ZipRecruiter

Log In

2

Remote Fsa Claims Processor Jobs in Virginia (NOW HIRING)

Corvel

Workers' Compensation EDI Specialist I

Glen Allen, VA · On-site +1

$16.54 - $24.95/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITES * Prepare, review, and submit ... Understanding of workers' compensation claims processes and terminology. * Ability to interpret and ...

New

Brookfield

TEMP-Senior Medical Pricing Specialist

Richmond, VA · On-site +1

$37.66/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

In-Office or Remote Summary: We are looking for a highly capable Senior Medical Pricing Specialist ... Collaborate with Claims staff to optimize medical bill processing workflows and resolve ...

Sentara Health

Senior Business System Analyst - Remote

Richmond, VA · On-site +1

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate ... Experience in claims editing (Required). * NetworX Payment Bundling Administration (PBA), Optum ...

Sentara Health

Senior Business System Analyst - Remote

Richmond, VA · On-site +1

$10K/mo

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate ... Experience in claims editing (Required). * NetworX Payment Bundling Administration (PBA), Optum ...

Deloitte

Epic Denials Management Operator

Richmond, VA · Remote

$17.75 - $23.75/hr

... 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 ...

Deloitte

Epic Denials Management Operator

Rosslyn, VA · Remote

$20.50 - $27.25/hr

... 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 ...

Deloitte

Epic Denials Management Operator

Mclean, VA · Remote

$18.25 - $24.25/hr

... 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 ...

Sentara Health

IT Specialty Analyst - Remote

Virginia Beach, VA · Remote

$80K - $133K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... processes and decrease expenses. Possesses in-depth business / clinical and application knowledge ... Epic Claims certification or EPIC Charge Router certification can be considered with no ...

Sentara Health

IT Specialty Analyst - Remote

Virginia Beach, VA · Remote

$80K - $133K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... processes and decrease expenses. Possesses in-depth business / clinical and application knowledge ... Epic Claims certification or EPIC Charge Router certification can be considered with no ...

UHS

REMOTE OTP Counselor

Petersburg, VA · On-site +1

$25 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Flexible Spending Accounts (FSA) and Health Savings Account (HSA) * Company-paid life insurance ... During the recruitment process, no recruiter or employee will request financial or personal ...

NASA Federal Credit Union

Financial Advisor

Falls Church, VA · On-site +1

$45K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Processes incoming client mail, paperwork, and all other necessary aspects of account servicing ... Remote or Remote / Hybrid work options based on position * Life Insurance/AD&D+* * Vacation Leave ...

previous page

Showing results 41-60

All JobsFsa Claims Processor JobsRemote Fsa Claims Processor JobsRemote Fsa Claims Processor Jobs in Virginia

Remote Fsa Claims Processor information

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 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.

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.

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

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

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

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

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

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

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

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

Remote Fsa Claims Processor jobs near you

Workers' Compensation EDI Specialist I

Corvel

Glen Allen, VA • On-site, Remote

$16.54 - $24.95/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

85th of 150 rated financial services

Job description

CorVel is seeking an experienced and detail-oriented Workers' Compensation EDI Specialist to join our State Filing team. This position is responsible for the timely and accurate submission of First Reports of Injury (FROI) and Subsequent Reports of Injury (SROI) in compliance with state workers' compensation reporting requirements.
The ideal candidate will possess strong analytical and problem-solving skills, the ability to interpret state-specific EDI implementation guides and reporting matrices, and experience researching claim information to determine appropriate filing actions. This role requires a high level of accuracy, independent decision-making, and the ability to manage production expectations in a fast-paced environment.
Direct Workers' Compensation EDI experience is preferred but not required. We welcome candidates with transferable experience in insurance, claims, compliance, data analysis, or other detail-oriented roles who demonstrate strong problem-solving abilities, attention to detail, and the aptitude to learn complex state reporting requirements.
Successful candidates are naturally curious, analytical, and detail oriented. They enjoy researching complex issues, interpreting regulatory requirements, and ensuring accuracy in their work. They are comfortable working independently, communicating across departments, and balancing production expectations with compliance responsibilities.
This is a remote position.
ESSENTIAL FUNCTIONS AND RESPONSIBILITES
  • Prepare, review, and submit Workers' Compensation EDI FROI and SROI transactions utilizing vendor reporting platforms, including EBIX/WCIRS.
  • Analyze claim activity and documentation to determine appropriate filings based on state-specific reporting requirements.
  • Interpret state implementation guides, EDI reporting matrices, sequencing requirements, and jurisdictional filing rules.
  • Research workers' compensation claims within Corvel's Claim System, CareMC to obtain required filing information and validate data accuracy.
  • Review, investigate, and resolve EDI transaction errors, rejects, and acknowledgments to ensure timely acceptance by state agencies.
  • Monitor filing compliance and ensure reports are submitted within required state reporting deadlines.
  • Communicate with claims adjusters, account managers, and other internal stakeholders regarding missing or inaccurate claim information needed for reporting.
  • Utilize available resources, including CareMC, Corvel's claim system, SharePoint, state workers' compensation websites, and internal procedures to resolve filing issues.
  • Stay current on state reporting requirements, IAIABC standards, implementation guide updates, and industry best practices.
  • Maintain productivity and quality standards while balancing multiple priorities and deadlines.
  • Ensure compliance with HIPAA, privacy regulations, and company policies in all communications and work activities.
  • Perform additional duties as assigned.

KNOWLEDGE, SKILLS, & ABILITIES
  • Strong attention to detail and commitment to data accuracy.
  • Ability to analyze complex information and make sound filing decisions based on state reporting requirements.
  • Understanding of workers' compensation claims processes and terminology.
  • Ability to interpret and apply state-specific EDI implementation guides, reporting matrices, and sequencing requirements.
  • Strong critical thinking and problem-solving skills.
  • Experience researching and resolving reporting errors and data discrepancies.
  • Effective time management and prioritization skills in a production-based environment.
  • Ability to independently manage workload while meeting deadlines and performance expectations.
  • Strong verbal and written communication skills.
  • Proficiency with Microsoft Office Suite, particularly Outlook, Excel, and Word.
  • Ability to work effectively across multiple applications and systems in a paperless environment.
  • Strong organizational skills and adaptability in a changing regulatory environment.

EDUCATION & EXPERIENCE:
Required Qualifications:
  • High School Diploma, GED, or equivalent.
  • Minimum one (1) year of experience in an administrative, data entry, customer service, insurance, claims, compliance, or other detail-oriented role.
  • Demonstrated ability to work accurately in a fast-paced environment while managing multiple priorities and deadlines.

PREFERRED QUALIFICATIONS
  • Experience in Workers' Compensation claims, claims administration, insurance operations, EDI reporting, regulatory compliance, or a related field.
  • Knowledge of Workers' Compensation terminology, claim processes, and state reporting requirements.
  • Experience with First Reports of Injury (FROI), Subsequent Reports of Injury (SROI), EDI transactions, or electronic regulatory reporting.
  • Familiarity with IAIABC standards, state implementation guides, or reporting compliance requirements.
  • Experience researching and resolving data discrepancies, reporting errors, or rejected transactions.
  • Associate's degree or coursework in Business, Insurance, Healthcare Administration, Information Systems, or a related field is a plus, but not required.

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $16.54 - $24.95 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

What CorVel employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply