APPEALS SPECIALIST
State of Arizona
Appeals Specialist Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES), we strengthen individuals, families, and communities for a better quality of life. DES is looking for individuals that are committed to service, community, and teamwork. To learn more about DES, please visit des.az.gov. Come join the DES Team! The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as an Appeals Specialist. DDD provides individuals with developmental disabilities and their families with services and supports that are flexible, high-quality, and member‑driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision‑making and engagement in the community. Applicants for this position cannot be licensed or certified by the DDD Office of Licensing, Certification and Regulation, cannot have a principal interest in or a spouse or close family member with a principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor. Benefits The Arizona Department of Economic Security offers a comprehensive benefits package to include: Affordable medical, dental, life, and short‑term disability insurance plans Participation in the Arizona State Retirement System (ASRS) and long‑term disability plans 10 paid holidays per year Paid vacation and sick time Paid parental leave – up to 12 weeks per year paid leave for newborn or newly‑placed foster/adopted child Deferred compensation plan Wellness plans Tuition reimbursement Stipend opportunities Infant at Work Program Rideshare and public transit subsidy Career advancement and employee development opportunities Learn more about the paid parental leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page. Retirement State employees are required to participate in the Arizona State Retirement System (ASRS), the state-sponsored retirement contribution plan, and the Long‑Term Disability (LTD) program after a 27‑week waiting period. The ASRS defined benefit plan provides for lifelong income upon retirement. You will also have the option to participate in a voluntary deferred compensation program to take advantage of tax‑deferred retirement investments. On or shortly after your first day of work, you will be provided with additional information about the available insurance plans, enrollment instructions, submission deadlines, and effective dates. Selective Preference(s) Bachelor's or Master’s degree in Social Services, Justice Studies, Humanities, or any related field. Spanish speaking is preferred. #J-18808-Ljbffr
$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...SuggestedHourly payFull timeContract workWork experience placementWork at officeRemote work$53k - $55k
...than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. APPEALS SPECIALIST Job Location: Division of Developmental Disabilities (DDD) 1789 West Jefferson Street, Phoenix, Arizona 85007 Salary: $53,000...SuggestedContract workTemporary workWork at officeFlexible hours- ...utilizing clinical acumen and managed care expertise related to researching, resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business with emphasis on privacy, accuracy, meeting all...SuggestedFull timeContract workWork experience placementWork at officeLocal areaRemote work1 day per week
$54k - $65k
...Job Description As an Appeals Negotiator, you will be responsible for managing the appeals process for denied or underpaid medical... ...appeals process. Collaborate with internal teams, such as billing specialists, coders, and clinicians, to gather necessary information and...SuggestedRelocation packageMonday to FridayFlexible 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...SuggestedHourly payWork at officeRemote work- 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 and...Remote job
- ...Appeal & Grievance Intake Coordinator Are you a highly organized healthcare administrative professional with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this...
- ...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...Work at officeRemote work
- ...appropriate documentation for payor requested Risk Adjustment Audits. Coordinates on site chart pulls as appropriate Reviews and appeals unpaid and denied claims, includes analysis of coding that Analyze daily financial exceptions from the charge capture audit reports...
- ...Revenue Cycle Specialist Department: Business Office Reports to: Revenue Cycle Manager FLSA Status: Non-Exempt Job Summary Responsible... ...and regularly writes up requests for refunds Responsible for appealing incorrectly processed claims, and if necessary, making the appropriate...Private practiceWork at officeImmediate startAfternoon shift
$18 - $20 per hour
...Authenticity, Respect, and Excellence (CARE). The Eligibility Specialist I is a critical advocate for patients, helping uninsured and underinsured... ...appointments, completing disability applications, submitting appeals, and following through on resolution of applications. Manage...Hourly payFull timeLocal areaShift work- ...provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions... ...(PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the...Temporary workLocal areaImmediate start
$18 - $25 per hour
...Revenue Cycle Specialist II The Revenue Cycle Specialist II is a position that calculates and posts receipts to appropriate accounts... ...promptly and accurately Assist in preparing and submitting appeals and reconsiderations to payers Collaborate with internal teams...- ...Front Office Specialist – Primary City/State: Network Support Services Building 1 Department: Business Operations; Shift: Day; Category... ...patient accounts in the system and promptly re‑bill. Initiate appeals to payers following guidelines and workflows. Notate accounts...Work experience placementShift work
$18 - $20 per hour
...Eligibility Specialist I Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care... ...appointments, completing disability applications, submitting appeals, and following through on resolution of applications. Manage multiple...Hourly payFull timeLocal areaShift work- ...Ebilling Specialist Greenberg Traurig (GT), a global law firm with locations across the world in 16 countries, has an exciting employment... ...local offices to resolve eBilling issues, manage rejections, appeals and budgets, and ensure compliance with client guidelines....Local areaRemote workShift work
- ...Botox Utilization Review Specialist This position plays a vital role in ensuring patients receive timely access to medically necessary... ..., submits authorization requests, and manages denials and appeals. Strong knowledge of insurance processes, medical terminology,...Work at officeWeekday work
- ...Traveling with Mchaila is looking for an organized and detail-oriented Administrative Scheduling Specialist to manage client coordination in a fully remote environment. The role involves coordinating appointments, managing calendars, and ensuring accurate scheduling details...Remote work
- ...Lead Systems Specialist (Controls & Automation) Ascent, LLC delivers solutions for every aspect of mission critical operations and infrastructure – from data center design and builds, all the way through operations and maintenance support, maximizing uninterrupted performance...Contract workCasual work
$23.34 - $35.01 per hour
Job Overview Responsible for coordination of the documentation required by US Customs/Government Agencies for entry of complex and high risk shipments. These have been identified as complex and high risk due to regulatory requirements and tariff combinations. Responsibilities...Hourly payContract workWork at officeRemote work- ...Achieve, a leading digital personal finance company located in Arizona, is seeking a Settlement Preparation Specialist to help members with innovative financial solutions. You will review creditor information, manage accounts, and collaborate across teams to expedite...Remote work
$26 - $30 per hour
JLM Strategic Talent Partners is hiring for a position focused on construction quality control audits and document management in Globe, AZ. The ideal candidate will thrive in a fast-paced and team-oriented environment while being organized and a strong communicator. Key...Hourly pay- ...A leading solutions provider is seeking an administrative support specialist for engineering projects in Phoenix, Arizona. Responsibilities include assisting the project manager, managing CRM lists, and preparing client proposals. Candidates should have a high school...
- ...and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. Independent Living Specialist CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona,...
- ...Procedure Authorization Specialist- Remote Job Category: Corporate Supervisor: Ryan Clough Requisition Number: PROCE012393 Posted: June 29, 2026 Full-Time Phoenix, AZ 85023, USA Description Essential Functions Monitors the authorizations of upcoming surgical cases on...Full timeWork at officeRemote work
$20.14 per hour
...highly organized healthcare administrative professional with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this business-critical role, you will serve as the initial...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- GTE Financial is looking for a Member Experience Advocate I to join their team in Arizona. This role involves managing inbound calls, resolving member inquiries, and providing education on products and services. The ideal candidate will have customer service experience,...Remote job
- ...professional. You enjoy analyzing data, gathering market research, and following a project from start to finish. As Senior Valuation Specialist, you will be responsible for applying a proven understanding of the principles of valuation and for thevaluation of all property...Full timeTemporary workWork experience placementWork at officeLocal areaVisa sponsorshipWork visa
$20 - $23 per hour
...Job Description Revenue Cycle Specialist Minimum of 3 years of recent experience 100% ONSITE in the Phoenix AZ area. Pay range between $20-$23 per hour. Responsibilities Accurately record and post payments, adjustments, and denials received from payers and patients. Verify...Hourly payTemporary workLocal area- A leading construction firm is seeking a Safety Coordinator to ensure a safe work environment. This role involves promoting safety policies, conducting jobsite assessments, and ensuring compliance with regulations. Ideal candidates have experience in construction safety...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to APPEALS SPECIALIST. Be the first to apply!
- amazon specialist Phoenix, AZ
- specialist Phoenix, AZ
- entry level safety specialist Phoenix, AZ
- disclosure specialist Phoenix, AZ
- infection control specialist Phoenix, AZ
- cash reconciliation specialist Phoenix, AZ
- writing specialist Phoenix, AZ
- process specialist Phoenix, AZ
- independent living specialist Phoenix, AZ
- governance specialist Phoenix, AZ

