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Home Based Remote Claims Data Entry Jobs in Florida

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Crawford and Company

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... and data entry Keep information accurate, organized, and moving Be part of a team that values ...

Crawford & Company - América Latina

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... and data entry Keep information accurate, organized, and moving Be part of a team that values ...

Molina Healthcare

Examiner, Claims Location: FL

Miami, FL · Remote

$14 - $26.42/hr

Data entry and research skills. Organizational skills and attention to detail. Time-management ... Actual compensation may vary from posting based on geographic location, work experience, education ...

Molina Healthcare

Examiner, Claims Location: FL

Tampa, FL · Remote

$14 - $26.42/hr

Data entry and research skills. Organizational skills and attention to detail. Time-management ... Actual compensation may vary from posting based on geographic location, work experience, education ...

paradigm

Medical Cost Projection Analyst

Tampa, FL · Remote

... remote Medical Cost Projection Analyst. This position is responsible for supporting the Sr. Director of Risk Actuarial Services to ensure product profitability through the analysis of claims data and ...

paradigm

Medical Cost Projection Analyst

Tampa, FL · Remote

... remote Medical Cost Projection Analyst. This position is responsible for supporting the Sr. Director of Risk Actuarial Services to ensure product profitability through the analysis of claims data and ...

Stratford Davis

Home Based Sales Representative

Tampa, FL · Remote

$85K - $150K/yr

  • Medical

  • Life

We are adding a Remote Entry Level Sales Representative to our fully remote team. You will lead ... Total Remote Setup: Work from anywhere with reliable internet access. * Comprehensive Onboarding:

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All JobsHome Based Claims Data Entry JobsHome Based Remote Claims Data Entry JobsHome Based Remote Claims Data Entry Jobs in Florida

Home Based Remote Claims Data Entry information

What is the difference between Home Based Remote Claims Data Entry vs Home Based Remote Medical Billing Specialist?

AspectHome Based Remote Claims Data EntryHome Based Remote Medical Billing Specialist
CredentialsBasic data entry skills, high school diploma often requiredCertification in medical billing or coding preferred
Work EnvironmentRemote, computer-based, minimal interactionRemote, involves communication with insurance companies and providers
Industry UsageInsurance, healthcare administrationHealthcare providers, insurance companies
Job FocusEntering claims data accurately into systemsSubmitting and managing insurance claims, ensuring reimbursement

Home Based Remote Claims Data Entry primarily involves inputting claims information into databases, requiring basic computer skills. In contrast, Home Based Remote Medical Billing Specialists handle the entire billing process, often needing certifications and more industry-specific knowledge. Both roles are remote and industry-related but differ in complexity and responsibilities.

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Home Based Remote Claims Data Entry jobs near you

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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