Raleigh, NC · Remote
$60 - $65/hr
Job Title: Facets Analyst Location: 100% Remote Duration: 12+ Months Mandatory Skills: Facets with claims knowledge is must Facets , US healthcare payer domain, claims processing, analytical skills ...
Quick apply
Raleigh, NC · Remote
$60 - $65/hr
Job Title: Facets Analyst Location: 100% Remote Duration: 12+ Months Mandatory Skills: Facets with claims knowledge is must Facets , US healthcare payer domain, claims processing, analytical skills ...
Raleigh, NC · On-site +1
$82K - $150K/yr
... remote arrangements for the ideal candidate. Responsibilities: * Responsible for handling ... Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of ...
Raleigh, NC · On-site +1
$82K - $150K/yr
... remote arrangements for the ideal candidate. Responsibilities: * Responsible for handling ... Within authority limit, thoroughly analyze, investigate, negotiate and resolve all levels of ...
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
Remote & Onsite) Team: Community Connect | UNC Health ISD Responsibilities: * Design, build, and ... Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps * Partner ...
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
Remote & Onsite) Team: Community Connect | UNC Health ISD Responsibilities: * Design, build, and ... Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps * Partner ...
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
Remote & Onsite) Team: Community Connect | UNC Health ISD Responsibilities: * Design, build, and ... Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps * Partner ...
Morrisville, NC · On-site +1
$41.45 - $59.58/hr
Remote & Onsite) Team: Community Connect | UNC Health ISD Responsibilities: * Design, build, and ... Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps * Partner ...
Raleigh, NC · On-site +1
$92K - $130K/yr
... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...
Raleigh, NC · On-site +1
$92K - $130K/yr
... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...
Raleigh, NC · On-site +1
$92K - $130K/yr
... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... Excellent coverage analysis skills with experience in drafting coverage position correspondence
Raleigh, NC · On-site +1
$92K - $130K/yr
... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... Excellent coverage analysis skills with experience in drafting coverage position correspondence
Raleigh, NC · On-site +1
$97K - $213K/yr
... remote arrangements for the ideal candidate. Responsibilities: * Interacts with attorneys for ... Exposure Analyses. * Collaborates closely with underwriters in assigned regions. * Reviews and ...
New
Raleigh, NC · On-site +1
$97K - $213K/yr
... remote arrangements for the ideal candidate. Responsibilities: * Interacts with attorneys for ... Exposure Analyses. * Collaborates closely with underwriters in assigned regions. * Reviews and ...
New
Raleigh, NC · On-site +1
$80K - $90K/yr
Analyze coverage as it relates to the facts and allegations of the claim. * Prepare Reservation of ... Maintain a high level of communication internally with Claims Management team and externally with ...
Quick apply
Raleigh, NC · On-site +1
$80K - $90K/yr
Analyze coverage as it relates to the facts and allegations of the claim. * Prepare Reservation of ... Maintain a high level of communication internally with Claims Management team and externally with ...
Morrisville, NC · On-site +1
$61K - $78K/yr
... remote. While there is no expectation of being in the office routinely, they will be required to ... Maintain and update rates within the Alliance Claims System (ACS) according to the applicable ...
Morrisville, NC · On-site +1
$61K - $78K/yr
... remote. While there is no expectation of being in the office routinely, they will be required to ... Maintain and update rates within the Alliance Claims System (ACS) according to the applicable ...
Raleigh, NC · Remote
Day in the Life of Practice Management Systems Analyst - Revenue Cycle & Claims Integration *Backgrounds with identifiable CareLogic and Waystar experience with be reviewed first. The Senior PM ...
Raleigh, NC · Remote
Day in the Life of Practice Management Systems Analyst - Revenue Cycle & Claims Integration *Backgrounds with identifiable CareLogic and Waystar experience with be reviewed first. The Senior PM ...
Morrisville, NC · On-site +1
$61K - $78K/yr
... remote. While there is no expectation of being in the office routinely, they will be required to ... Maintain and update rates within the Alliance Claims System (ACS) according to the applicable ...
Morrisville, NC · On-site +1
$61K - $78K/yr
... remote. While there is no expectation of being in the office routinely, they will be required to ... Maintain and update rates within the Alliance Claims System (ACS) according to the applicable ...
Raleigh, NC · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
New
Raleigh, NC · Remote
... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
New
Raleigh, NC · Remote
Primary Location: * Live anywhere that meets remote work requirements in the United States ... Proficiency using claims management software, databases, and related tools supporting claim ...
Raleigh, NC · Remote
Primary Location: * Live anywhere that meets remote work requirements in the United States ... Proficiency using claims management software, databases, and related tools supporting claim ...
Solid understanding of healthcare claims structures, terminology, utilization, and financial metrics (such as allowed and paid amounts). * Track record of creating recurring analytical reporting ...
New
Solid understanding of healthcare claims structures, terminology, utilization, and financial metrics (such as allowed and paid amounts). * Track record of creating recurring analytical reporting ...
New
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
REMOTE POSITION: Monday - Friday General Description of the Job Class Coordinate, prepare and ... Proactively monitor payor rules and regulations related to claims logic build and billing ...
REMOTE POSITION: Monday - Friday General Description of the Job Class Coordinate, prepare and ... Proactively monitor payor rules and regulations related to claims logic build and billing ...
Raleigh, NC · Remote
$17.50 - $23.25/hr
Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
Raleigh, NC · Remote
$17.50 - $23.25/hr
Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...
Morrisville, NC · On-site +1
$28.87 - $41.50/hr
... claims qualification. Demonstrate understanding of and ability to articulate 340B Program ... Remote Work Schedule: Day Job Location of Job: US:NC:Morrisville Exempt From Overtime: Exempt: Yes ...
Morrisville, NC · On-site +1
$28.87 - $41.50/hr
... claims qualification. Demonstrate understanding of and ability to articulate 340B Program ... Remote Work Schedule: Day Job Location of Job: US:NC:Morrisville Exempt From Overtime: Exempt: Yes ...
Raleigh, NC · Remote
$100K - $174K/yr
As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.
Raleigh, NC · Remote
$100K - $174K/yr
As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.
Raleigh, NC · Remote
$100K - $174K/yr
As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.
Raleigh, NC · Remote
$100K - $174K/yr
As Manager of Strategic Analytics Services, supporting the Claims Analytics group, you will lead end-to-end delivery of complex data pipelines that put analytics at the center of business processes.
$14.25 - $17.55
14% of jobs
$19.51 is the 25th percentile. Wages below this are outliers.
$17.55 - $20.84
19% of jobs
The median wage is $23.01 / hr.
$20.84 - $24.13
26% of jobs
$24.13 - $27.42
9% of jobs
$29.14 is the 75th percentile. Wages above this are outliers.
$27.42 - $30.72
13% of jobs
$30.72 - $34.01
11% of jobs
$34.01 - $37.30
2% of jobs
$37.30 - $40.60
2% of jobs
$40.60 - $43.89
1% of jobs
$43.89 - $47.18
2% of jobs
$47.18 - $50.47
1% of jobs
$14
$26
$50
A Remote Claims Analyst reviews and processes insurance claims from a remote location, ensuring accuracy, compliance, and adherence to company policies. They analyze claim details, verify documentation, and determine coverage eligibility. The role may also involve communicating with policyholders, healthcare providers, or other parties to gather necessary information. Strong analytical skills and knowledge of insurance regulations are essential for success in this position.
Excelling as a Remote Claims Analyst requires strong analytical skills, attention to detail, and a solid understanding of insurance policies and claims processes, typically supported by a relevant bachelor's degree or work experience in insurance or finance. Familiarity with claims management software (such as Guidewire or Xactimate), proficiency in Microsoft Office Suite, and knowledge of data security protocols are highly valuable, while certifications like AIC (Associate in Claims) can be advantageous. Outstanding organizational abilities, time management, strong written and verbal communication, and problem-solving skills help set top performers apart in this remote role. These competencies ensure accurate claim assessments, efficient remote collaboration, and high levels of customer satisfaction.
Remote Claims Analysts often encounter challenges such as managing a high volume of claims, communicating complex case details virtually, and staying organized without on-site supervision. To overcome these, successful analysts use robust task tracking systems, maintain proactive communication with colleagues and clients through digital channels, and regularly update their knowledge of industry practices. Time management and self-motivation are key to meeting deadlines in a remote work environment. Many employers also provide online training and resources to help analysts adapt and grow in their roles.
The most popular types of Claims Analyst jobs in Raleigh, NC are:
For Remote Claims Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
The top searched job categories for Remote Claims Analyst jobs in Raleigh, NC are:
Cities near Raleigh, NC with the most Remote Claims Analyst job openings:
$60 - $65/hr
Contractor
Posted 19 days ago
Job Title: Facets Analyst
Location: 100% Remote
Duration: 12+ Months
Job Description:
Mandatory Skills:
Facets with claims knowledge is must
Facets, US healthcare payer domain, claims processing, analytical skills, oracle pl sql
Good to have: .net
