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Remote Fsa Claims Processor Jobs in Nebraska (NOW HIRING)

$93K - $110K/yr

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... process, contact hr@manulife.com. Referenced Salary Location USA, Massachusetts - Full Time Remote ...

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

Dental Customer Service Rep

Omaha, NE ยท Remote

$20 - $20.50/hr

... Remote Categories: Customer Service The Dental Customer Service Representative plays a key role in ... Stay current on dental terminology, benefit plans, regulations, and internal processes while ...

$20/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

New

$20/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

New

$20/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

New

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

Showing results 41-60

Remote Fsa Claims Processor information

What is a remote FSA claims processor?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

What skills and qualifications are needed to be a remote FSA claims processor?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

How does a remote FSA claims processor collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What are the most commonly searched types of Fsa Claims Processor jobs in Nebraska?

The most popular types of Fsa Claims Processor jobs in Nebraska are:

What are popular job titles related to Remote Fsa Claims Processor jobs in Nebraska?

For Remote Fsa Claims Processor jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Remote Fsa Claims Processor jobs in Nebraska look for?

The top searched job categories for Remote Fsa Claims Processor jobs in Nebraska are:

What cities in Nebraska are hiring for Remote Fsa Claims Processor jobs?

Cities in Nebraska with the most Remote Fsa Claims Processor job openings:

Remote Sr. Director of Operations

MDS Solutions

Omaha, NE โ€ข Remote

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 4 days ago


Job description

MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a full-time Senior Director of Operations.

Education:

โ€ขRequired: Graduate of an accredited college or university with a bachelor's in nursing

Experience:

โ€ขRequired: At least 5 years of clinical experience, with 3 or more years of experience with the RAI process

Licenses/Certificates:

โ€ขRequired: Current and unrestricted RN license in state(s) assigned

โ€ขRequired: RAC-CT certification upon hire or within 6 months of hire.

โ€ขRequired: Valid driver license and car insurance as required by state law.

โ€ขRequired: Other as required by federal, state and local standards

Other Requirements:

โ€ขProficient knowledge of PDPM and State Case Mix Reimbursement payment systems.

โ€ขProficient in CMS Five Star Quality Measures, and Quality RFeporting Program

โ€ขStrong knowledge in current Medicare and Managed Care requirements and federal, state, and local regulations that affect skilled clinical care delivery.

โ€ขAbility to work effectively with all persons and disciplines.

โ€ขAbility to clearly articulate the complexities of RAI assessments and care planning.

โ€ขAbility to monitor MDS Coordinators and CRSโ€™s to identify areas for growth and provide mentorship for growth, while maintaining accountability for standard operating   

  procedures and client outcomes.

โ€ขMust possess strong customer service skills to coordinate service delivery, including attention to clients, sensitivity to issues, identification and resolution of issues to promote positive client outcomes. Initiative, innovation, 

  and creativity required.

โ€ขMust have dynamic presentation skills and superior communication skills.

โ€ขMust have critical thinking skills with the ability to make good decisions and exercise sound clinical and professional judgment, with proven knowledge of quality

  improvement concepts and processes.


The Senior Director of Operations provides leadership and oversight to assigned Directors, MDS Coordinators and Clinical Reimbursement Specialists while partnering with facility leadership to drive reimbursement optimization, quality improvement, regulatory compliance, and operational excellence. The role combines direct consulting services with leadership responsibilities to ensure clients achieve measurable and sustainable results.
The Senior Director serves as a strategic partner to clients by identifying opportunities for improvement, developing action plans, providing education, and ensuring consulting recommendations translate into sustainable results. This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.


About Us:

At Key Rehab, weโ€™re shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. Weโ€™re all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.

We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in todayโ€™s healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.

Whether youโ€™re looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where youโ€™re valued and supported every step of the way.

We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:

  • Competitive salaries with bonus opportunities
  • Ample opportunities for promotion, transfer, and advancement
  • Work that is meaningful, fulfilling, and provides high job satisfaction
  • Reasonable working hours promoting work-life balance
  • Continuing education (CE) opportunities for ongoing professional development
  • Generous paid time off
  • Comprehensive health, dental, and life insurance packages
  • 401K with discretionary matching
  • Mileage and licensure reimbursements
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options