Medicare/Medicaid Appeals Specialist
Molina Healthcare
Molina Healthcare is seeking a Claims Analyst to support resolution of member and provider inquiries and ensure timely responses under CMS standards. The role involves researching appeals, grievances, and denials while coordinating with providers and members. Ideal candidates will have at least 2 years in managed care claims/appeals, strong customer service, and excellent communication skills. Proficiency in MS Office and adherence to regulatory guidelines are required. #J-18808-Ljbffr Molina Healthcare
- ...in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Enters denials and requests for appeals into information system and prepares documentation for further review. Researches...SuggestedWork at office
- ...accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).Essential Job Duties• Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers,...SuggestedContract workWork at office
- Northwest Administrators, Inc. seeks an Appeals Specialist to assist in operations of the Health and Welfare Claims Department. This role involves reviewing and processing appeals, analyzing claims, and collaborating with teams to resolve disputes. The position is hybrid...SuggestedHourly payWork at office3 days per week
- ...appropriate resolutions. The role focuses on analyzing insurance denials, correcting claims based on established protocols, and monitoring appeals for resolution. Ideal candidates will have a high school diploma and at least one year of experience in professional billing....Suggested
$30.7 - $41.54 per hour
...details matter" describe your approach to everything? If you answered "YES" then you may be the person we're seeking for our Appeals Specialist position! What you'll be doing... The Appeals Specialist will assist in the operations of the Health and Welfare Claims...SuggestedHourly payWork at officeLocal area3 days per week$28.83 - $46.14 per hour
...Job Title Denial Management Specialist Job Description Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management... ...internal equity. Job Summary: Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to...Hourly payContract workRemote workFlexible hoursShift work- A regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience in denial management within a healthcare setting, along with an associate degree. Key responsibilities...Remote job
$32 per hour
...Depending on experience) Schedule: Monday – Friday | 7 AM – 3:30 PM Shipping Pros Needed — Your Hustle = Big WinsLooking for Shipping Specialist jobs in Bothell where accuracy and teamwork keep products moving? This opportunity lets you play a key role in receiving incoming...Hourly payLocal areaMonday to Friday$22 - $26.5 per hour
...SpaceX is actively developing the technologies to make this possible, with the ultimate goal of enabling human life on Mars. SHIPPING SPECIALIST As a Shipping Specialist, you will be responsible for the expedient movement of designated items needed to support production,...Permanent employmentTemporary workWork at officeAll shiftsMonday to FridayShift work$23.5 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools...Local area$3,840 - $4,320 per month
...community of learners focused on social justice, diversity, equity and inclusion. Application Instructions Vacancy Announcement Fiscal Specialist 2 Classified #151F Priority Consideration Deadline: Monday, August 3rd, 2026 by 11:59pm ATTENTION CANDIDATES! In order to submit...Permanent employmentFull timeWork experience placementWork at officeRemote workTrial periodMonday to FridayAfternoon shift3 days per week$17.13 - $23.5 per hour
Job Title Compensation Pay Range: $17.13 - $23.50 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per ...Hourly payMinimum wageLocal areaImmediate startFlexible hours$23 per hour
...Asset Protection Specialist Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize...Hourly payFull timePart time- ...Think Academy is seeking a Marketing & Enrollment Specialist for our Bellevue-area campus. This in-person role focuses on community outreach, lead generation, and enrollment activities to connect with local families. You will manage campaigns, coordinate with families...Local areaWeekend work
$17.13 - $23.5 per hour
...Parts Specialist Compensation Pay Range: $17.13 - $23.50 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging...Hourly payMinimum wageLocal areaFlexible hours- 1857034BR Title: Photo Specialist Job Description: Job Summary Delivers a distinctive and delightful customer experience by providing expert photo services, digital passport photos, and support for customer service transactions, including FedEx, Western...Hourly payFull timeWork experience placementSeasonal workFlexible hoursAfternoon shift
$24 - $27 per hour
...Diversion Specialist The purpose of this position is to provide resources and social services navigation support to families and individuals that are in unstable housing or unhoused. The goal is that families using our diversion services can self-identify and target...Hourly payPermanent employmentMonday to FridayFlexible hours$31.15 per hour
...Overview The Cheese Specialist oversees the Cheese department within the Deli, including mentoring and training staff, ordering and inventory. They provide excellent, professional customer service. They demonstrate knowledge of cheese varieties and wrapping and handling...Hourly payTemporary workLocal areaShift workNight shift- Insite Property Solutions in Bothell, WA is seeking a part-time Leasing Consultant (Community Ambassador) to provide weekend leasing support at our apartment communities. The role requires leasing or sales experience, excellent customer service, and strong time management...Part timeWeekend work
$17.13 - $23.5 per hour
...Delivery Specialist Compensation Pay Range: $17.13 - $23.50 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging...Hourly payMinimum wageLocal areaImmediate startFlexible hours$17.13 - $23.5 per hour
...schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner...Hourly payMinimum wageLocal areaImmediate startFlexible hours- Medical insurance, dental insurance, vision insurance, flexible benefit account, vacation time, paid holidays, sick time, retirement plan. Job Summary Temporary position through December 31, 2026. Assists in researching, analyzing, and carrying out city records management...Contract workTemporary workFor contractorsWork at officeLocal areaFlexible hours
$16.28 - $20.5 per hour
Compensation Pay Range $16.28 - $20.50 per hour. The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance bonuses or premiums that may be paid in amounts ranging...Hourly payMinimum wageLocal areaImmediate startFlexible hours- Insite Property Solutions is seeking a Leasing Consultant (Community Ambassador) to provide leasing support at assigned apartment communities in Bothell, WA. The role emphasizes resident experience, sales, and strong customer service in a property management setting. The...
$1,000 - $2,000 per month
...make a difference. Responsibilities The Behavioral Health Specialist (BHS) manages and maintains the safety of the individuals and... ...a National Provider Identifier (NPI), Medallion enrollment, Medicare enrollment, and any other necessary credentials as required for...Hourly payFull timeTemporary workPart timeReliefImmediate startFlexible hours$92.29k - $111.84k
...Senior Specialist, Quality Assurance Lot Disposition Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens...Hourly payFull timeTemporary workPart timeFor contractorsWork experience placementSummer workWork at officeRemote workFlexible hoursShift work$45.9k - $61.3k
...Closing Date Continuous Dual Credit Enrollment, Program Specialist 2 Job ID: 15353 Location: Bellevue College Full... ..., college classes, placement options, including placement appeals, and next steps needed to complete the K-12 entry process....Full timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- ...Cheese Specialist Cheese Specialists elevate the Haggen Specialty Cheese program to category leadership in the community. You lead, develop and motivate a team of cheese mongers with a balanced approach in order to create a destination experience for our guests. You...16 hoursFull timePart timeFlexible hoursShift workWeekend workAfternoon shift
- ...Regional Health And Wellness Specialist Cogir Senior Living, based in Scottsdale, Arizona, proudly oversees a network of senior living communities spanning 13 states nationwide. As a trusted leader in senior housing, we are dedicated to growth while maintaining our...Temporary workWork at officeLocal area
- ...applicable software program(s) proficiency. Preferred Qualifications Understanding of the managed care industry, including Medicaid, Medicare, and Marketplace programs. Previous health care marketing, enrollment/referral and/or grassroots community outreach...Work at officeLocal area
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