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Remote Bcbs Jobs in Ohio (NOW HIRING)

Bcbsa

Financial Audit Senior Consultant

New Hampshire, OH · Remote

$104K/yr

Experience with BCBS Inter-Plan Programs and proficiency with Microsoft Office Suite. #LI-Remote The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for ...

Bcbsa

Financial Audit Senior Consultant

Delaware, OH · Remote

$110K/yr

Experience with BCBS Inter-Plan Programs and proficiency with Microsoft Office Suite. #LI-Remote The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for ...

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Remote Bcbs information

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$5

$18

$23

How much do remote bcbs jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote bcbs in Ohio is $18.40, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.67 per hour, depending on experience, location, and employer.

What does a Remote BCBS do?

In a Remote BCBS position, your day-to-day tasks usually include reviewing and processing insurance claims, responding to provider and member inquiries, and ensuring compliance with BCBS policies and healthcare regulations. You may also be responsible for resolving discrepancies, authorizing benefits, and documenting all actions in company systems. Most of your work is conducted independently, but you’ll frequently collaborate virtually with team members, supervisors, and other departments. This combination of individual focus and teamwork supports timely, accurate claims resolution and great member service.

What skills and qualifications are needed for a Remote BCBS?

To thrive as a Remote BCBS (Blue Cross Blue Shield) representative or claims analyst, you typically need a background in healthcare administration, insurance or medical billing, and a thorough understanding of BCBS policies and procedures. Familiarity with claims processing software, HIPAA regulations, and customer service platforms like Salesforce or Facets is commonly required, and certification in medical coding (e.g., CPC or CCS) can be a plus. Strong attention to detail, clear communication skills, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, regulatory compliance, and efficient issue resolution while working remotely.

What is a Remote BCBS?

A Remote BCBS job typically involves working for Blue Cross Blue Shield (BCBS) or a related healthcare organization in a remote capacity. These roles can include customer service, claims processing, medical coding, nursing, or IT support. Employees perform their duties from home while assisting members, providers, or internal teams. Strong communication skills, healthcare knowledge, and computer proficiency are often required.

What are the most commonly searched types of Bcbs jobs in Ohio? The most popular types of Bcbs jobs in Ohio are:
What are popular job titles related to Remote Bcbs jobs in Ohio? For Remote Bcbs jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Bcbs jobs in Ohio look for? The top searched job categories for Remote Bcbs jobs in Ohio are:
What cities in Ohio are hiring for Remote Bcbs jobs? Cities in Ohio with the most Remote Bcbs job openings:
Remote Bcbs jobs near you
Infographic showing various Remote Bcbs job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $38,265 per year, or $18.4 per hour.

Financial Audit Senior Consultant

Bcbsa

New Hampshire, OH • Remote

$104K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

This role is responsible for monitoring, analyzing, and auditing financial transactions of high complexity, and providing a leadership role. The role also evaluates compliance with regulations, develops corrective action plans, and delivers training to BCBSA and Plans. Additionally, the role involves acting as a resource and consultant on audit activities, developing programs, policies, and procedures to prevent abuse, and leading and supporting projects. The role frequently interacts with staff and management at varying levels within BCBSA, Plans, and a large banking institution.
  • Monitor, Analyze, and Evaluate Financial Transactions: Monitor, analyze, and evaluate assigned financial/accounting transactions and other financial data for accuracy, propriety, and compliance with policy requirements. Document and summarize activities and results in analyses and reports to department management.
  • Lead Financial Audits/Reviews: Lead approximately three to five financial audits/reviews per year (via desk or on-site) to determine the accuracy and propriety of Plans recorded financial transactions/reports and assess compliance with pertinent Policies. Supervise and train team members assigned to support these audits.
  • Evaluate Compliance and Develop Corrective Action Plans: Evaluate the level of compliance with applicable federal regulations, contractual requirements, and procedures at BCBSA and Plans. Maintain the BCBSA compliance plan and serve as the main point of contact for BCBSA and Plans financial and claims audits. Develop corrective action plans as needed.
  • Serve as Subject Matter Expert and Provide Training: Serve as subject matter expert for BCBSA financial policies and procedures regarding the audit process; instruct audit flow facilitation; analyze and assess audit trends, best practices, and risk; and develop an overall and effective audit program. Develop and present training to BCBSA and Plans as it relates to all types of audits.
  • Evaluate and Recommend Billing Rates: Evaluate Plan inter-Plan billing rate requests of high complexity levels and recommend rates to be approved to ensure billings/reimbursements between Plans are valid and for proper amounts.
  • Perform Complex Contract Administration Activities: Perform more complex activities relating to administration of the contract with a large banking institution and provide guidance to team members on their assignments. Ensure that BCBSA's transaction billings to Plans are correct and that the various transaction activity reports provided to the Plans meet their internal needs.

The posting range for this position is:

92,787.88 - 122,529.02


Qualifications:
Education

  • Required Bachelor's Degree in accounting, business, finance, or related field; or equivalent work experience

Experience

  • Required 5+ Years related work experience, including health insurance accounting, internal/financial auditing, general accounting, financial reporting, and project management


Knowledge Skills and Abilities

  • Effective written and verbal communication skills.
  • Demonstrated ability to build relationships with key resource people, whether internal or external.
  • Ability to train less experienced staff.
  • Advanced analytical skills and ability to frame issues and develop solutions.
  • Ability to work independently and manage time effectively.
  • Effective presentation skills and ability to adapt to changing priorities.
  • Intermediate knowledge of auditing, finance, and claims operations.
  • Advanced negotiation, analytical, and problem-solving skills.
  • Effective project management, interpersonal, and organizational skills.
  • Ability to develop and maintain business relationships and create strategies that support initiatives.


Certifications & Licenses

  • Preferred: Certified Public Accountant (CPA) - Various
  • Extra Posting Information:

    Minimum of five years of related work experience, including health insurance accounting, internal/financial auditing, general accounting, financial reporting, and project management. Experience with BCBS Inter-Plan Programs and proficiency with Microsoft Office Suite.

#LI-Remote

The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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