Appeals Specialist - Medical Claims (Hybrid)
Northwest Administrators, Inc
Northwest Administrators, Inc. is seeking an Appeals Specialist to join our Health and Welfare Claims team. You will focus on member disputes and appeals, reviewing and processing cases with attention to policies and regulations. The role requires strong analytical skills, clear communication, and the ability to manage complex information. This is a hybrid position with three days in the office at Seattle/Mountlake Terrace/Federal Way locations, and a commitment to delivering exceptional service. #J-18808-Ljbffr Northwest Administrators, Inc
- ...Administrators, Inc. seeks an Appeals Specialist to assist in operations of the Health and Welfare Claims Department. This role... ...resolve disputes. The position is hybrid, working three days a week in... ...or experience, preferably in medical claims, and possess strong analytical...MedicalClaimsHourly payWork at office3 days per week
$30.7 - $41.54 per hour
...person we’re seeking for our Appeals Specialist position! What you’ll be... ...operations of the Health and Welfare Claims Department and will... ...procedures This position has a hybrid work schedule with 3 days... ...relevant education and experience Medical claims processing and/or...MedicalClaimsHourly payWork at officeLocal area3 days per week- ...DESCRIPTION Job SummaryProvides support for claims activities including reviewing and... ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints... ...grievance outcomes. • Requests and reviews medical records, notes, and/or detailed bills as...MedicalClaimsContract workWork at office
- ...Title Provides entry level support for claims activities including reviewing and... ...Duties Enters denials and requests for appeals into information system and prepares documentation... ...Molina guidelines. Requests and obtains medical records, notes, and/or detailed bills as...MedicalClaimsWork at office
- Northwest Administrators, Inc. in Seattle is seeking an Appeals Specialist to join the Health and Welfare Claims Department. You will focus on member disputes and... ...and adherence to policies. This role offers a hybrid schedule with three days in the office, and you may...MedicalClaimsWork at office
- CampusPoint in Seattle is seeking an Appeals Specialist to support health and welfare claims disputes and appeals, joining a team focused on accuracy and policy... ...present cases for resolution. This role offers a hybrid schedule with 3 days in the office in the Seattle area...MedicalClaimsWork at office
- ...Senior Underwriting Specialist The Hanover's Specialty General Liability... .... This role may be hybrid or fully remote, with occasional... ...process. Effectively utilize Claims and Loss Control to display service... .... Benefits include: ~ Medical, dental, vision, life, and...MedicalClaimsRemote jobFull timeWork from homeFlexible hours
- Specialty GL - Senior Underwriting Specialist (Remote/Hybrid) Chicago, IL, USA • Denver, CO, USA • Dallas... ...sales process. Effectively utilize Claims and Loss Control to display service... ...need to succeed. Benefits include: Medical, dental, vision, life, and disability...MedicalClaimsRemote jobTemporary workWork from homeFlexible hours
- 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...Claims
- ...administration firm in Mountlake Terrace seeks a Claims Auditor for its Health & Welfare group.... ...ideal candidate will have experience in medical and dental claims processing and will... ...claims processors. This role offers a hybrid work schedule after training and a comprehensive...MedicalClaims
- Northwest Administrators Inc. is seeking an Appeals Specialist to assist in the operations of the Health and Welfare Claims Department. The role involves... ...s degree and relevant experience in medical claims. The position offers a hybrid work schedule, a competitive hourly...MedicalClaimsHourly pay
$129.3k - $172.3k
...with an in-house opportunity?The Senior Claims Counsel position with First American Title... ...Seattle offices are expected to work in a hybrid capacity.Pay Range: $129,300.00 - $172,30... ...comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick...MedicalClaimsFull timeWork at officeLocal areaRemote work$30.7 - $41.54 per hour
Claims Auditor - Health & Welfare (Hybrid) Apply for the Claims Auditor - Health & Welfare (Hybrid) role at Northwest Administrators, Inc . Are you a great... ...with strong writing skills? Are you experienced in medical/dental claims processing? Do you enjoy working with people...MedicalClaimsHourly payWork at officeLocal area3 days per week- ...Francona is looking for a Change Management Specialist that will be responsible for planning... ..., including: Beneficiary enrollment Claims adjudication Appeals processing Benefits coordination Care... ...and best practices Health Care Plan (Medical, Dental & Vision) Retirement Plan (40...MedicalClaimsTemporary work
- ...focuses on analyzing insurance denials, correcting claims based on established protocols, and monitoring appeals for resolution. Ideal candidates will have a high... ...Knowledge of healthcare reimbursement systems and medical terminologies is essential. This position provides...Medical
- ...Employment Specialist 4 This is an open-continuous recruitment, which means that... ...position becomes eligible for one day of hybrid remote work per week after the... ...Unemployment Insurance (UI) and Paid Family Medical and Leave (PFML) claim and fraud check. Why work with...MedicalClaimsSeasonal workWork at officeRemote workFlexible hours
$28.83 - $46.14 per hour
...Job Title Denial Management Specialist Job Description Wage Range... ...or healthcare system. Healthcare medical billing and reimbursement Remote... ...Summary: Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement...MedicalClaimsHourly payContract workRemote workFlexible hoursShift work$68k - $90k
...Title: Early Careers: Actuarial Specialist Are you intellectually... ...across the United States in a hybrid environment, allowing work from... ...plans, including the analysis of medical and prescription drug network... ...team provides risk transfer, claims advocacy and capital...MedicalClaimsFull timeTemporary workPart timeWork at officeLocal areaRemote workFlexible hours- ...Safety Specialist/Subcontractor Coordinator Do you envision a workplace where every team... ...competitive pay and top-shelf benefits package - Medical and dental insurance - Paid vacation: -... ...causes and handle worker's compensation claims. Prepare reports on occurrences and...MedicalClaimsHourly payPermanent employmentTemporary workWork experience placementFor subcontractorWorldwideFlexible hoursShift work
- ...Product Manager for Pyxis Med and Supply in a hybrid role at the BD office in San Diego, CA.... ...and entry to hospitals and other medical facilities is part of the role. You will... ...Medical Affairs to develop evidence and product claims. #J-18808-Ljbffr Becton DickinsonMedicalClaimsWork at office
- ...Safety Specialist - Washington DC / Baltimore Area Full-Time Salary Position with our Electrical... .... Communicate appropriately with the claims manager on preventive measures, incident... ...the claims manager to ensure prompt medical care for occupational injuries, monitor...MedicalClaimsFull timeWork experience placementAfternoon shift
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA... ...efforts to quickly resolve unpaid dental claims. Ensures all dental insurance related... ...Eligible Positions (30-35 hours per week): Medical Insurance : Choice of five comprehensive...MedicalClaimsFull timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- ...seeking a skilled and board-certified Pain Medicine Specialist to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling... ...) issues Respond to clinical queries to support claims management Deliver detailed IME reports within an...MedicalClaimsExtra incomeContract workFlexible hours
- ...Surgeons is seeking a Remote Revenue Cycle Specialist to oversee billing processes from a home... ..., including charge entry, billing, claims, and patient AR. You will post payments... ...capacity. Requirements include 1-2 years medical billing experience, CPC certification, and...MedicalClaimsRemote jobHome office
- ...care behind the scenes. As a Reimbursement Specialist - Physicians Billing, you'll play a vital role in ensuring accurate claim processing, reimbursement follow-up, and resolution... ...teams, you'll use your knowledge of medical billing, insurance regulations, and payer requirements...MedicalClaimsMinimum wageWork experience placementWork at officeLocal areaShift work
- Providence Swedish in Seattle seeks a Reimbursement Specialist - Physicians Billing to ensure accurate claim processing and timely reimbursement follow-up. You... ...healthcare experience and a strong understanding of medical billing, payer requirements, and insurance...MedicalClaims
- ...Revenue Cycle Specialist The role of the remote Revenue Cycle Specialist is a valued member... ...including charge entry, billing, claims, patient AR and insurance AR. You will also... ...school diploma or GED Minimum 1-2 years medical billing experience CPC or other...MedicalClaimsRemote jobFull timeWork at officeMonday to Friday
- ...valuable agriculture crops. The Outreach Specialist prioritizes needs of the Pest Program... ...including pregnancy, childbirth, or related medical conditions), sex, sexual orientation,... ...the minimum qualifications and wish to claim Veteran's Preference MUST attach a copy...MedicalClaimsPermanent employmentFull timeSeasonal workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
$85.8k - $141.6k
...development, commercial priorities Partnering with Medical Affairs to evolve, develop evidence generation and product claims Supporting business case development,... ...enthusiastic, customer‑focused Location & Travel Hybrid role at BD office in San Diego, CA. Up to 15% travel...MedicalClaimsWork at office- ...engineering change management. Technical Skills: Proficiency with Microsoft Office tools. Preferred Qualifications Experience in the medical device or highly regulated industry. Experience supporting MLO/DHF/DMR structures in PLM systems. Knowledge of Windchill...MedicalTemporary workWork at officeLocal area
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