Top 126699 Holiday coverage needed Jobs

Claims Examiner - Remote
ImagenetLLC —Remote
- Full-time
- Remote
- Basic math
- Mid-level
- Data entry
- Paid training
- Health savings account
Personal Shopper (In-Store)
Walmart —Everett, WA
- $21 - $34 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
Data Entry Operator
Dept of State Health Services —Austin, TX
- $3,236.66 - $3,946.25 a month
- Online Application
- Quality control
- Travel
- Military encouraged
Quick Apply
Staff Attorney - Environmental Law
Western Environmental Law Center —Portland, OR
- $76,000 - $106,000 a year
- Weekends as needed
- Writing skills
- Research
- Mid-level
- Paid holidays
- Disability insurance
11d
Mammography / X-Ray Technologist - Part time, 24 Hours per Week
Atlantic Medical Imaging —Somers Point, NJ
- $35.25 - $47.50 an hour
- 8 hour shift
- BLS Certification
- Mid-level
- Outpatient
- Profit sharing
- Paid holidays
Quick Apply
Guest Services Supervisor- Little Missouri, New Town,ND
Hotel Equities —New Town, ND
- $18 an hour
- Weekends as needed
- Inventory control
- Sales
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
12d
Pregnancy Counselor
Bethany Christian Services USA LLC —Orange City, IA
- Full-time
- Mid-level
- 3 years
- Driver's License
- Wellness program
- 403(b) matching
Senior Managing Attorney, Detention Project
Immigrant Legal Advocacy Project —Portland, ME
- $78,500 - $89,000 a year
- Email
- 5 years
- Writing skills
- Microsoft Office
- Paid parental leave
- Disability insurance
Quick Apply
Painter
Windows & Doors By Brownell —Williston, VT
- From $23 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Paid training
- Paid holidays
Quick Apply
Investigator - Network Services - Full Time
CoventBridge Group —Staten Island, NY
- $26 - $30 an hour
- Weekends as needed
- Background check
- Military
- Computer literacy
- Paid training
- Fuel card
Medical Social Worker - Inpatient/ED
Bronson Healthcare —Battle Creek, MI
- 8 hour shift
- Addiction Medicine
- Inpatient
- Mid-level
Quick Apply
CT Technologist I + Sign On Bonus
MedStar Radiology Network - Washington, D.C. & Maryland —Bel Air, MD
- Full-time
- Anatomy knowledge
- Surgery
- Inventory management
- Paid holidays
- Disability insurance
Quick Apply
12d
Merchandiser/Stocker (Full Time) - Pierre, SD
WP Beverages Pepsi-Cola —Pierre, SD
- $22.75 an hour
- Weekends as needed
- Sales
- Merchandising
- English
- Profit sharing
- Paid holidays
Church Administrator
Seattle First Baptist —Seattle, WA
- $72,500 - $76,000 a year
- Email
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Safety Specialist
A. Stucki Company —Fremont, NE
- Full-time
- CPR Certification
- Mid-level
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
14d
Mental Health Peer Support Specialist
Elmhurst Home, Inc. —Detroit, MI
- $22.03 - $26.53 an hour
- Weekends as needed
- Mid-level
- Clinic
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Cardiac Sonographer
Cleveland Clinic —Warrensville, OH
- $35.50 - $54.50 an hour
- Weekends as needed
- Acute care
- Computer literacy
- BLS Certification
- Dental insurance
- Vision insurance
MI/SU Master's Level Therapist - Stepping Up Crenshaw County
South Central Alabama Mental Health Board, Inc. —Luverne, AL
- Full-time
- Background check
- Mid-level
- Driver's License
- AD&D insurance
- Paid holidays
Quick Apply
Recreational Gymnastics & Tumbling Coach
Gym Skills Cincinnati —Blue Ash, OH
- $13 - $15 an hour
- Part-time
- Experience working with children
- 16+ years old
- In-person
- Paid training
- Opportunities for advancement
Quick Apply
10d
Route Service Merchandiser
GENDA Americas —Santa Rosa, CA
- $20 - $22 an hour
- Full-time
- Clean driving record
- Merchandising
- Mid-level
- Paid holidays
- Disability insurance

I want to receive the latest job alert for holiday coverage needed

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

holiday coverage needed jobs near

Claims Examiner - Remote

ImagenetLLC -
Remote

Apply Now

Job Details

Full-time

Benefits

Paid training
Health savings account
Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Data integrity assurance
Healthcare dispute resolution
Appeals
Medical insurance coverage verification
Insurance dispute resolution
Basic math
Regulatory compliance in claims processing
Medical coding guidelines
Mid-level
Incident Escalation
Decision making
Healthcare billing investigations
Policy verification in claims processing
Medical credentialing
Data entry
Medical insurance appeals management
Insurance investigations
Productivity software
1 year
Claims documentation management
Insurance claims appeal handling
Escalation handling
Medical terminology
Communication skills
Time management

Full Job Description

Claims Examiner - Remote

Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours: Pacific Time Zone

We are looking for Experienced Claims Examiner to join our rapidly growing team.

Experience is required for this position.

Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.

Responsibilities:

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
Participate in ongoing training and professional development activities.
Maintain accurate and detailed records of claims processing activities.
Review claim forms and supporting documents
Determine eligibility, verify data accuracy
Request additional information when needed
Process claims end-to-end
Identify and escalate complex or unusual claims for further review or investigation.
Participate in ongoing training and professional development activities.
Handle more complex claims with multiple services, providers

Experience:

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
Understanding of health claims processing/adjudication
Ability to perform basic to intermediate mathematical computation routines
Medical terminology strongly preferred
Understanding of ICD-9 & ICD-10
Basic MS office computer skills
Ability to work independently or within a team
Time management skills
Written and verbal communication skills
Attention to detail
Must be able to demonstrate sound decision-making skills

What We Offer

Remote work offered
Equipment provided
Paid training to set you up for success
Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
Paid Time Off (PTO)
7 paid holidays
A supportive team and a company that values internal growth

Ready to Grow Your Career?

We’d love to meet you! Click “Apply Now” and tell us why you’d be a great addition to the Imagenet team.

About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers.

The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

Work Location: Remote

Apply Now

Refine Your Search

holiday coverage needed jobs

Claims Examiner - Remote

Personal Shopper (In-Store)

Data Entry Operator

Staff Attorney - Environmental Law

Mammography / X-Ray Technologist - Part time, 24 Hours per Week

Guest Services Supervisor- Little Missouri, New Town,ND

Pregnancy Counselor

Senior Managing Attorney, Detention Project

Painter

Investigator - Network Services - Full Time

Medical Social Worker - Inpatient/ED

CT Technologist I + Sign On Bonus

Merchandiser/Stocker (Full Time) - Pierre, SD

Church Administrator

Safety Specialist

Mental Health Peer Support Specialist

Cardiac Sonographer

MI/SU Master's Level Therapist - Stepping Up Crenshaw County

Recreational Gymnastics & Tumbling Coach

Route Service Merchandiser

I want to receive the latest job alert for holiday coverage needed

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected