Medical Appeals Coordinator
Virtual Vocations Inc
Working remotely in a full-time capacity, the Medical Appeals Coordinator will manage the review, scanning, and processing of incoming appeals while preparing necessary correspondence for clients and providers. Key responsibilities Review, copy, and prepare documentation for incoming appeals Sort, prep, key, and scan appeals and relevant information in DocuVantage Create coversheets for responses and miscellaneous mail requiring scanning Required qualifications High School diploma or equivalent required 1 - 2 years of administrative experience required Knowledge of medical terminology Experience in healthcare, claims, or the insurance industry preferred Proficiency in Microsoft Word, Access, and Excel
- ..., a US Fortune 50 organization and a leading provider of Healthcare and Health Insurance services, seeks an accomplished Medical Appeals Coordinator Position: Medical Appeals Coordinator Location: New York, NY Duration: 3-6 months+ temp-to-hire!!! Pay rate: $24/hr on W2...SuggestedTemporary workLocal areaRemote workFlexible hours3 days per week1 day per week
$20 per hour
...Medical Appeals Coordinator (Remote) Fully Remote Allied Benefit Systems Overview Salary Range $20.00 Hourly Position Type Full Time Category Claims Description POSITION SUMMARY The Appeal Coordinator is an intermediate level administration position that...SuggestedRemote jobHourly payFull timeWork experience placementWork from home- ...Clinical Appeals Coordinator As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to... ...appeal. Notifying appropriate staff of approved/denied medications. Process/reverse online claims as required. Responsible...SuggestedWork at office
- ...Clinical Appeals Coordinator UPMC Health Plan has an exciting opportunity for a Clinical Appeals Coordinator position in the Provider Disputes... ...needs. This position coordinates and completes all medically necessary provider appeals. The functions include reviewing...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
- Medix™ is seeking a Clinical Review Coordinator in Jericho, New York to support clinical review and appeals projects. Responsibilities include managing communications, monitoring case activity, and coordinating workflows with various stakeholders. The ideal candidate will...Suggested
- ...Summary The Clinical Appeals Coordinator is responsible for supporting Concord Hospital with claim appeal activities within the Revenue... ...Integrity department. This involves a timely and accurate review of medical records in response to claim denials received from third...Full timeFor contractorsFlexible hours
- ...Medical Coding Coordinator The Medical Coding Coordinator is responsible for supervising the daily operations of the coding department, including... .../Ancillary Services Reviews claims requiring follow-up appeal Analyzes operative reports to assign correct CPT, ICD 10...Work at officeRemote work
- ...each other, and for the future. WHAT YOU'LL DO As a Medical Collector at VITAS Healthcare, you'll be a key part of the... ...timely reimbursement. Whether researching payer guidelines or appealing denied claims, your work will support our mission to make healthcare...Work at officeRemote workMonday to FridayFlexible hoursShift workNight shiftWeekend workDay shiftWeekday work
$62.5k
...Medical Claims Coordinator Job Category: Worker's Compensation Full-Time Remote Salary: $62,500 USD per year Location: Omaha, NE... ...records, or handling insurance pre-authorizations, denials and appeals. If you're passionate about healthcare advocacy, thrive...Full timeWork at officeRemote workWeekend workAfternoon shift$26.42 - $37.49 per hour
...visibility As the Claim Intake Coordinator, you will be responsible for the accurate... ...experience Minimum of 2 years of medical claims customer service experience in an... ...committed any misconduct; or have filed an appeal of a finding of substantiated misconduct...Hourly payWork at officeRemote workMonday to FridayFlexible hours- ...CPC Certified Medical Coding Coordinator, this full-time position involves supporting medical policy functions through medical coding, system... ...operations, including managing timelines and filing external appeals Perform coding analyses and generate reports to recommend...Full timeRemote work
$68.97k - $113.31k
...clinical subject matter expert in all lines of business (STD/LTD/Appeals) and products, action planning management, and Guardian systems... ...to assist in ensuring the fair and accurate assessments of medically supported functional abilities. They will assist in cultivating...Full timeRemote workVisa sponsorshipWork visaFlexible hours- Soleo Health is seeking a Clinical Review Coordinator to support its Specialty Infusion Pharmacy. This remote role requires 8:30 a.m. - 5:00 p.m. Eastern Time work on weekdays. Key responsibilities include completing clinical reviews and managing prior authorizations. Applicants...Remote jobFlexible hoursWeekday work
- ...Medical Collector We are VITAS Healthcare, the nation's leading end-of-life care provider since 1978. Our hospice organization kickstarts... ...timely reimbursement. Whether researching payer guidelines or appealing denied claims, your work will support our mission to make...Work at officeRemote workMonday to FridayShift work
$19 - $25 per hour
...Medical Office Coordinator - Dental - Full Time - Days Provides indirect patient care in the office/clinic setting. Coordinates phone calls... ...procedure/testing dates. Sends letters insurance companies appealing denied services Facilitates provider to provider calls...Hourly payFull timeWork at officeShift workDay shift- ...Why Join TCT? Comprehensive Benefits Medical, dental, vision, and life insurance... ...-oriented and organized Medical Billing Coordinator to join our team in Columbus, OH. This full... ...payments and resolve denial instances File appeals as needed to ensure proper reimbursement...Hourly payFull timeWork at officeFlexible hours
$19 - $25 per hour
...Medical Office Coordinator - Whitesboro - Full Time - Days The Medical Office Coordinator provides indirect patient care in the office setting... ...test results. Sends letters to insurance companies appealing denied services or medication. Facilitates provider to...Hourly payFull timeWork at officeShift workDay shift$22 - $28 per hour
...Medical Administrative Coordinator ABOUT NBCG Neurobehavioral Center for Growth (NBCG) is a fast-growing, multi-location behavioral health practice... ...(90833), and specialty services • Submit, track, and appeal insurance claims across commercial payers, Medicare, Medicaid...Full timeTemporary workPart timeWork at office$248.5k - $373k
...Stryker Corporation is seeking an Appeals and Grievances Medical Director to oversee clinical review and adjudication of appeal cases for UnitedHealthcare. The role requires strong telephonic and interpersonal skills along with at least 5 years of clinical practice and...Remote work$247.84k
...Appeals Medical Director - Dermatology Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life...Full timeTemporary workWork experience placementLocal area1 day per week$246.1k - $344.2k
...Become a part of our caring community The Corporate Medical Director relies on medical background and reviews health claims. You will... ..., timely, and defensible medical decisions on complex appeal cases, exercising professional judgment with minimal supervision...Bi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to Friday$247.84k
...Appeals Medical Director – Cardiology Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life...Full timeTemporary workWork experience placementLocal area1 day per week- ...Lehighbar is seeking a qualified Medical Director for Appeals and Grievances, offering a remote work option within the U.S. Responsibilities include clinical review of appeals for UnitedHealthcare and collaboration with medical directors. Ideal candidates will have over...Remote work
$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build...Minimum wageWork experience placementLocal areaRemote workWork from home$248.5k - $373k
...affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...Minimum wageFull timeWork experience placementLocal areaRemote workWork from home- ...Working remotely from anywhere in the U.S., the full-time salaried Appeals Medical Director will be responsible for the clinical review and adjudication of appeals and grievances cases for various health plan products, ensuring compliance with medical policies and regulatory...Full timeRemote work
$247.84k
...Appeals Medical Director - Oncology Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...Full timeTemporary workWork experience placementLocal area1 day per week$236.5k
...members as a clinical professional on our Medical Management/Health Services team. Centene... ...Chief Medical Director to direct and coordinate the medical management, quality improvement... ...with clinical teams, network providers, appeals team, medical and pharmacy consultants...Full timePart timeWork at officeRemote workFlexible hoursWeekend work$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build...Minimum wageWork experience placementLocal areaRemote workWork from home$248.5k - $373k
...A healthcare organization is seeking a Medical Director for Appeals and Grievances to oversee ongoing clinical reviews and adjudications. This role requires an MD or DO with board certification and extensive clinical experience, including quality management. Key responsibilities...Remote work
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