Remote Grievance & Appeals Specialist
$23 per hourTEKsystems
- Remote job
TEKsystems is seeking a Contract Grievances and Appeals Specialist for a fully remote role based out of Columbus, OH. The position analyzes and resolves verbal and written claims and appeals from providers and members, and prepares response letters. This is a contract position with a $23/hour pay rate. Ideal candidates have a high school diploma (associate's degree preferred) and 2+ years of managed care grievance/appeals experience, plus strong oral and written communication and problem-solving #J-18808-Ljbffr TEKsystems
- UnitedHealthcare offers a remote-friendly physician assistant role across the United States, focusing on review and adjudication of appeals and grievances. You will collaborate with medical directors and an integrated team to assess medical necessity and benefit design...Remote jobWeekday work
- 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 work
$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 UM, Appeals...Remote workHourly payFull timeContract workWork experience placementWork at office- ...Grievance & Appeals Coordinator Are you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated... ...Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex member and...Remote workWork from homeHome officeWeekend work
- Our client is seeking an experienced Grievance and Appeals Specialist with strong health plan industry experience to join their team. The Grievance and Appeals Specialist is responsible for reviewing, investigating, and resolving member and provider grievances and appeals...Suggested
- ...Job Title: Appeals & Grievance Specialist Job ID: 89227 Location: Boulevard, Irving Overview: The Appeals & Grievance Specialist II is responsible for independently researching, reviewing, and resolving member and provider inquiries, complaints, appeals, and grievances...Work at officeMonday to Friday
- ...Appeals and Grievance Specialist II (Managed Care) Irving, TX | 12-Week Contract Location: Irving, TX Job Type: 12-Week Contract Company: Sigma Inc. Schedule: MondayFriday | 8-Hour Shifts Join Our Team as an Appeals and Grievance Specialist II! Sigma Inc. is seeking...Contract workShift work
$20 - $25 per hour
A national healthcare recruiting firm is hiring for a role focused on resolving member complaints and maintaining grievance and appeals case files. The position requires excellent writing skills and strong customer service abilities. Candidates should be willing to learn...Hourly payMonday to Friday- 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...
$248.5k - $373k
.... Growing 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 adjudication...Remote workMinimum wageWork experience placementLocal areaWork from home$19.76 per hour
...managed care professional looking for an exciting work-from-home opportunity in Iowa? We are seeking a self-motivated, organized Grievance & Appeals Coordinator to join our dynamic team! In this essential role, you will review incoming complaints, investigate complex...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeHome officeMonday to FridayShift workWeekend work- ...UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with...Remote work
- Molina Healthcare in Kentucky is seeking a Claims Support Specialist to review and resolve member and provider complaints and communicate... ...in line with CMS standards. The role involves researching appeals and grievances, requesting and reviewing medical records and bills,...Contract work
$22.99 per hour
...analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex member and provider appeals and grievances,...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeHome officeShift workWeekend work- ...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
$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 workWork at officeImmediate startMonday to Friday$23 per hour
We are hiring for Appeals Specialists with our Heathcare client! These positions are 100% remote TX based. Please inquire if other positions are available if you reside outside of TX. Temp roles to start with opportunity for perm conversion. Pay Rate: $23/hr Hours: M...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work- Baptistfirst in Alabama is seeking a Denials Management Specialist to handle disputes, validate payment issues, and generate appeals for denied claims. This role involves resolving complex accounts and requires in-depth knowledge of billing rules and payer contracts. The...Remote job
$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote workHourly payFull time- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established... ...applying contract and regulatory provisions. This is a Remote Role Experience Experience handling a large load of...Remote workContract workApprenticeshipLocal area
- Banner Plans & Networks is seeking a Grievance and Appeals Coordinator to manage intake, review, investigation, and resolution of grievances,... ...providers to ensure compliant, timely responses. Position primarily remote with Arizona residency required for consideration; standard...Remote jobMonday to FridayShift work
- ...seeking a clinical professional to join our Medical Management/Health Services team to ensure proper processing of member grievances, provider appeals, and state fair hearings. You will serve as the primary contact with the State and oversee the daily activities of the...Remote job
- ...Position: Business Analyst III - Appeals & Grievances Location: Los Angeles, CA, US (Remote) Duration: Permanent Job Description: The Business Analyst III facilitates business process improvement via the methodical investigation, analysis, review...Remote workPermanent employmentWork at office
- ...Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration:...Remote workContract work
$65k - $75k
...If you want to use your talents to transform healthcare in the United States, come join us! About the Role As an Appeals and Grievances Specialist , you'll own the end-to-end handling of member and provider appeals and grievances, investigating cases, coordinating...Full time- Providence California Regional Services is seeking a Care Manager RN for a remote, full-time role. The position involves day shifts and focuses on coordinating clinically-based appeals and reimbursement processes for patients across PH&S California regions. Candidate must...Remote jobFull timeDay shift
$22 per hour
Our client is hiring a Grievance and Appeals Specialist! In this role you would be responsible for analyzing and resolving verbal and written claims and authorization appeals from providers while pursuing resolution of formal grievances from members. As part of a collaborative...Hourly payPermanent employmentTemporary workWork experience placementShift work$25 per hour
...Job Description: The organization is seeking a dedicated and experienced Case Specialist, Grievance and Appeals to join their team on a hybrid basis. This role involves investigating and resolving member and provider complaints, benefits appeals, and administrative appeals...Hourly payContract workTemporary workWork at office- ...Job Description Job Description Member Appeals & Grievances Specialist Location: Birmingham, Alabama Work Schedule: This position will primarily work from the VIVA HEALTH headquarters in downtown Birmingham. After training has been completed, there would be...Work at officeImmediate startFlexible hoursWeekend work1 day per week
$22.99 per hour
Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance or...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Grievance & Appeals Specialist. Be the first to apply!
- loss prevention specialist Columbus, OH
- total rewards specialist Columbus, OH
- inclusion specialist Columbus, OH
- accessibility specialist Columbus, OH
- orientation and mobility specialist Columbus, OH
- health science specialist Columbus, OH
- graduation specialist Columbus, OH
- behavioral health specialist Columbus, OH
- equity specialist Columbus, OH
- government relations specialist Columbus, OH


