Health claims jobs in work from home

Healthcare Claims Processor Elite Technical is seeking a Healthcare Claims Processor, with specific knowledge around Claims Adjudication! The selected candidate will review and adjudicate paper/electronic healthcare claims from providers. Determines proper handling and... 

Healthcare Claims Processor (Facets) Elite Technical is seeking several Healthcare Claims Processors! The selected candidate will review and process 200-300 paper/electronic healthcare claims within our client's FACETS platforms. ESSENTIAL FUNCTIONS: - 55% Examines and... 

Principal Software Engineer About Zyla :Zyla Health is Indias highest-rated personalized care management platform focused on improving health outcomes. Zyla enables care at scale for insurers and employers through its human-assisted AI on the 24x7 conversational Zyla app (consistently... 

Health Insurance Advisor Start Date Starts  Immediately...  ...engagement. 3. Explain policy features, premiums, coverage, and claim processes clearly to clients. 4. Assist clients in application... 

Primary Job Function • Achieving assigned territory/ geography wise sales target • Carrying out effective field work without direct day-to-day supervision • Report field work in daily basis on assigned online system • Meeting Call Average, Coverage, Frequency coverage...

 ...regulatory bodies, and reimbursement models. Understand key healthcare terminology: Become proficient in healthcare-specific terms such as claims, Epic, membership management, and digital care # Ability to Collaborate with U.S.-Based Team Cross-functional collaboration:... 

 ...Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification... 

PAY GRADE: 28N CONTEXT OF THE JOB: The Center for Health Assessment Research and Translation (CHART) at the University of Delaware (udel.edu/chart) has an opening (start summer 2025) for a full-time research associate to assist our research faculty and scientists in carrying... 

 ...immediately! Skills: Experience as a Business Analyst in the Insurance domain. Experience working with Policy, Billing and Claims systems and processes. Deep understanding of P&C insurance products, terminology, and regulatory requirements. Experience with Agile... 

 ...of: Implementing credit policy and credit controls Timely claims settlement Risk-free realization from the customer (distributor...  ...agreed service levels & credit terms Review distributor financial health (pipeline and outstanding)  Ensure that the claims of the... 

Title: HR Manager Reports To: Vice President or Senior Manager of Human Resources Division: Human Resources Location: Remote, out of Johns Creek, GA Status: Exempt About Flex HR: Flex HR is a fast-growing HR outsourcing company based in Johns Creek, GA, right outside of...

 ...using R Shiny Proficient in R and SQL programming Expertise in claims databases such as Optum, Marketscan and Oncology databases such...  ...Preferable to have CDISC guidelines knowledge or Instant Health Data (IHD) experience Well versed with different coding systems... 

 ...Security Act (ERISA), the Department of Labor, worker compensation, the Occupational Safety and Health Administration (OSHA), and so forth. Maintains minimal clientrisk or exposure to claims or lawsuits. ~Acts as a resource for managers and employees in resolution of employee... 

 .../year Number of openings 3 About Traze AI Traze AI platforms help insurance companies and health care companies to automate claim adjudication, medical underwriting and clinical operations helping them improve efficiency , reduce TAT and costs.... 

 ...risks, and testing readiness.- Act as a subject matter expert (SME) on life insurance processes, including policy lifecycle, billing, claims, underwriting, and benefits.- Assist in data validation, legacy data mapping, and policy migration efforts when applicable.- Translate... 

 ...meet HSO's standards. Requirements X++ D365 FO Benefits · Health Insurance · Food Coupons · Gym and Telephone/Internet bill Reimbursement · Leave Travel Allowance (can be claimed only twice in a block of FOUR calendar years) · PF · NPS (Optional) ·... 

 ...skills. • Excellent verbal and written communication skills. Benefits Health Insurance Food Coupons Gym and Telephone/Internet bill Reimbursement Leave Travel Allowance (can be claimed only twice in a block of FOUR calendar years) PF NPS (Optional)... 

 ...Manage reinsurance program setup, cedant definitions, contract layers, and share percentages. - Handle accounting setup for premium and claim transactions including bordereaux generation. - Troubleshoot and resolve issues in reinsurance accounting, reporting, and automation... 

 ...implementation. • Understanding microservice architecture Benefits Health Insurance Food Coupons Gym and Telephone/Internet bill Reimbursement Leave Travel Allowance (can be claimed only twice in a block of FOUR calendar years) PF NPS (Optional) Great... 

 ...We Are Berry Street is tackling America’s most comprehensive health crisis: food. More than half of Americans are struggling with their...  ...-to-end, guaranteed billing: Don't worry about denials or unpaid claims Access to EHR for efficient client management Charting...