Remote jobs in the United States

25+ jobs

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Added 8 hours ago
BH
Profee Coder Academic General Med
Banner Health
Remote, United States
- $23.62 to $35.44 USD / hour
…inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code…
Added 15 hours ago
Preventive Health Data Management Specialist
Finger Lakes Community Health
Remote, United States
Verify data accuracy across EMR entries, CVRs, and claim datasets to ensure consistency and correct coding.
Added 16 hours ago
Controls Service Engineer
Energy Management Collaborative
Remote, United States
Work with Supervisor, Day 2 Support and other engineers on the SBC team to troubleshoot and repair control systems for specific projects and labels
Added 17 hours ago
BH
Outpatient Complex Coder
Banner Health Corporate
Remote, United States
- $27.35 to $41.03 USD / hour
…Works within a set of defined rules. Ability to address complex coding matters independently with regard to interpretation of coding guidelines, NCCI edits, and LCDs (Local Coverage…
Added 18 hours ago
Developer Support Executive
FACTIVA INC
Remote, United States
…12:30 AM PT. *Hours subject to change. You will report to the Supervisor of Developer…
Added 1 day ago
E
Group Art Supervisor (Pharma Ad Agency Experience Required) Derm
EVERSANA
Remote, United States
- $122,570 to $176,000 USD / year
The Group Art Supervisor will play a crucial role in leading and inspiring a team of art directors and designers to produce high-quality visual content for our pharmaceutical clients. This…
Added 1 day ago
Insurance Claims Specialist PB
SYSTEM West Virginia University Health System
Remote, United States
20. Works with supervisor and manager to develop and exceed annual goals.
Added 1 day ago
Insurance Claims Specialist PB
SYSTEM West Virginia University Health System
Remote, United States
20. Works with supervisor and manager to develop and exceed annual goals.
Added 2 days ago
Controls Technician
Divcon
Remote, United States
…addressing tables, and project documentation; flag discrepancies to Supervisor or the Senior or Lead…
Added 2 days ago
SO
Provider Fraud Investigator 3 (I3/DAIO)
State of Washington
Remote, United States
- $5,928 to $7,973 USD / month
Added 2 days ago
Managed Care Coordinator I
Horizon Healthcare Services, Inc
Remote, United States
Requires ability to make sound decisions under the direction of Supervisor.
Added 2 days ago
Insurance Claims Specialist HB
SYSTEM West Virginia University Health System
Remote, United States
20. Works with supervisor and manager to develop and exceed annual goals.
Added 2 days ago
Home Infusion Intake Supervisor
AIS Healthcare
Remote, United States
We are seeking an experienced Financial Services Supervisor, Intake to lead our Intake team and oversee the daily operations of a fast-paced, patient-focused department.
Added 2 days ago
Supervisor, Accounts Payable
Woven Health Collective
Remote, United States
The Supervisor, Accounts Payable owns end-to-end accounts payable operations, supporting margin improvement and aligning vendor payments with project / client economics in an integrated…
Added 3 days ago
J
Payroll & Benefits Manager
Jobgether
Remote, United States
- $105,000 to $135,000 USD / year
Review and audit timecards every pay cycle, resolving missed punches, time-off discrepancies, approval issues, job coding errors, and department allocation inconsistencies.
Added 3 days ago
BH
Profee Coder Complex Neurosurgery Neurology
Banner Health
Remote, United States
- $25.54 to $38.3 USD / hour
…inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code…
Added 3 days ago
Revenue Cycle Specialist I (Remote)
Cedars-Sinai Medical Center
Remote, United States
…resolution. Keeps apprised of rules and regulations affecting coding and reimbursement by maintaining current CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge…
Added 3 days ago
TR
Workers Compensation Claims Supervisor
TRISTAR RISK MANAGEMENT
Remote, United States
- $95,000 to $105,000 USD / year
Ensure consistent and accurate claim coding. *
Added 3 days ago
TI
Workers Compensation Claims Supervisor
Tristar Insurance
Remote, United States
- $95,000 to $105,000 USD / year
Ensure consistent and accurate claim coding. *
Added 3 days ago
Certified Surgery/Observation Coder
Southern Illinois Hospital Services Inc.
Remote, United States
o Identifies and communicates to Coding Lead/Supervisor/Manager any
Added 3 days ago
Team Leader - Ethiopia
Integrated Business & Technical Consultants
Remote, United States
Quantitative data collection: overseeing enumerator and supervisor recruitment, training, fieldwork, weekly progress updates, back-checks and data quality controls, and secure data…
Added 4 days ago
WB
Billing Coding Specialist
Willapa Behavioral Health
Remote, United States
- $20 to $25 USD / hour
As Billing Coding Specialist, using the established medical codes, transcribe patient history to be used by both health care providers and insurance companies. The Billing Coding Specialist…
Added 4 days ago
Billing Rep Lead
Dignity Health Medical Group
Remote, United States
…strong attention to detail, knowledge of medical billing and coding, and experience with healthcare…
Added 4 days ago
Patient Financial Advocate
TMH The Miriam Hospital
Remote, United States
…referrals, documentation, and departmental operations. Knowledge of coding in a healthcare environment is a…
Added 4 days ago
Supervisor of Web Development
Network Health
Remote, United States
The Supervisor of Web Development provides hands-on technical leadership and day-to-day supervision for the team responsible for Network Health’s internal and external web applications,…

Allied Benefit Systems

Manager, Claims Processing

Remote, United States

$70,000 to $85,000 USD / year

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Job details

Pay: $70,000 to $85,000 USD / year
Experience: A minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis) required
Posting language: English
Posted: Oct 26, 2026

Original job description

POSITION SUMMARY

The Manager of Claims Processing will lead teams responsible for ensuring that claims are processed according to network and client Service Level Agreements and in accordance with Plan Documents, Regulatory standards, and established policies and procedures. The Manager of Claims Processing is responsible for management of all claim inventories and leading teams in a fast paced, high growth environment that demands strong decision making, adaptability, and effective cross functional coordination. Additionally, this position will support strategies and enhancements that are implemented to improve the claims process and enhance member experience.

ESSENTIAL FUNCTIONS

Monitor inventory, productivity, and quality reports for all books of business to ensure that all claims are handled timely and accurately
Lead initiatives to manage/reduce inventory levels through data driven analysis, forecasting improvements, and innovative problem solving.
Oversee key networks, products, and individual client performance requirements with a focus on service excellence, performance compliance, and audit requirements
Manage elevated authority claim reviews to ensure appropriate handling; release claims accurately and timely in conjunction with dollar authority limit set for Manager role
Provide comprehensive support for new clients and products across all books of business
Collaborate with internal stakeholders to resolve, address escalated client/broker issues, and streamline workflows for better efficiency and accuracy
Attend outside audits as needed to ensure accurate reporting
Develop and implement strategies that align with the company’s overall goals and objectives.
Attend continuing education classes as required, including but not limited to HIPAA training.
Adhere to, and apply all applicable privacy and security laws, including but not limited to HIPAA, HITECH and any regulations promulgated thereto
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
Actively engage, coach, counsel and provide timely, and constructive performance feedback.
Other duties as assigned

EDUCATION

Bachelor's degree or equivalent work experience required.

EXPERIENCE AND SKILLS

A minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis) required
A minimum of years’ experience at a supervisor level with demonstrated leadership competencies.
Demonstrated understanding of Claims Management systems and platforms
Strong analytical and technical claims expertise across relevant lines of business, CPT, HCPCS, and ICD-10 coding, Coordination of Benefits (COB), and medical terminology
Excellent written and verbal communication skills
Exceptional time management skills and ability to prioritize work
Strong problem solving and conflict resolution skills and ability to handle sensitive client escalations

POSITION COMPETENCIES

Accountability
Coaching and Feedback
Collaboration
Customer Focus
Decision Making
Execution Management
People Leadership

PHYSICAL DEMANDS

This is a standard desk job requiring extended sitting and computer work.

WORK ENVIRONMENT

Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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More about this job

Skills

Claims processing
Lead a team
Decision making
Adaptability
Forecasting
Problem solving
Focus on service
Regulatory compliance
Reporting
Leadership
CPT
HCPCS
Medical terminology
Communication skills
Time management
Conflict resolution
Coaching
Collaboration

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