ZipRecruiter

Log In

2

Medicaid Claims Processing Remote Jobs in Utah (NOW HIRING)

Ccfs

Risk Claims Manager

Salt Lake City, UT · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Deloitte

Epic Denials Manager

Salt Lake City, UT · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

next page

Showing results 1-20

All JobsMedicaid Claims Processing JobsMedicaid Claims Processing Remote JobsMedicaid Claims Processing Remote Jobs in Utah

Medicaid Claims Processing Remote information

What is Medicaid claims processing remote?

Medicaid Claims Processing Remote refers to the job of reviewing, analyzing, and processing Medicaid insurance claims from a location outside of a traditional office, often from home. Professionals in this role ensure that claims are accurate, complete, and comply with Medicaid regulations before approving or denying payment. Remote workers use specialized software to access claim information securely and may communicate with healthcare providers and patients to gather additional details. This job requires attention to detail, knowledge of Medicaid policies, and the ability to work independently. Remote claims processors play a crucial role in ensuring the timely and accurate reimbursement of healthcare services for Medicaid recipients.

What are the key skills and qualifications needed to thrive as a Medicaid claims processing remote professional?

To thrive in a Medicaid Claims Processing Remote role, you need a solid understanding of medical billing, coding, and Medicaid regulations, typically supported by experience in healthcare administration or claims processing. Familiarity with claims management software, medical coding systems (such as ICD-10 or CPT), and electronic data interchange (EDI) platforms is essential. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for accuracy and collaboration. These skills ensure timely and accurate processing of claims, compliance with regulations, and effective resolution of claim issues in a remote environment.

What are some common challenges faced in a remote Medicaid claims processing position, and how can they be managed?

Working remotely as a Medicaid Claims Processor can present challenges such as staying up-to-date with changing regulations, maintaining attention to detail when reviewing large volumes of claims, and ensuring secure handling of sensitive patient data. To manage these challenges, it's important to regularly participate in team training sessions, utilize checklists or claim management software to minimize errors, and follow strict data security protocols. Open communication with supervisors and colleagues through virtual platforms also helps in resolving complex claims and staying connected with team goals.

What are popular job titles related to Medicaid Claims Processing Remote jobs in Utah?

For Medicaid Claims Processing Remote jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Medicaid Claims Processing Remote jobs in Utah look for?

The top searched job categories for Medicaid Claims Processing Remote jobs in Utah are:

What cities in Utah are hiring for Medicaid Claims Processing Remote jobs?

Cities in Utah with the most Medicaid Claims Processing Remote job openings:

Medicaid Claims Processing Remote jobs near you
Infographic showing various Medicaid Claims Processing Remote job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Workers Compensation Claims Team Lead | CA license (Remote)

Salt Lake City, UT • Remote

Sedgwick

7.6

Company rating: 7.6 out of 10

Based on 327 frontline employees who took The Breakroom Quiz

215th of 315 rated insurance

Good employer

Recommended by students

Paid breaks

Learn more about Sedgwickexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Team Lead | CA or NV license (Remote)

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply yourWorkers Compensation &supervisoryknowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE?To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.

PRIMARY PURPOSE OF THE ROLE:We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Manages the litigation process; ensures timely and cost-effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Leads team meetings and assigns accountability for follow-up items.
  • Gathers important compliance/claims processing information to be presented at team meetings.
  • Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager.
  • Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports.

        SUPERVISORY RESPONSIBILITIES

        • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
        • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
        • Provides support, guidance, leadership, and motivation to promote maximum performance.

        QUALIFICATIONS

        Education & Licensing:5years of claims management experience or equivalent combination of education and experience required.

        High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

        Professional certification as applicable to line of business preferred.

        Jurisdiction Knowledge/Licensing: CA

        TAKING CARE OF YOU

        • Flexible work schedule.
        • Referral incentive program.
        • Career development and promotional growth opportunities.
        • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

        WORK ENVIRONMENT REQUIREMENTSINCLUDE
        When applicable and appropriate, consideration will be given to reasonable accommodations.

        Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

        Physical:Computer keyboarding

        Auditory/Visual: Hearing, vision and talking

        As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is(100k-115k). A comprehensive benefits package is offeredincludingbut not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

        #claimsexaminer#claims#LI-REMOTE

        Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

        Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

        If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

        What Sedgwick employees say

        Pay

        Benefits

        Hours and flexibility

        Workplace

        Get the full story on Breakroom

        Apply