Top 1871 Work from home processing claims Jobs

Claims Representative - Remote
The Cigna Group —Remote
- $17.75 - $26.00 an hour
- Online Application
- Remote
- Microsoft Outlook
- Research
- High school diploma or GED
- Paid holidays
- Health insurance
1d
Claims Coordinator - CBO
CarolinasDentist —Remote
- $18 - $24 an hour
- Full-time
- Remote
- Dental office
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Medical Billing Specialist
Adelfi Medical Billing Solutions —Remote
- 8 hour shift
- Remote
- Mid-level
- Analysis skills
- Communication skills
- Health insurance
- Dental insurance
Claims Processor- 100% Remote
MEDLOGIX, LLC —Remote
- $50,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Organizational skills
Quick Apply
13d
Medical Billing Collections Specialist - Remote
Alliance Orthopedics —Remote
- $20 - $30 an hour
- Full-time
- Remote
- Background check
- Spanish
- Mid-level
- Paid holidays
- Health insurance
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CLAIMS SPECIALIST
JR Services —Remote
- Full-time
- Remote
- Customer service
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- Entry level
- Vision insurance
Pharmacy Claims Processor / Remote
PharMerica —Louisville, KY
- Full-time
- Remote
- Customer service
- Basic math
- Research
- Disability insurance
- Health insurance
Claims Coordinator - CBO
Lightwave Dental —Remote
- $21 - $24 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
7d
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
Accounts Receivable Representative
TeamHealth —Remote
- Full-time
- Remote
- Computer literacy
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Patient Account Representative - Remote
Med-Metrix —Remote
- Full-time
- Remote
- Customer service
- Basic math
- HIPAA
Auditor (Claims)
SOUTHWEST SERVICE ADMINISTRATORS INC —Remote
- $19.00 - $25.50 an hour
- Remote
- Microsoft Word
- Writing skills
- Research
- AD&D insurance
- Disability insurance
Quick Apply
Claims Processor
Banner Health —Arizona
- $18.02 - $27.03 an hour
- Part-time
- Remote
- Research
- Mid-level
- Organizational skills
RCM A/R Specialist (100% Work From Home)
Visualutions, Inc. —Spring, TX
- $19 - $24 an hour
- Full-time
- Remote
- Computer literacy
- HIPAA
- Research
- Work from home
Quick Apply
13d
Medical billing and revenue cycle specialist - correctional healthcare
Sensibill Services —Remote
- $50,000 - $54,000 a year
- Full-time
- Remote
- Customer service
- Mid-level
- Data entry
- Flexible schedule
Quick Apply
Surgical Collections Specialist - Remote
Alliance Orthopedics —Remote
- $20 - $30 an hour
- Full-time
- Remote
- Background check
- Spanish
- Surgery
Quick Apply
Billing Reimbursement Specialist II
NeoGenomics Laboratories —Remote
- Day shift
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
7d
Virtual Assistant - Medical Billing/Credentialing
Lighthouse Psychiatry Brain Health Center —Remote
- Full-time
- Remote
- Computer literacy
- Pass drug screening
- HIPAA
Quick Apply
AR Recovery Specialist-Remote
Adelfi Medical Billing Solutions —Remote
- 8 hour shift
- Remote
- Writing skills
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Disability Processor
SOUTHWEST SERVICE ADMINISTRATORS INC —Remote
- $18.00 - $23.50 an hour
- Full-time
- Remote
- Microsoft Word
- Writing skills
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply

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Claims Representative - Remote

The Cigna Group -
Remote

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Job Details

Full-time
$17.75 - $26.00 an hour
1 day ago

Benefits

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

Qualifications

Video conferences (communication methods)

Full Job Description

Claims Representative – Remote

SUMMARY

The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.

$19/Hour Pay Rate

RESPONSIBILITIES

Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
Confirm the presence of necessary documents within submitted claims.
Validate the accuracy of medical codes provided in claim submissions.
Assess the eligibility status of claims based on established criteria.
Review and verify other insurance coverage information in submitted claim.
Evaluate authorizations provided in claim submissions for accuracy.
Analyze account benefit plans to ensure claims align with coverage and policies.
Identify discrepancies, errors, or missing information.
Utilize multiple computer applications simultaneously.
Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
Meet or exceed quality and productivity goals.
Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.

Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.

QUALIFICATIONS

High school diploma or equivalent
Ability to quickly learn a variety of computer applications to complete job functions,
Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
Detail-oriented with experience in applying complex policy/procedure documents.
Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.
Proven experience completing work with quality and productivity performance standards.
Experience working independently in a virtual environment preferred.
Experience with medical and insurance terminology in a professional setting preferred.
Knowledge of CPT/ICD-10 codes preferred.
Proven experience in health insurance claims processing or similar field preferred

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 17.75 - 26 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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

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