Top 37 Senior claims representative Jobs in Remote

Senior Claims Specialist (Appeals & Denials)
Elevate Patient Financial Solutions —Remote
- $19.00 - $26.75 an hour
- Full-time
- Remote
- Word processing
- Computer literacy
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
4h
Senior Claims Representative (Remote)
MEM —Remote
- $72,800 - $109,200 a year
- Full-time
- Remote
- 7 years
- Driver's License
- Bachelor's degree
- Profit sharing
- Paid jury duty
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
- Flextime
Senior Claims Specialist I
Liberty Mutual —Remote
- $67,000 - $126,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
6d
Director of Compliance and Risk Management
Discovery Senior Living —Remote
- $115,000 - $135,000 a year
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Senior Claims Representative
Pinnacol Assurance —Denver, CO
- $80,900 - $85,600 a year
- Remote
- Office
- 3 years
- Team management
- Paid holidays
- Paid time off
Quick Apply
CLAIMS REPRESENTATIVE SR
Dollar General —Goodlettsville, TN
- $70,000 - $76,000 a year
- Full-time
- Remote
- Customer service
- 5 years
- Organizational skills
Sr. Individual Disability Claims Specialist
MetLife —Remote
- $70,000 - $85,000 a year
- Email
- Remote
- 3 years
- Bachelor's degree
- US work authorization
- Paid holidays
- Disability insurance
6d
Sr. Workers Compensation Claims Adjuster (CA Jurisdiction)
Elite —Remote
- $98,000 - $109,000 a year
- Urgently hiring
- Remote
- Management
- Bachelor of Science
- Basic math
- On-the-job training
Quick Apply
Senior Complex Commercial Property Claims Adjuster
ICW Group —Remote
- $90,559.93 - $152,723.07 a year
- Full-time
- Remote
- Research
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
8d
Medical Management Assistant (SCAN Temp)
SCAN Health Plan —Long Beach, CA
- $20.14 - $27.77 an hour
- Full-time
- Remote
- Background check
- Microsoft Office
- High school diploma or GED
- Wellness program
- Paid holidays
Quick Apply
7d
Senior TPA Coordinator (Remote)
All Claims Repairs, LLC. —Remote
- From $52,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
2d
Workers Compensation Claims Specialist, Sr
NJM Insurance Group —Pittsburgh, PA
- $79,129 - $91,834 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Disability insurance
Claims Analyst or (Senior) Claims & Patient Safety Specialist
MIEC —Oakland, CA
- $73,050 - $156,958 a year
- Full-time
- Remote
- Customer service
- 5 years
- Bachelor of Science
- Health insurance
- Dental insurance
12d
Patient Account Senior Representative - Remote
Conifer Physician Services —Frisco, TX
- $17.20 - $25.70 an hour
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Mid-level
- Health savings account
- AD&D insurance
1d
Sr. Denial Specialist (Remote)
Stanford Health Care —Sacramento, CA
- $38.91 - $43.82 an hour
- Full-time
- Remote
- 3 years
- High school diploma or GED
- Mentoring
14d
Dental Appeals Sr. Claims Examiner,
Lincoln Financial —Omaha, NE
- $25.87 - $30.34 an hour
- Online Application
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Tuition reimbursement
- Paid time off
Claims Property Senior Field Representative (Cleveland, OH)- remote
Grange Insurance Company —Cleveland, OH
- Remote
- Clean driving record
- Mid-level
- High school diploma or GED
- Bereavement leave
Reassessment Sr. Long Term Disability Claims
MetLife —Remote
- $58,000 - $69,000 a year
- Email
- High school diploma or GED
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
2d
Mass Tort & Environmental Specialty Operations Senior Manager
Allstate —Remote
- $134,000 - $209,750 a year
- Remote
- Microsoft Excel
- Mentoring
- US work authorization
- Work from home

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Senior Claims Specialist (Appeals & Denials)

Elevate Patient Financial Solutions -
Remote

Quick Apply

Job Details

Full-time
$19.00 - $26.75 an hour
4 hours ago

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Referral program
Pet insurance

Qualifications

Computer operation
Customer communication
Word processing
Customer inquiry handling
High school diploma or GED
Desktop applications
Productivity software
Customer data entry

Full Job Description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Senior Claims Specialist. This position will be remote. The Full-Time schedule for this role will be Monday-Friday 8:00am-5:00pm.

JOB SUMMARY

Elevate PFS provides revenue cycle solutions to hospitals and physicians throughout the United States. This includes AR support for Out-of-State Medicaid accounts. The purpose of this position is conduct Medicaid eligibility, authorization, enrollment, and payment posting functions.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Confirm eligibility and authorization requirements for Medicaid patients.
Submit authorization requests to Medicaid payers and perform appropriate follow up to ensure authorization requests are resolved in a timely manner.
Perform manual data entry of patient accounts and or claim forms.
Gather and maintain credentials from hospitals and physicians.
Coordinate with hospitals and physicians to accurately complete Medicaid enrollment applications.
Submit hospital and physician enrollment applications to Medicaid payers and complete timely follow up to ensure applications process correctly.
Manage and comply with client and Medicaid enrollment guidelines.
Update enrollment status, documentation, and information in software system.
Provide strong customer service to clients and provide responses to client inquiries within 24 hours.
Research and obtain necessary documentation to post unapplied cash.
Complete payment reconciliation reports on a weekly or monthly basis.
Review Medicaid payments for accuracy and submit payment information to the cash posting team.
Facilitate timely payment from Medicaid payers.
Work in compliance with state and federal guidelines, including HIPAA and FDCPA.
Maintain case clear, concise, and accurate account notation.
Monitor status of each account and communicate effectively with management, clients, and other parties regarding the status of the accounts.
Other duties as assigned.

QUALIFICATIONS AND REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.

High School Diploma or GED.
Working knowledge of ICD9, CPT codes, HIPAA, HCPCS and Medicaid preferred.
2-3 years of related experience in the healthcare industry or in a related area.
Excellent verbal and written communication skills.
Strong organizational skills.
Ability to multi-task.
Critical thinking and strong attention to detail.
Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through multiple web-based applications.
Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.

BENEFITS
ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families

Medical, Dental & Vision Insurance
401K (100% match for the first 3% & 50% match for the next 2%)
15 days of PTO
7 paid Holidays
2 Floating holidays
1 Elevate Day (floating holiday)
Pet Insurance
Employee referral bonus program
Teamwork: We believe in teamwork and having fun together
Career Growth: Gain great experience to promote to higher roles

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.

The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

ElevatePFS is an Equal Opportunity Employer

Quick Apply

Refine Your Search

senior claims representative jobs in remote

Senior Claims Specialist (Appeals & Denials)

Senior Claims Representative (Remote)

Senior Enrollment Representative

Senior Claims Specialist I

Director of Compliance and Risk Management

Senior Claims Representative

CLAIMS REPRESENTATIVE SR

Sr. Individual Disability Claims Specialist

Sr. Workers Compensation Claims Adjuster (CA Jurisdiction)

Senior Complex Commercial Property Claims Adjuster

Medical Management Assistant (SCAN Temp)

Senior TPA Coordinator (Remote)

Workers Compensation Claims Specialist, Sr

Claims Analyst or (Senior) Claims & Patient Safety Specialist

Patient Account Senior Representative - Remote

Sr. Denial Specialist (Remote)

Dental Appeals Sr. Claims Examiner,

Claims Property Senior Field Representative (Cleveland, OH)- remote

Reassessment Sr. Long Term Disability Claims

Mass Tort & Environmental Specialty Operations Senior Manager

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