- UnitedHealth Group (Eden Prairie, MN)
- …together. At Optum Life Sciences, we connect data, insights, and the broader healthcare ecosystem to drive innovation and measurable impact. Our Value and Evidence ... With a client base that includes most of the world's top 20 biopharmaceutical companies, VES is recognized globally for excellence in consulting, econometrics,… more
- Summa Health (Akron, OH)
- …- 1200 E Market St, Akron, OH Full-Time / 40 hours / Days Hybrid / Remote SummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a ... to effectively pursue the identification, prevention, and investigation of healthcare fraud, waste and abuse (FWA), to facilitate the...fraud plans and practices. Skilled at conducting analysis of claims data, medical records and claims coding… more
- Actalent (Houston, TX)
- Remote Pharmacy Technician - Insurance & Coverage Determination Specialist Location: Remote (US Based) Job Type: Full-Time Schedule: Monday-Friday, Rotating ... Role We are seeking a detail-oriented and tech-savvy Pharmacy Technician to join our remote team. In this role, you will be responsible for handling insurance … more
- State Farm (North Hollywood, CA)
- …Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses. We are looking ... explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Key Responsibilities: Conduct...91604, 91605, 91606, 91607, 91608 . This is a Remote -Field position in which you will work from home… more
- City of San Marcos, TX (San Marcos, TX)
- Salary : $53,435. 20 - $66,809.60 Annually Location : San Marcos, TX Job Type: Full-time Non-Exempt Job Number: 1064 Department: Fire Opening Date: 07/21/2025 Closing ... on department contracts/projects, including minor construction projects Process expense claims (ECs) for reimbursements Order, purchase, and maintain an inventory… more
- Abbott (Richmond, VA)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...Florida What You'll Work On Provide direct supervision of 15- 20 + EMTs/Paramedics, including hiring, training, scheduling, payroll, performance evaluations,… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM ... Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend,...compensation for specific roles. The hourly rate for this remote role is $18 hourly. This rate reflects the… more
- Cognizant (Baton Rouge, LA)
- …modern technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The ** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- TEKsystems (Miami, FL)
- …with the STD, SDI, AM, LTD, Life and AD&D products, and perform well in a remote call center team environment. Required Skills & Abilities: + 1-2 + years of related ... presence over the phone. + Prior experience in insurance, benefits/ claims , or financial services is a plus. + Proven...and demonstrating a dedication to excellence. Details: + 100% remote | Equipment Provided. + Applicants must provide the… more
- The Cigna Group (Bloomfield, CT)
- …strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools ... required + 3+ years of experience in benefits and claims administration and/or relationship or project management experience +...with exceptional outcomes + Ability to travel up to 20 % required. If you will be working at home… more
- Conduent (AL)
- …part of a culture where individuality is noticed and valued every day. ** Remote Call Center Representative** We are seeking individuals who are passionate about ... others, possess natural empathy, and provide thorough solutions for healthcare -related inquiries. If you find fulfillment in making a...available on the 1st day of employment. Successfully learn 15- 20 systems and average 30-40 calls per day. **… more
- Actalent (Houston, TX)
- Remote Pharmacy Technician - Insurance & Coverage Determination Specialist Location: Remote (US Based) Job Type: Full-Time Schedule: Monday-Friday, Rotating ... Role We are seeking a detail-oriented and tech-savvy Pharmacy Technician to join our remote team. In this role, you will be responsible for handling insurance … more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Remote Medical Staff Services Health Care Specialist (Delegation/Enrollment)** The Medical Staff Services Health Care Specialist is responsible ... & procedures, industry best-practices, and regulatory requirements. **Our flexible remote opportunities offers an excellent opportunity for those who flourish… more
- Conduent (Guaynabo, PR)
- …part of a culture where individuality is noticed and valued every day. ** Remote Bilingual Healthcare Customer Service Representative** **Must be fluent in ... English & Spanish** As a member of the Healthcare Call Center team, you will help people every...the Medicare plan, Disenrolling them from their plan, processing claims regarding their plan etc. **There are plenty of… more
- Option Care Health (Itasca, IL)
- …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Specialist, Patient Registration is responsible for ... assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). +… more
- Option Care Health (Olympia, WA)
- …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** Responsible for the timely, accurate submission of ... on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or… more
- CommonSpirit Health (Englewood, CO)
- …proven track record of success in managing complex data environments and experience with healthcare claims and utilization datasets. If you are a motivated and ... Payer Strategy & Analytics (PSA) team. This is a remote work opportunity. As the Manager of Healthcare...through post-implementation evaluation **Preferred Experience** + Working knowledge of healthcare claims and remit data + Working… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …The Chief Counsel for Health Affairs (CCHA) will oversee all legal matters for Emory Healthcare . They also will serve as the primary legal advisor to the CEO, senior ... and collaborate with clients and external parties to accomplish Emory Healthcare 's objectives. The successful candidate will be an accomplished, mission-driven, and… more
- Colorado State University (Fort Collins, CO)
- …our investment in you. Employees are benefits eligible when working a minimum of 20 hours per week; benefits outlined below reflect full-time status of 40 hours per ... will ensure Accounts Receivables (AR) are reviewed to ensure claims are paid in a timely manner and no...this time, the Insurance Denials Specialist works a hybrid onsite/ remote schedule from 8:00 AM - 5:00 PM, Monday… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco Healthcare & Life Sciences is hiring Clinical Administrative Coordinators! This role is remote / work from home. Please read below and apply with an ... with 1 hour lunch and two 15-minute breaks. **Pay:** $ 20 .30 to $22.30 an hour **Responsibilities of the Clinical.... Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are… more
