Top 474 Medical claims processing Jobs in Work At Home

Revenue Cycle Specialist
Lifeskills Behavioral Health —Deerfield Beach, FL
- Full-time
- Remote
- Addiction Medicine
- Mid-level
- Residential
- Health savings account
- AD&D insurance
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Customer Service Representative - Medical Claims
innermark TPA —Remote
- $20 - $21 an hour
- Full-time
- Remote
- Background check
- Research
- Mid-level
- Health insurance
- 401(k)
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10d
Specialist, Document Integrity - Remote
Knowtion Health —Remote
- Full-time
- Remote
- Organizational skills
- Entry level
- Paid holidays
- Disability insurance
Quick Apply
4d
Medical Billing Specialist
Adelfi Medical Billing Solutions —Remote
- 8 hour shift
- Remote
- Mid-level
- Analysis skills
- Communication skills
- Health insurance
- Dental insurance
Reimbursement Specialist
Healthcare Provider Solutions —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
- Paid holidays
- Health insurance
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Claims Coordinator - CBO
CarolinasDentist —Remote
- $18 - $24 an hour
- Full-time
- Remote
- Dental office
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
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Provider Network Specialist - Medical Claims, Provider Set-Up
innermark TPA —Remote
- $24 - $26 an hour
- Full-time
- Remote
- Microsoft Excel
- HIPAA
- Research
- Health insurance
- 401(k)
Quick Apply
5d
Healthcare Billing/Insurance Follow Up Specialist
Credit Solutions LLC —Remote
- Call employer
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
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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
4d
FULLY REMOTE -Hospital Billing Team Lead
Legacy Health LLC —Remote
- Full-time
- Remote
- Microsoft Excel
- Computer literacy
- English
- Health savings account
- Health insurance
Quick Apply
Administrative Assistant t [Must have Medical Claims Exp]
Software Technology Inc —Remote
- Remote
- Typing
- In-person
- Entry level
Quick Apply
Medical Insurance Claims Follow-up Rep
HCA Florida Ocala Hospital —Ocala, FL
- Full-time
- Remote
- Mid-level
- 3 years
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
4d
Medical Insurance Claims Follow-up Rep
HCA Florida Orange Park Hospital —Orange Park, FL
- Full-time
- Remote
- Mid-level
- 3 years
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
4d
Medical Biller/Claims Processing - Patient Support Representative - Remote
IQVIA —Miami, FL
- $23 an hour
- Full-time
- Remote
- Spanish
- HIPAA
- English
Medical Billing Claims Specialist
Summit Spine and Joint Centers —Remote
- Full-time
- Remote
- Word processing
- Computer literacy
- Mid-level
- Health insurance
- Paid time off
Quick Apply
RCM - Claims Specialist
Keplr Vision —Remote
- $21 - $25 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- Communication skills
- Vision insurance
Quick Apply
6d
Insurance Follow-Up Specialist
Medical World Services-IL —Remote
- $47,020.30 - $56,626.61 a year
- Temporary
- Remote
- Medical office experience
- Mid-level
- Medical terminology
Quick Apply
1d
Claims Processor - Work from Home
Sagility —Remote
- From $17 an hour
- Email
- Remote
- Microsoft Excel
- Computer literacy
- Mid-level
- Disability insurance
- Health insurance
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.18 - $42.13 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Follow-up Associate I
R1 RCM, Inc. —Remote
- $17.50 - $25.04 an hour
- Full-time
- Customer service
- HIPAA
- 1 year
4d

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medical claims processing jobs near work at home

Revenue Cycle Specialist

Lifeskills Behavioral Health
Deerfield Beach, FL

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Job Details

Full-time

Benefits

Health savings account
AD&D insurance
Health insurance
Dental insurance
Flexible spending account
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Referral program

Qualifications

Health insurance authorizations
Appeals
Accounts receivable optimization
Accounts receivable management
Medical insurance coverage verification
Handling customer inquiries
Health insurance customer support
Practice management software
Patient management software
Substance abuse treatment center experience
Process improvement
Mid-level
Refund processing
3 years
Financial issue resolution
High school diploma or GED
Mental health facility experience
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Credit report review
Medical explanation of benefits reviews
Medical claims submission
Medical billing account reconciliation
Handling patient inquiries
Payment reconciliation
Clinical confidentiality policies
Associate's degree
Insurance claims appeal handling
Process management
Medical debt collection accounts

Full Job Description

Who We Are:

Our residential treatment program provides hope for clients suffering from mental health and substance use disorders, helping them ensure sustained recovery. Located in beautiful Deerfield Beach, Lifeskills provides a secure and nurturing atmosphere for balanced recovery and healing.

Residential treatment program clients live in fully furnished townhomes that are professionally staffed 24-hours a day. This realistic, home-like setting allows residents to adapt their new coping skills within the local community and practice their daily routines while taking part in the therapeutic process. In our residential treatment program, we help our clients successfully transition back into their homes, family lives, and careers with newfound self-esteem, direction, and control.

Why You Will Love Working With Us!

At Lifeskills South Florida, we are a dynamic, dedicated, and growing team of professionals deeply passionate about providing evidence-based and personalized clinical care for mental health disorders and behavioral health conditions.

Since everyone has different experiences with mental health disorders, mental health therapies must be equally as unique to address those diverse needs. Working with qualified doctoral level clinicians at Lifeskills gives individuals the opportunity to develop personalized mental health treatment plans that address their needs and help them take the next step in their recovery.

Our team’s foundation is client centered care and clinical excellence through our 5-star service commitment – Respect, Accountability, Integrity, Flexibility, Service, and Collaboration. We are committed to our team and our team is committed to our clients!

What We Offer:

Collaborative environment dedicated to clinical excellence
Multiple Career Development Pathways
Company Supported Continuing Education & Certification
Multiple Health Plan Design Options Available
Flexible Dental & Vision Plan Options
100% Company Paid EAP Emotional Well-Being Support
100% Company Paid Critical Illness (with health enrollment plan)
100% Company Paid Life & ADD
401K with Company Match
Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
Generous Team Member Referral Program
Parental Leave

How You Will Contribute/ Position Summary:

The Revenue Cycle Specialist is responsible for performing billing functions that enable and expedite collections. The Revenue Cycle Specialist helps improve cash flow and participates in managing the overall health of the company's receivables.

Essential Responsibilities

Develops, implements, and manages manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes.
Excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances.
Review client bills for accuracy and completeness and obtain any missing information.
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Utilizes system reports to reconcile payments posted in practice management systems.
Works electronic insurance rejections to retransmit with corrected insurance information.
Monitors census daily to ensure completeness and accuracy.
Works rebills submitted to the billing department through the electronic billing system or payer source.
Re-bill and appeal claims based on payer rejections and denials.
Accurately post payments and adjustments.
Resolve issues that arise from information/claims submitted as well as revenue cycle issues.
Review credit reports and process applicable refund to client or insurance carrier.
Understand and interpret insurance Explanation of Benefits, knowing when and how to ensure that payment has been received.
Research and resolve rejected, incorrectly paid and denied claims.
Respond in a professional and timely manner to all billing-related inquiries from clients, staff and payers.
Understands authorizations and limits to coverage such as the number of authorizations/units.
Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information.
Policies and Procedures - demonstrates knowledge and understanding of organizational policies, procedures and processes.
Backup to Benefits verification process. Understands and can accurately complete a Verification of Benefits as requested by admissions team.

What We Are Seeking:

Associate's Degree preferred or High school diploma with at least 3-5 years’ experience with insurance billing and collections.
3-5 years’ experience acting as a liaison between insurance companies and family members/guarantors.
Prior experience in Mental Health, Substance Abuse Disorder Treatment, or behavioral healthcare field preferred

Lifeskills South Florida provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. Lifeskills reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”

ISJP123

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medical claims processing jobs in work at home

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