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
$110k - $150k
...Care Specialists Pharvaris is a Nasdaq listed late-stage biotech company developing bradykinin... ...and work virtually. Whilst this is a remote role, you must be located in the US with... ..., prior authorization and appeal support, and stakeholder communications...Remote workFlexible hours- ...CrewBloom seeks a detail-oriented medical billing assistant to help prepare and submit appeals, review EOBs, and ensure accurate CPT/ICD coding under guidance. The role supports workers’ compensation claim processing and a broad range of billing tasks. This position...Remote workHome office
- ...FountainRx Specialty Pharmacy is seeking a remote Patient Care Coordinator to support patients with retail, compounded, and specialty medications... ..., timely follow‑ups, and collaboration with pharmacists and health care professionals to uphold FountainRx’s standards of care....Remote work
- A compassionate pet care organization is seeking a Remote Call Center Representative who will provide emotional support and guidance to pet families during challenging times. This role requires prior experience in high-volume customer service and strong communication skills...Remote work
- ...Oscar Health is hiring a Care Coordinator to serve as the central entry point for the Care Management department. You will coordinate care for members in CCM, RAP, and other programs, while enabling RN Care Managers to operate at the top of their license. The role involves...Remote work
- ...Verisma-Systems-In is seeking a Remote Care Coordination Representative to complete tasks related to CCS/HIM services, including e-Filing, referrals, verifications, and prior authorizations. The role emphasizes accuracy, HIPAA compliance, and efficient data entry from...Remote workHome office
- ...Oscar is hiring a Care Coordinator to serve as the central entry point for the Care Management department. You will coordinate care... ...Medecision) and telephony (InContact), and excellent interpersonal communication. Remote role with travel may be required. #J-18808-Ljbffr...Remote work
- ...The Mount Sinai Health System is seeking a Care Coordinator to support logistical patient care activities for home-based patients. You will coordinate orders, vendor deliveries, and services, while collaborating with the clinical team to ensure safe, timely care. You will...Remote workFull time
- ...Working remotely and requiring adherence to a Pacific Time Zone schedule, the part-time Remote Care Coordination Specialist will complete tasks related to Care Coordination services, including... ...patient charts using electronic health record (EHR) software Provide exemplary...Remote workPart timeWork at office
- ...Float Health is seeking a Recurring Care Specialist to coordinate nursing visits and manage patient schedules from a fully remote US base. You will handle high-volume tickets, phone calls, and appointments while maintaining superior customer service and collaboration with...Remote work
- ...Providing empathetic support to families navigating difficult life events, the part-time Care Specialist will work weekend day shifts remotely, managing live chat and phone interactions while assisting with resource navigation and care planning. Key responsibilities Deliver...Remote workPart timeWeekend workDay shift
- ...The Mount Sinai Health System is seeking a Care Coordinator to support logistical patient care activities for Mount Sinai at Home. You will coordinate with clinicians, vendors, and patients to ensure timely services and accurate orders while maintaining HIPAA compliance...Remote work
- ...Molina Healthcare is seeking a remote field-based Care Coordinator to support LTSS care management. You will conduct member assessments, develop and monitor care plans, and collaborate with interdisciplinary teams to coordinate services and improve outcomes for high-need...Remote workWork at office
- ...Oscar, the first health insurance company built around a full stack technology platform, is hiring a Care Coordinator. This role serves as the central entry point for the Care... ...contribute to a positive member experience from a remote home office, with occasional travel for...Remote workHome office
- Department: Domestic Sales / Clinical EducationLocation: Remote, Southeast/Central United StatesReports to: Director, Clinical Application... ...the OpportunityJoin Natus Neuro as a Neurocritical Care Specialist and help expand the adoption of technologies that support critical...Remote workFull timeLocal areaHome office
- ...Carda Health Chronic Care Management Assistant – Clinical Check Specialist Rehab is a pain. So much so that only 10% of qualifying Cardiac and Pulmonary patients... ..., compassionate, and life-saving rehabilitation remotely. We are a team of data scientists, mathematicians...Remote workWork experience placementWork at officeFlexible hours
$17 - $20 per hour
...Remote Patient Care Specialist Pacific Medical Data Solutions, a company of LifePoint Health, is a rapidly growing nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. Headquartered in the Denver...Remote workWork at officeLocal area$48k - $50k
...to home medication visits - moving all care that doesn't need a hospital to the... ...patients. The Role As a Recurring Care Specialist at Float Health, you will play a vital role in driving... .... You're team-oriented: in a remote role, strong teammate connections are...Remote workFull timeFlexible hoursShift work- ...Upham's Corner Health Committee is looking for a part-time Call Center Representative Level 1 to provide exceptional customer service remotely. The role includes answering calls, scheduling appointments, and managing patient inquiries effectively. The ideal candidate...Remote workPart time
$59k - $62k
...Care Specialist Pelago is the leading specialty substance use care provider, built on the belief... ..., and stimulant use based on individual health, habits, genetics, and goals. With... ...substance use care. This is a direct-service, remote clinical role based anywhere in the USA....Remote workFull timeTemporary workHome officeFlexible hours- A dedicated pet care organization is seeking a Call Center Representative to assist pet families with emotional and medical concerns. This role is fully remote and part of a supportive team focused on high-quality customer interactions. Candidates should have experience...Remote work
$21.69 - $32.44 per hour
...Physician is now hiring a full-time Patient Care Specialist in Edenton, NC ! Overview As a Patient... ...(Required) 1 year experience with Health Insurance Plans, Medical Records Data, Medical... .... For positions that are available as remote work, Sentara Health employs associates...Remote workHourly payFull timeTemporary workWork at officeImmediate startMonday to FridayShift work$21.1 - $40.9 per hour
...We’re building a world of health around every individual — shaping a more connected, convenient... ...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the...Remote workHourly payFull timeTemporary workWork at officeLocal areaShift work$54.36k
...‑informed, collaborative, and preventative solutions. Foster Care Specialist is a critical member of the region’s child welfare team, working... ...) with match (more benefits details here). Location: Hybrid (remote/in office); majority of your time will be spent in Winnebago,...Remote workFull timeWork at office$21.56 per hour
...Primary Accountability The Managed Care Specialist is responsible for contributing towards the... ...Responsibilities Responsible for primary IPA and Health Plan day to day interactions and... ...Coordinating external party requests for remote EMR access and/or medical record retrieval...Remote workHourly payShift work- A travel advisory company is seeking a Customer Care Travel Advisor to provide support to clients throughout their travel journey. You... ...and offering solutions with empathy and care. This fully remote position allows for flexibility while ensuring clients feel valued...Remote work
$20.75 - $21.98 per hour
...A Respite Care Specialist approaches their work from a non-judgmental harm reduction lens, centering... ...a week/Monday – Friday Benefits : Yes Remote : No Hybrid : No Responsibilities... ...disclosed substance use, medical, or mental health concerns. Make sure all participants are...Remote workHourly payFull timeMonday to Friday$20 - $25 per hour
...Kidney Care Specialist The Kidney Care Specialist (KCS) supports patients with Chronic Kidney... ...(KCA leadership, Value Based Care Health teams, operations, clinical, and market... ...Demonstrated ability to engage patients remotely and build trust in a virtual environment...Remote workHourly payWork experience placementWork at officeLocal areaWeekend workAfternoon shift$20 - $24 per hour
...A healthcare organization is seeking a Certified Medical Assistant to join their clinical care navigator team. You will assist in telehealth appointments, monitor patient vitals, and provide outreach to patients. Ideal candidates will have a high school diploma, be a...Remote workHourly pay$39.96k - $70.2k
...execution of the non-clinical aspects of the Care Management process. Ensure information is... ...of a case. Work seamlessly with the Care Specialists, Care Managers and Social Workers (and... ...a participant needs to tend to their health is addressed. Provide confidential administrative...Remote workContract workFlexible hoursNight shift
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