Mishawaka, IN · Remote
$16.75 - $21.50/hr
... reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining ... remote work environment • Proficient computer skills including Microsoft Outlook, Excel, and ...
Mishawaka, IN · Remote
$16.75 - $21.50/hr
... reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining ... remote work environment • Proficient computer skills including Microsoft Outlook, Excel, and ...
Plymouth, IN · Remote
$16.50 - $21.25/hr
... reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining ... remote work environment • Proficient computer skills including Microsoft Outlook, Excel, and ...
Plymouth, IN · Remote
$16.50 - $21.25/hr
... reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining ... remote work environment • Proficient computer skills including Microsoft Outlook, Excel, and ...
Indianapolis, IN · On-site +1
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...
Indianapolis, IN · On-site +1
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database users' needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$63K - $81K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Indianapolis, IN · Remote
$63K - $81K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Indianapolis, IN · Remote
$63K - $81K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Indianapolis, IN · Remote
$63K - $81K/yr
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Indianapolis, IN · On-site +1
$10K - $20K/wk
... review their needs. Prepare Personalized Solutions (4-5 hrs/week) Analyze client information to ... Manage Follow-Up (2 hrs/week) Coordinate with insurance carriers and support clients through the ...
Indianapolis, IN · On-site +1
$10K - $20K/wk
... review their needs. Prepare Personalized Solutions (4-5 hrs/week) Analyze client information to ... Manage Follow-Up (2 hrs/week) Coordinate with insurance carriers and support clients through the ...
Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... review, production, and distribution. * Contribute to strategic communication plans, stakeholder ...
Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... review, production, and distribution. * Contribute to strategic communication plans, stakeholder ...
Indianapolis, IN · Remote
$20 - $22/hr
Remote (Candidates must reside in FL, GA, IN, KY, MS, MO, NC, OH, SC, or TX) Compensation: $20.00 ... Review denials, identify root causes, and submit appropriate appeals * Research claim activity and ...
Quick apply
Indianapolis, IN · Remote
$20 - $22/hr
Remote (Candidates must reside in FL, GA, IN, KY, MS, MO, NC, OH, SC, or TX) Compensation: $20.00 ... Review denials, identify root causes, and submit appropriate appeals * Research claim activity and ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database user needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database user needs to estimate time and cost required to ...
Indianapolis, IN · On-site +1
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database user needs to estimate time and cost required to ...
Indianapolis, IN · On-site +1
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database user needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database user needs to estimate time and cost required to ...
Indianapolis, IN · Remote
$48 - $65/hr
... and utilization of electronic data processing systems for product and commercial software ... Review project requests describing database user needs to estimate time and cost required to ...
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ... Review and interpret commercial insurance policies and accordingly communicate coverage issues ...
Indianapolis, IN · Remote
$200K - $300K/yr
... insurance premiums, paid time off, a 401(K) plan with a company match, and additional benefits designed to support a high-performing, remote-first workforce. micro1 is an equal opportunity employer.
Indianapolis, IN · Remote
$200K - $300K/yr
... insurance premiums, paid time off, a 401(K) plan with a company match, and additional benefits designed to support a high-performing, remote-first workforce. micro1 is an equal opportunity employer.
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used across insurance sectors to process and validate claims |
Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.
$16.75 - $21.50/hr
Full-time
Posted 24 days ago
This is a remote opportunity; however, candidates must reside in one of the following states: Arizona, Arkansas, Florida, Iowa, Illinois, Indiana, Michigan, Missouri, North Carolina, Nevada, Ohio, Oregon, Pennsylvania, Tennessee, or Texas.
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Essential Duties & Responsibilities:Assist in the processing of insurance claims including worker’s compensation (if assigned) for all financial classes
Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts
Oversee claims appeals and reviews; review claims aging status and follow up on open claims
Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy
Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology
Participate in professional development efforts to stay current with health care best practices and trends
Actively participate in the company’s efforts to create innovative data and analytics solutions for the modern orthopedic business office
Other duties as assigned
Required Skills:• Minimum of 2+ years of medical billing and accounts receivable follow-up experience preferred
• Orthopedic billing experience strongly preferred
• Knowledge of commercial insurance, Medicare, Medicaid, worker’s compensation, and managed care payers
• Understanding of EOBs, denials, appeals, adjustments, authorizations, and payment posting processes
• Ability to interpret payer guidelines and identify billing discrepancies or claim issues
• Familiarity with CPT, ICD-10, and HCPCS coding terminology
• Experience working within EMR/EHR systems and insurance payer portals
• Strong understanding of claim aging, denial management, and timely filing requirements
• Ability to prioritize workload and manage multiple accounts efficiently in a high-volume environment
• Strong attention to detail and organizational skills
• Excellent written and verbal communication skills
• Ability to work independently while maintaining productivity and accountability in a remote work environment
• Proficient computer skills including Microsoft Outlook, Excel, and Teams
• Strong problem-solving and critical thinking skills
• Ability to maintain confidentiality and comply with HIPAA regulations
• Dependable attendance, responsiveness, and follow-through on assigned responsibilities
• Ability to adapt to changing workflows, client needs, and process improvements
• CPC, CPB, or other AAPC certification preferred but not required
Sourced by ZipRecruiter
Software development
11 - 50 Employees
South Bend, IN, US
2020
