Remote Health Care Appeals Specialist
UnitedHealthcare
A national healthcare company is seeking a Senior Appeals Representative to manage and resolve appeals and grievances. This remote role requires strong analytical skills and the ability to communicate effectively with members and providers. Candidates must have a High School Diploma and at least 2 years of experience in a healthcare setting or related office environment. This position offers competitive pay and a comprehensive benefits package. #J-18808-Ljbffr
- ...events as needed. Overview A Diabetes Care and Education Specialist RN is a registered nurse with... ...comprehensive breast services, behavioral health, maternity, weight loss surgery, and... ...For positions that are available as remote work, Sentara Health employs associates...Remote workFull timeTemporary workShift workDay shift
- ...Hampton, VA is hiring a RN Diabetes Care and Education Specialist for the Diabetes Outpatient Education... ...dedicated orthopedic hospital. We improve health every day, come be a part of the... ...For positions that are available as remote work, Sentara Health employs associates...Remote workTemporary workShift work
$45k - $50k
...based, in-office work, remote work, and in-community... ...About Essence Community Care Essence Community Care... ...dedicated to improving health outcomes by helping individuals... ...Senior Social Care Specialist to manage a high-acuity... ...benefits advocacy, and appeals resolution. The ideal...Remote workWork at officeLocal area$30.09 - $50.54 per hour
Job Summary The Managed Care Utilization Management/... ...the Managed Care HMO Health Plans. The Utilization... ...serves as a Managed Care Specialist, directly performing first... ...(mix of on‑site and remote work) Benefits High quality... ...; or have filed an appeal of a finding of...Remote workHourly payContract workTemporary workLocal areaFlexible hoursShift work- Allied Benefit Systems is seeking an Appeals Specialist in Chicago, IL, responsible for monitoring and tracking appeals related to the Allied... ...years of experience in medical claims appeals. This position is remote, offering a competitive hourly rate and benefits including...Remote jobHourly pay
- ...looking for a Medical-Denial Management Specialist to join their Billing & Collections team... ...healthcare insurance claim denials, preparing appeals, and collaborating with billing staff.... ...opportunity to work onsite with some remote flexibility. #J-18808-Ljbffr Orthopedic...Remote workWork at office
- ...Allied Benefit Systems, Inc. is looking for a Remote Appeals Coordinator to manage claims appeals related to the Allied Advocate program. This role requires experience in medical claims processing and strong analytical skills. Responsibilities include monitoring appeal...Remote workWork at office
- ...Kids for the Future is seeking a DRG Appeals Review Nurse to analyze and appeal denied MS-DRG and APR-DRG accounts. The ideal candidate will have a Registered Nurse License, relevant coding certifications, and extensive clinical experience. Key responsibilities include...Remote workWork from home
$238k - $357.5k
UnitedHealth Group seeks an Appeals and Grievances Medical Director who will conduct clinical reviews and manage appeals for various health plans. The role offers flexibility to work remotely throughout the U.S. Applicants must have an MD or DO, strong clinical and management...Remote job$81k - $145k
...US Foods is hiring a Business Solutions Specialist for Acute Care/Senior Living, a fully remote role focused on increasing sales in the Northwest region. Candidates should have a minimum of five years’ experience in the foodservice healthcare industry and a background...Remote workContract work- A leading healthcare provider is seeking a remote Patient Care Engagement Coordinator to manage leads and support overall patient engagement. The ideal candidate should have a customer-first mindset, administrative experience, and excellent communication skills. Responsibilities...Remote work
- ...Providing essential administrative support, the full-time Remote Patient Care Specialist will manage phone inquiries, schedule appointments, and address... ...service experience At least 1 year of experience with health insurance plans, medical records, or scheduling...Remote workFull timeMonday to Friday
- ...Medicine in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance claim denials,... ...Certification in coding is preferred. The position is fully remote, offering flexibility and valuable benefits. #J-18808-Ljbffr...Remote job
- ...Partnership is seeking a Nurse Reviewer for Appeals and Hearings to coordinate and perform... ...This position is a full-time, permanent remote role that complies with work-from-home policies... ...with the appeals process. Comprehensive health benefits and a flexible vacation policy...Remote workPermanent employmentFull timeWork from homeFlexible hours
$18.43 - $24.75 per hour
...City Prairie du Chien State WI Remote NO Department Nursing Benefits Highlights Medical... ...package to secure your future. Patient Care Specialist (PCS) Responsibilities The Patient Care... ...terminology. Current Basic Life Support for Health Care Providers from one of the following...Remote workHourly payFull timeMonday to FridayFlexible hoursAfternoon shift- ...State of Washington Dept. of Health is seeking a part-time Rural Health Transformation Project Specialist to provide clinical expertise... ...trauma system development. This remote position requires certification... ...to enhance trauma care access. Ideal candidates will...Remote workPart timeFlexible hours
- ## Kidney Care SpecialistApplyremote type: Hybridlocations: East... ...** The Kidney Care Engagement Specialist creates a supportive, engaging... ...WORKING CONDITIONS:**• Fully remote; requires reliable internet and... ...leadership, Value Based Care Health teams, operations, clinical, and...Remote workPermanent employmentWork at officeLocal areaWeekend workAfternoon shiftEarly shift
- ...athletic field or golf course environment. Knowledge of basic turf care principles of fertilization, aeration, mowing and pest control.... ...be performed in‑person at an Emory University location; working remote is not an option. Emory reserves the right to change this status...Remote work
- A healthcare services provider is seeking an Advanced Wound Care Nurse Practitioner to join their team remotely in South Carolina. The role involves assessing and developing treatment plans for patients with complex wounds, collaborating with interdisciplinary teams, and...Remote workRelocation package
$25 per hour
...seeking a compassionate registered nurse (RN) to provide after-hours triage for hospice patients. Remarkably, this remote role supports families with care coordination in critical situations. The ideal candidate should possess an active multistate RN license and have hospice...Remote workHourly pay- ...IntellaTriage in St. Louis, MO is seeking a compassionate registered nurse (RN) to provide after-hours triage for hospice patients. In this remote role, you'll ensure timely interventions, documenting calls effectively and collaborating with on-call teams. Responsibilities...Remote work
- ...USA SOLVENTUM US LLC is seeking a Post Acute Wound Healing Specialist in Sioux Falls, SD, to serve as a consultative wound care expert. The role involves educating clinicians, driving adoption of solutions, and ensuring proper documentation for therapy authorization....Remote workWork at office
- Managed Resources, Inc. is seeking a CDI Manager to lead the Clinical Appeals Department. The role entails managing appeal reviews, conducting audits, and ensuring compliance with regulations. The ideal candidate will have extensive experience in clinical documentation...Remote jobWork from home
- ...Advanced Wound Care Nurse Practitioner Job Posting: Advanced Wound Care Nurse Practitioner... ...salary Dental insurance Health insurance Paid time off Vision insurance... ...resume and cover letter to ****@*****.*** This is a remote position. #J-18808-LjbffrRemote workRelocation package
$25 per hour
...Registered Nurse (RN) to provide compassionate after-hours support for hospice patients. This remote position involves critical decision-making to ensure timely interventions and patient care coordination. Ideal candidates will hold an active RN license with experience in...Remote workHourly payShift work- ...A healthcare client service provider is seeking a Patient Care Representative to manage inbound and outbound calls, schedule patient appointments, and provide exceptional customer service. Responsibilities include verifying patient information, ensuring HIPAA compliance...Remote work
$25 per hour
...Registered Nurse (RN) to provide essential after-hours support to hospice patients. You’ll work remotely, triaging patient needs over the phone while ensuring timely interventions and care coordination. The ideal candidate will possess an active multistate RN license and...Remote workHourly payFlexible hours- ...Solventum is seeking a Post Acute Wound Healing Specialist in Rapid City, SD to serve as a consultative expert for wound care. This remote position requires strong sales and clinical skills to educate clinicians, manage territories, and ensure effective product use. The...Remote work
$25 per hour
...Cincinnati is seeking a compassionate registered nurse (RN) for a remote role. This position involves providing critical after-hours... ...empathy. You will join a supportive team focused on improving patient care and managing after-hours services. With a pay structure starting...Remote workHourly pay- ...is about more than end‑of‑life care - it's about ensuring every... ...right time. As a Care Transitions Specialist, you'll serve as the vital... ...satisfactory experience in community health in a licensed and/or Medicare... ...health information (ePHI) remote access in accordance with HCS...Remote work
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