ZipRecruiter

Log In

2

Remote Claim Reviewer Jobs in Ohio (NOW HIRING)

previous pagenext page

Showing results 21-40

All JobsClaim Reviewer JobsRemote Claim Reviewer JobsRemote Claim Reviewer Jobs in Ohio

Remote Claim Reviewer information

What is the difference between Remote Claim Reviewer vs Remote Claims Processor?

AspectRemote Claim ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance or data entry skills
Work EnvironmentHome-based, independent review settingHome-based, processing claims and data entry
Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search IntentComparing roles involving claim review and evaluationRoles focused on processing and data entry of claims

The main difference is that Remote Claim Reviewers evaluate and assess insurance claims for accuracy and validity, often requiring insurance knowledge. Remote Claims Processors handle the entry and processing of claims, focusing on data entry and administrative tasks. Both roles are remote and industry-specific but differ in responsibilities and skill requirements.

What are the most commonly searched types of Claim Reviewer jobs in Ohio?

The most popular types of Claim Reviewer jobs in Ohio are:

What are popular job titles related to Remote Claim Reviewer jobs in Ohio?

For Remote Claim Reviewer jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Remote Claim Reviewer jobs in Ohio look for?

The top searched job categories for Remote Claim Reviewer jobs in Ohio are:

Remote Claim Reviewer jobs near you

Pharmacy Adjudication/Reimbursement Specialist - Immediate Opening

Absolute Companies

Green, OH • Remote

$18.50 - $25.25/hr

Full-time

Medical, Dental, PTO

Re-posted 19 days ago

Job description

Pharmacy Adjudication / Reimbursement In Office Specialist

Position Summary
We are seeking a detail-oriented and motivated Pharmacy Adjudication / Reimbursement Specialist to join our Long Term Care Pharmacy team. This role is essential in ensuring accurate billing and reimbursement for prescriptions by verifying patient and insurance information, resolving claim issues, and maintaining compliance with payer regulations and guidelines. The ideal candidate thrives in a fast-paced environment and is committed to delivering high-quality service.

Benefit Package includes comprehensive medical, dental insurance along with earned Paid Time off and Holidays. Shift differential after 5pm additional wage added.

Schedule

  • Full-Time Position

  • shift's available: 10:00am-6:30pm or 1:00pm 9:30pm

  • Sundays Half shift 7pm-11pm remote

  • Saturdays 1 every 3 -4 weeks 9am-5:30pm remote

Qualifications

  • State registration required

  • Pharmacy Technician Certification required within 1 year of hire

  • Strong attention to detail and organizational skills

  • Excellent written and verbal communication skills

  • Ability to multitask and manage competing priorities

  • Self-motivated with the ability to work both independently and as part of a team

  • Basic proficiency in Microsoft Word and Excel

Key Responsibilities

  • Verify patient demographics and insurance information for accuracy

  • Submission of claims to Insurance Companies electronically

  • Perform insurance verifications and eligibility checks

  • Handle inbound and outbound calls with facilities, guarantors, and insurance companies

  • Initiate and follow up on prior authorizations

  • Review and respond to insurance audit requests

  • Investigate and resolve insurance and Medicaid rejections

  • Maintain accurate documentation of all billing activities

  • Perform other duties as assigned

What You’ll Bring to the Team
As a Reimbursement Specialist, you will play a vital role in supporting our mission by ensuring accurate, timely billing and exceptional customer service. You will collaborate closely with team members to promote quality outcomes, operational efficiency, and overall employee satisfaction.

Why Join Us?

  • Supportive team environment

  • Opportunity for growth and certification

  • Meaningful work that impacts patient care behind the scenes

If you are a dedicated professional looking to grow your career in pharmacy reimbursement and billing, we encourage you to apply!

Apply