Source Job

US

  • Updates patient accounts with information received from hospitals and follow-up with Contact Specialist.
  • Accesses client connections/computer system to obtain information required to update accounts.
  • Performs special projects or tasks as assigned and assists IT in resolving access issues.

Communication Customer Service Attention To Detail Organizational Skills Microsoft Excel

20 jobs similar to Claims Specialist

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US

  • Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation claims.
  • Submit bills and proper documentation to insurance companies, ensuring maximized payments to clients.
  • Review payer information to resolve denied claims and participate in special projects to achieve goals.

Revecore helps hospitals recover the revenue they've earned. Trusted by over 1,300 hospitals across 48 states, they combine specialized expertise with proprietary technology and foster a supportive, innovative workplace.

US

  • Research and follow up on unpaid insurance claims via mail and phone.
  • Review and appeal underpaid or rejected claims, coordinating with collection agencies as needed.
  • Respond to customer inquiries, resolve billing discrepancies, and maintain accurate records.

Accendra Health simplifies healthcare by delivering essential products and services beyond traditional settings, with a focus on home-based care. With over 6,000 teammates across 250 locations nationwide under the Apria and Byram Healthcare brands, we are dedicated to personalized care and accessible health solutions.

$43,000–$59,000/yr
US Unlimited PTO

  • Ensure timely and accurate adjudication and payment of medical claims.
  • Process appeals and disputes by gathering and verifying claim information.
  • Work independently and as part of a team to meet daily processing quotas.

Sana is a health plan solution built for small and midsize businesses, designed around integrated primary care. Founded in 2017, Sana is remote-first with a fully distributed team across the U.S., valuing curiosity, ownership, and speed.

US

  • Manage telephone, electronic, and face-to-face interactions professionally and efficiently.
  • Effectively present and discuss products and services to customers with integrity.
  • Focus on customer retention through first call resolution and enhance member experience.

Capital Blue Cross is a health insurance company providing medical, dental, and vision coverage. It is recognized as a top workplace in Pennsylvania and fosters a supportive culture with flexible work and growth opportunities.

US

  • Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly.
  • Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams.
  • Communicate effectively with internal and external customers to ensure first-call resolution and quality care.

Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans. We are an intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service.

US

  • Responsible for daily billing functions including claim edits, insurance review, and follow-up on unpaid claims.
  • Must display knowledge retention through scheduled competency assessments and work independently or collaboratively.
  • Requires high school diploma or equivalent, with Microsoft Office experience; preferred patient billing and Epic experience.

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Their mission is to live God’s love by promoting and restoring health, with a commitment to safety and integrated healthcare.

US

  • Review and process incoming claims and supporting documents.
  • Verify information for accuracy and completeness and update claim records.
  • Identify missing or inconsistent information and follow up on needed documentation.

Bilgewater Group is a company specializing in claims processing and related services. They are an equal opportunity employer with a focus on accuracy and efficiency.

Global

  • Answer questions about clients' services and products from home.
  • Make your own schedule based on family or other work commitments.
  • Earn bonuses starting from day one, with unlimited extra hours available.

NexusOP provides support services for large clients in the US and overseas, handling calls with existing customers. It is a company that offers flexible, part-time independent contractor roles with bonuses and extra hours.

US

  • Connect with customers via phone, email, chat, and social media to resolve their questions or concerns.
  • Calmly de-escalate issues and escalate interactions when necessary.
  • Track all call-related information for auditing and reporting purposes.

TP is a global digital business services company that delivers advanced, digitally powered business services to help brands streamline their business. With over 500,000 employees speaking 300+ languages, they foster an inclusive and diverse culture.

$17–$18/hr
US

  • Investigate and research health insurance claims to ensure maximum payment for hospitals and medical providers.
  • Follow up on unresolved commercial, Medicare, and Medicaid claims to facilitate payment.
  • Support the team with denial reports, audits, and overall tasks in a fast-paced environment.

Revecore helps hospitals recover earned revenue so they can continue serving patients and communities. Trusted by 1,300+ hospitals across 48 states, it combines specialized expertise with proprietary technology and fosters a supportive, innovative culture.

US 3w PTO

  • Provide excellent customer service while ensuring compliance with state resale certificate regulations.
  • Process resale renewals, monitor incoming inquiries, and update customer information systems.
  • Collaborate with internal teams to resolve resale issues and meet monthly state renewal deadlines.

SanMar ensures customer accounts comply with state regulations for resale certificates. They provide excellent customer service and manage resale renewals, operating with a focus on accuracy and team collaboration.

$45,360–$62,370/yr
US

  • Manage order release, billing setup, and documentation follow-up to support accurate and timely revenue realization.
  • Review pending orders, resolve issues with cross-functional teams, and prioritize worklists to minimize billing delays.
  • Provide responsive customer service and identify process improvements to enhance operational quality and efficiency.

The company provides healthcare operational support, focusing on order management and billing to ensure timely revenue realization. It fosters a remote-first culture with an emphasis on collaboration, diversity, and employee wellbeing.

  • Ensure data accuracy and input on the computer billing system, updating patient and insurance information.
  • Handle patient inquiries regarding insurance, credit, and billing issues; review and mail statements; file electronic claims.
  • Follow up on litigation cases, scan documents into electronic medical records, and coordinate with physicians for documentation.

Munson Healthcare is northern Michigan's largest healthcare system, with eight community hospitals serving over half a million residents. They prioritize a culture of excellence, teamness, and creativity, committed to exceptional experiences for patients and teammates.

  • Manage patient account activities to optimize reimbursement and reduce accounts receivable.
  • Perform billing, follow-up, collections, and denials resolution to improve financial outcomes.
  • Ensure accuracy of charge, claim, and payment data through reviews and targeted corrections.

The University of Kentucky is a public land-grant university dedicated to advancing education, research, and healthcare. It promotes a supportive culture that values employee well-being and professional growth.

$29,930–$45,424/yr
Canada

  • Handle First Notice of Loss (FNOL) calls for auto and property insurance customers.
  • Gather, verify, and document claim information while explaining the claims process.
  • Provide empathetic, professional customer service in a high-volume remote environment.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company fosters a supportive, collaborative culture with a focus on professional development and flexibility, though employee size is not specified.

US

  • Respond to incoming customer calls about electric and gas services, billing details, and account management.
  • Educate customers on payment options and assistance programs while focusing on first call resolution.
  • Document interactions and handle calls courteously, meeting performance goals and deadlines.

InteLogix is a trusted leader in providing innovative solutions and exceptional services that empower individuals and organizations to achieve their full potential. They are a dynamic organization with dedicated colleagues across 19 global centers, helping 23 million people and their families.

US 3w PTO

  • Review healthcare claims and determine appropriate payment methodologies based on contractual terms and client requirements.
  • Analyze claim information and system data to ensure accurate repricing while meeting productivity and quality metrics.
  • Collaborate with internal audit and operational teams to support compliance, quality assurance, and process improvement initiatives.

The company provides healthcare claims review and repricing services. It operates remotely with a focus on compliance, accuracy, and continuous improvement.

US

  • Handle insurance follow-up, self-pay follow-up, payment posting, account corrections, and claim rejections.
  • Provide initial training on central business office duties to new staff.
  • Develop into higher-level roles with two years of acceptable performance.

Piedmont Healthcare Corporate is a healthcare organization focused on revenue cycle management and central business office operations. It is a large corporate entity with a culture centered on accuracy and development.

US

  • Respond to client inquiries and provide timely updates on prescription status
  • Monitor prescription workflows and proactively flag delays or discrepancies
  • Assist with reshipments and coordinate issue resolution with internal teams

Precision Medicine is revolutionizing healthcare by providing accessible, personalized, and efficient healthcare solutions. They have a dynamic team that values expertise, ideas, and diverse perspectives, fostering an environment for innovation and meaningful impact on patient care.