Remote Claims Appeals & Correspondence Specialist II
Medica
- Remote job
Medica in the United States is seeking an intermediate Claims Appeals & Correspondence II specialist to manage inventory of claim appeals, VIP cases, and customer inquiries. You will research, analyze, and resolve processing issues with limited supervision, collaborating with cross-functional teams to ensure timely outcomes. You will independently handle moderately complex administrative tasks, provide timely updates on open claims, and strive for accuracy while meeting quality, productivity, #J-18808-Ljbffr Medica
- Medica, a nonprofit health plan, seeks a Claim Appeals & Correspondence II to manage inventory of claim appeals, VIP cases, and inquiries remotely from the United States. The role involves researching, analyzing, and resolving post-adjudication issues with cross-functional...Remote jobClaims
$37.6k - $64.4k
...service is the norm and every member feels valued. The Claim Appeals & Correspondence II position is responsible for managing assigned inventory related... ...effectively across departments This position is a Remote role. To be eligible for consideration, candidates must have...Remote workClaimsWork experience placement- The University of Texas Southwestern Medical Center is seeking a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers. The role emphasizes follow-up and resolution of denied claims, with no direct billing...Remote jobClaims
- Centene is seeking a remote Grievance & Appeals Coordinator II to analyze and resolve member and provider complaints and appeals. The role supports reviewing... ...a bachelor’s degree (or equivalent) and 2+ years in claims, contracting, or managed care. The position offers...Remote jobClaims
$56.27k - $69.9k
Pay Plan Title: Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status:... ...6,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS... ...Preferred: Experience working with provider claims, provider network, or provider...Remote workClaimsFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobClaimsWork at officeWork from home
$60.78k
...Appeals and Grievances Specialist IIJob Category: Customer Service Department: Appeals... ...Grievances (A&G) Specialist II will receive, investigate and... ..., and complex provider claim disputes. The position is further... ..., holidays, a hybrid remote schedule, occasional flexibility...Remote workClaimsFull timeLocal areaShift workWeekend work- ...seeking an experienced Denial Mitigation-Appeal Specialist II RN to support revenue cycle by... ...coordinating with payers to defend denied claims. The role involves collaborating with physicians... ...and ensure timely appeal submissions. Remote work may be possible after probation...Remote workClaimsTrial period
- ...expertise and dedication. Paid Time Off Job Summary The Appeal Specialist II reviews, analyzes, and resolves insurance denials to ensure... .... Understands and applies CHS Appeal Process for denied claims. Follows and enforces accepted safety practices for...Remote workClaimsFull timeContract workWork at office
- ...RCM Specialist II Ensora Health is the leading provider of software... ...unpaid insurance and healthcare claims with a focus on accuracy and... ...discussions, written correspondence, and ongoing communication.... ...posting, denial management, appeals, and accounts receivable follow...Remote workClaimsWork at office
- ...Revenue Cycle Specialist II - AR & Denials Follow-Up Fully Remote ESP Executive Offices - Dallas, TX... ...AR) follow-up, including claim status review, denials, reconsiderations, appeals, and resolution of... ...and interpret insurance correspondence, Explanation of Benefits...Remote workClaimsFull time
$19.13 - $34.17 per hour
...Non-Utilization. Management Appeals According To The Appropriate... ...Mentor Less Experienced Appeals Specialists. JOB REQUIREMENTS: * High... ...PREFERRED JOB REQUIREMENTS: * Claims experience. * 2-year... ...This position may be performed remotely from anywhere within the continental...Remote workClaims- ...Revenue Cycle Specialist II - Ar & Denials Follow-Up *THIS IS A REMOTE POSITION* Primarily responsible... .... Is able to resolve claim issues by utilizing... ...reconsiderations, and appeals Accurate data entry... ...Answer/respond to correspondence related to patient accounts...Remote workClaims
$24.76 - $33.17 per hour
...become available. Accounts Receivable Specialist II #Full Time #Remote The 61st Street Service... ...Responsibilities include inquiring about unpaid claims, appealing denied claims with insurance... ...follow up. Addresses incoming correspondence and respond timely to ensure prompt...Remote jobClaimsHourly payFull timeWork at officeLocal area- Revenue Cycle Specialist II (Physician Billing) Job Description... ...multi-specialty claims to third party payors,... ...effectively bill, submit appeals and collect monies... ...billing experience includes corresponding with patients and... ...Angeles, CA, 90048, US (Remote) #J-18808-Ljbffr...Remote workClaims
- Medica Services Company LLC is seeking a remote Claims Appeals & Correspondence II to manage inventory of claim appeals and VIP cases, researching and resolving processing issues with limited supervision. The role collaborates across departments to ensure timely outcomes...Remote jobClaims
- ...Revenue Cycle Specialist II Senior PsychCare has an immediate opportunity... ...follow-up actions on claims denied for eligibility-related... ...responding to health plan correspondence. In this role, you would identify... ...denied claims and submit appeals. Call payers to determine...ClaimsFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
$45.76k - $56.16k
...LOCATION: REMOTE HOURS: M-F, 8-5 ROLE OVERVIEW The RCM Specialist II is an individual contributor role on the RCM team,... ...to resolve unpaid or underpaid claims, denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc...Remote workClaimsFull time$30.7k - $66.5k
...DESCRIPTION Job Summary Provides support for claims activities including reviewing and... ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints... .... • Prepares appeal summaries and correspondence, and documents findings accordingly (includes...Remote workClaimsFull timeContract workWork at office- ...LLC is seeking an A/R Management Specialist II to support revenue cycle... ...accounts receivable, denials, and appeals. This role involves analyzing complex claims and resolving denials to ensure... ...HIPAA compliance in a fast-paced, remote-capable environment. #J-18808-Ljbffr...Remote jobClaims
$48.32k - $82.39k
...and resolve verbal and written claims and authorization grievance/appeals from providers and members.... ...Pharmacy Services is hiring a remote Grievance & Appeals Coordinator II. The ideal candidate will... ...agencies and internal staff. ~ Correspond with key individuals...Remote workClaimsHourly payFull timePart timeWork at officeFlexible hours- ...Anesthesia (NAPA) is seeking an Accounts Receivable Representative II for a remote role. You will manage receivables for assigned payers, perform follow-ups with payers, and audit/appeal denied claims while documenting billing activity to ensure HIPAA compliance. Ideal...Remote jobClaims
- ...Summary: The A/R Management Specialist II position will provide support... ..., insurance denials, and appeals. This includes insurance and... ...analysis and resolving more complex claim rejections and denials.... ...and business practices in a remote environment Sarnova is an...Remote workClaimsFull timeWork at office
- ...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
$52k - $74.76k
...reviewing and resubmitting claims to third party payors, performing... ...coverage. The Revenue Cycle Specialist II: Participates in... ...behavior. Processes incoming correspondence, based on reason code,... ...efficiently. *Approved Remote States: Arizona, California,...Remote workClaimsFull time$55k - $60.01k
...re looking for an experienced Specialist II, Collections, passionate... ...financial accuracy by working claims denials and resolving issues... ...and policy errors. Drafting appeals for relevant claim denials, adhering... ...this position is: Fully Remote Commitment: $28.85 This...Remote workClaimsHourly payFull timeHome officeFlexible hoursDay shift$23 - $30 per hour
...A bit about this role: The Appeals Specialist is an integral part of our Appeals... ..., Medical Directors, UM, & claims to ensure we’re making... ...Responsibilities and Impact will include: Correspond with members and/or... ..., claims process #LI-Remote Salary range: $23-$30 per hour...Remote workClaimsHourly payFull timeContract workInternship$22.99 per hour
...looking for an exciting work-from-home opportunity in claims resolution? We are seeking a dedicated Appeals Specialist to join a high-performing Utilization Management... .... Operating in a collaborative and supportive remote environment, you will investigate incoming claims...Remote workClaimsHourly payPermanent employmentTemporary workWork experience placementWork from homeHome officeShift work- ...life balance. For most jobs, remote work is available for 9 out... .... Job Description The Appeals Specialist I position plays a critical... ...requests for review of resolvable claims from providers. Compiles... .... Creates written correspondence to members and providers regarding...Remote workClaimsWork at office
$23 - $30 per hour
...partner is looking for an Appeals Specialist based in the United States.... ...utilization management, and claims departments. Through careful... ...through written correspondence and telephone calls, providing... ...retirement savings plan. Fully remote working arrangement within...Remote workClaimsHourly pay
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