Top 47 Medical claims processing remote Jobs in Oregon

Customer Service Associate Representative - Cigna Healthcare - Remote
The Cigna Group —Oregon
- $17.75 - $19.00 an hour
- Online Application
- Remote
- Basic math
- Research
- Windows
- Paid holidays
- Health insurance
4d
Medical Biller - Remote
Orthos Inc —Oregon
- Full-time
- Remote
- Mid-level
- Organizational skills
- Communication skills
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
Senior Claim Benefit Specialist - Remote
CVS Health —Oregon
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Medical CS Rep I (***)
Moda Health —Portland, OR
- $18.39 - $20.58 an hour
- Weekends as needed
- Hybrid work
- High school diploma or GED
- Math
- Typing
- Paid holidays
- Health insurance
Quick Apply
Medical Claims Support I
Moda Health —Milwaukie, OR
- $21.30 - $23.96 an hour
- Weekends as needed
- Hybrid work
- Inventory management
- Word processing
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Medical Claims Clerk I
Moda Health —Milwaukie, OR
- $19.43 - $21.86 an hour
- Weekends as needed
- Hybrid work
- HIPAA
- Office
- Ability to lift 50 pounds
- Paid holidays
- Health insurance
Quick Apply
Pharmacy Tech Support / Call Center Rep (Work from Home)
IQVIA —Salem, OR
- $18 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Work from home
Senior Claims Manager – Medical Negligence and Multi-Line - Full time, Day
Providence —Oregon
- $54.40 - $85.88 an hour
- Full-time
- Remote
- Finance
- Bachelor's degree
- Fair chance
- Paid parental leave
- Paid holidays
4d
Dental CS Rep I (***)
Moda Health —Portland, OR
- $18.39 - $20.58 an hour
- Weekends as needed
- Hybrid work
- Medical office experience
- HIPAA
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Solar Programs, Application Processing Associate (Hybrid - Oakland, CA; Portland, OR; Chicago, IL - US)
Energy Solutions - USA —Portland, OR
- $60,000 - $70,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
11d
Care Professional HR Associate
Honor —Oregon
- $23.60 - $26.25 an hour
- Weekends as needed
- Remote
- Mid-level
- Bachelor's degree
- Continuous improvement
- Disability insurance
- Health insurance
Quick Apply
Dental Claims Processor I
Moda Health —Milwaukie, OR
- $17.34 - $18.36 an hour
- Weekends as needed
- Hybrid work
- Office
- High school diploma or GED
- Data entry
- Paid holidays
- Health insurance
Quick Apply
Medical Provider Configuration Analyst I
Moda Health —Portland, OR
- $23.34 - $26.26 an hour
- Full-time
- Hybrid work
- Research
- SQL
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Health Services Medical Biller/Coder
Linn County Department of Health Services —Albany, OR
- $4,521 - $5,780 a month
- Full-time
- HIPAA
- Research
- Mid-level
Supervisor, Medical Claims
Moda Health —Milwaukie, OR
- $59,922.05 - $74,902.56 a year
- Weekends as needed
- Hybrid work
- Management
- Word processing
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
HR Generalist
Trustwell —Oregon
- $45,000 - $50,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Bachelor's degree
- Health savings account
- Paid holidays
Lead Medical Claims Auditor I
Moda Health —Milwaukie, OR
- $20.88 - $23.49 an hour
- Weekends as needed
- Hybrid work
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Utilization Review Specialist
Umpqua Health —Roseburg, OR
- $41,600 - $47,000 a year
- Full-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
14d
Supervisor Health Navigator
Moda Health —Milwaukie, OR
- $71,990.85 - $89,988.57 a year
- Weekends as needed
- Hybrid work
- Word processing
- Writing skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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Customer Service Associate Representative - Cigna Healthcare - Remote

The Cigna Group -
Oregon

Apply Now

Job Details

Full-time
$17.75 - $19.00 an hour
4 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Computer operation
Customer communication
Serving clients
Basic math
Health insurance policy knowledge
Windows
High school diploma or GED
Document viewing software
Typing
Adobe Acrobat

Full Job Description

The Customer Service Associate Representative provides support to participants, clients, and providers by answering inquiries related to group health benefits and claims payments. The role also includes researching claims, documenting interactions, and assisting team members as needed.

Essential Job Functions

Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims.
Provide clear, accurate, and timely responses to information requests.
Document all calls in Chronolog by summarizing key points of each conversation.
Return messages from designated voicemail boxes.
Read, interpret, and apply plan documents, new amendments, and updates for multiple clients.
Meet with clients as needed to assist with questions about their health benefit plans.
Support team members and cross‑functional partners as requested.
Log faxed claims and enter fax information into Chronolog.
Return misdirected claims to the appropriate provider.
Assist members with navigating the website.
Meet or exceed company standards for quality and production.
Maintain punctual and reliable attendance.
Support claim information research and identification.
Assist with provider record maintenance tasks.
Index claims and correspondence batches.
Complete responsibilities assigned for specific client groups.
Aid in employee training and cross‑training.
Research and prepare refund documentation.

Quality Assurance Measurements

Consistently meet or exceed company standards for production, quality, and audit performance.

Minimum Education

High school diploma or GED required.

Minimum Experience

Basic computer and customer service experience.
Excellent verbal and written communication skills.
Proficiency with PC tools including Windows, Word, and Adobe Acrobat; ability to learn new software.
Minimum typing speed of 45 wpm.
Strong listening skills and attention to detail.
Basic mathematical competency.
High interpersonal skills and the ability to work collaboratively.
Ability to organize and recall large amounts of detailed information.
Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations.
Professional attitude with the ability to project a positive image in all work environments.
Commitment to privacy and confidentiality standards.
Flexibility to work under pressure and meet deadlines.
Strong problem‑solving abilities with professionalism and patience.

About Allegiance by Cigna Healthcare

Since 1981, Allegiance by Cigna Healthcare has specialized in administering medical benefits, including claims processing, customer service, utilization management, and case management. With a high‑touch approach to member and client service, Allegiance supports some of the nation’s most innovative health benefit strategies.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

medical claims processing remote jobs in oregon

Customer Service Associate Representative - Cigna Healthcare - Remote

Medical Biller - Remote

Medical Claims Auditor I

Senior Claim Benefit Specialist - Remote

Medical CS Rep I (***)

Medical Claims Support I

Medical Claims Clerk I

Pharmacy Tech Support / Call Center Rep (Work from Home)

Senior Claims Manager – Medical Negligence and Multi-Line - Full time, Day

Dental CS Rep I (***)

Solar Programs, Application Processing Associate (Hybrid - Oakland, CA; Portland, OR; Chicago, IL - US)

Care Professional HR Associate

Dental Claims Processor I

Medical Provider Configuration Analyst I

Health Services Medical Biller/Coder

Supervisor, Medical Claims

HR Generalist

Lead Medical Claims Auditor I

Utilization Review Specialist

Supervisor Health Navigator

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