Top 116 Remote claims Jobs in Mississippi

Senior Claim Benefit Specialist - Remote
CVS Health —Mississippi
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Medical Claim Analyst
CVS Health —Mississippi
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
9d
Customer Service / Healthcare Claims Rep (Remote)
Concentrix —Mississippi
- $15 - $18 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
3d
Claims Analyst - REMOTE
Ryder System —Jackson, MS
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Patient Billing Representative
Five Star Call Centers —Gulfport, MS
- $14 an hour
- Full-time
- Remote
- Background check
- HIPAA
- English
- Paid training
3d
Senior Claims Representative - REMOTE
Ryder System —Jackson, MS
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —Mississippi
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Health insurance
- Dental insurance
Billing and Coding Associate
Derick Dermatology PLLC —Mississippi
- $18 an hour
- Full-time
- Remote
- High school diploma or GED
- Medical-Surgical
- Computer skills
- Paid training
- Work from home
Quick Apply
Contract Negotiator
Magnolia Health Plan —Mississippi
- $56,200 - $101,000 a year
- Full-time
- Remote
- Marketing
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
4d
IT Field Services Rep II
FedEx Freight —Richland, MS
- Full-time
- Remote
- Mid-level
- Organizational skills
- Ability to lift 75 pounds
9d
Epic Analyst "Case Mgmt/SW/Bed Planning/Registration" Emphasis (Telecommute within 100 miles)
Forrest Health —Hattiesburg, MS
- Full-time
- Remote
- Mid-level
- Conflict management
- Organizational skills
CPC Processor I Customer Support (Ocean Springs, MS)
Datavant —Ocean Springs, MS
- $15.00 - $18.32 an hour
- Remote
- Computer literacy
- Microsoft Office
- High school diploma or GED
5d
Manager, Payment Integrity-COB/TPL /Subrogation
Centene —Mississippi
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
3d
Medicaid Rebate Analyst Services Specialist
Conduent State Healthcare, LLC —Mississippi
- $30 an hour
- Email
- Remote
- Customer service
- Research
- Mid-level
- Paid training
- Paid holidays
Configuration Management Senior Analyst
CVS Health —Mississippi
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Health insurance
- Dental insurance
9d
Healthcare Encounter Senior Analyst
CVS Health —Mississippi
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Mississippi
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Senior Program Manager / Project Manager - Medicaid Claims
CVS Health —Mississippi
- $106,605 - $284,280 a year
- Full-time
- Remote
- Bachelor's degree
- Mentoring
- Fair chance
- Health insurance
- Dental insurance
Case Manager, Registered Nurse
CVS Health —Mississippi
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Senior Hospital Contracting Strategist
Humana —Mississippi
- $78,400 - $107,800 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Master's degree
- Paid parental leave
- Paid holidays
3d

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remote claims jobs near mississippi

Senior Claim Benefit Specialist - Remote

CVS Health -
Mississippi

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Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

remote claims jobs in mississippi

Senior Claim Benefit Specialist - Remote

Medical Claim Analyst

Customer Service / Healthcare Claims Rep (Remote)

Claims Analyst - REMOTE

Patient Billing Representative

Senior Claims Representative - REMOTE

Business Analyst, Regulatory Reporting Solutions (Remote)

Billing and Coding Associate

Contract Negotiator

IT Field Services Rep II

Epic Analyst "Case Mgmt/SW/Bed Planning/Registration" Emphasis (Telecommute within 100 miles)

CPC Processor I Customer Support (Ocean Springs, MS)

Manager, Payment Integrity-COB/TPL /Subrogation

Medicaid Rebate Analyst Services Specialist

Configuration Management Senior Analyst

Healthcare Encounter Senior Analyst

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Senior Program Manager / Project Manager - Medicaid Claims

Case Manager, Registered Nurse

Senior Hospital Contracting Strategist

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