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Remote Case Management Processor Jobs in Georgia

Oscar Health

Associate, Process Optimization

Atlanta, GA · Remote

$87K - $114K/yr

You will report into Senior Manager, Process Improvement. Work Location: This is a remote position ... edge case mitigation, and on-time completion. * Evaluates overall departmental performance by ...

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Remote Case Management Processor information

What is the difference between Remote Case Management Processor vs Remote Claims Processor?

AspectRemote Case Management ProcessorRemote Claims Processor
CredentialsTypically requires case management certifications or healthcare-related credentialsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare or social services settings, remote or office-basedInsurance companies, healthcare providers, remote or office-based
Industry UsageHealthcare, social services, insuranceInsurance, healthcare, financial services
Job FocusManaging patient or client cases, coordinating servicesProcessing insurance claims, verifying coverage

While both roles involve processing information remotely, the Remote Case Management Processor focuses on managing client cases and coordinating services, often in healthcare or social services. In contrast, the Remote Claims Processor primarily handles insurance claims, verifying coverage and processing payments. Understanding these differences helps job seekers identify the right role based on their credentials and career interests.

What cities in Georgia are hiring for Remote Case Management Processor jobs?

Cities in Georgia with the most Remote Case Management Processor job openings:

Remote Case Management Processor jobs near you

Remote Staff Attorney - OrderID: 4282

Atlanta, GA • Remote

On Call Counsel
Legal Services • 51 - 200 employees
Learn more about On Call Counselexternal

$42.59 - $44.63/hr

Other

Re-posted 14 days ago

Job description

Hearing Representative - Special Education Claims
 

Background on the Project:

A prestigious government agency is addressing the backlog of special education claims in New York City to ensure timely and fair resolution of disputes between parents and the city regarding educational plans for children with special needs. Recent rulings have emphasized the need for faster resolution of these claims and improvements in special education services and payment processes. This initiative requires dedicated attorneys to join the team and play a critical role in managing a high volume of cases and driving claims through the administrative process.

Role Overview:

Our client is seeking contract attorneys barred and in good standing in any state with 1+ years of litigation experience to Work Remotely on a 1 plus year assignment. As a Hearing Representative, you will represent our client throughout the entire special education claims process—from intake to resolution or settlement.

Pay Rates:

  • 1 to 7 years of experience: $41.75/hour
  • 7+ years of experience: $43.75/hour

Key Responsibilities:

  • Case Management: Manage a high-volume caseload of 100–200 special education claims, ensuring timely and effective handling.
  • Representation: Prepare for and/or litigate complex cases involving significant legal precedents, policy implications, or financial impact. Represent the agency in administrative hearings, pre-hearing conferences, and settlement negotiations.
  • Administrative Process: Navigate procedural requirements and ensure compliance with federal and state education laws and regulations.
  • Documentation: Prepare and review all necessary filings, agreements, and reports with accuracy and thoroughness.
  • Settlement Negotiation: Work with parents, public advocacy groups, and opposing counsel to reach fair resolutions while negotiating claims for attorney’s fees.
  • Training and Collaboration: Collaborate with special education specialists, technical experts, and attorneys; provide training to field staff and clinical staff on compliance with education laws.
  • Research and Compliance: Analyze case law, gather evidence, and evaluate settlement demands. Provide guidance on compliance obligations to parents and students under hearing orders.

Required Qualifications:

  • Bar Admission: Active bar license in good standing in any U.S. state.
  • Litigation Experience: Minimum of 1+ years of recent litigation experience (more preferred).
  • Tech Savvy: Strong proficiency in Microsoft Office Suite and ability to troubleshoot basic technical issues.
  • Caseload Management: Proven ability to manage 100–200 cases concurrently.
  • Timekeeping: Ability to log activities in 15-minute increments throughout the workday.
  • Remote Work Skills: Dedicated workspace, reliable Wi-Fi, and comfort with virtual tools like Microsoft Teams and Outlook.
  • Schedule Flexibility: Willingness to accommodate early morning hearings and work within Eastern Time Zone hours (7 AM–7 PM).
  • Preferred Experience: Administrative Law, IEP/Special Education, Experience working for a government agency, Public Interest work, Settlement experience.

We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.