Remote Claims Appeals & Correspondence Specialist
Medica
- Remote job
Medica is a nonprofit health plan serving a broad member base in multiple states. The Claims Appeals & Correspondence I role supports post-adjudication operations by managing appeals, inquiries, and escalated issues, researching and resolving claim processing problems to ensure accurate outcomes. The position is remote and requires attention to detail, effective communication, and collaboration with cross-functional teams to maintain timely resolutions and service standards. #J-18808-Ljbffr Medica
- ...Member Appeals Coordinator Will the position be 100% remote? Yes. Are there any specific location requirements? No.... ...regulatory timelines are met. Research claims appeals and grievances using... .... Prepares appeal summaries, correspondence, and document findings. Include...Remote workClaimsContract work
- ...DESCRIPTION Job Summary Provides support for claims activities including reviewing and... ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints... ...communications. Prepares appeal summaries and correspondence, and documents findings accordingly (...Remote jobClaimsContract workWork at office
$45.59k
...Our partner is looking for an Appeals Specialist I based in the United States. This fully remote role offers the opportunity... ...complaints. You’ll investigate claims, grievances, disputes, and... ...accurate, compliant written correspondence. This is a structured, detail...Remote workClaimsPermanent employmentFull timeContract workMonday to Friday- ...Phothera is seeking a Denials & Appeals Specialist to own the appeals process for denied and underpaid claims, focusing on medical necessity and payer policy alignment to... ...reimbursement and patient access. While the role is fully remote, candidates based in or near Beachwood, OH are...Remote workClaims
- ...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 workClaimsWork at office
- Currance, Inc. is hiring for an AR Specialist II in a remote role focused on hospital billing and denial follow-up.You will manage insurance claims from submission through resolution, handling denials, appeals, and account follow-up for a variety of payer sources to ensure...Remote jobClaims
$34.2k - $58.6k
...service is the norm and every member feels valued. The Claims Appeals & Correspondence I position supports post-adjudication claims operations by... ...independently and collaboratively across teams This position is a Remote role. To be eligible for consideration, candidates must...Remote workClaimsWork experience placement- ...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately, assigning... ...will: Have member appeals experience (not provider claim appeals experience, though a combo of both member and...Remote workClaimsTraineeship
- 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...Remote jobClaims
- Aspirion is seeking a Denials Appeals Specialist to analyze denial reasons, draft and submit appeals... ...carriers and internal teams to resolve claims and minimize revenue leakage. Ideal... ...healthcare revenue cycle or denial management. Remote work within the United States is...Remote jobClaims
$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... ...Appeals Specialist is responsible for managing insurance claim appeals to ensure proper reimbursement for molecular and...Remote workClaimsHourly payWork at officeWork from homeHome officeNight shift$29.7 - $31.8 per hour
...based on experience The Acute Coding Appeals Specialist integrates medical coding principles... ...documentation, spreadsheets, account, and claim examples of root cause issues. Performs... ...and client experiences. ~ This is a remote position; however, candidates must be willing...Remote workClaimsTemporary workWork at officeLocal area- ...Health, Inc. is seeking a Reimbursement Specialist II to drive payment for services and optimize... ...and Client Services to address complex claims and support patients through the... ...reimbursement lifecycle. Responsibilities include appealing denials, evaluating EOBs, and...Remote jobClaims
$31.25 - $33.65 per hour
...Appeals Specialist Remote GeneDx delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug... ...Appeals Specialist is responsible for reviewing denied claims, identifying root causes, and submitting well-documented appeals...Remote workClaimsWork at officeWork from homeHome office$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 role... ...on ownership of denied and underpaid claims, appeals strategy, payer follow-up, and...Remote workClaimsHourly payPart timeWork at officeLocal area$60.78k
...achieve that purpose. Job Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and... ...reconsiderations, and complex provider claim disputes. The position is further... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workClaimsLocal areaShift workWeekend work$25 - $31 per hour
...Location: Fully remote must reside in OR, WA, UT, ID, or North... ...lifecycle of member/provider appeals from intake and eligibility... ...-making, and closure. Review claims, medical/reimbursement policies... ...and collaborate with coding specialists, nurses, and physician reviewers...Remote workClaimsContract workTemporary work$25 - $31 per hour
...all activities associated with appeal analysis, decision-making and... .... Appeal Analysis Review claim coding and claim processing history... ...effectively with coding specialists, appeal nurses, physician reviewers... ...Type This is a fully remote position. Application Deadline...Remote workClaimsContract workTemporary workWork experience placement$25 - $31 per hour
...all activities associated with appeal analysis, decision-making and... .... Appeal Analysis Review claim coding and claim processing... ...Collaborate effectively with coding specialists, appeal nurses, physician... ...Type This is a fully remote position. Application Deadline...Remote workClaimsContract workTemporary workWork experience placement$35.36k
...compassionate, organized, and veteran-focused Appeals Specialist to support veterans and their families in navigating VA disability claims. The Appeals Specialist serves as a... ...life of someone who served Benefits Remote-first work, from anywhere in the USA Employer...Remote workClaimsFull time- ...AR Specialist At Zotec Partners, our people make it... ...to join us. This is a remote position. What you'... ...ll do: Follow up on claims rejections and denials... ...claims Work daily correspondence work files Process and follow up on appeals Resolve correspondence...Remote workClaims
- ...Claims Denials Reviewer Duties/Responsibilities include but are not limited to:... ...documentation and file reconsiderations and appeals as appropriate. Able to identify and... ...exclusions. Review and work all daily correspondence received from patients and payers. Understand...Remote workClaims
$17 - $20 per hour
...Revenue Cycle Specialist The Revenue Cycle Specialist is... ...reviewing and processing claims in various stages of the... ...Prioritize, process, and delegate correspondence, rejections, denials, appeals, static claims, and all... ...to work in a hybrid or remote setting, a quiet, private...Remote workClaimsContract workWork at office- ...RCM Specialist II Ensora Health is the leading provider of software... ...insurance and healthcare claims with a focus on accuracy and... ...account discussions, written correspondence, and ongoing communication.... ...posting, denial management, appeals, and accounts receivable follow...Remote workClaimsWork at office
- ...RCM AR Specialist Fully Remote Asheville, NC 28803 Position Overview Position... ...Job Summary: Follows up on claim denials and overdue insurance... ...a timely manner. Submits appeals related to contract rate variances... .... Monitor and review Payer correspondence from the lockbox and faxes....Remote workClaimsContract workCasual workWork at officeAfternoon shift
$19 - $23 per hour
...Accounts Receivables Specialist Founded 50+ years ago with a mission... ...insurance carrier denials, appealing claims, contacting payors on open... ...to insurance carrier correspondence and/or inquiries. Pay range... ...:00 AM - 4:30 PM This is a remote position but requires residency...Remote workClaimsFull timeTemporary work$23 - $31 per hour
## Reimbursement Specialist IIApply: Remote-USA-TX: Spring, TX: Full time: Posted Today... ...complex outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims,... ...appropriate payer communication, correspondence, and insurance claim research...Remote workClaimsFull timeWork from home$22 - $24 per hour
...Denial Management Specialist The Denial Management... ...denials and outstanding claims. The role aids in optimizing... ...Execute the denial appeals process which includes... .... **This is a fully remote role**... ...portal, phone and/or correspondence, regarding reimbursement...Remote workClaimsContract workWork experience placementImmediate start$40.99k - $61.49k
...skilled subject matter specialists and operations... ...payers on outstanding claims, break down obstacles... ...first and second level appeals of all denials in effort... ...Researches and analyzes any correspondence received related to... ...Work from home and remote location with a stable...Remote workClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours- ...skilled subject matter specialists and operations... ...electronic and paper claims accurately and timely,... ...reimbursements Process payer correspondence and take appropriate... ...payer reconsideration and appeals processes, with... ...video conferencing. Remote work is expected 100%...Remote workClaimsWork at officeLocal areaWork from home
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