Claims Specialist

Job not on LinkedIn

🕒 Yesterday

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Envision Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

👥 B2C

🤝 B2B

B2C • B2B

Envision Healthcare is a leading national medical group of physicians and advanced practice providers delivering acute, perioperative, emergency and specialty clinical services across hospitals, ambulatory surgery centers and other care settings throughout the United States. The organization supports millions of patient encounters annually—including emergency department care, radiology reads, anesthesia cases and newborn deliveries—while partnering with health systems to improve clinical workflows, patient access, telehealth imaging, clinician wellbeing and operational performance.

📋 Description

• Organizes the Claims Management inbox, including incoming calls, mail, and faxes; identify, prioritize, and route requests to appropriate teams. • Coordinate and distribute claims and risk notifications to internal and external stakeholders in a timely manner. • Verifies provider insurance coverage and credentials using multiple databases and systems. • Prepares, reviews, and maintains claims reporting and assignment documentation in accordance with established guidelines. • Maintains accurate internal and external claims files, ensuring documentation is complete, compliant, and up to date. • Performs monthly reviews of submitted claims to ensure accuracy and completeness. • Assists with insurance coverage verifications and invoice-related check requests. • Supports data collection and reporting efforts related to claims mitigation goals and departmental metrics. • Establishes, maintains, and updates files, databases, records, reports, SOPs, templates, and documentation libraries. • Collaborates with internal teams and external vendors to support claims operations. • Escalates complex, sensitive, or non-routine issues promptly to appropriate stakeholders. • Other duties as assigned.

🎯 Requirements

• Well-developed written and communication skills, ability to establish relationships and communicate with providers, leadership and carriers in a professional manner. • Proficiency in Microsoft Office Suite • Ability to recognize and define problems, collect data, establish facts, draw valid conclusions and correct errors • Strong organizational habits and follow through. • High School Degree or GED required. • Minimum 1 year of previous work experience is required. • Property and Casualty Claims or Insurance experience preferred • Clinical, healthcare, claims and/or legal experience preferred • Origami Risk Information System experience preferred

🏖️ Benefits

• Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. • Paid Time Off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.