Top 472 Medical claims processing Jobs in Work At Home

Remote Insurance Rep
PFS Group —Houston, TX
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Disability insurance
- Health insurance
Customer Service Representative - Medical Claims
innermark TPA —Remote
- $20 - $21 an hour
- Full-time
- Remote
- Background check
- Research
- Mid-level
- Health insurance
- 401(k)
Quick Apply
10d
Claims Processor - Work from Home
Sagility —Remote
- From $17 an hour
- Email
- Remote
- Microsoft Excel
- Computer literacy
- Mid-level
- Disability insurance
- Health insurance
Healthcare Billing/Insurance Follow Up Specialist
Credit Solutions LLC —Remote
- Call employer
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
RCM - Claims Specialist
Keplr Vision —Remote
- $21 - $25 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- Communication skills
- Vision insurance
Quick Apply
6d
Administrative Assistant t [Must have Medical Claims Exp]
Software Technology Inc —Remote
- Remote
- Typing
- In-person
- Entry level
Quick Apply
Specialist, Document Integrity - Remote
Knowtion Health —Remote
- Full-time
- Remote
- Organizational skills
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
4d
Reimbursement Specialist
Healthcare Provider Solutions —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
- Paid holidays
- Health insurance
Quick Apply
RCM Billing Specialist
REVASCENT LLC —Remote
- $18 - $26 an hour
- Remote
- HIPAA
- Data entry
- Entry level
Quick Apply
12d
Provider Network Specialist - Medical Claims, Provider Set-Up
innermark TPA —Remote
- $24 - $26 an hour
- Full-time
- Remote
- Microsoft Excel
- HIPAA
- Research
- Health insurance
- 401(k)
Quick Apply
5d
Medical Billing Specialist
Adelfi Medical Billing Solutions —Remote
- 8 hour shift
- Remote
- Mid-level
- Analysis skills
- Communication skills
- Health insurance
- Dental insurance
Billing Representative
Reliable Respiratory —Portland, ME
- $30 - $35 an hour
- Full-time
- Remote
- 18 years or older
- Computer literacy
- Research
Quick Apply
Claims Coordinator - CBO
CarolinasDentist —Remote
- $18 - $24 an hour
- Full-time
- Remote
- Dental office
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Patient Account Representative - Remote
Med-Metrix —Remote
- Full-time
- Remote
- Customer service
- Basic math
- HIPAA
14d
Medicare Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Computer literacy
- 401(k)
Quick Apply
Medical Claims Auditor I
Moda Health —Milwaukie, OR
- $18.39 - $20.58 an hour
- Weekends as needed
- Remote
- Customer service
- Computer literacy
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Insurance Follow-Up Specialist
Medical World Services-IL —Remote
- $47,020.30 - $56,626.61 a year
- Temporary
- Remote
- Medical office experience
- Mid-level
- Medical terminology
Quick Apply
1d
Insurance Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Research
- Mid-level
- 401(k)
Quick Apply
Medical Insurance Claims Follow-up Rep
TriStar Centennial Medical Center —Nashville, TN
- Full-time
- Remote
- Mid-level
- 3 years
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
4d
Medical Biller/Claims Processing - Patient Support Representative - Remote
IQVIA —Miami, FL
- $23 an hour
- Full-time
- Remote
- Spanish
- HIPAA
- English

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medical claims processing jobs near work at home

Remote Insurance Rep

PFS Group -
Houston, TX

Apply Now

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

Accounts receivable management
Medical software
High school diploma or GED

Full Job Description

Job Purpose:

The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching unpaid balances, correcting billing issues, submitting appeals, and communicating with insurers, patients, and internal teams to resolve discrepancies. Strong knowledge of insurance guidelines, billing systems, and effective accounts receivable management is essential, with responsibility for managing assigned inventories based on client needs.

Key Responsibilities:

Initiates contact with insurance payers to collect contracted rates on outstanding claims
Reviews, monitors and effectively reduces aged inventory
Successfully identifies root causes for denials or non-payment, prioritizing collection metrics in all work efforts
Ensures timely filing deadlines are achieved according to payer guidelines
Monitors accounts for updates on claims processing, taking care to resolve balances with single interventions whenever possible
Request appropriate claim corrections and rebill as needed
Informs supervisor of trends noticed when working insurance inventory
Interpret payment variances and payer guidelines to monitor for underpayment opportunities
Contacts guarantors as needed to resolve coverage discrepancies
Corrects adjustments as needed to ensure balances are accurately documented

Education and Experience:

High school diploma or equivalent is required
At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials, Billing, or Cash Posting
Experience with EPIC HB or PB Resolute

Required Skills and Abilities:

Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials and unpaid balances
Excellent communication skills, both verbal and written, with the ability to explain complex information clearly
Proficient in using insurance-related software and Microsoft Office Suite, including Word, Excel, and Outlook
Strong analytical and problem-solving skills, with attention to detail
Ability to work independently and manage time effectively in a fast-paced environment

PFS Group

Nationwide Patient Account Management Firm.

Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.

PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!

If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

Apply Now

Refine Your Search

medical claims processing jobs in work at home

Remote Insurance Rep

Customer Service Representative - Medical Claims

Claims Processor - Work from Home

Healthcare Billing/Insurance Follow Up Specialist

RCM - Claims Specialist

Administrative Assistant t [Must have Medical Claims Exp]

Specialist, Document Integrity - Remote

Reimbursement Specialist

RCM Billing Specialist

Provider Network Specialist - Medical Claims, Provider Set-Up

Medical Billing Specialist

Billing Representative

Claims Coordinator - CBO

Patient Account Representative - Remote

Medicare Account Resolution Specialist - Digitech - Remote

Medical Claims Auditor I

Insurance Follow-Up Specialist

Insurance Account Resolution Specialist - Digitech - Remote

Medical Insurance Claims Follow-up Rep

Medical Biller/Claims Processing - Patient Support Representative - Remote

I want to receive the latest job alert for medical claims processing in work at home

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