Top 2025 Medical claims Jobs in Remote

Billing Specialist I and II - Senior Living Organization
The Carmelite System —Holyoke, MA
- $16.00 - $31.25 an hour
- Remote
- OSHA
- Customer service
- Basic math
- Health savings account
- Paid holidays
Quick Apply
15h
Telephonic Nurse Case Manager
Windham Group —Modesto, CA
- Weekends as needed
- Remote
- Microsoft Word
- Background check
- Nursing
- Health savings account
- Disability insurance
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TX, RN Certified Case Manager - Workers Compensation
The Reny Company —Dallas, TX
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- Nursing
- RN License
- Research
- Mileage reimbursement
- Disability insurance
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Ambulance Billing Specialist
STAR Ambulance —Indiana
- $19 an hour
- Full-time
- Remote
- Medical office experience
- High school diploma or GED
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
2d
Remote Billing Eligibility and Denials Specialist- Healthcare
e5 Workflow —Remote
- $17.50 an hour
- Full-time
- Remote
- Background check
- Computer literacy
- Research
- Paid training
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Collector II
Peregrine Team —Remote
- $22 - $31 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- ERP systems
- Health insurance
- Dental insurance
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Medical Billing Specialist
Ceresti Health —Remote
- $28 - $30 an hour
- Full-time
- Remote
- Medical office experience
- Research
- Mid-level
- Paid time off
- Opportunities for advancement
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Medical Biller
Elevate Patient Financial Solutions —Remote
- $20.50 - $25.38 an hour
- Full-time
- Remote
- 1 year
- Communication skills
- Hospital experience
- Paid holidays
- Health insurance
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1d
Michigan Medicaid Billing
Silver Home Care —Remote
- $30 - $45 an hour
- Part-time
- Remote
- Mid-level
- Home Health
- 2 years
- Flexible schedule
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2d
Utilization Management Coordinator
System One —Baltimore, MD
- $24.67 an hour
- Weekends as needed
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
Appeals Representative
TeamHealth —Alcoa, TN
- Overtime
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
6d
Certified Pharmacy Billing Adjudicator - Midshift
MAC Rx —Remote
- $19 - $21 an hour
- Weekends as needed
- Remote
- Background check
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Claims Manager I, Miscellaneous Medical Facilities Professional Liability
Liberty Mutual —Chicago, IL
- $120,000 - $225,000 a year
- Urgently hiring
- Remote
- Office
- Bachelor's degree
- Organizational skills
Medical Coder
AdvancedHEALTH —Remote
- $20 - $23 an hour
- Surgery
- OSHA
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
8d
Customer Service Representative (Dental & Vision Benefits)
Delta Dental of Kansas —Kansas
- $17.50 - $19.00 an hour
- Full-time
- Remote
- HIPAA
- High school diploma or GED
- 1 year
- Health insurance
- Dental insurance
Quick Apply
RCM - Claims Specialist
Keplr Vision —Remote
- $21 - $25 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- Communication skills
- Vision insurance
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9d
Office Assistant/Billing Specialist
Totally Whole Pastoral Counseling Services, LLC —Remote
- $15 - $20 an hour
- Part-time
- Remote
- Microsoft Excel
- Writing skills
- Mid-level
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8d
Reimbursement Specialist
CND Life Sciences Inc —Remote
- $24.03 - $28.84 an hour
- Full-time
- Remote
- Writing skills
- HIPAA
- Research
- AD&D insurance
- Disability insurance
Quick Apply
8d
Administrative Assistant t [Must have Medical Claims Exp]
Software Technology Inc —Remote
- Remote
- Typing
- In-person
- Entry level
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Specialist, Document Integrity - Remote
Knowtion Health —Remote
- Full-time
- Remote
- Organizational skills
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
7d

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medical claims jobs near remote

Billing Specialist I and II - Senior Living Organization

The Carmelite System -
Holyoke, MA

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Job Details

$16.00 - $31.25 an hour
15 hours ago

Benefits

Health savings account
Paid holidays
Disability insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Employee discount
Loan forgiveness
Retirement plan

Qualifications

Medicare
OSHA
Managed care
Accounts receivable management
Basic math
HIPAA
High school diploma or GED
Medicaid health insurance
ICD-10
Medicare regulations
Health information regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Clinical confidentiality policies
Medical terminology

Full Job Description

Billing Specialist

The Carmelite System is a multi-state, not-for-profit senior living organization sponsored by the Carmelite Sisters for the Aged & Infirm operating a network of Skilled Nursing Facilities and Assisted Living/Independent Living communities.

We are seeking to hire a Billing Specialist I and a Billing Specialist II.

This corporate level position is fully remote. Current Team members work in Eastern and Central Standard Time.
Billing Specialist I = $16 per hour to $26.44 per hour based on skills and experience.
Billing Specialist II = $27 per hour to $31.25 per hour based on skills and experience.

Billing Specialist Qualifications:

High School diploma or equivalent.
Extensive knowledge of Medicare, Medicaid, managed care networks and insurance carriers required.
Extensive knowledge of accounts receivable functions including CPT and ICD-10 coding required.
Solid understanding of the current Medicare Compliance, OSHA, and HIPAA regulations and medical terminology required.
Strong basic mathematical skills required.
Understanding of Medicaid, Medicare, and Third Party Billing preferred.
Billing Specialist II = 2+ years experience of skilled nursing facility billing and 2+ years experience using PCC (Point Click Care).

Billing Specialist Job Summary:

Prepare, review, and transmit claims using billing software.
Analyze explanation of benefits forms to review denial codes and make appropriate corrections.
Follow up on balances, unpaid claims, appeals & denials within the set timeframe.
Post payments and adjustments to accounts and maintain backup records.
Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Ensure proper records handling.
Input ancillary charges into the billing software in accordance with protocol.
File all charge, payment, adjustment batches, refund requests and write off requests in the appropriate format and location (PCC and shared drive).
Prepare and review claims for billing prior to triple check.
Attend and lead monthly triple check reviews.
Follow claims process from submission to clearinghouse and ensure acceptance at payer.
Process refunds to insurance companies in accordance with policy.
Monitor reimbursement from managed care networks and insurance carriers.

This is a brief overview of job responsibilities and not intended to be all inclusive.

We aim to create a supportive workplace where you are valued, compensated fairly and provided the tools to thrive!

The Carmelite System Can Offer You:

Competitive Compensation
Health (Aetna), Dental, Vision, HSA with employer contribution
Flexible Spending Account
Fully paid Life and Long-Term Disability insurance
Benefits available 1st of the mo. following 30 days
Supplemental insurances
Retirement Plan
Student Loan Forgiveness Guidance
Employee Assistance Program with Discount Marketplace
Generous Paid-Time-Off with 11 Holidays

Please consider joining our team working where The Difference is Love℠!

The Carmelite System, Inc. is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status, and any other legally protected class.

#CS2024

Experience

Required

1 year(s): Solid understanding of the current Medicare Compliance, OSHA, and HIPAA regulations and medical terminology required.
1 year(s): Extensive knowledge of accounts receivable functions including CPT and ICD-10 coding required.
1 year(s): Extensive knowledge of Medicare, Medicaid, managed care networks and insurance carriers required.

Education

Required

High School or better

Skills

Preferred

Customer Service
Point-Click-Care

Behaviors

Preferred

Team Player: Works well as a member of a group
Functional Expert: Considered a thought leader on a subject
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Preferred

Self-Starter: Inspired to perform without outside help
Job Security: Inspired to perform well by the knowledge that your job is safe
Goal Completion: Inspired to perform well by the completion of tasks
Entrepreneurial Spirit: Inspired to perform well by an ability to drive new ventures within the business
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

medical claims jobs in remote

Billing Specialist I and II - Senior Living Organization

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