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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Appeals Specialist - Medical Claims (Hybrid) in Mountlake Terrace, WA vacancy
$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 per... ...and experience Experienced. 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
- 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
- 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
- Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington. The ideal candidate holds an...MedicalClaimsRemote jobContract work
- ...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
$80k - $100k
...of patient interactions and treatment progress using electronic medical record (EMR) systems, ensuring compliance with all legal and... ...Demonstrated ability to retain a no history of medical malpractice claims, verified by third-party sources. \n Authorization to work...MedicalClaimsRemote jobFull timeImmediate startBraver Perspective, LLC
Bothell, WA6 days ago$100k - $105k
...to provide empathetic support while effectively collaborating with multi-disciplinary teams. \n A track record of no medical malpractice claims, verified by a third party. \n Authorization to work in the United States. \n Preferred Experience\n \n Experience...MedicalClaimsRemote jobFull timeLocal areaWork from homeFlexible hoursYoung Harmony Counseling Services, LLC
Edmonds, WA21 days ago- ...Liability team is seeking a Senior Underwriting Specialist with high hazard product liability... ...flexible arrangements. This role may be hybrid or fully remote, with occasional travel... ...sales process. Effectively utilize Claims and Loss Control to display service and/...ClaimsFull timeRemote workFlexible hours
- The Villa Health is a hybrid, in-office/remote healthcare practice seeking a Billing and Credentialing Specialist to manage the full revenue cycle for both The Villa Health and The Villa Medical Group. You will handle claim submission, payment posting, denial resolution...MedicalClaimsWork at officeRemote 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$55k - $65k
...well as concurrent and discharge reviews. Extensive knowledge of medical terminology, substance abuse and mental health disorders, ASAM... ...Communicate effectively with peers andsupervisorto address billing and claim issues. Follow all HIPAA, compliance,privacyand confidentiality...MedicalClaimsFull timeFor contractorsSunshine Behavioral Health Group
Seattle, WA3 days ago- ...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
Tailing International LLC
Seattle, WA20 hours ago - ...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
- 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
- ...We are looking for a Surety Underwriting Specialist to join our team in either of the... ...Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc.and First Insurance Company... ...information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family...MedicalClaims
$28.99 - $35.34 per hour
...annual contribution to your 401(k) by BECU Medical, Dental and Vision (family contributions... ...match IMPACT YOU'LL MAKE: As a Recovery Specialist, you'll play a vital role in helping... ...filing Chapter 7 and Chapter 13 proofs of claim, and creating correspondence. Partner...MedicalClaimsHourly payWork at officeRemote workMonday to FridayBoeing Employees Credit Union
Seattle, WA4 days ago$215k
...restrictive covenants, and wage and hour claims Ability to draft discovery, pleadings, dispositive... ...benefits package, including medical, dental, vision, retirement, paid holidays... ...insurance, and additional wellness benefits Hybrid work schedule following the initial training...MedicalClaimsWork at officeFlexible hours- ...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
- Surety Underwriting Specialist Marketing Statement: Philadelphia Insurance Companies, a member... ...America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance... ...information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family...MedicalClaims
- ...care behind the scenes. As a Reimbursement Specialist 50D 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...MedicalClaimsWork experience placementWork at office
$28.27 - $50.48 per hour
Provider Reimbursement Specialist - Remote in WA or NC Join to apply for the Provider Reimbursement... ...3+ years of experience in claims research, analysis, and excel 3+ years of... ...Billing, Revenue Cycle Management, Amazon One Medical King County, WA $31,200.00-$50,000.00 1...MedicalClaimsRemote jobHourly payMinimum wageFull timeWork experience placementLocal area$1,000 - $2,000 per month
...behavioral health crisis care. Our team combines medical and recovery-oriented treatment to... ...What You'll Do: The Behavioral Health Specialist (BHS) manages and maintains the safety... ...you receive a suspicious communication claiming to represent Connections Health Solutions...MedicalClaimsHourly payFull timeTemporary workPart timeReliefImmediate startFlexible hoursShift workNight shiftWeekend work- JOB DESCRIPTION Job SummaryProvides medical oversight and expertise in appropriateness and... ...Participates in and maintains the integrity of the appeals process, both internally and externally.... .... • Conducts retrospective reviews of claims and appeals and resolves grievances...MedicalClaimsWork at officeLocal area
$69.72k
...opportunity for a PAYER RELATIONS SPECIALIST . Work Schedule Full-Time - 100% FTE Hybrid Schedule Position Highlights... ...negotiations, issue resolution, appeals, and single‑case contract development... ...and/or professional services claims decisions by payers, including...ClaimsFull timeContract workTemporary workWork at officeShift workDay shift- ...evidence needs, and roadmap implications while keeping external claims grounded in proof.Create field-ready enablement and assets.... ...national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender,...MedicalClaimsWork at office3 days per week
$70k - $100k
...Utilize a billing service that handles claims, eligibility checks, and payment plans, freeing... ...utilizing digital tools and electronic medical records (EMR) systems for efficient... ...advantage of a flexible schedule that allows for hybrid work-from-home arrangements, providing...MedicalClaimsRemote jobHourly payFull timeWork at officeLocal areaWork from homeHome officeRelocation packageFlexible hoursAll of US Counseling Services
Bothell, WA21 days ago- ...collections across all services. Work Arrangement This position is hybrid with three days per week on‑site at our Fort Lauderdale,... ...on all denials Collect required information to have the claim processed or appealed Communicate patient responsibility Conduct other billing...MedicalClaimsWork at officeFlexible hours3 days per week
Walt Disney Company
Seattle, WA2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals Specialist - Medical Claims (Hybrid). Be the first to apply!
Related searches
- loss prevention specialist Mountlake Terrace, WA
- health science specialist Mountlake Terrace, WA
- fabrication specialist Mountlake Terrace, WA
- recruiting specialist Mountlake Terrace, WA
- registration specialist Mountlake Terrace, WA
- health specialist Mountlake Terrace, WA
- waste management specialist Mountlake Terrace, WA
- provider relations specialist Mountlake Terrace, WA
- executive protection specialist Mountlake Terrace, WA
- chargeback specialist Mountlake Terrace, WA