Remote Healthcare Appeals Specialist I

Jobgether SRL

Remote job

Jobgether SRL in the United States is seeking an Appeals Specialist I to research and resolve member and provider appeals, disputes, and reconsiderations remotely. You will analyze claims, review records, and determine accurate outcomes while documenting decisions. The role requires knowledge of healthcare claims, Medicare/Medicaid rules, and strong written and verbal communication to explain resolutions to members, providers, and external agencies. #J-18808-Ljbffr Jobgether SRL

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Remote Healthcare Appeals Specialist I in New York, NY vacancy

Appeals Specialist
$31.25 - $33.65 per hour
...Appeals Specialist Remote GeneDx delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve... ...standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and...
Remote work
Work at office
Work from home
Home office
GeneDx
United States
4 days ago
Healthcare - Appeals Specialist I
...Member Appeals Coordinator Will the position be 100% remote? Yes. Are there any specific location requirements? No. Are there time zone requirements? Prefer... ...of responses per state, federal and Molina Healthcare guidelines. Responsible for meeting production standards...
Remote work
Contract work
Saviance
United States
1 day ago
Acute Coding Appeals Specialist
$29.7 - $31.8 per hour
...hospitals healthy. We recognize that healthcare requires a human touch, and we believe... ...based on experience The Acute Coding Appeals Specialist integrates medical coding principles... ...and client experiences. ~ This is a remote position; however, candidates must be...
Remote work
Temporary work
Work at office
Local area
Ensemble Health Partners
Columbus, OH
4 days ago
Medicare Appeals Specialist - Remote (PST)
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...
Remote work
Hourly pay
Work at office
Molina Healthcare
Arizona
22 hours ago
Medicare Appeals & Grievances Specialist (PST Hours)
$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly Qualified Candidates Will Have The Following Experience Strong understanding of UM, Appeals...
Remote work
Hourly pay
Full time
Contract work
Work experience placement
Work at office
Molina Healthcare
Arizona
22 hours ago
Remote Appeals & Grievances Specialist (RN/LPN/DH)
A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...
Remote work
Healthfirst
United States
22 hours ago
Appeals and Grievances Specialist II
$60.78k
...net required to achieve that purpose. Job Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider... ...work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical...
Remote work
Local area
Shift work
Weekend work
L.A. Care Health Plan
Los Angeles, CA
3 days ago
Appeals & Grievances Specialist
$45.9k - $78.6k
...every member feels valued. The Appeals & Grievances Specialist III role manages and resolves member... ...~3+ years of work experience in healthcare operations, insurance, or related field... ...AM - 9 AM CT This position is a Remote role. To be eligible for consideration...
Remote work
Full time
Work experience placement
Medica
Georgia
2 days ago
Remote Appeals & Grievances Specialist
...Point32Health, Inc. is seeking an Appeals and Grievance Coordinator to manage day-to-day tasks within the A&G department. You will process mail, assign cases, and support analysts while ensuring compliance with regulatory timelines. The role requires 1-2 years of relevant...
Remote work
Work from home
Point32Health, Inc.
Canton, MA
1 day ago
Appeals Specialist
...inquiries from various stakeholders, the full-time Appeals Specialist will manage the appeals/dispute process remotely, ensuring timely and accurate customer service... ...Affairs, or professional business writing in healthcare, customer service, or legal industries Must...
Remote work
Full time
Contract work
For contractors
Work at office
Virtual Vocations Inc
United States
4 days ago
Remote Grievance & Appeals Specialist
...A-Line Staffing Solutions in Georgia is seeking a Grievance & Appeals Coordinator I to manage the grievance and appeals workflow in a... ...timely, accurate outcomes. This hybrid role offers office and remote work, standard business hours, and benefits after 90 days with...
Remote work
Work at office
A-Line Staffing Solutions
New York, NY
2 days ago
Remote Denials & Appeals Specialist
...Phothera is seeking a Denials & Appeals Specialist to own the appeals process for denied and underpaid... ...access. While the role is fully remote, candidates based in or near Beachwood... ...remote work environment within a growing healthcare organization. #J-18808-Ljbffr...
Remote work
Phothera Phototherapy
Cleveland, OH
3 days ago
Appeals Specialist II
...Managing appeals cases, the full-time Appeals Specialist II will review documentation, communicate resolutions, and coordinate with departments to ensure compliance in a remote work environment. Key responsibilities Manage appeals cases and document all actions taken...
Remote work
Full time
Virtual Vocations Inc
United States
1 day ago
Appeals Specialist II
...Job Title: Appeals Specialist II - J00909 Address: Various, MI 99999 Job Description Manage and process appeals efficiently and accurately.... ...regulatory requirements. Critical Information Shift hours vary; remote and on-site options available. Remote work opportunities; on-...
Remote work
Full time
Work at office
Shift work
A-Line Staffing Solutions
Michigan Center, MI
22 hours ago
Appeals Specialist
$22.74 - $27.79 per hour
...Appeals Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated. As an Adapter, you'll have the opportunity to make...
Remote work
Hourly pay
Work at office
Work from home
Home office
Night shift
Adaptive Biotech
United States
2 days ago
Specialist, Billing
...Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR... ...highly skilled subject matter specialists and operations executives in... ...using payer reconsideration and appeals processes, with emphasis on... ..., and video conferencing. Remote work is expected 100% of the...
Remote work
Work at office
Local area
Work from home
Ovation Healthcare
United States
1 day ago
Appeals and Grievance Specialist
...cycle of member and provider appeals and grievance cases, the... ...-time Appeals and Grievance Specialist will conduct case intake, investigation... ...resolution while working remotely. Key responsibilities... ...to 3 years of experience in healthcare operations, managed care, or...
Remote work
Full time
Work at office
Virtual Vocations Inc
United States
22 hours ago
AR Specialist
...AR Specialist At Zotec Partners, our people make it happen. Transforming the healthcare industry isn't easy. But when you build a team like... ...Specialist to join us. This is a remote position. What you'll do... ...Process and follow up on appeals Resolve correspondence...
Remote work
Zotec Partners
United States
1 day ago
Specialist, Accounts Receivable
$40.99k - $61.49k
...Job Welcome to Ovation Healthcare! At Ovation Healthcare, we... ...highly skilled subject matter specialists and operations executives, in... ...first and second level appeals of all denials in effort to overturn... ...: Work from home and remote location with a stable internet...
Remote work
Hourly pay
Full time
Temporary work
Work experience placement
Work at office
Local area
Work from home
Flexible hours
Ovation Healthcare
United States
1 day ago
Appeals & Grievances Specialist
...Job Description An employer is looking for a remote Appeals & Grievances Specialist who will be responsible for managing and resolving appeals and grievances related to dental insurance claims. This role requires strong analytical and communication skills, attention...
Remote work
Work at office
Insight Global
Tustin, CA
1 day ago
Appeals Specialist
...Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within... ...plan and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training period...
Remote work
Quadax
Cleveland, OH
2 days ago
Member Appeals Specialist
...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately, assigning them to the team, making outbound calls when necessary. Also checking voicemails, responding to emails/voicemails. The...
Remote work
Traineeship
BigR.io
United States
1 day ago
Appeals Specialist
Fully Remote Appeals Paralegal opportunity with a large, well recognized, law firm with stability and a great reputation! This Jobot Job... ...really strengthen our infrastructure. We are hiring for Appeals Specialist that can effectively work remote anywhere across the United...
Remote work
Hourly pay
Work at office
Local area
Jobot
Huntington Beach, CA
2 days ago
Revenue Cycle Specialist
$70k - $90k
...Revenue Cycle Specialist MyOme's mission is to provide clinically... ...claim and denials management, appeals, and the manual administrative... ...clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor... ...and Benefits: Location: Remote in the US Compensation: Annual...
Remote work
Immediate start
MyOme
United States
22 hours ago
AR Specialist
$25 - $30 per hour
...alternative application process. AR Specialist Full Time Corporate, Walnut... ...payer types. *This is a remote role. We are only hiring in... ...Identify opportunities for appeal when claims are underpaid or... ...grow and succeed Boomerang Healthcare (BHC) is a multidisciplinary...
Remote work
Hourly pay
Full time
For contractors
Work at office
Integrated Pain Management Medical Group, Inc.
Walnut Creek, CA
1 day ago
Utilization Review Specialist
$30 - $35 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation... ...is a leading behavioral healthcare provider offering evidence-... ...team, the Utilization Review Specialist is a licensed professional who... ...continued stays, discharges and appeals related to service provision...
Remote work
Full time
Temporary work
For contractors
Work at office
Monday to Friday
Northpoint-Recovery-Holdings,-LL
Meridian, ID
3 days ago
Denials and Appeals Specialist (Greater Cleveland)
$28 - $35 per hour
...Location: Remote (U.S.) Preferred Location: Candidates based in or near Beachwood... ...direct hire opportunity for a Denials & Appeals Specialist. This is a remote revenue cycle... ...Phothera is part of Madison Medical, the healthcare and life sciences platform of Madison...
Remote work
Hourly pay
Part time
Work at office
Local area
Phothera Phototherapy
Cleveland, OH
1 day ago
RCM Specialist II
...RCM Specialist II Ensora Health is the leading provider of software and services for mental... ..., their clients, and the whole healthcare community. At Ensora Health, our Revenue... ...submission, payment posting, denial management, appeals, and accounts receivable follow-up....
Remote work
Work at office
Ensora Health
United States
2 days ago
AR Specialist
...Accounts Receivable Specialist The Accounts Receivable Specialist... ...write-offs, adjustments, and appeals in accordance with multi-state... ...problems that have plagued the healthcare industry since the dawn of... ...~ Competitive salaries ~ Remote/hybrid environment ~ Potential...
Remote work
Flexible hours
Prompt Health
United States
1 day ago
Utilization Review Specialist
$60k - $70k
...Full Time Office/Clerical Remote, Birmingham, AL, US Salary... ...are. Bradford is more than a healthcare network; we are recovery communities... ...a Utilization Review Specialist to add to our dynamic team!... ...peer review, reconsideration, appeal, or leadership intervention...
Remote work
Full time
Part time
Work at office
Addiction And Mental Health Services
Birmingham, AL
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Healthcare Appeals Specialist I. Be the first to apply!