Top 33 Medical claims processor Jobs in (us Remote)

Claims Processor
GLOBALHEALTH HOLDINGS LLC —Oklahoma City, OK
- Full-time
- Remote
- Basic math
- HIPAA
- Mid-level
- Health insurance
Quick Apply
Copay Claims Processor
TailorMed —Remote
- Mid-level
- High school diploma or GED
- US work authorization
- Paid parental leave
- Paid holidays
Quick Apply
Experienced Healthcare Claims Processor
Karna, LLC —Raleigh, GA
- $20 - $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Claims Processor II
InnovAge —Denver, CO
- $22.84 - $27.40 an hour
- Email
- Remote
- Background check
- Spanish
- Mid-level
- AD&D insurance
- Paid holidays
3d
Remote Medical Billing Account Manager
Clear RCM Holdings LLC —Remote
- Full-time
- Remote
- Research
- Mid-level
- Pediatrics
Quick Apply
3h
Part Time Disability Transaction Processor
Conduent Commercial Solutions, LLC —Remote
- $15 an hour
- Part-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
8d
Disability Processor
SOUTHWEST SERVICE ADMINISTRATORS INC —Phoenix, AZ
- $18.00 - $23.50 an hour
- Remote
- Microsoft Word
- Writing skills
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
6d
Xcelys Medical Claims Examiner (Remote)
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- AD&D insurance
Quick Apply
7d
Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle
CVS Health —Washington, DC
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Utilization Management Clinical Dental Processor
Avesis, Incorporated —Remote
- $18.33 - $35.84 an hour
- Overtime
- Microsoft Outlook
- Writing skills
- Mid-level
- Paid parental leave
- Disability insurance
3d
(Remote Part-Time) Instructor - Medical Billing and Coding
ProTrain —Remote
- Part-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Tuition reimbursement
Quick Apply
Healthcare Claims Processor Bakinaw
Migizi EDC —Mount Pleasant, MI
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
Customer Service Rep - CHRG
Lincare Inc. —Clearwater, FL
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
Quick Apply
1099 Pet Claims Processor (Independent Contractor) - Property & Casualty Adjuster License Required (Home State P&C License Required)
Administrative Strategies —Remote
- Temporary
- Bilingual
- Anatomy knowledge
- Microsoft Excel
- Pet insurance
Quick Apply
Century Claims Payment Processor (Hybrid or Remote)
MAPFRE —Albuquerque, NM
- $27,800 - $37,800 a year
- Remote
- Mid-level
- Administrative experience
- High school diploma or GED
- Profit sharing
- Health savings account
3d
CPC Processor I Customer Support
Datavant —Texas City, TX
- $15.00 - $18.32 an hour
- Remote
- Computer literacy
- Microsoft Office
- High school diploma or GED
1d
Customer Service Rep - CHRG
American HomePatient —Clearwater, FL
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
Quick Apply
CPC Processor I Customer Support (Ocean Springs, MS)
Datavant —Mississippi State, MS
- $15.00 - $18.32 an hour
- Remote
- Computer literacy
- Microsoft Office
- High school diploma or GED
2d
Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
- $104,872 - $138,737 a year
- Remote
- 7 years
- Writing skills
- HIPAA
- Disability insurance
Staff Accountant
TEEMA Group —Covina, CA
- $30 - $35 an hour
- 8 hour shift
- Remote
- ERP systems
- Mid-level
- Finance
Quick Apply
7d

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Claims Processor

GLOBALHEALTH HOLDINGS LLC -
Oklahoma City, OK

Quick Apply

Job Details

Full-time

Benefits

Health insurance

Qualifications

Customer communication
Medicare
Commercial insurance knowledge
Managed care
High school diploma or GED
Medicaid health insurance
Medicare regulations
Medicare billing
Medicaid regulations
Medicaid

Full Job Description

WHO WE ARE:

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

WHO YOU ARE:

The Claims Processor is primarily responsible for processing all types of contracted and non-contracted claims accurately and timely for Medicare, Medicaid and Commercial Insurance products. The Claims Processor works directly with the Team Leader and/or Claims Supervisor on the day-to-day operations of the Claims for the purpose of meeting the company, department and regulatory standards for quantity, quality, and timeliness. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills.

ESSENTIAL JOB FUNCTIONS:

Processes claims based on the productivity and quality standard set (HCFA1500 and UB92) per day in accordance with contractual and non-contractual agreements and processing guidelines.
Works with Claims Supervisor or Manager in review of processed and pended claims to ensure appropriate, timely and accurate claims processing.
Coordinates with Claims Manager on resolution of customer service inquiries within 24 hours of receipt.
Assist with Claims adjustment projects as requested.
May help with Claims entry when requested.
Completes various work assignments as requested by supervisor in a timely manner.
Maintains current desk procedures and reference materials.
Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
Performs other duties as assigned.

EDUCATION AND EXPERIENCE:

High school diploma or equivalent required.
Two year of medical claims processing experience strongly preferred.

KNOWLEDGE, SKILLS AND ABILITIES:

Must have full understanding of insurance processes (Managed Care, Medicare, Medicaid and Commercial practices).
Working knowledge of medical claims processing guidelines and practices.
Knowledge of Medicare and Health Care Finance Administration regulations.
Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals.
Ability to read and interpret provider contracts.
Strong verbal, written and organizational skills, must be self-directed/self-motivated and must have analytical, problem-solving, and decision-making abilities.
Accurate keyboard skills.
Ability to function in a fast-paced, detail-oriented environment.
Basic math skills.
High degree of accuracy.
Team player.

WORK ENVIRONMENT:

Current work environment is remote, however, some state exclusions apply.
Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.

TRAVEL:

No travel is required

SUPERVISORY RESPONSIBILITY:

This position has no supervisory responsibility

OTHER DUTIES:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Quick Apply

Refine Your Search

medical claims processor jobs in (us remote)

Claims Processor

Copay Claims Processor

Experienced Healthcare Claims Processor

Claims Processor II

Remote Medical Billing Account Manager

Part Time Disability Transaction Processor

Disability Processor

Xcelys Medical Claims Examiner (Remote)

Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle

Utilization Management Clinical Dental Processor

(Remote Part-Time) Instructor - Medical Billing and Coding

Healthcare Claims Processor Bakinaw

Customer Service Rep - CHRG

1099 Pet Claims Processor (Independent Contractor) - Property & Casualty Adjuster License Required (Home State P&C License Required)

Century Claims Payment Processor (Hybrid or Remote)

CPC Processor I Customer Support

Customer Service Rep - CHRG

CPC Processor I Customer Support (Ocean Springs, MS)

Sr. Manager Claims (Remote)

Staff Accountant

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