Top 69 senior claims representative Jobs in remote

Eligibility Senior Representative - Accredo - Remote
The Cigna Group —Remote
- $19 - $29 an hour
- Online Application
- Remote
- Mid-level
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Sr. Accounts Receivable Representative
TeamHealth —Remote
- Full-time
- Remote
- Computer literacy
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Property Field Claims Adjuster Sr -Fort Collins, Colorado
COUNTRY Financial —Fort Collins, CO
- $77,600 - $106,700 a year
- Full-time
- Remote
- 7 years
- Senior level
- Outdoor work
- Disability insurance
- Health insurance
Property Field Claims Adjuster Sr- Spokane, Washington and surrounding areas
COUNTRY Financial —Spokane, WA
- $77,600 - $106,700 a year
- Full-time
- Remote
- 7 years
- Senior level
- Negotiation
- Disability insurance
- Health insurance
Senior Claims Specialist (Appeals & Denials)
Elevate Patient Financial Solutions —Remote
- $19.00 - $25.50 an hour
- Full-time
- Remote
- Word processing
- Computer literacy
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
7d
Senior Claim Specialist (Out of State)
Elevate Patient Financial Solutions —Remote
- $19.00 - $25.50 an hour
- Full-time
- Remote
- Word processing
- Computer literacy
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Senior Claims Representative-Legal Claims
Davies —Remote
- $95,000 - $110,000 a year
- Full-time
- Remote
- 6 years
- Analysis skills
- Computer skills
- Paid holidays
- Disability insurance
Quick Apply
Sr. Appeals Representative
TeamHealth —Remote
- Full-time
- Remote
- Computer literacy
- Research
- Mid-level
- Paid holidays
- Health insurance
Senior Claims Representative
Liberty Mutual —Remote
- $46,000 - $84,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Paid training
Sr. Revenue Cycle Billing Specialist
Firstsource Healthcare —Remote
- Monday to Friday
- Remote
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
7d
Sr. Reimbursement Specialist - Patient Access Services Hub
United Biosource Corporation —Remote
- Remote
- Computer literacy
- No high school diploma
- Mid-level
- Wellness program
- Health savings account
Sr. Reimbursement Specialist
United Biosource Corporation —Remote
- Remote
- Computer literacy
- No high school diploma
- Microsoft Office
- Wellness program
- Health savings account
14d
Pharmacy Prior Authorization Senior Representative - Remote, AZ
The Cigna Group —Remote
- $19 - $29 an hour
- Online Application
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
5d
Auto Service Appraiser Sr. - Seattle Metro Area
COUNTRY Financial —Remote
- $66,400 - $91,300 a year
- Full-time
- 7 years
- Senior level
- Disability insurance
- Health insurance
6d
Senior Bodily Injury Adjuster
Aspire General Insurance Services —Remote
- $33 - $41 an hour
- Overtime
- Background check
- Customer service
- Mid-level
- Health savings account
- Health insurance
Quick Apply
6d
Sr. Case Manager, Reimbursement
United Biosource Corporation —Remote
- Remote
- 3 years
- Bachelor's degree
- Continuous improvement
- Wellness program
- Health savings account
Quick Apply
14d
Senior Claims Specialist
Liberty Mutual —Remote
- $67,000 - $126,000 a year
- Full-time
- Remote
- Mid-level
- Office
- 3 years
2d
Senior Director of Accounts Receivable Management - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- 401(k)
Quick Apply
14d
Coding Manager- Wound Care- Full Time
RestorixHealth —Remote
- $85,000 - $100,000 a year
- Full-time
- Remote
- Management
- 5 years
- HIPAA
Quick Apply
Senior Claim Specialist - Prime Specialty
CRC Group —Remote
- $120,000 - $140,000 a year
- Extended hours
- Customer service
- English
- Mid-level
- AD&D insurance
- Paid holidays

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

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior claims representative jobs near remote

Eligibility Senior Representative - Accredo - Remote

The Cigna Group -
Remote

Apply Now

Job Details

Full-time
$19 - $29 an hour

Benefits

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

Qualifications

Phone communication
Health insurance policy knowledge
High school diploma or GED
Productivity software
Cross-functional collaboration
Medical terminology
Quality data entry
Client interaction via phone calls

Full Job Description

The Eligibility Senior Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and internal processes to successfully liaise with Payers, Pharma, Physicians, and Patients. Relies on experience and knowledge of industry best practices to communicate knowledge of pending referrals that may have an adverse impact on company goals and the patient experience. Acts as a liaison between both internal and external resources to reduce client abrasion and facilitate the timely processing of referrals. This individual can proactively recognize cause and effect trends, identify and clarify patients’ needs, and work towards solutions.

Hours/Schedule: Monday- Friday, 9am-5:30pm EST

What you'll do to make a difference:

Facilitate cross-functional resolution of drug coverage issues & proactively address, research & resolve issues impacting referral turn-around time.
Independently resolve basic patient claims issues using key subject matter knowledge.
Prepare and review claims to ensure accuracy to payer requirements, including but not limited to codes, dates, and authorizations.
Effectively collaborate with internal departments to resolve issues or provide any needed information, always using professional communication.
Contact benefit providers to gather policy benefits/limitations.
Perform medical /pharmacy benefits verification requiring complex decision skills based on payer and process knowledge.
Complete other projects and additional duties as assigned.

What you need to be successful:

High school diploma or GED required.
RxHome experience preferred.
At least 2+ years of related working experience.
Must have healthcare experience with medical insurance knowledge and terminology and experience in patient access.
Intermediate data entry skills and working knowledge of Microsoft Office.
Excellent phone presentation and communication skills.
Demonstrated ability to handle professionally challenging customers.
Ability to adapt in a dynamic work environment and make decisions with minimal supervision.
Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions.

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 19 - 29 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 and paid holidays. For more details on our employee benefits programs, click here.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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

senior claims representative jobs in remote

Eligibility Senior Representative - Accredo - Remote

Sr. Accounts Receivable Representative

Property Field Claims Adjuster Sr -Fort Collins, Colorado

Property Field Claims Adjuster Sr- Spokane, Washington and surrounding areas

Senior Claims Specialist (Appeals & Denials)

Senior Claim Specialist (Out of State)

Senior Claims Representative-Legal Claims

Sr. Appeals Representative

Senior Claims Representative

Sr. Revenue Cycle Billing Specialist

Sr. Reimbursement Specialist - Patient Access Services Hub

Sr. Reimbursement Specialist

Pharmacy Prior Authorization Senior Representative - Remote, AZ

Auto Service Appraiser Sr. - Seattle Metro Area

Senior Bodily Injury Adjuster

Sr. Case Manager, Reimbursement

Senior Claims Specialist

Senior Director of Accounts Receivable Management - Digitech - Remote

Coding Manager- Wound Care- Full Time

Senior Claim Specialist - Prime Specialty

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

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected