Appeals Analyst — Health & Welfare Claims
Northwest Administrators
Northwest Administrators, Inc. is seeking an Appeals Specialist to support the Health and Welfare Claims Department. You will focus on member disputes and appeals, ensuring accuracy and policy adherence while communicating outcomes clearly. The role offers a hybrid schedule with three days in the office and options in Seattle, Mountlake Terrace, or Federal Way. A Bachelor's degree or equivalent combination of education and experience is preferred, with prior medical claims processing or appeals #J-18808-Ljbffr Northwest Administrators
- Northwest Administrators, Inc. is seeking an Appeals Specialist to assist in their Health and Welfare Claims Department. The role involves processing member and provider appeals and requires strong analytical skills and attention to detail. Candidates should possess a Bachelor...ClaimsHourly pay
- Northwest Administrators, Inc. is seeking an Appeals Specialist located in Seattle. The role is pivotal in processing member disputes and appeals within the Health and Welfare Claims Department. Qualified candidates should have a Bachelor's degree or relevant experience...Claims
- 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...ClaimsHourly payWork at office3 days per week
- Northwest Administrators Inc. is seeking an Appeals Specialist to assist in the operations of the Health and Welfare Claims Department. The role involves reviewing and processing appeals, analyzing claims, and collaborating with internal teams. Candidates should have a...ClaimsHourly pay
- ...trusted advisor to multiemployer and other retirement and health plans, helping bring high quality benefits to working... .... Responsibilities As a key member of the Health & Welfare Practice, the Senior Benefits Analyst will support the company's objectives by providing...SuggestedWork experience placementWork at officeWork from homeFlexible hoursNight shift
$68k
...details about this job. Government Health Consulting Actuarial Analyst We are seeking a talented individual... ...in managing and analyzing Medicaid claims data to enhance patient access to care... ...specifically government-sponsored health and welfare programs, such as Medicaid and...ClaimsPermanent employmentWork at office3 days per week- A dynamic IT solutions firm in Seattle seeks a Sr. Health Data Analyst to play a key role in health quality reporting. The position involves... ...in Health Informatics and extensive experience with health claims data and reporting tools. Strong SQL programming and analytical...Claims
$20 per hour
...Overview Truveta is the world’s first health provider led data platform with a vision of... ...This Opportunity We are seeking a Research Analyst Intern to join our team and support the... ...Familiarity with healthcare data, including EHR or claims data. Exposure to medical terminologies...ClaimsHourly payFull timeFor contractorsInternshipSummer internshipWork at officeVisa sponsorshipWork visa$46.99k - $112.2k
Overview We're building a world of health around every individual - shaping a more connected... ...at a time. Position Summary The Sr. Analyst, Fraud, Waste, and Abuse (FWA) will assist... ...assist in determining correct coding, review claims, and billing data from all types of...ClaimsHourly payFull timeTemporary workWork experience placementLocal area$85.5k - $104k
How You’ll Make An Impact At Strive Health, patients come first. We’re on a mission to transform... ...is not complete and accurate, the Senior Analyst will quantify the impact of imperfect... ...Experience applying or reviewing medical claim grouper logic. Strong oral and written...ClaimsWork at officeRemote workWork from homeFlexible hours$70.8k
...Coding Analyst Work Schedule 100% FTE, Days 8:00 am - 5:00 pm Mondays - Fridays 100%... ...Department Description Enterprise Records and Health Information (ERHI) is a Shared Service... ...audit reports. Review DRG and CPT claim denials for commercial payers. Maintain...ClaimsFull timeTemporary workWork experience placementWork at officeRemote workMonday to FridayShift workDay shift- ...one of the leaders in serving IT. Job Description Title: Sr. Health Data Analyst Location: Seattle, WA Job Type: Permanent Roles and... ...relevant and/or research experience using health administrative claim data is required. Additional required qualifications include...ClaimsPermanent employmentWork experience placementLocal area
- ...Financial Clearance Work Queue and Data Business Analyst to drive improvements in patient access... ..., and ensuring high-quality data for claim processing. The ideal candidate should... ...systems. Join UW Medicine to enhance community health and support innovative patient care. #J-...Claims
$43.89k - $102.08k
We’re building a world of health around every individual - shaping a more connected, convenient... ...a time. Position Summary The Business Analyst provides foundational support for... ...Experience working with medical and/or pharmacy claims data preferred Education Bachelor’s...ClaimsRemote jobHourly payFull timeTemporary workLocal area- ...and analytical business resources in the health care industry. As a trusted advisor, Proj... ...Lead HealthRules Payer (HRP) Configuration Analyst. The Lead HRP Configuration Analyst will... ...functional areas, enrollment, billing, claims, finance, provider, medical management (GuidingCare...ClaimsFull timeFlexible hours
$115k - $175k
...CH0002497458, Reuters SGSN.S, Bloomberg SGSN:SW). The Sr. Health & Benefits Data Analyst turns complex health and benefits data into clear,... ...Insights Analyzedata related to benefits, including medical claims, pharmacy claims, wellbeing programs, ergonomics, workers’...ClaimsLocal areaImmediate startFlexible hours- ...Financial Clearance Work Queue and Data Business Analyst. WORK SCHEDULE 100% FTE Days POSITION... ...of data required to produce clean claims and reduce denials Define and document... ...FURTHER UW Medicine is Washington’s only health system that includes a top-rated medical...Claims
- ...key business stakeholders in Underwriting, Finance, Reserving and Claims to support adequate pricing and profitable growth strategies.... ...learning techniques. BENEFITS OF BECOMING A WAHVE VINTAGE EXPERT Health insurance based on eligibility. 401(k) with a 4% match. Retire...ClaimsRemote jobFull timePart timeWork experience placementWork at officeWork from home
- Description Cost Board Data Analyst (DSIS2/SPI) 71104739 This Data Scientist position directly influences public health policy. It offers the chance to tackle high-impact problems... .... They will analyze real-world healthcare claims and supplementary data to solve complex...ClaimsWork at officeRemote workFlexible hours
$82.44k - $110.95k
...time AGO Senior Investigator/Analyst in the Medicaid Fraud & Abuse... ...more. With the goal of employee health and wellness, we also offer:... ...law enforcement and social welfare agency task force/working group... ...Supreme Court, the Court of Appeals and trial courts in all cases...Permanent employmentFull timePart timeWork experience placementWork at officeLocal areaRemote workFlexible hours$99k - $124k
How You’ll Make An Impact At Strive Health, patients come first. We’re on a mission to transform... ...’ll Do We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high‑... ...analyzing MMR, MOR, MAO‑004 and medical claims data. 3+ actuarial exams passed. High degree...ClaimsWork at officeRemote workWork from homeFlexible hours$23.32 - $31 per hour
...collections. This role supports the financial health of WACBD by monitoring outstanding... ...financial record-keeping. Actively track unpaid claims and manage aging reports. Proactively... ...for services provided. Initiate appeals, submit supporting documentation, and track...ClaimsHourly payWork at office- ...Description POSITION SUMMARY: The Excess Loss Analyst manages Stop Loss insurance contracts for... ...monthly reports, submitting required claims documentation, coordinating funding... ...Security: Ability to securely handle Protected Health Information (PHI) and manage encrypted...ClaimsContract workTemporary workWork at officeFlexible hours
$115.2k - $230.4k
...with actuarial, financial, and data analysts, clinicians, and health policy consultants. You'll partner with... ..., efficient code against large claims datasets, and review the code produced... ...rewards package which includes health and welfare benefits, tuition assistance, 401K...ClaimsMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$30.7 - $41.54 per hour
...you answered “YES” then you may be the person we’re seeking for our Appeals Specialist position! Responsibilities The Appeals Specialist will assist in the operations of the Health and Welfare Claims Department and will primarily focus on member disputes and appeals....ClaimsHourly payWork at officeLocal area3 days per week$22.5 - $30.84 per hour
...community-governed network of non-profit health centers dedicated to providing expert, high... ...options, denials, rejections, and claims resubmission. Patient Accounts Representatives... ...includes: Review, correct, and re-bill or appeal insurance claim denials and rejections...ClaimsHourly payFull timeTemporary workPart timeLocal areaMonday to FridayShift work- ...The Business Analyst, Pricing and Underwriting , is responsible for... ...strategy. Analyze pharmacy claims, drug pricing, rebate models,... ...operations by: Managing pricing appeals, coordinating with Maxor... ...compensation and comprehensive health benefits including: Comprehensive...ClaimsFull timeTemporary workWork at officeRemote workWork from home
- Northwest Administrators, Inc. is seeking an Appeals Specialist to join their team in Seattle, Washington. The role involves reviewing and processing appeals, analyzing claims and providing support to members and providers. The ideal candidate will have a Bachelor's degree...Claims
$90 per hour
...About Rula Rula is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality... ...Payment protection for no-shows, late cancellations, & denied claims Why Join Rula? Our dedicated therapist community is made up of...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote work$105k - $130k
...Healthcare Data Analyst, Data Ecosystem Team Truveta is the world’s first health provider led data platform with a vision of Saving Lives with Data. Our mission... ...the opportunity to translate complex clinical and claims data into clear, defensible evidence that...ClaimsFor contractorsRemote workVisa sponsorshipWork visaFlexible hours
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