Selected: ✨ Medical Claims Processor.
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Selected: 🆕 Date Added.
🕒 Yesterday
Medical Claim Analyst reviewing medical claims, coding edits, and predetermination requests for CVS Health. Supporting claim adjudication and customer benefit inquiries remotely from Texas.
🕒 Yesterday
Medical Claim Analyst reviewing coding edits, predeterminations, and claim tasks for CVS Health. Supporting accurate adjudication and healthcare cost management from home.
🏈 Alabama, Arizona, +10 more states – Remote
💵 $18 - $38 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
👻 Ghost score 0%
🕒 5 days ago
Program claims specialist overseeing TPAs, litigation, and complex liability claims for TruStage. Managing claim strategies, audits, relationships, and cross-functional insurance operations.
🇺🇸 United States – Remote
💵 $93.1k - $139.7k / year
⏰ Full Time
🟠 Senior
🔴 Lead
✨ Program Specialist
👻 Ghost score 0%
🕒 October 30
Medical Claims Processor reviewing and adjudicating healthcare claims for Catalyst Solutions. Ensuring accurate, compliant processing across high-volume claims queues.
🕒 October 27
Medical Claims Auditor reviewing Medicare claims and coding for Clover Health, a data-driven health insurer. Detecting fraud, waste, and abuse using AI-assisted audits and payment-integrity controls.
🇺🇸 United States – Remote
💵 $92.3k - $120k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🕒 October 20
Medical-only claims representative handling workers’ compensation investigations, settlements, and payments for Summit in Illinois. Maintaining claim files and negotiating resolutions remotely.
🕒 October 16
Medical billing specialist preparing payer data, invoices, reconciliations, and claims collections. Supporting GT Independence’s financial management services for self-directed care.
🇺🇸 United States – Remote
💵 $18 - $20 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🏥 Medical Billing and Coding
🚫👨🎓 No degree required
👻 Ghost score 0%
🕒 September 25
Medical Claims Reviewer comparing ESRD records with CMS EQRS and CDC NHSN data. Classifying discrepancies and supporting quality control for government healthcare reporting.
🇺🇸 United States – Remote
💵 $31.3k - $32.5k / year
⏳ Contract/Temporary
🟡 Mid-level
🟠 Senior
🔍🏥 Medical Reviewer
👻 Ghost score 12%
🕒 September 5
Medical Billing & Claims Specialist processing medical procedure claims for a U.S.-based allergy and immunology practice. Managing denials, resubmissions, reimbursement, and billing records.
🇵🇭 Philippines – Remote
💵 $5 - $7 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🏥 Medical Billing and Coding
🚫👨🎓 No degree required
👻 Ghost score 43%
🕒 July 22
Claims Examiner processing self-funded medical health insurance claims on a 100% remote basis. Utilizing WLT software system to ensure accurate adjudication according to guidelines.
🇺🇸 United States – Remote
💵 $30 / hour
⏳ Contract/Temporary
🟡 Mid-level
🟠 Senior
📋 Claims Specialist
👻 Ghost score 7%
🕒 June 13
Claims Resolution Analyst at Gainwell Technologies resolving medical claims in healthcare operations. Collaborating with internal teams and ensuring compliance with processing guidelines.
🦬 Montana – Remote
💵 $35k - $50k / year
💰 Grant on 2023-06
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 35%
🕒 May 19
Medical Claims Billing Specialist handling healthcare claims for Sailor Health. Responsible for submitting medical claims and resolving billing issues across insurance payers.
🇵🇭 Philippines – Remote
💵 $1.2k - $1.5k / month
⏰ Full Time
🟡 Mid-level
🟠 Senior
📊 Billing Specialist
👻 Ghost score 55%
Likely ghost job
🕒 May 19
Likely ghost job
Medical Claims Billing Specialist for Sailor Health’s finance operations, ensuring accurate and timely medical claims submission and reimbursement processes. Ideal for candidates experienced in U.S. healthcare billing workflows.
🕒 February 13
Billing & Insurance Claims Assistant supporting U.S.-based medical practices with insurance billing processes. Focused on claims management and appeals without front desk responsibilities.
🗣️🇪🇸 Spanish Required
🕒 January 31
Medical Claims Auditor responsible for reviewing and analyzing medical claims for accuracy and compliance in healthcare. Collaborating with teams to enhance claim accuracy and reduce errors.
🤠 Texas – Remote
💵 $30.5k - $42.5k / year
💰 Grant on 2023-06
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🦅 H1B Visa Sponsor
👻 Ghost score 35%
We analyzed 1 job listings in the last year and found it takes about 114 days for employers to close a job opening.
We reviewed 2 job postings and found the top 10 skills employers are asking for most often are:
You need strong attention to detail, knowledge of medical terminology and coding, proficiency in claims processing software, and good analytical skills. Communication and time management abilities are also important for remote work.
Typically, a high school diploma is required, but an associate's degree in health information technology or a related field can be beneficial. Relevant certifications, like Certified Medical Reimbursement Specialist (CMRS), may also enhance your qualifications.
Responsibilities include reviewing and processing medical claims, verifying patient eligibility, ensuring accurate coding, communicating with healthcare providers, and resolving any discrepancies or issues with claims.
Benefits include flexible work hours, the ability to work from home, a reduction in commuting time and expenses, and a better work-life balance. Remote positions also often provide opportunities to work with a diverse range of clients and healthcare providers.
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