Top 5 Imagenet Jobs | SimplyHired

Claims Examiner - Remote
ImagenetLLC —Remote
- Full-time
- Remote
- Basic math
- Mid-level
- Data entry
- Paid training
- Health savings account
7d
Training and Quality Manager – Healthcare Operations
ImagenetLLC —Tampa, FL
- Full-time
- Remote
- 5 years
- HIPAA
- Senior level
- Paid training
- Health savings account
7d
Claims Adjudication Manager
ImagenetLLC —St. Louis, MO
- Full-time
- Remote
- 6 years
- Analysis skills
- Senior level
7d
Senior Client Executive
ImagenetLLC —Tampa, FL
- Full-time
- Remote
- 5 years
- Travel
- Contracts
- Health insurance
- Dental insurance
7d
Claims Examiner Team Leader | Remote
ImagenetLLC —Tampa, FL
- Up to $22 an hour
- Full-time
- Remote
- 5 years
- Analysis skills
- Supervising experience
- Paid training
- Health savings account
7h

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Claims Examiner - Remote

ImagenetLLC -
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Job Details

Full-time
7 days ago

Benefits

Paid training
Health savings account
Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Data validation techniques
Medical insurance coverage verification
Basic math
Mid-level
Medical billing discrepancy resolution
Records management
Decision making
Policy verification in claims processing
Medical credentialing
Data entry
Document review
Customer issue escalation
Productivity software
1 year
Claims documentation management
Medical terminology
Communication skills
Time management
Documentation review for coding accuracy

Full Job Description

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission is to help clients reduce costs and increase productivity by providing streamlined solutions in document imaging, data validation, adjudication, and on-demand retrieval of documents and data.

We are looking for Experienced Claims Processor to join our rapidly growing team.

Experience is required for this position.

Job Overview:

In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.

Job Type: Full-time

This is a fully remote position

Responsibilities:

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
Participate in ongoing training and professional development activities.
Maintain accurate and detailed records of claims processing activities.
Review claim forms and supporting documents
Determine eligibility, verify data accuracy
Request additional information when needed
Process claims end-to-end
Identify and escalate complex or unusual claims for further review or investigation.
Participate in ongoing training and professional development activities.
Handle more complex claims with multiple services, providers

Experience:

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
Understanding of health claims processing/adjudication
Ability to perform basic to intermediate mathematical computation routines
Medical terminology strongly preferred
Understanding of ICD-9 & ICD-10
Basic MS office computer skills
Ability to work independently or within a team
Time management skills
Written and verbal communication skills
Attention to detail
Must be able to demonstrate sound decision-making skills

What We Offer

Remote work offered
Equipment provided
Paid training to set you up for success
Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
Paid Time Off (PTO)
7 paid holidays
A supportive team and a company that values internal growth

Ready to Grow Your Career?

We’d love to meet you! Click “Apply Now” and tell us why you’d be a great addition to the Imagenet team.

About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers.

The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

Work Location: Remote

Apply Now

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Claims Examiner - Remote

Training and Quality Manager – Healthcare Operations

Claims Adjudication Manager

Senior Client Executive

Claims Examiner Team Leader | Remote

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