Claims Representative – Remote

Claims Representative – Remote

SUMMARY

The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.

$19/Hour Pay Rate

RESPONSIBILITIES

·        Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.

·        Confirm the presence of necessary documents within submitted claims.

·        Validate the accuracy of medical codes provided in claim submissions.

·        Assess the eligibility status of claims based on established criteria.

·        Review and verify other insurance coverage information in submitted claim.

·        Evaluate authorizations provided in claim submissions for accuracy.

·        Analyze account benefit plans to ensure claims align with coverage and policies.

·        Identify discrepancies, errors, or missing information.

·        Utilize multiple computer applications simultaneously.

·        Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.

·        Meet or exceed quality and productivity goals.

·        Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.

·        Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.

QUALIFICATIONS

·        High school diploma or equivalent

·        Ability to quickly learn a variety of computer applications to complete job functions,

·        Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.

·        Knowledge of basic Microsoft Excel functions, such as filtering/sorting.

·        Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.

·        Detail-oriented with experience in applying complex policy/procedure documents.

·        Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.

·        Proven experience completing work with quality and productivity performance standards.

·        Experience working independently in a virtual environment preferred.

·        Experience with medical and insurance terminology in a professional setting preferred.

·        Knowledge of CPT/ICD-10 codes preferred.

·        Proven experience in health insurance claims processing or similar field preferred
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17.75 – 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Billing Coordinator I (Healthcare Billing Specialist REMOTE)

time typeFull timeposted onPosted Yesterdayjob requisition id2621864

Labcorp is a leader in diagnostics, drug development and healthcare innovation. Across every role, we harness data and AI to work smarter, move faster and create breakthrough solutions that improve health outcomes for people. With our global scale and deep expertise, you’ll do meaningful work, grow your career and make a real impact. Together, we’re improving health and improving lives.

Labcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. Join us in our mission to improve health and improve lives.

Labcorp is seeking a U.S. remote Billing Coordinator Remote

Work schedule: Monday-Friday 9am-6pm EST

Responsibilities

  • Billing Data Entry involved which requires 10 key skills
  • Compare data with source documents and enter billing information provided
  • Research missing or incorrect information
  • Verification of insurance information
  • Ensure daily/weekly billing activities are completed accurately and timely
  • Research and update billing demographic data to ensure prompt payment from insurance
  • Communication through phone calls with clients and patients to resolve billing defects

Minimum Qualifications

  • High School Diploma or equivalent
  • 1 year or more work experience

Preferred Qualifications

  • Alpha-Numeric Data Entry Proficiency (10 key skills)

Additional Job Standards

  • Previous RCM Experience

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all.  You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world.  Together, let’s embrace possibilities and change lives! This empowered and valued employee will help deliver exemplary customer experiences through innovation and continuous improvement. 

Application Window Closes:  7/9/2026

Pay Range:  $ 17.75 – $21.00 per hour

All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan.Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here. 

Labcorp is proud to be an Equal Opportunity Employer:

Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. 

We encourage all to apply

If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Administrative Assistant

Overview

QuarterLine (QL), a Planned Systems International (PSI) company, is seeking a professional, dependable, and highly organized Administrative Assistant to provide administrative and project support to a corporate team delivering government staffing services across multiple task orders. This position requires someone who can work effectively in a remote setting, communicate clearly with remote and distributed staff, and support day-to-day operational needs with accuracy, responsiveness, and discretion.  

The ideal candidate is proactive, detail-oriented, comfortable managing competing priorities, and able to support back-office team members, program leadership, and employees by coordinating meetings, assisting with timesheet processes, documenting procedures, tracking action items, and helping ensure consistent communication across the program.

Essential Functions and Job Responsibilities

  • Provide general administrative and project support to program managers, back-office personnel, and operational team members supporting government staffing contracts. 
  • Assist with timesheet coordination, reminders, follow-up, basic tracking, and escalation of missing or incomplete submissions in accordance with company and contract procedures. 
  • Schedule internal and external meetings, coordinate calendars, prepare agendas, distribute meeting materials, and support virtual meeting logistics. 
  • Attend meetings as needed to capture notes, action items, decisions, owners, and due dates; distribute meeting summaries and track follow-up items through completion. 
  • Support remote employees by responding to routine administrative inquiries, helping route requests, sharing resources, and coordinating with appropriate internal teams. 
  • Conduct employee outreach to support engagement, collect updates, and help maintain accurate employee communication. 
  • Draft, format, update, and maintain standard operating procedures, work instructions, templates, trackers, rosters, and other program documentation. 
  • Maintain organized electronic records, filing structures, trackers, and shared documentation repositories to support contract compliance and operational continuity. 
  • Support daily operations across multiple task orders by monitoring administrative deadlines, updating status logs, preparing reports, and helping ensure timely completion of recurring tasks. 
  • Coordinate communications between corporate support functions, program leadership, field employees, and other stakeholders as needed. 
  • Perform additional administrative, clerical, and operational support duties as assigned to meet changing program needs. 

Minimum Requirements

  • US Citizen 
  • Bachelor’s degree 
  • 1 or more years of experience 

Desired Qualifications

  • Strong organizational skills with the ability to manage multiple priorities, deadlines, and recurring administrative processes. 
  • Excellent written and verbal communication skills with the ability to interact professionally with employees, managers, corporate staff, and external stakeholders. 
  • Proficiency with Microsoft Office applications, including Word, Excel, Outlook, PowerPoint, and Teams. 

Company Benefits

PSI offers full-time, benefits eligible employees a competitive total compensation package that includes paid leave, and options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.

EEO Commitment

It is company policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law.

Reasonable accommodations for applicants and employees with disabilities will be provided. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Human Resources by emailing [email protected], or by dialing 703-575-8400.

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ROI Medical Records Specialist – Remote

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Functions:

  • Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
  • Date stamps all requests and highlights pertinent data to facilitate processing.
  • Validates requests and authorizations for release of medical information according to established procedures.
  • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
  • Maintain equipment in excellent operating condition (inside and out).
  • Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
  • May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
  • Maintains a neat, clean, and professional personal appearance and observes the dress code established.
  • Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
  • Maintains working knowledge of the existing state laws and fee structure
  • Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
  • Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
  • Maintains confidentiality, security and standards of ethics with all information.
  • Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

  • High School Diploma (GED) required
  • A minimum of 2 years prior experience in a medical records department or like setting preferred
  • Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
  • Excellent organizational skills are a must
  • Must be able to type 50 wpm
  • Must be able to use fax, copier, scanning machine
  • Must be willing to learn new equipment and processes quickly.
  • Must be self-motivated, a team player
  • Must have proven customer satisfaction skills
  • Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Work From Home Remote Claims Representative 620734

Job Description: 

Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned and trusted 30 year old business to take charge of your future. 

Position Details: 

Reliable Training – No prior experience in public adjusting is required. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.  

Flexible Schedule and Location – Our claim representatives have the opportunity to set their own schedule. This can be worked as a part-time or full-time position, and can be done either in-person or remotely.  

Responsibilities: 

  • Conduct a virtual or in person walk-through inspection of the property to identify damage that may be covered under insurance
  • Utilize skills to drive business growth and success.
  • Interpreting insurance policies 
  • Provide exceptional customer service and address clients’ needs. 
  • Fill out paper work, as needed, to process claims  

Who would do well:  

We welcome applicants who have a positive attitude and enjoy working with people. This position is a great fit for people who are looking to work around their busy schedule. 

If you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session.