contract

Title: Epic Hospital Billing/Hospital Billing Claims Consultant Location: San Mateo, CA (100% remote) Duration: 3 months Rate: $95-$108/hr W2 Work Requirements: HoldersQualified candidates may send a copy of their resume (Word Format) to Alex Ali at Scope of Work: Support the current backlog of work and FTE vacancy on the HB/Claims Team. Day-to-Day ticket resolution Collaborate with Operational owners and prioritize workload EXAMPLES OF DUTIES: Day to day collaboration with Billing Teams. Coll
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Posted 8 days ago | Updated 8 hours ago

Senior Epic Analyst - Hospital Billing Claims & Remittance/Professional Billing

Golden Resources. Inc.

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Ohio, USA

Full-time

Our client is looking for a Senior Epic Analyst to join their Team! The Senior Epic Analyst will be responsible for Service Now requests and hospital billing claims & remittance. This position designs configures, tests, and implements changes of assigned Epic system applications. In addition, this role will lead operational work groups and teams to gather and analyze requirements for new requests. The Senior Epic Analyst consults with Epic representatives, leadership, and subject matter experts
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Posted 5 days ago | Updated 15 hours ago

Lead Analyst Claims Systems - EviCore - Remote

Cigna

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Tennessee, USA

Full-time

Do you want to Drive Growth and Change Lives? EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst. This highly technical systems role acts as the Subject Matter Expert (SME) for the Configuration of the EviCore Claims Systems and the suite of EviCore Claim Products. You'll be the primary contact for vendors and clients for production issue triage, new product configuration design, and process-improvement initiatives. You'll be the subject mat
Posted 1 hour ago

Medical Claims Tester

NTT DATA Americas, Inc

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Remote or Merced, California, USA

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services a
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Posted 7 days ago | Updated 8 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

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Remote or Dallas, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 26 days ago | Updated 9 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

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Remote or Houston, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 26 days ago | Updated 9 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

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Remote or Austin, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 26 days ago | Updated 9 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

•

Remote or Dallas, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 26 days ago | Updated 9 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

•

Remote or Houston, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 26 days ago | Updated 9 hours ago

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

•

Remote or Austin, Texas, USA

Full-time

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 We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 26 days ago | Updated 9 hours ago

Claims Systems Senior Analyst - eviCore - Remote

Cigna

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Remote

Full-time

Do you want to Improve the health and vitality of those we serve? EviCore, a line of business within the Cigna Group is hiring a Claims System Senior Analyst. This highly technical systems role requires the review of our claims processing system to ensure all configurations were input correctly into the system per the specifications of the provider. The Claims System Senior Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject Matter Expert, you'll partn
Posted 60+ days ago | Updated 1 hour ago