Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Appeals & Grievances Specialist

Geisinger Health System

New York, NY
  • Remote job

Geisinger is looking for a professional to provide support in the administration of the Appeals and Grievance process. This role involves liaising between members and the plan to address denied claims and benefit issues. Applicants should have a minimum of 5 years of relevant experience and a High School diploma or equivalent. The position requires strong communication skills and the ability to work independently. Benefits include healthcare coverage from day one, emphasizing an inclusive work environment. #J-18808-Ljbffr Geisinger

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Appeals & Grievances Specialist in New York, NY vacancy
  •  ...Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing... 
    Remote work

    Geisinger Health System

    New York, NY
    2 days ago
  • $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... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    Phoenix, AZ
    20 hours ago
  •  ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years... 
    Remote work
    Full time

    L.A. Care Health Plan

    Los Angeles, CA
    4 days ago
  • A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching... 
    Remote work

    Healthfirst

    New York, NY
    1 day ago
  •  ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the...  ...resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business... 
    Remote work
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    1 day per week

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    1 day ago
  • $60.78k

    Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID:...  ...requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in... 
    Remote work
    Full time
    Local area
    Shift work
    Weekend work

    L.A. Care Health Plan

    Los Angeles, CA
    3 days ago
  • $18 - $24 per hour

     ...Pay Rate: $18 to $24 per hour Summary: ~ Work Mode: Remote Responsibilities: Triage incoming appeals and grievances, categorize them appropriately, and assign them to the team. Make outbound calls when necessary and check voicemails. Respond... 
    Remote work
    Hourly pay

    Axelon

    Boston, MA
    4 days ago
  • $24.79 per hour

     ...Member Appeals Specialist Trillium Professional is now seeking a Member Appeals Specialist for a 100% remote position! Candidates will work Monday-Friday, 40 hours/week for about...  ...incoming member appeals and grievances. Assign and manage appeals from intake... 
    Remote work
    Work at office
    Monday to Friday

    Trillium Staffing

    United States
    2 days ago
  • $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... 
    Remote work
    Hourly pay
    Work at office

    Molina Healthcare

    Phoenix, AZ
    2 days ago
  • $48.6k - $83.16k

     ...Responsible for processing expedited appeals: those that are complex in nature, require...  ...times of the Expedited Appeal unit, the Specialists are required to work weekends and holidays...  ...versed in all aspects of the complaint, grievance and appeal process and be able to... 
    Remote work
    Hourly pay
    Contract work
    Weekend work

    EmblemHealth

    New York, NY
    3 days ago
  • $50k - $55k

     .... Under the direction of the Appeals Department leaders, the Appeals...  ...the department. The Appeals Specialist level II performs research,...  ...investigation, and analysis of appeals, grievances, and other types of...  ...atmosphere of frequent interruptions Remote Work Requirements High speed... 
    Remote work

    MedReview Inc.

    New York, NY
    3 days ago
  •  ..., member and provider complaints, and reconsideration and redetermination requests. Review and respond to complaints, grievances and appeals within the stated time frame for each request Certify that providers and members are reimbursed accordingly using Medicare... 

    Macpower Digital Assets Edge

    Irving, TX
    13 hours ago
  • $45.9k - $78.6k

     ...a community of connected care, where coordinated, quality service is the norm and every member feels valued. Medica’s Appeals and Grievance Specialist plays a vital role in ensuring our members and providers receive clear, timely, and accurate resolutions to their concerns... 
    Work experience placement
    Work at office
    3 days per week

    Medica Services Company LLC

    Minnetonka, MN
    4 days ago
  • $32 - $33 per hour

     ...Appeals and Grievance Specialist Job details Posted 17 July 2026 Location Irving, TX Reference 1011652 Job description Appeals and Grievance Specialist II Location: Irving, TX 75039 Pay range: $32-33/hr Schedule: Monday... 
    Contract work
    Worldwide
    Monday to Friday

    Dexian DISYS

    Irving, TX
    4 days ago
  •  ...Appeals & Grievance Specialist Schedule Monday – Friday Onsite Position Position Summary The Appeals & Grievance Specialist II is responsible for independently researching, reviewing, and resolving member and provider inquiries, complaints, appeals, and grievances. This... 
    Work at office
    Monday to Friday

    TEEMA

    Irving, TX
    4 days ago
  • Top Healthcare Company is hiring an RN to work remotely as a Med Appeals & Grievance Specialist Coordinator! ***Must have a current RN License in Arizona or a Compact RN license*** Duties: - Perform in-depth analysis, clinical review and resolution of provider appeals... 
    Remote work
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area
    Aguila, AZ
    17 days ago
  •  ...Working remotely in a full-time capacity, the Appeals Specialist will leverage expertise in claims adjudication and risk management to guide clients through the appeals process, ensuring compliance and effective communication with stakeholders. Key responsibilities Reviews... 
    Remote work
    Full time
    Contract work

    Virtual Vocations Inc

    United States
    20 hours ago
  • $19 - $21 per hour

     ...Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within...  ...plan and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training period... 
    Remote work
    Hourly pay

    Quadax

    Cleveland, OH
    3 days ago
  •  ...Appeals Specialist We are seeking a detail-oriented and experienced Appeals Specialist for our client in Middleburg Heights, Ohio. In this role...  ...$19.50-$21.00 Monday-Friday 8am-5pm 3 months in office then remote Benefits offered Key responsibilities include reviewing... 
    Remote work
    Work at office
    Monday to Friday

    EverStaff

    Cleveland, OH
    4 days ago
  • A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage...  ...processing, and excellent analytical and communication skills. Remote work options are available along with competitive benefits... 
    Remote job

    MedReview Inc.

    New York, NY
    3 days ago
  • $248.5k - $373k

     ...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities...  .... Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges... 
    Remote work
    Minimum wage
    Work experience placement
    Local area
    Work from home

    Reliant Medical Group

    United States
    1 day ago
  • $248.5k - $373k

     ...together . Work at home! You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review and... 
    Remote work
    Minimum wage
    Work experience placement
    Local area
    Work from home

    UnitedHealth Group

    United States
    20 hours ago
  •  ...Appeal & Grievance Coordinator Reviewer I We are seeking an Appeal & Grievance Coordinator Reviewer I to review and research medical appeals and grievances, analyze claims and medical records, and ensure timely resolution in compliance with HIPAA, CMS, and regulatory... 
    Remote work
    Work at office

    Apolis

    Phoenix, AZ
    1 day ago
  • $246.1k - $344.2k

     ...medical decisions on complex appeal cases, exercising professional...  ...-to address and resolve grievances and appeals. Participate in...  ...Geriatrics, Hospitalist clinical specialists Work at Home Requirements...  ...duplicate profiles. This is a remote position anywhere in the USA... 
    Remote work
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Interim role
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Atlanta, GA
    4 days ago
  •  ...Appeals Specialist – BlueCross BlueShield of South Carolina BlueCross BlueShield of South Carolina (BCBSSC) is hiring an Appeals Specialist...  ...redetermination letters. Location & Schedule Position may be onsite or remote. Onsite location: 26 Century Blvd, Suite ST610, Nashville, TN... 
    Remote work
    For contractors
    Work experience placement
    Work at office
    Local area
    Shift work

    260 CGS Administrators, LLC

    Raleigh, NC
    14 hours ago
  • Blue Cross Blue Shield of Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance timelines, and a focus on customer service. Applicants should possess a healthcare-related degree... 
    Remote job

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    2 days ago
  •  ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established...  ...and applying contract and regulatory provisions. This is a Remote Role Experience Experience handling a large load of work in... 
    Remote work
    Contract work
    Apprenticeship
    Local area

    LanceSoft

    Detroit, MI
    10 days ago
  • $23.22 - $34.84 per hour

    A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high... 
    Remote job
    Hourly pay
    Full time

    Elevance Health

    Chicago, IL
    1 day ago
  •  ...Detroit, Michigan Analyst Contract Job Title: Grievance & Appeals Coordinator Location: Remote Job Description: Top 3 Required Skills/Experience - • Experience handling a large load of work in a fast-paced environment... 
    Remote work
    Contract work
    Flexible hours

    OpTech

    Detroit, MI
    4 days ago
  •  ...Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration:... 
    Remote work
    Contract work

    Strategic Staffing Solutions

    Detroit, MI
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Appeals & Grievances Specialist. Be the first to apply!