Health Benefits Appeals Specialist
CVS Health
CVS Health is seeking a dedicated Appeals, Complaints and Grievances specialist to manage intake, investigation and resolution for multi-issue scenarios across products. You will ensure timely, customer-focused responses and coordinate with multiple business units to provide accurate final resolutions. Responsibilities include researching benefit language and claim processing logic, identifying trends, and providing input on potential solutions while maintaining compliance with regulatory #J-18808-Ljbffr CVS Health
- WellLife Network is seeking an EES Specialist in Elmont, NY to manage systems tracking benefit applications and appeals, explain options to consumers, and liaise with government... ...skills, and experience with mental health populations. Travel to agencies may be required...Suggested
$18.5 - $42.35 per hour
We’re building a world of health around every individual — shaping a more connected, convenient... ...pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are... ...valued and that they belong. Great benefits for great people We take pride in...SuggestedHourly payFull timeContract workTemporary workLocal area$18.65 - $20.5 per hour
...provider of technology-enabled revenue cycle management solutions for health systems. This role is located on‑site at OU Health in Oklahoma... ...‑insured patients to determine eligibility for state Medicaid benefit or financial assistance program. Assist with application...SuggestedHourly payLocal area- Hemet Global Medical Center is seeking a Temporary Benefits Specialist to manage and administer employee benefits on a full-time, temporary basis in the United States. The role requires handling inquiries, enrollments, and claims, while coordinating between employees, providers...SuggestedFull timeTemporary work
- CVS Health is seeking a claims processor to review and adjudicate medical claims across self-funded and fully insured programs. You will process refunds, handle inquiries, and ensure payments comply with guidelines, working in a production environment with a strong emphasis...Suggested
- ...potential while representing one of the world’s most ethical companies and a leader in helping people with expenses health insurance doesn’t cover. Aflac benefits advisors1 work directly with business owners and HR representatives to plan supplemental insurance coverage and...
- CVS Health in Kentucky is seeking a Claims Processor to adjudicate a variety of self-funded, fully insured, and RX claims. The role emphasizes... ...volume claims team in a fast-paced production environment. Eligible for a bonus and comprehensive benefits. #J-18808-Ljbffr CVS Health
- WellLife Network in Elmont, NY, is a large nonprofit health and human services provider. The EES Specialist will manage and operate systems to track benefit applications and appeals, acting as a liaison between consumers and government agencies to educate and empower clients...
- WellLife Network is seeking an EES Specialist in Elmont, NY to manage systems that track benefit applications and appeals. You will explain options to consumers based on their financial situation and serve as a liaison with governmental agencies until individuals can advocate...
- Paychex Deutschland GmbH in the United States region seeks a skilled service professional to provide customer support across Paychex products. You will educate clients, resolve claims, and drive service improvements while maintaining strong client relationships. You will...
- ...is seeking an experienced, organized, and detail-oriented Benefits Specialist to support the administration of employee benefits. This role... ...Support the administration of employee benefits, including health, dental, vision, life, disability, and other available plans...Full timeWork at office
- ...Our client is a rapidly growing consumer brand who is looking to add a talented Payroll & Benefits Specialist to their growing team. RESPONSIBILITIES Run accurate, on-time, compliant payroll across multiple regions, following local labor, tax, and statutory rules...Bi-weekly payLocal area
- ...Robert Half is partnering with a growing retail organization to identify a detail-oriented Accounts Payable Specialist . This is an excellent opportunity for a candidate with high-volume AP experience who thrives in a fast-paced environment and enjoys working collaboratively...Full timeImmediate startFlexible hours
- Superior Plus Propane is seeking a Retirement & Benefits Specialist to support US benefits, retirement, leave, disability, and wellness programs. This virtual role partners with HR, Payroll, Finance, Legal, and vendors to ensure accurate administration, reporting, and communications...
- ...Department of Human Services (DHS) is seeking an Eligibility Specialist 1 in Fulton & DeKalb Counties to determine initial and renewal... ...customer service to diverse clients. The position offers a generous benefits package and telework opportunities after training; eligibility...Remote jobFlexible hours
- ...compassionate communication, and the ability to work effectively in a remote, team-based environment. A strong customer-service mindset and healthcare familiarity are valued, with comprehensive benefits and ongoing training offered. #J-18808-Ljbffr VXI Global SolutionsRemote job
- ...driven and people-oriented. Full-time positions within the company offer a competitive wage, 401(k) savings plan and a comprehensive benefits package that includes medical, dental and vision plans. Join us as we achieve our goals and succeed in our industry. Primary...Full time
- White Earth Reservation Business Committee is seeking a Benefits Administrator II to manage the tribe’s benefits program and ensure accurate... ..., maintain electronic databases, and coordinate billing for Health and Dental benefits while representing the organization...Full time
$25 - $31 per hour
...HR Assistant Duration: 13 weeks Pay rate: $25/hr - $31/hr W2 rate Facility: NYCHH - South Brooklyn Health Location: 2601 Ocean Parkway, South Brooklyn Health, Brooklyn, NY 11235 Shift Time: Day 9:00 AM-5:00 PM Duties Responsibilities include using...Hourly payShift work- ...Payroll & Benefits Specialist LER TechForce is a workforce solutions provider serving Fortune 500 automotive companies. Were approximately $100M in revenue and growing - and every person we add is someone who needs to be paid right, on time, every time. The position...Hourly payWork at officeLocal areaRemote work
- ...growing, multi-location organization seeking a Global Payroll & Benefits Specialist to join its finance team. This is a hands-on opportunity... .... Administer employee benefits, including 401(k), health plans, deductions, enrollments, and vendor coordination....Remote work
$60k
...Recruiter for our growing Children's Behavioral Health Organization Compensation: $60,000 base plus performance bonus, on target earnings $100,000 - $130,000, with room to grow. Benefits: Medical, dental, vision, life insurance, 401K, PTO, and paid holidays....Full timePart timeWork at office- Southeast Community College is seeking a detail‑oriented Payroll & Benefits Specialist (PT) in Lincoln, NE. You will handle biweekly and monthly payrolls, administer benefits and leave, generate direct deposits, and manage records with strict confidentiality. The role requires...Part time
$67k - $75k
SUMMARY: The Payroll and Benefits Specialist administers payroll and benefits for U.S. employees of Universal. These responsibilities include executing and validating bi-weekly payroll, ensuring timely and accurate distribution of pay and deductions, in addition to administering...- Ohio Northern University is seeking an HR professional to join the Human Resources team, focusing on payroll and benefits administration. The role ensures accurate, timely, and compliant processing, enrollment, reconciliation, and audits while coordinating with vendors...
- Grace Healthcare Services in Kearny, NJ is seeking a Benefits Administrative Coordinator to support the 401(k) program in a hybrid office/remote role. You will assist employees and HR/payroll with 401(k) inquiries, review enrollment documents, and prepare deferral submissions...Work at officeRemote workFlexible hours
$21.69 per hour
Payroll & Benefits Specialist - PT SCC reserves the right to change, modify, or cancel posted positions as appropriate and/or necessary. This... .... Reconcile employee deductions for retirement, life, health, and reimbursement accounts; prepare unemployment and labor...Hourly payTemporary workPart timeWork experience placementWork at officeMonday to FridayShift workDay shift$140k - $175k
...Dyania Health exists to make sure no patient misses out on care they need simply because the evidence was buried in their medical records... ...characteristic as outlined by federal, state, or local laws. Benefits available to eligible employees include: Medical, dental, and...Work at officeLocal areaRemote workFlexible hours3 days per week1 day per week$69.96k - $88.97k
...Job TitleVeterans Benefits Advisor 1 (NY HELPS) - VID 227818Job DetailsOccupational Category: Other Professional CareersSalary Grade: 18Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF)Salary Range: From $69964 to $88970 AnnuallyEmployment Type: Full...- Trilogy Health Services in Louisville, KY is seeking a Benefits Coordinator to act as a primary contact for employees and manage benefit inquiries from intake to resolution. You will coordinate with carriers, vendors, and payroll teams to ensure accurate and timely benefits...
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