Top 490 Senior claims specialist Jobs in Remote U S

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
6d
Senior Individual Disability Claims Specialist (Remote)
Guardian Life Insurance Company —Pittsfield, MA
- $80,610 - $132,435 a year
- Email
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Senior Network Program Specialist - Remote
Optum —Eden Prairie, MN
- $60,200 - $107,400 a year
- Full-time
- Remote
- Pass drug screening
- HIPAA
- Contracts
- Health insurance
Senior Client Data Operations Specialist
Vida Health —Remote
- $80,000 - $100,000 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- US work authorization
Senior Claim Benefit Specialist - Remote
CVS Health —Washington, DC
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Sr Total Absence Management Claim Specialist
MetLife —Remote
- $65,000 - $70,000 a year
- Email
- Remote
- 5 years
- High school diploma or GED
- Bachelor's degree
- Paid holidays
- Disability insurance
Senior Complex Claims Specialist
EMC Insurance —Remote
- $103,954 - $164,309 a year
- Full-time
- Remote
- 3 years
- Driver's License
- Bachelor's degree
- Work from home
4d
Payment Accuracy Specialist 1 (Coordination of Benefits)
Cotiviti —Remote
- $23.25 - $26.75 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
8d
Product Support Specialist II
CorVel Corporation —Remote
- $22.17 - $35.66 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Senior Specialist, Issue Management
Oscar Health —Atlanta, GA
- $67,813 - $89,004 a year
- Overtime
- Remote
- Mid-level
- Presentation skills
- 1 year
- Paid parental leave
- Paid holidays
Quick Apply
Senior TA Operations Specialist
GitLab —Remote
- $104,000 - $147,000 a year
- Full-time
- Remote
- Senior level
- Employee stock purchase plan
- Health insurance
Senior Claims Specialist - Workers' Compensation
Kinetic —Remote
- $100,000 - $110,000 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Continuous improvement
- Health savings account
- Health insurance
13d
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
Senior Claims Specialist
Crum & Forster —Orange, CA
- $55,800 - $104,900 a year
- Remote
- Mid-level
- 3 years
- Organizational skills
- Employee stock purchase plan
- Health insurance
Casualty Claims Senior Specialist, Architects and Engineers
HDI Global Insurance Company —Remote
- $130,000 - $140,000 a year
- Remote
- Background check
- Management
- 5 years
- Wellness program
- Commuter assistance
Quick Apply
Senior Claims Specialist - Workers Compensation
PMA Companies —De Witt, NY
- $65,000 - $88,000 a year
- Remote
- Microsoft Excel
- Computer literacy
- Writing skills
13d
Senior Liability Claims Specialist
CorVel Corporation —Charlotte, NC
- $61,053 - $98,334 a year
- Full-time
- Remote
- Computer literacy
- Bachelor's degree
- Senior level
- Health savings account
- Disability insurance
Quick Apply
11d
Claims Training Specialist
CorVel Corporation —Folsom, CA
- $77,960 - $120,368 a year
- Full-time
- Remote
- Classroom
- Computer literacy
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
CareIQ Intake Specialist I
CorVel Corporation —Remote
- $15.61 - $23.82 an hour
- Full-time
- Remote
- Computer literacy
- High school diploma or GED
- Organizational skills
- Health savings account
- Disability insurance
Quick Apply
5d
Senior Intake Specialist
Jacoby & Meyers —Remote
- $25 - $35 an hour
- Overtime
- Remote
- Spanish
- Mid-level
- Bachelor's degree
- AD&D insurance
- Paid holidays
Quick Apply

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senior claims specialist jobs near remote u s

Senior Claims Specialist (Appeals & Denials)

Elevate Patient Financial Solutions -
Remote

Quick Apply

Job Details

Full-time
$19.00 - $26.75 an hour
6 days 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 specialist jobs in remote u s

Senior Claims Specialist (Appeals & Denials)

Senior Individual Disability Claims Specialist (Remote)

Senior Network Program Specialist - Remote

Senior Client Data Operations Specialist

Senior Claim Benefit Specialist - Remote

Sr Total Absence Management Claim Specialist

Senior Complex Claims Specialist

Payment Accuracy Specialist 1 (Coordination of Benefits)

Product Support Specialist II

Senior Specialist, Issue Management

Senior TA Operations Specialist

Senior Claims Specialist - Workers' Compensation

Claims Analyst or (Senior) Claims & Patient Safety Specialist

Senior Claims Specialist

Casualty Claims Senior Specialist, Architects and Engineers

Senior Claims Specialist - Workers Compensation

Senior Liability Claims Specialist

Claims Training Specialist

CareIQ Intake Specialist I

Senior Intake Specialist

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