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Remote Claims Processor Night Shift Jobs in Florida

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · Remote

$67K - $70K/yr

... remote Claims Force team. As a Full-Service Reviewer, you will be responsible for reviewing ... Monitor trends and performance indicators to help identify training opportunities or process ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Upon successful completion of training, employees will transition to an eight-hour work shift ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Upon successful completion of training, employees will transition to an eight-hour work shift ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Upon successful completion of training, employees will transition to an eight-hour work shift ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Upon successful completion of training, employees will transition to an eight-hour work shift ...

USAA

Manager, Claims Operations - Property Claims

Tampa, FL · On-site +1

$103K - $186K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Execute process improvements, provides feedback on the process and leads organizational process ...

USAA

Manager, Claims Operations (Subrogation)

Tampa, FL · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Executes process improvements, provides feedback on the process and leads organizational process ...

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All JobsClaims Processor JobsRemote Claims Processor Night Shift JobsRemote Claims Processor Night Shift Jobs in Florida

Remote Claims Processor Night Shift information

What is the difference between Remote Claims Processor Night Shift vs Remote Claims Processor Day Shift?

FeatureRemote Claims Processor Night ShiftRemote Claims Processor Day Shift
Work HoursTypically overnight, 10 PM - 6 AMStandard daytime hours, 8 AM - 4 PM
Work EnvironmentRemote, quiet, and less crowdedRemote, often busier during daytime hours
Required CredentialsSame certifications, e.g., claims processing certificationSame certifications as night shift
Employer & IndustryInsurance companies, healthcare providersInsurance companies, healthcare providers

The main difference between Remote Claims Processor Night Shift and Day Shift is the working hours. Night shift roles involve overnight hours, which may suit those who prefer working during quieter hours. Both shifts require similar credentials and are employed in the same industry, offering flexibility based on personal preference or schedule needs.

What are popular job titles related to Remote Claims Processor Night Shift jobs in Florida? For Remote Claims Processor Night Shift jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor Night Shift jobs in Florida look for? The top searched job categories for Remote Claims Processor Night Shift jobs in Florida are:
What cities in Florida are hiring for Remote Claims Processor Night Shift jobs? Cities in Florida with the most Remote Claims Processor Night Shift job openings:
Remote Claims Processor Night Shift jobs near you

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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