Remote Claims Coordinator Jobs

Manage EDI claim enrollments (837) and ERA (835) and EFT enrollments with payers and clearinghouses, coordinating testing and go-live with the billing

…billing accuracy and ensure clean claims

…Clinical, Medical Directors, UM, & claims to ensure we’re making appropriate decisions

…structured manner from large healthcare claims databases

…clinical programs to manage and coordinate

Handle executive calendars, coordinate meeting logistics, and ensure timely follow-ups across time-sensitive internal and client requests.

Clinical Coordination Management: Oversee the coordination of clinical reviews and peer-to-peer (P2P) scheduling between providers

…prescriptions Strong understanding of pharmacy claims

Coordinate partner specifications and data-readiness checks across relevant EHR, claims, imaging, pathology and text sources.

…root causes of denials and coordinate corrective actions across teams Work denied, underpaid, and unpaid claims through

…partnership means an authorized, recurring claim feed.

…resolution Identify and dismantle multi- claim fraud networks, staged accident rings, and coordinated

…resolution Identify and dismantle multi- claim fraud networks, staged accident rings, and coordinated

cross-functional coordination.

…job offers coming from people claiming to be Tanium employees.