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

Remote Grievance & Appeals Specialist

Elevance Health

Elevance Health in Tampa, Florida seeks a Grievance/Appeals Representative I to manage customer claims and ensure resolution of grievances. This role primarily involves analyzing and processing claims, with a significant focus on communication and documentation. The ideal candidate will possess a high school diploma and at least one year of experience in health insurance or customer service. Strong verbal and written communication skills, organizational abilities, and PC proficiency are preferred. This is a virtual position with flexible work arrangements. #J-18808-Ljbffr

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Grievance & Appeals Specialist in Tampa, FL vacancy
  •  ...Elevance Health is seeking a Grievance/Appeals Representative I to work virtually from Grand Prairie, Texas. This position involves investigating customer grievances and appeals related to service coverage while managing communications with customers and regulatory agencies... 
    Remote work

    Elevance Health

    Grand Prairie, TX
    2 days ago
  •  ...Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing... 
    Remote work

    Geisinger Health System

    New York, NY
    3 days ago
  •  ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years... 
    Remote work
    Full time

    L.A. Care Health Plan

    Los Angeles, CA
    5 days ago
  • $60.78k

     ...Appeals And Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position...  ...work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical... 
    Remote work
    Full time
    Local area
    Shift work
    Weekend work

    LOS ANGELES CARE HEALTH PLAN

    Los Angeles, CA
    1 day ago
  • $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... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    Phoenix, AZ
    1 day ago
  •  ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the...  ...resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business... 
    Remote work
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    1 day per week

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    4 days ago
  • Geisinger is looking for a professional to provide support in the administration of the Appeals and Grievance process. This role involves liaising between members and the plan to address denied claims and benefit issues. Applicants should have a minimum of 5 years of relevant... 
    Remote job

    Geisinger

    New York, NY
    3 days ago
  • Firstsource Solutions Limited is seeking a full-time hourly Remote Customer Service Representative in the United States. The role involves reviewing grievance and appeals documents, classifying disputes, and managing member information in line with HIPAA regulations. The... 
    Remote job
    Hourly pay
    Full time

    Firstsource Solutions Limited

    New York, NY
    1 day ago
  • Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal candidate will possess a relevant... 
    Remote job

    Blue Cross Blue Shield of Arizona

    New York, NY
    1 day ago
  • A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching... 
    Remote job

    Healthfirst

    New York, NY
    4 days ago
  •  ...Member And Provider Complaint Resolution Specialist 100% remote candidates must live in one of the preferred 15 states (AZ, FL, GA...  ...for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from Molina members, providers and... 
    Remote work
    Contract work
    Live in
    Monday to Friday

    Saviance

    Salt Lake City, UT
    1 day ago
  • $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... 
    Remote job
    Hourly pay
    Work at office

    Molina Healthcare

    Phoenix, AZ
    3 days ago
  • $45.9k - $78.6k

     ...a community of connected care, where coordinated, quality service is the norm and every member feels valued. Medica’s Appeals and Grievance Specialist plays a vital role in ensuring our members and providers receive clear, timely, and accurate resolutions to their concerns... 
    Work experience placement
    Work at office
    3 days per week

    Medica Services Company LLC

    Minnetonka, MN
    5 days ago
  • $50k - $55k

     ...Appeals Coordinator Level II At MedReview, our mission is to bring...  ...the department. The Appeals Specialist level II performs research,...  ...investigation, and analysis of appeals, grievances, and other types of...  ...frequent interruptions Remote Work Requirements: High speed... 
    Remote work

    MedReview Inc.

    New York, NY
    2 days ago
  •  ..., member and provider complaints, and reconsideration and redetermination requests. Review and respond to complaints, grievances and appeals within the stated time frame for each request Certify that providers and members are reimbursed accordingly using Medicare... 

    Macpower Digital Assets Edge

    Irving, TX
    16 hours ago
  •  ...A healthcare service company is seeking a G&A Coordinator in Detroit, MI. This role involves processing appeals, grievances, and inquiries from members, requiring strong analytical and communication skills. The ideal candidate will have a bachelor's degree and experience... 

    EPITEC

    Detroit, MI
    2 days ago
  • $18.33 per hour

     ...Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $18.33 Maximum Offer $27.25 Now Hiring: Appeals and Grievance Specialist Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Appeals and Grievance Specialist... 
    Full time
    Temporary work
    Local area
    Immediate start
    Shift work

    Presbyterian Healthcare Services

    Albuquerque, NM
    2 days ago
  • Sagility is seeking an Appeals and Grievance Coordinator who will manage and resolve member and provider complaints while adhering to regulatory requirements. This role involves conducting investigations, documenting actions, and ensuring compliance. As a key contact for... 
    Remote job
    Work from home

    View Moreicons

    New York, NY
    2 days ago
  • $24 - $24.5 per hour

    Fallon Health in Worcester, MA is hiring a Healthcare Triage Administrator. This position supports the Appeals and Grievances process, handling member and provider interactions while ensuring compliance with regulatory standards. The ideal candidate will have a high school... 
    Hourly pay

    Fallon Health

    Oklahoma City, OK
    5 days ago
  • $45.9k - $68.78k

    Medica Services Company LLC in Minnetonka is looking for an Appeals and Grievance Specialist to manage member concerns and ensure timely resolutions. The role requires a high school diploma, strong analytical skills, and up to 5 years of experience in healthcare operations... 
    3 days per week

    Medica Services Company LLC

    Minnetonka, MN
    5 days ago
  •  ...TeamHEALTH is looking for a Denials and Appeals Representative to handle denials and appeals for patient accounts in a cooperative team environment. The ideal candidate has at least two years of experience with insurance denial processes. Responsibilities include processing... 
    Remote work

    TeamHealth

    New York, NY
    4 days ago
  • Blue Cross Blue Shield of Arizona seeks a Clinical Appeals Specialist to utilize their clinical acumen for resolving member and provider appeals, grievances, and claims. The role requires a minimum of 1 year of healthcare-related experience and an Associate's Degree in... 

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    1 day ago
  • $19 - $21 per hour

     ...Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within...  ...plan and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training period... 
    Remote work
    Hourly pay

    Quadax

    Cleveland, OH
    4 days ago
  •  ...Pride Health is seeking a Grievances and Appeals Nurse for a remote contract position. This role is vital in investigating and resolving grievances and appeals efficiently for a well-known client. Responsibilities include acting as a subject matter expert, ensuring compliance... 
    Remote work
    Contract work

    PRIDE Health

    Phoenix, AZ
    2 days ago
  • $19.5 - $21 per hour

     ...Description We are seeking a detail-oriented and experienced Appeals Specialist for our client in Middleburg Heights, Ohio. In this role, you...  ...-$21.00 ~ Monday-Friday 8am-5pm ~3 months in office then remote ~ Benefits offered Key Responsibilities Review... 
    Remote work
    Work at office
    Immediate start
    Monday to Friday

    EverStaff

    Cleveland, OH
    4 days ago
  •  ...Review & Appeals Specialist I Applicants must be authorized to work lawfully in the United...  ...employees in hybrid positions work both remotely and onsite in the NCCPA headquarters based...  ...in business, healthcare, appeals and grievances, state medical board, legal, or... 
    Remote work
    Work at office

    National Commission on Certification of Physician Assistants...

    Alpharetta, GA
    2 days ago
  • $24 - $25 per hour

     ...States and we are currently looking to add a Revenue Cycle Appeals & Recovery Specialist to join our fast-paced and energetic team. The ideal...  ...professional environment, apply today! This role is full time, remote with a base rate of $24 to $25 per hour and a full benefit... 
    Remote work
    Hourly pay
    Full time
    Live in
    Shift work

    American Vascular

    Jacksonville, FL
    2 days ago
  • Maximus is seeking a Senior Appeals Administrator for their California Independent Medical Review team. This role is vital in ensuring timely resolutions for medical review cases while enhancing the appeals process. The ideal candidate will have an associate degree with... 
    Remote job
    Work from home
    Flexible hours

    Wisconsin Psychiatric Association Inc

    New York, NY
    3 days ago
  • $248.5k - $373k

     ...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities...  .... Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges... 
    Remote work
    Minimum wage
    Work experience placement
    Local area
    Work from home

    divvyDOSE

    United States
    3 days ago
  • $248.5k - $373k

     ...together . Work at home! You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review and... 
    Remote work
    Minimum wage
    Work experience placement
    Local area
    Work from home

    UnitedHealth Group

    Houston, TX
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Grievance & Appeals Specialist. Be the first to apply!