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

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

Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Medicare/Medicaid Appeals Specialist in Bothell, WA vacancy
  •  ...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... 
    Suggested
    Work at office

    Molina Healthcare

    Bothell, WA
    2 days ago
  •  ...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,... 
    Suggested
    Contract work
    Work at office

    Molina Healthcare

    Bothell, WA
    5 days ago
  • 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... 
    Suggested
    Hourly pay
    Work at office
    3 days per week

    Northwestadministratorsinc

    Mountlake Terrace, WA
    14 hours ago
  •  ...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

    EvergreenHealth

    Kirkland, WA
    2 days ago
  • $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... 
    Suggested
    Hourly pay
    Work at office
    Local area
    3 days per week

    Northwest Administrators, Inc.

    Mountlake Terrace, WA
    14 days ago
  • $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 pay
    Contract work
    Remote work
    Flexible hours
    Shift work

    EvergreenHealth

    Kirkland, WA
    14 hours ago
  • 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

    EvergreenHealth

    Kirkland, WA
    4 days ago
  • $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 pay
    Local area
    Monday to Friday

    Staffmark

    Bothell, WA
    2 days ago
  • $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 employment
    Temporary work
    Work at office
    All shifts
    Monday to Friday
    Shift work

    InvestedintheMission

    Woodinville, WA
    4 days ago
  • $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

    Home Depot

    Bothell, WA
    2 days ago
  • $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 employment
    Full time
    Work experience placement
    Work at office
    Remote work
    Trial period
    Monday to Friday
    Afternoon shift
    3 days per week

    University of California

    Bothell, WA
    1 day ago
  • $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 pay
    Minimum wage
    Local area
    Immediate start
    Flexible hours

    O'Reilly Auto Parts

    Lake Forest Park, WA
    1 day ago
  • $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 pay
    Full time
    Part time

    Home Depot

    Lake Forest Park, WA
    5 days ago
  •  ...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 area
    Weekend work

    Think Academy U.S

    Kirkland, WA
    4 days ago
  • $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 pay
    Minimum wage
    Local area
    Flexible hours

    O'Reilly Auto Parts

    Mountlake Terrace, WA
    4 days ago
  • 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 pay
    Full time
    Work experience placement
    Seasonal work
    Flexible hours
    Afternoon shift

    Walgreens

    Woodinville, WA
    4 days ago
  • $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 pay
    Permanent employment
    Monday to Friday
    Flexible hours

    Vision House

    Lake Forest Park, WA
    3 days ago
  • $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 pay
    Temporary work
    Local area
    Shift work
    Night shift

    Puget Consumers Co-op

    Kirkland, WA
    3 days ago
  • 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 time
    Weekend work

    Insite Property Solutions

    Bothell, WA
    1 day ago
  • $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 pay
    Minimum wage
    Local area
    Immediate start
    Flexible hours

    O'Reilly Auto Parts

    Woodinville, WA
    2 days ago
  • $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 pay
    Minimum wage
    Local area
    Immediate start
    Flexible hours

    O'Reilly Auto Parts

    Kenmore, WA
    4 days ago
  • 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 work
    Temporary work
    For contractors
    Work at office
    Local area
    Flexible hours

    City of Kirkland, WA

    Kirkland, WA
    1 day ago
  • $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 pay
    Minimum wage
    Local area
    Immediate start
    Flexible hours

    O'Reilly Auto Parts

    Kirkland, WA
    2 days ago
  • 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...

    Insite Property Solutions

    Bothell, WA
    1 day ago
  • $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 pay
    Full time
    Temporary work
    Part time
    Relief
    Immediate start
    Flexible hours

    Connections Health Solutions

    Kirkland, WA
    5 days ago
  • $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 pay
    Full time
    Temporary work
    Part time
    For contractors
    Work experience placement
    Summer work
    Work at office
    Remote work
    Flexible hours
    Shift work

    Bristol Myers Squibb

    Bothell, WA
    5 days ago
  • $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 time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Local area
    Relocation package

    Government Jobs

    Bellevue, WA
    14 hours ago
  •  ...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 hours
    Full time
    Part time
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Haggen, Inc.

    Woodinville, WA
    3 days ago
  •  ...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 work
    Work at office
    Local area

    Cogir Senior Living

    Bothell, WA
    5 days ago
  •  ...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 office
    Local area

    Molina Healthcare

    Snohomish, WA
    14 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicare/Medicaid Appeals Specialist. Be the first to apply!