Claims Appeals Associate Grievances & Resolutions
$14.9 - $29.06 per hourMolina Healthcare of Illinois
A leading healthcare provider in Houston is seeking an entry level support specialist for claims activities. Responsibilities include resolving member and provider complaints, entering denials, and preparing appeals documentation. Candidates should possess at least one year of customer service experience in a healthcare setting, effective communication skills, and proficiency in Microsoft Office. This role offers a pay range of $14.90 - $29.06 per hour, with further opportunities for growth within the company. #J-18808-Ljbffr
$14.9 - $29.06 per hour
...Provides entry level support for claims activities including... ...complaints, and communicating resolution to members or authorized representatives... ...denials and requests for appeals into information system and... ...to member appeals and grievances. Elevates appropriate appeals...ClaimsHourly payWork experience placementWork at officeRemote workWeekend work$14.76 - $31.97 per hour
...Job Title Provides support for claims activities including reviewing and resolving... ...complaints, and communicating resolution to members or authorized representatives... ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina...ClaimsHourly payFull timeContract workWork experience placementWork at office- ...responsible for processing follow-up actions on claims denied for eligibility-related reasons... ...accurate reimbursement and account resolution. Responsible for managing and... ...documentation to resolve denied claims and submit appeals. Call payers to determine the true...ClaimsFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
- ...Responsibilities: Assists with docket involving Defense Base Act claims by: Providing sound legal analysis, drafting petitions, and... ...the Department of Labor to address issues pertinent to the resolution of files Communicate clearly and concisely with clients on...Claims
- A leading healthcare provider in Houston seeks a Revenue Cycle Specialist responsible for revenue cycle support and claims resolution. The ideal candidate should have a minimum of five years in commercial insurance follow-up, along with a high school diploma or equivalent...Claims
- ...Key Responsibilities: • Handle complex bankruptcy and restructuring matters from inception through resolution • Draft pleadings, motions, discovery, proofs of claim, and other bankruptcy filings • Advise clients on workouts, restructurings, and asset protection strategies...ClaimsWork at officeLocal area
- ...and monthly reporting require for Loan Resolutions, Senior Leadership, Finance Department,... ...Perform PMI delinquent account reporting and claim processing. Minimum Qualifications:... ...High school diploma or GED required Associates degree preferred or equivalent mix of...ClaimsLocal area
- ...HIPAA 2 to 5 year Mid-Level Healthcare Associate - Regulatory & Transactions | Houston, TX... ...and associates. For example, associates claim that they very often have lunch with partners... ...within a team Culture & Firm Appeal This role offers the opportunity to join...Claims
$90k - $115k
...regulatory agencies and civil litigation claims involving malpractice or other... ...to develop litigation strategy and case resolution approaches. What We Require Licensed Texas... ...avoid the significant time and expense associated with daily commuting. Working remotely often...ClaimsRemote work- ...managed care litigation, commercial disputes and other high-exposure claims. This role will develop case strategy, oversee outside counsel,... ...to assess risk and drive efficient, business-aligned resolution. Candidates must have substantial litigation experience, including...Claims
- ...a Revenue Representative - Appeals and Collection . The Revenue... ...and resolves denied healthcare claims from commercial and... ...appealed or pended claims to ensure resolution within established timeframes... ...know: ~ This posting is associated with position number 1225...ClaimsLocal area
- ...Position Title: Associate Disability Attorney Description Would you like to join a... ...clients get justice in their disability claims? Heard & Smiths core values remind us to... ...Law Judges. Legal writing at the ALJ and Appeals Council levels is required. Attorneys are...ClaimsFull timeRemote workWork from homeHome office
$23 per hour
...addressing and rectifying rejected claims and conducting necessary... ...authorization requests and appeals with insurance carriers. Collaborate... ...and NCPDP claim rejection resolution, coordination of benefits,... ...experience with CoverMyMeds Preferred Associate degree or Certified Pharmacy...ClaimsFull timeTemporary workRemote workRelocation package- ...personal injury firm in Houston is seeking an Associate Attorney to join its expanding team. This... ...Handle cases from intake through pre-suit resolution Work closely with case managers and internal support teams Evaluate claims, develop strategy, and negotiate settlements...ClaimsWork at officeRemote work
$90k - $145k
...including denial categorization, root cause analysis, trending, and appeals — with the ability to design denial prevention strategies and... ...system (e.g., EPIC, Cerner, Athenahealth) and clearinghouse/claims data environments. You are familiar with CPT, ICD‑10, HCPCS, and...ClaimsFull timeContract work$50k - $65k
...Position Title: Junior Associate Disability Attorney Description Description Would... ...clients get justice in their disability claims? Heard & Smiths core values remind us to... ...memorandums for disability hearings and drafting appeals council briefs. Junior Associate...ClaimsFull timeRemote workWork from homeHome office- ...agreements, payer policies, guidelines and appeals process. Sharp analytical abilities are... ...with management to target complex claims and reduce aging of accounts by providing... ...prevent denials. Provides suggestions for resolution. SERVICE ESSENTIAL FUNCTIONS Completes special...Claims
$160k - $180k
...organization in Northwest Houston to hire an Associate Corporate Counsel . This position will... ..., compliance matters, and dispute resolution. This opportunity is ideal for an attorney... .... Assist with dispute management, claims resolution, and litigation support when...ClaimsContract workWork at officeImmediate start- ...Employee Counsel in Houston, Texas, seeks a claims management professional to assist... ...claims processing. This role requires an Associate’s degree and relevant experience in claims... ...process, advocating for expedited claims resolutions, and maintaining effective relationships...ClaimsFull timeWork at office
- ...Billing Coordinators for our Houston, TX office. In this role, you will support patients and operations staff by handling insurance claims. Your attention to detail and positive attitude will contribute significantly to the team's success. The ideal candidate will...ClaimsWork at office
- ...Houston East. This role involves educating employees about the workers' compensation process and advocating for resolution of claims. Applicants must have an Associate’s degree and experience in claims management or insurance. Benefits include extensive leave, free medical...Claims
- ...Ombudsman I) to support injured employees in their workers’ compensation claims. This role emphasizes early intervention, advocacy, and delivering exceptional customer service to expedite claim resolutions. Responsibilities include assisting employees, reviewing claims,...ClaimsWork at office
- Texas Children's Medical Center is looking for a Claims Benefits Specialist to join our team in Bellaire, Texas. This role involves investigating and processing claim appeals while adhering to Texas regulations. The ideal candidate will have significant experience in claims...Claims
- ...Job Title: Epic Resolute HB Analyst Location: Houston, TX Job Type: Contract Position Overview A leading hospital... ...optimization of Epic HB workflows, ensuring accurate billing, claims processing, and reimbursement in alignment with payer...ClaimsContract work
- ...CALL CENTER ASSOCIATE Responsibilities: Attentionto Customer Providing excellent service to customers. Inform the customers about our services... ...they may have. Record customers complaints. Follow up on claims until findi Call Center, Associate, Operations, Customer Service...Claims
- ...follow-up, collections, denial resolution, and reimbursement activities... .... This position ensures claims are billed accurately and timely... ...files, including claims, EOBs, appeals, and correspondence.... ...diploma or equivalent required Associate degree or additional college...ClaimsContract workWork at office
- Allsup, LLC in Houston, Texas is seeking a Claims Consultant for Veterans Disability Appeals. This role involves reviewing and addressing complex claims issues, preparing summaries of claims files, and assisting claimants in drafting necessary documentation. Candidates...Claims
- ...responsible for the company’s third‑party medical claims processing and assisting patients and... ...in follow‑up work queues. Rebills/appeals claims within 30-45 days of denial date.... ...or issues and report to leadership for resolution. Bill patients for non‑covered services...ClaimsWork at office
- ...• Completes data corrections in the credentialing database necessary for processing of recredentialing applications. • Reviews claims payment systems to determine provider status, as necessary. • Completes follow-up for provider files on 'watch' status, as necessary...ClaimsWork at officeRemote work
- ...medical collections activities including account follow-up, appeals, and resolution. Communicate effectively with patients, healthcare clients... ...websites and initiating calls to ensure timely medical claim payments. Work with coding and clinical teams to resolve...Claims
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