Claims Specialist
Baton Rouge, LA ยท Remote
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 ...
Baton Rouge, LA ยท Remote
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 ...
Baton Rouge, LA ยท Remote
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 ...
Experience with medical claims processing OR provider/member services . * Working knowledge of healthcare claims, benefits, or insurance operations. * Experience with Microsoft Word, Excel, and ...
Quick apply
Experience with medical claims processing OR provider/member services . * Working knowledge of healthcare claims, benefits, or insurance operations. * Experience with Microsoft Word, Excel, and ...
Baton Rouge, LA ยท On-site
$16.75 - $22.50/hr
Requires at least 2 years in working medical billing claims. Responsibilities * Process and manage medical billing for various payers (Medicare, Commercial and Medicaid). * Resolving outstanding ...
Baton Rouge, LA ยท On-site
$16.75 - $22.50/hr
Requires at least 2 years in working medical billing claims. Responsibilities * Process and manage medical billing for various payers (Medicare, Commercial and Medicaid). * Resolving outstanding ...
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. Essential Duties And ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. Essential Duties And ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Baton Rouge, LA ยท On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Baton Rouge, LA ยท On-site
$115K - $130K/yr
Analyzes and processes complex or technically difficult liability claims by investigating to ... In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of ...
Baton Rouge, LA ยท On-site
$115K - $130K/yr
Analyzes and processes complex or technically difficult liability claims by investigating to ... In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of ...
Baton Rouge, LA ยท On-site
$29K - $41K/yr
Familiarity with medical claims processing or review preferred The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic ...
Baton Rouge, LA ยท On-site
$29K - $41K/yr
Familiarity with medical claims processing or review preferred The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic ...
Baton Rouge, LA ยท On-site
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท On-site
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท On-site
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท On-site
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท Hybrid
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท Hybrid
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท Hybrid
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท Hybrid
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Baton Rouge, LA ยท On-site
$25.65/hr
... medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new ... Processing and responding to incoming mail, emails and other claim related documents according to ...
Baton Rouge, LA ยท On-site
$25.65/hr
... medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new ... Processing and responding to incoming mail, emails and other claim related documents according to ...
$10.94 - $11.78
6% of jobs
$11.78 - $12.62
6% of jobs
$12.62 - $13.46
11% of jobs
$13.55 is the 25th percentile. Wages below this are outliers.
$13.46 - $14.30
15% of jobs
The median wage is $14.91 / hr.
$14.30 - $15.14
16% of jobs
$15.14 - $15.98
11% of jobs
$16.78 is the 75th percentile. Wages above this are outliers.
$15.98 - $16.82
11% of jobs
$16.82 - $17.66
11% of jobs
$17.66 - $18.50
6% of jobs
$18.50 - $19.34
5% of jobs
$19.34 - $20.18
2% of jobs
$10
$15
$20
A Freelance Medical Claims Processor reviews, processes, and submits medical insurance claims on a contract or per-task basis. They ensure that healthcare providers receive accurate reimbursements by verifying patient information, coding procedures, and following up on claim statuses. Working independently, they may serve multiple clients, including hospitals, clinics, or private practices. This role requires knowledge of medical billing codes, insurance policies, and healthcare regulations. Freelancers typically set their own schedules and may work remotely.
To thrive as a Freelance Medical Claims Processor, you need a solid understanding of medical billing, insurance procedures, and medical terminology, often supported by experience in healthcare administration or a related certification. Familiarity with claims management software, electronic health record (EHR) systems, and HIPAA compliance is typically required. Strong organizational skills, attention to detail, and effective communication are important soft skills for ensuring accuracy and timely resolution of claims. These competencies help ensure claims are processed correctly, prevent costly errors, and enable successful remote collaboration with providers and insurers.
Freelance Medical Claims Processors often encounter challenges such as keeping up with evolving insurance regulations and payer requirements, which can vary between providers and states. Additionally, managing a diverse client base independently requires exceptional organizational skills and self-motivation, as well as the ability to troubleshoot claim denials and appeal rejected claims efficiently. Successfully communicating with healthcare providers, insurance companies, and patients, often remotely, can also be demanding. Staying current with industry updates and participating in ongoing training can help overcome these challenges and ensure continued success in the freelance environment.
The most popular types of Medical Claims Processor jobs in Baton Rouge, LA are:
For Freelance Medical Claims Processor jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Freelance Medical Claims Processor jobs in Baton Rouge, LA are:
Baton Rouge, LA โข Remote
Full-time
Posted 5 days ago
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
Sourced by ZipRecruiter
Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US