Claims Specialist
Baton Rouge, LA · Remote
This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C ... Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ...
Baton Rouge, LA · Remote
This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C ... Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ...
Baton Rouge, LA · Remote
This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C ... Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ...
Baton Rouge, LA · On-site
... care contracts related to drug margins. * Works with various national oncology specific ... clean claims and decrease likelihood of claim denial. * Works directly with business ...
Baton Rouge, LA · On-site
... care contracts related to drug margins. * Works with various national oncology specific ... clean claims and decrease likelihood of claim denial. * Works directly with business ...
Baton Rouge, LA · On-site
... care contracts related to drug margins. * Works with various national oncology specific ... clean claims and decrease likelihood of claim denial. * Works directly with business ...
Baton Rouge, LA · On-site
... care contracts related to drug margins. * Works with various national oncology specific ... clean claims and decrease likelihood of claim denial. * Works directly with business ...
... claims. * Keep Project Manager advised on contractual matters and the need for all project execution participants to be familiar with the contract and their role in assuring vendor compliance.
... claims. * Keep Project Manager advised on contractual matters and the need for all project execution participants to be familiar with the contract and their role in assuring vendor compliance.
... claims. * Keep Project Manager advised on contractual matters and the need for all project execution participants to be familiar with the contract and their role in assuring vendor compliance.
Quick apply
... claims. * Keep Project Manager advised on contractual matters and the need for all project execution participants to be familiar with the contract and their role in assuring vendor compliance.
Baton Rouge, LA · On-site
Financial & Commercial Management • Manage project financials, including budgeting, forecasting, billing, cost control, cash flow, and contract claims. • Drive margin improvement through cost ...
Baton Rouge, LA · On-site
Financial & Commercial Management • Manage project financials, including budgeting, forecasting, billing, cost control, cash flow, and contract claims. • Drive margin improvement through cost ...
With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and ...
With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and ...
Donaldsonville, LA · On-site +1
With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and ...
Donaldsonville, LA · On-site +1
With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and ...
Baton Rouge, LA · On-site +1
With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and ...
Baton Rouge, LA · On-site +1
With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and ...
Baton Rouge, LA · On-site
Monitor performance against financial targets, benchmarks, attribution models, and payer contract terms to identify variances, risks, and improvement opportunities. * Analyze claims, utilization ...
Baton Rouge, LA · On-site
Monitor performance against financial targets, benchmarks, attribution models, and payer contract terms to identify variances, risks, and improvement opportunities. * Analyze claims, utilization ...
Baton Rouge, LA · On-site
Experience with healthcare claims, payer remittance data, contract performance reporting, or revenue cycle analytics. * Familiarity with accounting standards, internal controls, audit support, and ...
Baton Rouge, LA · On-site
Experience with healthcare claims, payer remittance data, contract performance reporting, or revenue cycle analytics. * Familiarity with accounting standards, internal controls, audit support, and ...
Baton Rouge, LA · On-site +1
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
Baton Rouge, LA · On-site +1
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
Baton Rouge, LA · On-site
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
Baton Rouge, LA · On-site
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Negotiates provider contracts consistent with claim payment methodologies. * Augments and modifies the existing ...
Minimum 3 years of professional experience Medicare and/or private insurance claims. * Minimum 1 year of professional experience monitoring contracts for deliverable compliance. * Professional ...
Minimum 3 years of professional experience Medicare and/or private insurance claims. * Minimum 1 year of professional experience monitoring contracts for deliverable compliance. * Professional ...
Minimum 3 years of professional experience Medicare and/or private insurance claims. * Minimum 1 year of professional experience monitoring contracts for deliverable compliance. * Professional ...
Minimum 3 years of professional experience Medicare and/or private insurance claims. * Minimum 1 year of professional experience monitoring contracts for deliverable compliance. * Professional ...
Baton Rouge, LA · On-site
$18 - $23/hr
Prepare, review, and submit claims accurately and timely. * Monitor claim status through payer ... Ability to interpret remittance advises, contracts, and payer correspondence. * Proficiency with ...
Baton Rouge, LA · On-site
$18 - $23/hr
Prepare, review, and submit claims accurately and timely. * Monitor claim status through payer ... Ability to interpret remittance advises, contracts, and payer correspondence. * Proficiency with ...
Baton Rouge, LA · Remote
$16.50 - $21/hr
Prepare, review, and submit claims accurately and timely. * Monitor claim status through payer ... Ability to interpret remittance advises, contracts, and payer correspondence. * Proficiency with ...
Quick apply
Baton Rouge, LA · Remote
$16.50 - $21/hr
Prepare, review, and submit claims accurately and timely. * Monitor claim status through payer ... Ability to interpret remittance advises, contracts, and payer correspondence. * Proficiency with ...
Baton Rouge, LA · Remote
$18 - $23/hr
Prepare, review, and submit claims accurately and timely. * Monitor claim status through payer ... Ability to interpret remittance advises, contracts, and payer correspondence. * Proficiency with ...
Baton Rouge, LA · Remote
$18 - $23/hr
Prepare, review, and submit claims accurately and timely. * Monitor claim status through payer ... Ability to interpret remittance advises, contracts, and payer correspondence. * Proficiency with ...
$8.31 - $13.72
1% of jobs
$13.72 - $19.14
5% of jobs
$22.40 is the 25th percentile. Wages below this are outliers.
$19.14 - $24.55
31% of jobs
$24.55 - $29.97
12% of jobs
The median wage is $30.51 / hr.
$29.97 - $35.38
11% of jobs
$35.38 - $40.79
14% of jobs
$41.61 is the 75th percentile. Wages above this are outliers.
$40.79 - $46.21
11% of jobs
$46.21 - $51.62
1% of jobs
$51.62 - $57.04
4% of jobs
$57.04 - $62.45
9% of jobs
$62.45 - $67.86
2% of jobs
$8
$36
$67
| Aspect | Contracts Claims | Contracts Administrator |
|---|---|---|
| Certifications | Legal or claims management certifications | Contract management certifications |
| Work Environment | Legal, claims, or dispute resolution teams | Project sites, corporate offices |
| Industry Usage | Insurance, construction, legal | Construction, engineering, corporate |
Contracts Claims professionals focus on managing disputes, claims, and legal issues related to contracts, often handling claims resolution and legal documentation. Contracts Administrators primarily oversee contract creation, compliance, and administration to ensure contractual obligations are met. While both roles work with contracts, Claims specialists handle disputes and claims, whereas Administrators focus on contract execution and management.
For Contracts Claims jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Contracts Claims jobs in Baton Rouge, LA are:
Cities near Baton Rouge, LA with the most Contracts Claims job openings:

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
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Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US