Medical Claims Jobs

Richmond University Medical Center is hiring a Billing Coordinator to oversee rehabilitation billing, resolve denials, and optimize revenue capture for the Rehab department.

Dane Street is seeking an experienced RN QA Specialist to perform clinical quality assurance on long-term disability physician reports and ensure timely, accurate deliverables for clients.

AIDS Healthcare Foundation is hiring a detail-oriented Claims Support Associate in Los Angeles to manage incoming claims communications, maintain logs and support the Claims team with administrative and compliance-related tasks.

Dane Street is hiring a detail-focused Disability Customer Service Representative to handle case intake, system drafting, physician assignment, and client communication for disability and workers' compensation reviews.

Markel is hiring a Senior/Executive Claims Examiner in Plano, TX to lead technical resolution of high-exposure medical malpractice and healthcare claims, particularly in excess and reinsurance placements.

St. Luke’s Health Plan is hiring a Pharmacy Benefits Specialist to manage prior authorizations, resolve PBM and claims issues, and serve as an on-the-ground subject matter expert for members and providers.

Peraton's SafeGuard Services is hiring a remote Medicaid Fraud Auditor to conduct compliance audits, analyze healthcare claims data, and make findings and recovery recommendations for Medicaid program integrity.

Option Care Health is hiring a Senior Specialist, Benefits and Authorization to ensure timely, accurate benefit verifications and prior authorizations for home infusion referrals while supporting team quality and training efforts.

Exact Sciences seeks a detail-oriented Patient Financial Services Associate II to manage claims, denials, and insurance follow-up remotely to optimize accounts receivable and patient billing accuracy.

Experienced registered nurse or healthcare risk professional needed to manage facility risk operations, lead investigations and RCA, and partner with legal and clinical teams to protect patients and the organization.

Serve as a Denial Management PBS Specialist at Legacy Health to resolve complex payer denials, maximize reimbursement, and support continuous improvement across the revenue cycle.

Convatec seeks an organized Insurance Specialist to verify benefits and manage insurance records for 180 Medical client accounts using MedTrack and other verification tools.

Damar is hiring a Revenue Cycle Manager to oversee billing, collections, and compliance for its Indianapolis main campus, driving accurate and timely revenue operations.

Covenant Medical Group is looking for a detail-oriented Coder Analyst Specialist to assign ICD-10-CM and CPT-4 codes, support clinical documentation integrity, and ensure accurate, timely billing across its Knoxville practices.

Experienced billing professional needed to manage healthcare claims, denials, and patient billing inquiries for a compassionate, remote mental-health organization.

H2 Health is hiring a remote Billing Collections Specialist - Contracts to lead collections efforts, improve revenue cycle performance, and manage a billing team for contract partners.

The NYC Law Department seeks an Assistant Supervisor — Benefits Examiner Level 2 to adjudicate workers' compensation claims, calculate benefits, coordinate medical examinations, and support supervisory duties.

Provide reimbursement and billing support as a territory-based Account Care Educator, assisting providers, patients, and payers to secure coverage and resolve claims for specialty medications.

Be part of Presbyterian's payment integrity team, leading post-payment audits and recovery initiatives to reduce improper payments and improve reimbursement accuracy.

Presbyterian Healthcare Services seeks an experienced Complex Litigation Claims Adjuster II to manage high-severity medical malpractice and other complex liability claims from investigation through resolution.

Support patient care by managing healthcare claims, appeals, and payer payments as a Billing and Collections Specialist at a mission-driven home health provider in San Antonio.

Oscar Health seeks an Associate on the Payment Integrity team to investigate claims payment issues, translate findings into requirements, and help implement process and edit improvements to ensure accurate, timely payments.

AmTrust seeks a detail-oriented Medical Only Claims Examiner in Princeton, NJ to manage medical-only workers' compensation claims, authorize care, review bills and maintain accurate file documentation on a hybrid schedule.

Privia Health is hiring a hybrid Medical Claims Billing Specialist in Houston to manage claim adjudication, denial appeals, and Salesforce case resolution to support optimized physician revenue cycles.

Privia Health is hiring a Medical Claims Billing Specialist to lead denial management, resolve Salesforce cases, and support revenue cycle performance in a hybrid Houston-based role.

USAA is recruiting an experienced Injury Examiner to manage complex bodily-injury and UM/UIM claims from hybrid offices across multiple U.S. locations, delivering expert claims decisions and best-in-class member service.

Presbyterian Healthcare Services seeks a detail-oriented Health Services Assistant in Albuquerque to manage prior authorizations, claims-related documentation, provider coordination, and data entry to support patient care and clinical operations.

EnableComp is hiring an Implementation Project Manager to lead client implementations, manage integrations and timelines, and ensure successful onboarding into its E360 RCM™ platform.

Begin a claims career at Sedgwick as an in-office Claims Representative Trainee in Roseville, CA, receiving classroom training, mentorship, and hands-on claims experience.

Albany Medical Center is hiring an Administrative Support Associate VI to perform physician billing, payer appeals, and account reconciliation to ensure accurate revenue capture.

Woundlocal is hiring an in-person Medical Coder in Boerne to ensure accurate ICD-10/CPT/HCPCS coding, claims processing, and documentation compliance for wound care services.

UChicago Medicine is seeking a detail-oriented Revenue Cycle Financial Specialist to manage insurance verification, prior authorizations, and patient financial assistance within a primarily remote, hybrid work arrangement.

Giving Home Health Care seeks a detail-oriented Medical Necessity Writer Specialist in Albuquerque to prepare medical documentation, evaluate records for benefits eligibility, and support patients through the claims process.

Berkshire Hathaway Homestate Companies seeks an experienced workers' compensation adjuster to manage indemnity claims end-to-end in a hybrid Plano-based role.

Lead Tava Health's revenue cycle operations to drive improved collections, lower denial rates, and scalable billing workflows across EMR and third-party RCM systems.

Conifer Health is hiring a remote Patient Account Representative to research claims, perform insurance and patient collections, and resolve account issues across the revenue cycle.

Conifer Health is hiring a remote Patient Account Representative to manage and resolve patient accounts across the revenue cycle, handling claim follow-up, remittance review, disputes, and insurance collections.

Conifer Health is hiring an AR Follow Up Representative to remotely manage patient account workflows, resolve claims, and drive insurance and patient collections.

Experienced billing professional needed to manage daily charge entry and vendor-led revenue cycle activities for clinicians across multiple practices at Tenet Healthcare.

Cognizant is hiring a remote Claims Processor to adjudicate professional and institutional medical claims accurately using Facets and standard coding guidelines.

Cognizant is seeking a US-based, fully remote Medical Claims Processor to adjudicate professional and institutional claims accurately using payer-specific rules and internal systems.

Cognizant is hiring a remote Claims Processor experienced with Facets to accurately adjudicate professional and institutional healthcare claims and ensure compliance with payer rules.

Join OHSU's Centralized Managed Care team as a Denial Coordinator to lead denial resolution, implement process improvements, and reduce revenue cycle leakage across hospital and ambulatory services.

Option Care Health seeks a meticulous Authorization Specialist to manage prior authorizations, verify benefits, and support patient account setup for remote team members based in Tallahassee, FL.

Support timely patient care by processing benefit verifications and authorizations for new referrals at Option Care Health's Little Rock location.

EnableComp seeks a remote Medical Billing/Revenue Specialist with VA billing experience to manage VA claim analysis, documentation submission, payer follow-up, and client communication using their E360 RCM platform.

Join Albany Medical Center's billing team as an Administrative Support Associate VI to perform appeals, payer follow-up and account reconciliation for physician services.

UMass Chan is hiring a Healthcare Data Analyst to manage claims and financial reporting, ensuring compliance with state and federal reimbursement requirements and delivering actionable analyses to stakeholders.

Experienced Billing Specialist needed to manage urology revenue cycle operations, ensure accurate coding and claims submission, and improve collections for a busy urology practice.

Presbyterian Healthcare Services seeks a detail-oriented Self-Pay Collections Specialist to manage and resolve self-pay accounts while delivering excellent patient-facing service.