Strong healthcare domain knowledge with deep understanding of ITS claims processing is a plus. * Deep Understanding Facets integration components and Data models. * Deep understanding of API ...
Strong healthcare domain knowledge with deep understanding of ITS claims processing is a plus. * Deep Understanding Facets integration components and Data models. * Deep understanding of API ...
Epic Denials Management Operator
Baltimore, MD · Remote
$18 - $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 ...
Epic Denials Management Operator
Baltimore, MD · Remote
$18 - $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 ...
Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...
Quick apply
Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...
Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...
Quick apply
Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...
Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...
Quick apply
Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...
Liability Specialist
Silver Spring, MD · On-site +1
$63K - $100K/yr
... claims for other jurisdictions. * Preferred candidate will work remote and can live near MD or DC ... Optimizes Work Processes (IC) * Instills Trust * Ensures Accountability * Job-Specific Knowledge
Liability Specialist
Silver Spring, MD · On-site +1
$63K - $100K/yr
... claims for other jurisdictions. * Preferred candidate will work remote and can live near MD or DC ... Optimizes Work Processes (IC) * Instills Trust * Ensures Accountability * Job-Specific Knowledge
Sr. Auto Appraiser - Field (Maryland)
Baltimore, MD · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...
Sr. Auto Appraiser - Field (Maryland)
Baltimore, MD · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...
Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or ...
Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or ...
Lead Healthcare Product Owner
Baltimore, MD · Remote
$72/hr
... Remote (must work Eastern Time core hours ) Type: Contract (~ 7 months , Possible extension ... Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ...
Quick apply
Lead Healthcare Product Owner
Baltimore, MD · Remote
$72/hr
... Remote (must work Eastern Time core hours ) Type: Contract (~ 7 months , Possible extension ... Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ...
Lead Healthcare Product Owner
Baltimore, MD · Remote
$72/hr
... Remote (must work Eastern Time core hours ) Type: Contract (~ 7 months , Possible extension ... Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ...
Quick apply
Lead Healthcare Product Owner
Baltimore, MD · Remote
$72/hr
... Remote (must work Eastern Time core hours ) Type: Contract (~ 7 months , Possible extension ... Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ...
Lead Healthcare Product Owner
Baltimore, MD · Remote
$72/hr
... Remote (must work Eastern Time core hours ) Type: Contract (~ 7 months , Possible extension ... Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ...
Quick apply
Lead Healthcare Product Owner
Baltimore, MD · Remote
$72/hr
... Remote (must work Eastern Time core hours ) Type: Contract (~ 7 months , Possible extension ... Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ...
Familiarity with claims systems, configuration processes, or policy governance. Knowledge, Skills and Abilities (KSAs) * Strong organizational and coordination skills across multiple teams and ...
Familiarity with claims systems, configuration processes, or policy governance. Knowledge, Skills and Abilities (KSAs) * Strong organizational and coordination skills across multiple teams and ...
(ii) Technical Program Manager / Technical Delivery Manager - FACETS
Baltimore, MD · Remote
$132K - $170K/yr
Hybrid - Both on-site and remote. Schedule: 40 hours/week (EST) JOB OVERVIEW We are seeking an ... Familiarity with healthcare operations, claims processing, and payer technology platforms. System ...
Quick apply
(ii) Technical Program Manager / Technical Delivery Manager - FACETS
Baltimore, MD · Remote
$132K - $170K/yr
Hybrid - Both on-site and remote. Schedule: 40 hours/week (EST) JOB OVERVIEW We are seeking an ... Familiarity with healthcare operations, claims processing, and payer technology platforms. System ...
Outside Property Associate Claim Representative
Silver Spring, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Silver Spring, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Bodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote)
Baltimore, MD · Remote
The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific ...
Bodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote)
Baltimore, MD · Remote
The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific ...
Outside Property Associate Claim Representative
Bowie, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Bowie, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Laurel, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Laurel, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Largo, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Largo, MD · Remote
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Largo, MD · On-site +1
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Outside Property Associate Claim Representative
Largo, MD · On-site +1
$52K - $86K/yr
... processes, systems, and procedures, including virtual, classroom, and on-the-job training ... Review, investigate, and document 1st party property claims under close supervision. * Gather ...
Remote Fsa Claims Processor information
See Baltimore, MD salary details
$11.94 - $13.25
2% of jobs
$13.25 - $14.55
6% of jobs
$14.55 - $15.85
9% of jobs
$16.53 is the 25th percentile. Wages below this are outliers.
$15.85 - $17.15
14% of jobs
$17.15 - $18.46
18% of jobs
The median wage is $18.50 / hr.
$18.46 - $19.76
17% of jobs
$20.48 is the 75th percentile. Wages above this are outliers.
$19.76 - $21.06
16% of jobs
$21.06 - $22.37
7% of jobs
$22.37 - $23.67
4% of jobs
$23.67 - $24.97
4% of jobs
$24.97 - $26.27
2% of jobs
$11
$19
$26
How much do remote fsa claims processor jobs pay per hour?
What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?
| Aspect | Remote Fsa Claims Processor | Remote Health Insurance Claims Processor |
|---|---|---|
| Certifications | Typically requires knowledge of FSA regulations, basic insurance processing certifications | Requires understanding of health insurance policies, claims processing certifications |
| Work Environment | Remote, administrative setting handling FSA claims | Remote, administrative setting handling health insurance claims |
| Industry Usage | Common in benefits administration, HR departments | Common 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?
What is a remote FSA claims processor?
How does a remote FSA claims processor collaborate with other departments while working virtually?

Other
Retirement
Re-posted 21 days ago
CareFirst BlueCross BlueShield rating
7.3
Based on 31 frontline employees who took The Breakroom Quiz
234th of 301 rated insurance
Job description
Resp & Qualifications
PURPOSE:
Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, codes, tests, develops, and documents application programs for computer systems. Works with end-users and project stakeholders to define system scope and objectives. Manages modifications to and maintenance of operational programs and procedures. Leads stakeholder and product owner meetings to define software requirements and creates highly complex systems. Acts as a mentor to junior engineers
ESSENTIAL FUNCTIONS:
- Lead a team of software engineers in the design, development, and implementation of multiple applications. Performs and leads the detail technical design, coding, code review and testing of new applications and enhancements of existing applications. Serves as a subject matter expert for specified systems and their subsequent applications. Develop and/or analyze interface design documentation. Comply with hardware and software systems standards and procedures. Deliver large systems for tens of thousands of users. Ensures compliance to the dev/sec/ops practices and policies. Understanding of architectural practices and design.
- Identifies gaps in requirements and solves problems for the supporting staff. Identifies sequencing of services and technologies that are integrated in later phases of the project. Leads the evaluation of risk and opportunity impacts to existing or proposed projects/programs and implements risk mitigation actions. Develops ways to improve performance and increase system availability. Provides recommendations to infuse new technology. Compile, assess, and report data results from software testing and analysis.
- Supports the Project Manager as the technical team lead on the project. Estimates the technical costs of projects for clients and project managers. Confers with clients to identify requirements and determine desired outcomes to formulate the design of the system or offer alternatives. Demonstrated experience with front-end and back-end programing and integration frameworks and tools. Assist in the estimation of development of application features.
- Leads software design and development teams. Identifies, analyzes, defines, and coordinates user, customer, and stakeholder needs and translates them into technical requirements. Manages technical resources (hardware, software, licenses, and services). Plans and leads transformation initiatives to new software architectures. Extend open-source libraries and systems as necessary to meet the needs of the team. Play a crucial role in product scoping and roadmap / architecture discussions. Continually evaluate emerging technologies to identify opportunities, trends, and best practices. Ensure code quality, deployment standards and practices. Mentoring junior developers.
SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.
QUALIFICATIONS:
Education Level: Bachelor's Degree in Information Technology or Computer Science OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 8 years Software design and development, software test and evaluation, software requirements management.
Knowledge, Skills and Abilities (KSAs)
- Strong healthcare domain knowledge with deep understanding of ITS claims processing is a plus.
- Deep Understanding Facets integration components and Data models.
- Deep understanding of API/Microservices, Facets FXI services.
- Ability to troubleshoot Facets core Batch and Surround ETL jobs.
- Knowledge of database technologies mainly Oracle and SQL server.
- Good understanding of Facets Membership and Claims architecture.
- Knowledge of programming languages (e.g. JavaScript, C, Python, etc.).
- Knowledge of Java programming.
- Knowledge on Microservices.
- Basic knowledge of IBM MQ is a plus.
- Basic knowledge of mainframe (AS400) formats and technologies is a plus.Works closely with Architects, Product Owners, Scrum Masters, and Value Stream Managers to provide insight into delivering business value and meeting objectives.
- Decomposes functional and technical requirements into project activities and tasks and provides conceptual design, prototype, and test cycles appropriate to a chosen technical solution.
- Identifies technical risks and develops mitigation strategies; introduces and recommends industry best practices and standards for the project.
- Evaluates and assists in the selection and procurement of hardware and software technologies and serves as a mentor for junior developers.
- Work with stakeholders as well as technical and analytical counterparts to define constraints and develop requirements and concept of operations documentation.
- Knowledge of cloud technologies ( e.g. AWS, Azure).
- Knowledge of database technologies (e.g. cloud, SQL, Oracle, Mongo DB, PostgreSQL, etc.).
- Knowledge of software engineering best practices, agile methodologies, CI/CD pipelines.
- Knowledge of test-first practices including Test-Driven Development (TDD) for unit tests and Behavior-Driven Development (BDD) for automated acceptance tests.
- Experience with Deployment/Continuous Integration/ Continuous Testing/ Continuous Delivery processes and tools and have expertise in CI/CD tools and framework.
- Experience with deploying a global application and configuration management.
- Reviewing the work of other developers and providing feedback.
- Ability to communicate technical requirements to all levels of expertise.
- Proficient in establishing and maintaining good working relationships.
- Knowledge and understanding of software development life cycle (SDLC).
- Proficient with integrating complex and/or existing systems.
- Participate in Agile ceremonies such as sprint planning, backlog refinement, and retrospective.
- Excellent communication skills both written and verbal.
Salary Range: 115,128 - 228,657
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
#LI-MK1
What CareFirst BlueCross BlueShield employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom