Remote Medicare Appeals Intake Specialist
ALine Inc
- Remote job
A-Line is seeking a Remote Appeals Coordinator to support processing of Medicare member and provider appeals and grievances. The role screens for urgency, benefit coverage, and medical necessity, routing cases to the appropriate analyst. Responsibilities include investigations, documentation gathering, correspondence, and periodic auditing or monitoring activities, collaborating with Customer Service, Utilization Management, Medical Directors, and other teams to ensure compliant intake and #J-18808-Ljbffr ALine Inc
$60.78k
...Appeals and Grievances Specialist IIJob Category: Customer Service Department: Appeals... ...compliance with Centers for Medicare and Medicaid Services (CMS... ...and regulations. Intakes, acknowledges, prepares case... ...weekends, holidays, a hybrid remote schedule, occasional flexibility...Remote workFull timeLocal areaShift workWeekend work$20 per hour
Role Snapshot The Intake Specialist manages inbound and outbound communications... ...consideration, we do offer remote work in the following... ...Process claims and support appeals and authorization workflows... ...support for beneficiaries of the Medicare program and manage benefits...Remote workHourly payFor contractorsWork at officeLocal areaImmediate start2 days per week$56.27k - $69.9k
Pay Plan Title: Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status:... ...56,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS... ...manages appeals or grievance cases from intake through resolution. The role...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$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 to...Remote jobHourly payWork at office- Banner Plans & Networks in Arizona seeks a Grievance and Appeals Coordinator to manage the intake, review, investigation, and resolution of member grievances, appeals, and provider disputes in a remote setting. Candidates must reside in Arizona; you will document findings...Remote job
$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 workHourly payFull timeContract workWork experience placementWork at office- Job Category Appeals, Grievances, Specialist Employee Type Exempt - FT Manage Others No Contact information... ...grievances, and appeals. This fully remote position focuses primarily on... ...appeals, and regulatory complaints from intake through resolution. Investigate underlying...Remote workHome office
- Phaxis is seeking an experienced RN to own grievance and appeals cases from intake to final decision in a fully remote setting. You will handle outpatient and community-based care grievances, applying medical necessity criteria and regulatory rules. The ideal candidate...Remote job
$30 per hour
...Med-Scribe, Inc. is seeking a dedicated RN to remotely review Medicare Appeals. This temp-to-hire position requires strong analytical, writing, and computer skills. You will work full-time, Monday through Friday, 8:30 AM to 5 PM, from a remote setting in the United States...Remote workFull timeTemporary workMonday to Friday$26 - $28 per hour
Appeals Specialist I - Healthcare Location: 100% Remote - United States Eligible States: Oregon, Washington, Idaho, Utah, North Dakota, and Arkansas Work Arrangement... ...I Manage end-to-end appeal processes, including intake, analysis, determination, and closure. Validate...Remote workHourly payContract workWork at office- ...Ovation Law Firm is seeking a high-energy, empathetic Legal Intake Specialist to be the first point of contact for individuals seeking legal help after an injury. This fully remote role is open to candidates located in LATAM; you will listen, qualify, and warmly introduce...Remote work
- ...Network Health is seeking an Appeals and Grievance Specialist I to join our Wisconsin team. The role reviews member appeals, investigates findings... ...strong communication and regulatory interpretation skills. Remote 1.0 FTE, with occasional travel to offices in Menasha or...Remote work
$14 - $17.87 per hour
...Overview The Intake Specialist is responsible for the intake process at the facility. Liaises with remote admissions toteam. Establishes professional rapport with client to ensure that they feel welcomed upon arrival. Supportsclient arrival process, including initial...Remote workHourly payLocal area- ...Providing friendly and empathetic customer service, the remote Legal Intake Specialist will manage intake calls, schedule consultations, and screen leads to maximize client conversion rates. Key responsibilities Taking intake calls and contacting potential new clients...Remote work
- Sales Match in New York (remote) seeks an Intake Agent to convert inquiries into clear next steps. You will work with Salesforce and Jotform, handle service requests, and support the intake team lead while ensuring no incomplete submissions delay service. This fully remote...Remote jobWork from home
$85.28k - $108.16k
...determined by the company and may change week to week. Seasonal Intake Specialists must be available to work the assigned number of hours and... ...fluctuating between 10 hours/week and 24 hours/week and is fully remote. US only. Compensation Range Total (Base + Volume)...Remote workHourly payPermanent employmentPart timeSeasonal workImmediate startWork from home10 hours per weekFlexible hours- ...Leveraging expertise in claims adjudication and risk management, the full-time remote Appeals Specialist will guide clients through the appeals process, ensuring compliance and fair decisions while collaborating with internal teams and mentoring staff. Key responsibilities...Remote workFull timeContract work
- ...Supporting the documentation and processing of appeals, the full-time Appeals Specialist II will manage appeals, disputes, and reconsiderations to ensure... ...with state and NCQA requirements while working remotely. Key responsibilities Perform data entry to track, log...Remote workFull timeVisa sponsorshipWork visa
- CorVel is seeking a remote Intake Specialist to support the CareIQ program. You will handle inbound/outbound calls, enter electronic referrals, and ensure accurate documentation across multiple systems. The role emphasizes speed, accuracy, and customer service in a fast...Remote jobWork from homeShift work
- ...To support the review process of claims, the full-time Senior Appeals Specialist will conduct thorough appeals reviews of terminated or denied Short Term Disability, Long Term Disability, and Life claims, while adhering to regulatory guidelines and collaborating with...Remote workFull timeTemporary workWork experience placement
- ...becoming, keep reading. The mission of this role As an Intake Specialist, hours of work would be either 9am - 5pm or 12pm - 8pm eastern... ...you changed the life of someone who served Benefits Remote-first work, from anywhere in the USA Employer-sponsored medical...Remote workFull time
$25 - $30 per hour
...About the Role Intake Specialists are part of a devoted and exceptionally important team at The Advocates. It is a sales-focused teamwho speak on the phone with potential clientsto understand their needs, help them feel comfortable, position our firm as a solution...Remote workFor contractorsWork at officeFlexible hoursWeekday work$29.7 - $31.8 per hour
## Acute Coding Appeals SpecialistApply: Remote - Nationwide: Full time: Posted Today: R052289**Thank you for considering a career at Ensemble!*... ...70 - $31.80 based on experienceThe Acute Coding Appeals Specialist integrates medical coding principles and objectivity in...Remote workFull timeTemporary workWork at officeLocal area$30.7k - $66.5k
...accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties • Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers...Remote workFull timeContract workWork at office- JT Legal Group APC is seeking a motivated Intake Specialist / Phone Sales Representative for a busy law firm. You will speak with prospective clients, conduct initial screenings, explain services and retainers, and convert qualified leads into retained clients. We offer...Remote jobBase plus commissionWork from homeFlexible hours
$37.44k
...Pacific Time Zones will be prioritized for consideration.* As an Intake Patient Care Representative , you will support new patients... ...homecare is delivered, one patient at a time. Why Join Us? 100% Remote Equipment Provided Full Benefits Package (Medical, Dental, Vision...Remote workHourly payWork at officeLocal areaMonday to Friday- ...Intake Specialist Job Description At Washington Auto Law, we are dedicated to making a difference. Our mission is to provide exceptional... ...Firm Intake Specialist Location: Washington Auto Law | Fully Remote Position Reports To: Intake Manager Summary: The...Remote workFull timeWork at officeImmediate start
- ...Overview Due to growth we are adding an Intake Specialist to our team! Under direction from the Assoc. Manager, Patient Support Services... ...Assistance Program ~ Flexible Spending Account #LI-Remote Navitus Health Solutions is an Equal Opportunity Employer....Remote workFlexible hoursShift work
$8 - $9 per hour
...Legal Intake Specialist - Renier Hotopp Law Offices Location: Remote Job Type: Full-Time | Monday–Friday | 8:00 AM–5:00 PM Compensation: $8–$9/hour, based on experience + Benefits Be the First Point of Contact for People Seeking Legal Help Renier...Remote workHourly payFull timeMonday to Friday$36k
...needs. About the Role Guidance Specialists provide support to diverse global... ...client concerns by conducting clinical intakes and referring clients to the appropriate... ...and complete satisfaction Educate remote clients about resources, eligibility, and...Remote workFull timeLocal areaWorldwide
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