Claims Specialist
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... Assist with matters involving internal-audit findings, provider-status changes, and system errors ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... Assist with matters involving internal-audit findings, provider-status changes, and system errors ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... Assist with matters involving internal-audit findings, provider-status changes, and system errors ...
This role is eligible for fully remote work How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver ...
This role is eligible for fully remote work How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Verify and update provider demographics, this information, and assist with status updates. * As ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Verify and update provider demographics, this information, and assist with status updates. * As ...
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · On-site +1
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · On-site +1
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · On-site +1
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · On-site +1
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · Remote
$29K - $41K/yr
In this role, you will assist healthcare professionals with billing requirements, policy questions ... Familiarity with medical claims processing or review preferred What you should expect in this role
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... * Assist in SCA Strategy. * Responsible for building, nurturing, and maintaining positive working ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... * Assist in SCA Strategy. * Responsible for building, nurturing, and maintaining positive working ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... * Assist in SCA Strategy. * Responsible for building, nurturing, and maintaining positive working ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... * Assist in SCA Strategy. * Responsible for building, nurturing, and maintaining positive working ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
$34.19 - $40.20/hr
Advise and assist in establishing a range of fair market values to be used in the acquisition of ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Baton Rouge, LA · On-site +1
$34.19 - $40.20/hr
Advise and assist in establishing a range of fair market values to be used in the acquisition of ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Baton Rouge, LA · Remote
This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement
Baton Rouge, LA · Remote
This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement
$13.39 - $14.65
4% of jobs
$14.65 - $15.91
6% of jobs
$15.91 - $17.16
14% of jobs
$17.25 is the 25th percentile. Wages below this are outliers.
$17.16 - $18.42
12% of jobs
The median wage is $19.27 / hr.
$18.42 - $19.68
21% of jobs
$19.68 - $20.94
14% of jobs
$21.43 is the 75th percentile. Wages above this are outliers.
$20.94 - $22.20
12% of jobs
$22.20 - $23.46
5% of jobs
$23.46 - $24.72
4% of jobs
$24.72 - $25.98
4% of jobs
$25.98 - $27.24
4% of jobs
$13
$20
$27
For Remote Claims Assistant jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Remote Claims Assistant jobs in Baton Rouge, LA are:
Cities near Baton Rouge, LA with the most Remote Claims Assistant job openings:

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
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Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US