Remote Claims Associate — AR & Reimbursement Expert

Jobgether; United States; Remote; USD 24,000 - 33,000; Full time

Benefits offered by this job

Annual bonus

Healthcare coverage

401(k) plan

Life insurance

Tuition reimbursement

Paid time off

Fully remote work within the United St

Job summary

EviCore, listed as the partner company for this role, seeks a Claims Associate Representative to manage accounts receivable and resolve medical claims in a fast-paced, fully remote US environment.

You will review unpaid or denied claims, investigate discrepancies, and communicate with payers and providers to ensure timely payments, while maintaining thorough records and adhering to policy standards.

Qualifications

• High school diploma or GED required.
• Minimum 2 years in medical claims processing or AR operations.
• At least 2 years in account reconciliation and financial analysis preferred.
• Ability to interpret EOBs and EOPs.
• Proficient with Word, Outlook, and Excel.

Responsibilities

• Review and process AR claims accurately by deadlines.
• Investigate denied/underpaid claims to identify root causes.
• Determine corrective actions to resolve balances and support reimbursement.
• Conduct outbound calls to payers, providers, and internal teams.
• Maintain detailed documentation of all claim activities.
• Monitor claim statuses and follow up to ensure timely payments.
• Elevate complex cases to senior representatives when needed.
• Stay updated on payer policies and AR procedures.
• Apply sound judgment when reviewing claim information.

Skills

Medical claims processing

Accounts receivable

Analytical skills

Attention to detail

Communication skills

Time management

Independent work

Problem solving

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Job description

EviCore, listed as the partner company for this role, seeks a Claims Associate Representative to manage accounts receivable and resolve medical claims in a fast-paced, fully remote US environment.

You will review unpaid or denied claims, investigate discrepancies, and communicate with payers and providers to ensure timely payments, while maintaining thorough records and adhering to policy standards.