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Remote Eligibility Analyst Jobs (NOW HIRING)

Conduent, Inc.

Medicaid Eligibility Specialist

KS · Remote

$17.75/hr

Medicaid Eligibility Specialist Position is remote and individual must reside in Kansas Start date ... Analyze the initial applications and reviews (for Family Medical programs) and supporting ...

OU Health

Professional Coding Specialist II

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their ... Analytical problem solving for denial/edits prevention; ability to identify documentation ...

Pinion

Manager - National Tax Office

Loveland, CO · Remote

$114K - $149K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Pinion

Manager - National Tax Office

Billings, MT · Remote

$109K - $143K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Pinion

Manager - National Tax Office

Chico, CA · Remote

$112K - $148K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Pinion

Manager - National Tax Office

Missoula, MT · Remote

$109K - $144K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Pinion

Manager - National Tax Office

Jackson, MO · Remote

$96K - $127K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Navitus Health Solutions, LLC

Coordinator, Eligibility

$39K - $47K/yr

Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New ... Uses sound business judgment and expertise to contribute toward the creation of root cause analysis ...

New

Pinion

Manager - National Tax Office

Butte, MT · Remote

$107K - $141K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Pinion

Manager - National Tax Office

Sacramento, CA · Remote

$118K - $155K/yr

Lead entity choice analysis and cash flow optimization strategies for clients and internal ... Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at ...

Humana, Inc.

In Home Eligibility Lead

$115K - $158K/yr

The Eligibility Lead partners closely with IHWA operations, Stars, analytics, IT, and external ... data analytics, or a related field Remote-Work-At-Home Requirements To ensure Work-at-Home ...

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All JobsRemote Eligibility Analyst Jobs

Remote Eligibility Analyst information

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$31K

$73.3K

$130K

How much do remote eligibility analyst jobs pay per year?

As of Jun 14, 2026, the average yearly pay for remote eligibility analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Eligibility Analyst vs Remote Benefits Coordinator?

AspectRemote Eligibility AnalystRemote Benefits Coordinator
Required CredentialsHigh school diploma or equivalent; some roles may require certifications in eligibility or insuranceHigh school diploma; certifications in benefits administration or HR are common
Work EnvironmentRemote, often within healthcare, insurance, or government sectorsRemote, primarily in HR, insurance, or corporate settings
Employer & Industry UsageInsurance companies, healthcare providers, government agenciesCorporations, insurance firms, HR departments
Search & Comparison IntentUnderstanding eligibility verification and approval processesManaging employee benefits and enrollments

The main difference is that Remote Eligibility Analysts focus on verifying and determining individual eligibility for services or benefits, while Remote Benefits Coordinators handle employee benefits administration and communication. Both roles are remote, require similar certifications, and are used across healthcare, insurance, and corporate sectors, but they serve distinct functions within the benefits process.

What cities are hiring for Remote Eligibility Analyst jobs? Cities with the most Remote Eligibility Analyst job openings:
What are the most commonly searched types of Eligibility Analyst jobs? The most popular types of Eligibility Analyst jobs are:
What states have the most Remote Eligibility Analyst jobs? States with the most job openings for Remote Eligibility Analyst jobs include:
Remote Eligibility Analyst jobs near you

Pediatric Professional Coding Specialist III

OU Medical Center

Tulsa, OK • Remote

Full-time

Medical, Dental, Retirement, PTO

Posted 3 days ago

Job description

Position Title:Pediatric Professional Coding Specialist IIIDepartment:Revenue IntegrityJob Description:Ask your recruiter about our competitive wages and total rewards package!

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment.

This position will be responsible for overseeing pediatric areas for coding assistance, including follow-up, as well as fielding staff questions around pediatric billing in general.

General Description

Senior subject matter expert responsible for the most complex pro fee coding portfolios and serving as a functional team lead through mentoring, training, and escalation support. Ensures compliant coding, high audit defensibility, and stable production across multisetting pro fee services in an academic, multispecialty and research enterprise.

Essential Job Duties

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.

  • Code and resolve the most complex, highrisk professional encounters including specialtyspecific procedures, highdollar services, complex modifier scenarios, and telehealth exceptions.

  • Serve asan escalationresource for coding disputes, payer policy conflicts, and documentation challenges;providedefinitive guidance consistent with coding standards.

  • Support training and mentoring of Coding Specialists I-II;assistwith onboarding, competency development, job aid creation, and informal inservice education.Ability to teach and coach peers; translate guidelines into practical, consistent coding decisions and training artifacts.

  • Contribute to coding quality management through audits and trend analysis; recommend process improvements and targeted education based on findings.High autonomy, prioritization skills, and risk ownership for auditsensitive services and complex claims.

  • Partner with clinical leadership and compliance to support documentation improvement and mitigate coding/audit risk; support consistent query practices.

  • Expert coding knowledge across assigned specialties and settings; advanced modifier and payer policy interpretation; strong documentationstandardexpertise.

  • Strong analytical and communication skillsto influencedocumentation improvement and reduce downstream denials.

General Job Duties

  • Performs other duties as assigned

Minimum Requirements

Education: High School diploma or GED required.

Experience: At least 5 years of experience of physician/provider coding required.

Certification/License/Registration: CPC or CCS-P required - Additional specialty credential required such as CPMA, CEMC, CRC or other specialty credentials (e.g. COPC, CEDC, CGIC, CIRCC or other)

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Current OU Health Employees - Please click HERE to login.OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

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