Top 621 Claims representative telecommute Jobs in Remote

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
7d
Claims Representative - Remote
The Cigna Group —New York, NY
- $17.75 - $26.00 an hour
- Online Application
- Remote
- Microsoft Outlook
- Research
- High school diploma or GED
- Paid holidays
- Health insurance
4d
Customer Service Representative
Sagility —Remote
- Remote
- Research
- Mid-level
Customer Service Representative
APCO Holdings —Remote
- Full-time
- Remote
- High school diploma or GED
- Computer skills
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Billing Representative
Reliable Respiratory —Portland, ME
- $30 - $35 an hour
- Full-time
- Remote
- 18 years or older
- Computer literacy
- Research
Quick Apply
Supervisor Claims
Mutual of Omaha —Remote
- $75,500 - $97,000 a year
- Email
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Claims - Eligibility Specialist 2, Claims
Wellcove —Remote
- Full-time
- Remote
- HIPAA
- Mid-level
- Analysis skills
Quick Apply
Patient Account Representative
Dayton Center for Neurological Disorders —Remote
- $17.50 - $25.00 an hour
- Remote
- High school diploma or GED
- Analysis skills
- Communication skills
- Disability insurance
- Dental insurance
Quick Apply
Long Term Care Benefit Claim Specialist
Mutual of Omaha —Remote
- $24 - $28 an hour
- Email
- Remote
- Customer service
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Work from Home: Customer Service Representative (Healthcare)
Sagility —Remote
- $11 - $15 an hour
- Weekends as needed
- Remote
- Bilingual
- 18 years or older
- Research
- Paid training
- Disability insurance
Patient Account Representative - Remote
Med-Metrix —Remote
- Full-time
- Remote
- Customer service
- Basic math
- HIPAA
12d
Senior Claims Representative
Liberty Mutual —Remote
- $46,000 - $76,000 a year
- Full-time
- Remote
- Data analysis skills
- Research
- Mid-level
- Paid training
6d
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
1d
Claims Advocate
Alliant Insurance Services —Remote
- $80,000 - $90,000 a year
- Email
- Remote
- Analysis skills
- Bachelor's degree
- Experience equivalent to degree accepted
Quick Apply
Member Services Representative
Versant Health —Remote
- $19 - $21 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Medicare Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Computer literacy
- 401(k)
Quick Apply
Billing/AR Representative - Remote
EYECARE SERVICES PARTNERS MANAGEMENT, LLC —Remote
- $19 - $25 an hour
- Full-time
- Remote
- Basic math
- Mid-level
- Windows
- Paid holidays
- Disability insurance
Quick Apply
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone
Sedgwick —Charlotte, NC
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Health savings account
- Disability insurance
14d
Medicaid Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- High school diploma or GED
- 401(k)
Quick Apply
CUSTOMER CARE REPRESENTATIVE
JR Services —Remote
- Full-time
- Remote
- Communication skills
- Entry level

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Customer Service Representative - Medical Claims

innermark TPA
Remote

Quick Apply

Job Details

Full-time
$20 - $21 an hour
7 days ago

Benefits

Health insurance
401(k)
Paid time off

Qualifications

Record keeping
Interpersonal skills
Medical claims processing software
High school diploma or GED
ICD-10
Attention to detail
Problem-solving
Telephone systems
Medical terminology
Quality data entry
Customer data entry

Full Job Description

Overview
The Customer Service / Call Center Representative will serve as the primary point of contact for healthcare providers, addressing inquiries and resolving issues related to claims, benefits, and eligibility. This role requires excellent communication skills, a strong understanding of healthcare claims processes, and the ability to provide exceptional customer service.

Responsibilities

Answer incoming calls from healthcare providers regarding claims, benefits, eligibility, and other related inquiries.
Provide accurate and timely information to providers, ensuring a high level of customer satisfaction.
Research and resolve provider issues, including claim denials, payment discrepancies, and benefit clarifications.
Document all interactions and resolutions in the call center system.
Collaborate with internal departments to resolve complex provider issues and ensure accurate information is provided.
Maintain up-to-date knowledge of company policies, procedures, and regulatory requirements.
Participate in ongoing training and development to enhance skills and knowledge.
Meet or exceed performance metrics, including call handling time, resolution rates, and customer satisfaction scores.
Conduct investigations as necessary to resolve discrepancies, identify potentially fraudulent activity, and mitigate risks to the company.
Ensure compliance with company policies, industry regulations, and legal requirements throughout the claims processing workflow.
Generate reports and statistics on claim processing activities, trends, and outcomes to support management decision-making and performance evaluation.
Identify opportunities for process improvement, efficiency gains, and enhanced customer satisfaction within the claims processing function.
Assist with projects, reporting, and other duties as requested by management.

Qualifications

High school diploma or equivalent.
Minimum of 2 years of experience in a call center or customer service role, preferably in the healthcare industry. PACE experience a plus.
Strong understanding of healthcare claims processing and provider relations.
Excellent verbal and written communication skills.
Strong problem-solving and analytical abilities.
Ability to work in a fast-paced environment and handle multiple tasks simultaneously.
Proficiency in using call center software and other relevant computer applications.
Strong attention to detail and accuracy.
Knowledge of medical terminology and coding systems such as ICD-10, COT, and HCPCS.
Strong understanding of Program of All Inclusive Care for the Elderly (PACE), coverage terms, and claims procedures.
Excellent analytical skills with the ability to assess complex information and make sound decisions.
Exceptional attention to detail and accuracy in data entry and record-keeping.
Proficient computer skills, including experience with claim processing software and Microsoft Office applications.
Effective communication skills, both written and verbal, with the ability to interact professionally with diverse stakeholders.
Ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment.

Pay: $20.00 - $21.00 per hour

Benefits:

401(k)
Health insurance
Paid time off

Application Question(s):

Do you have experience working with Providers or Member Services?
Do you have experience working in a Health Insurance setting?
Can you work 9:30am - 6pm CST?

Experience:

Call Center - Medical Claims: 2 years (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

claims representative telecommute jobs in remote

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Work from Home: Customer Service Representative (Healthcare)

Patient Account Representative - Remote

Senior Claims Representative

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Medicare Account Resolution Specialist - Digitech - Remote

Billing/AR Representative - Remote

Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone

Medicaid Account Resolution Specialist - Digitech - Remote

CUSTOMER CARE REPRESENTATIVE

I want to receive the latest job alert for claims representative telecommute in remote

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