Medical Claims Appeals Specialist
$18.6 - $28 per hourConifer Health Solutions
Conifer Health Solutions in Frisco, Texas is seeking a qualified candidate to validate dispute reasons after review of Explanation of Benefits (EOB), generate appeals for denied claims, and collaborate with the Clinical Resource Center as needed. This role requires 3-5 years of billing or collections experience in a hospital setting and offers competitive pay from $18.60 to $28.00 per hour, along with a range of benefits including medical, dental, vision insurance, 401(k) matching, and paid time off. #J-18808-Ljbffr Conifer Health Solutions
- ...specializes in recovering underpaid and denied hospital claims through the federal ERISA appeals process. As our company continues to grow, we're... ...appeal letters and supporting legal documentation Review medical records, billing data, and reimbursement policies Track...MedicalFull timeWork at office
- ERISA Recovery in Plano, TX is seeking a Senior Hospital Collection/Appeal and Denial Representative. This role demands 5-10 years of... ...experience in hospital billing and collections, specifically with UB-04 claims and ERISA processes. The ideal candidate will have strong...SuggestedRelocation package
- ...'s Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and... ...Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits...Medical
- ...company, while still enjoying the flexibility of remote work for focused tasks and projects. The Claims Specialist analyzes complex Personal Injury Protection (PIP) and Medical Payment (Med-Pay) No Fault claims, determines benefits owed, manages and adjudicates high‑...MedicalWork experience placementWork at officeLocal areaRemote work
- Description The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately... .... Knowledge of legal liability, insurance coverage and medical terminology preferred. Licensing may be required in some states...MedicalWork at officeLocal area
- ...Work® Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - General Liability/Product Liability - Hybrid Are you... .... A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Sedgwick is an Equal Opportunity...MedicalFlexible hours
$112k - $125k
...Top 50 and rated A++ by A.M.Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate... ...Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and...Medical$90k - $150k
...weekends, or holidays) ~ Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k), tuition... ...Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Casualty Claims team. This role reports to...MedicalWork at officeRemote workWeekend work- Collective Health in Plano, Texas is looking for a dedicated team player to execute daily operations, process medical claims, and contribute to a mission-driven culture that prioritizes innovation and collaboration. Ideal candidates are driven and curious, with a passion...MedicalWork at office3 days per week
$105k - $130k
...Senior Complex Construction Claims Specialist Liberty Mutual's Specialized Claims group has an immediate opening on our Complex Construction... ...Home Office Legal, defense counsel, SIU when appropriate, medical and causation experts, accident reconstructionists, engineers...MedicalImmediate startRemote workHome office- A global industry leader in Frisco, Texas, is seeking a Claim Examiner for general and product liability claims management. The ideal... ...schedule, along with a comprehensive benefits package that includes medical and 401K options. #J-18808-Ljbffr Hispanic Alliance for Career...MedicalFlexible hours
- ...for focused tasks and projects. The Workers Compensation Claims Specialist works within a Claims Team under direct supervision, develops... ...equivalent. Knowledge of legal liability, insurance coverage and medical terminology are helpful, but not mandatory. Licensing may...MedicalWork at officeLocal areaRemote work
- ...DetailsTime Type: Full time Worker Type: Employee Senior Claim Technical Specialist - Cyber Location: USA - Multi Office Locations... ...observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any...MedicalFull timePart timeWork experience placementWork at officeWork from home
- Beacon Technologies is seeking a Sr. Claims Technical Specialist for our client partner. The purpose of this role is to oversee the examination,... ...origin, genetic information, ethnicity, ancestry, disability, medical condition, military and veteran status, or any other...MedicalWork experience placementRemote work
$19 - $22.36 per hour
Inogen is looking for a Reimbursement Advocate in Plano, Texas, responsible for working with various insurance companies to ensure medical claims are processed accurately and timely. The role demands a high level of customer support and the ability to analyze claims for...MedicalHourly pay$18 per hour
A leading global technology services company is seeking a Remote Medical Claims Representative who will process healthcare claims, ensure compliance, and maintain productivity and quality scores. Candidates must have at least 1 year of experience in healthcare claims processing...MedicalRemote job- ...Job Description Job Description Title: Claims Examiner - Workers Compensation (1431041) Location: Remote Duration: 03+ Months... ...and disability duration, cost containment principles including medical management practices and Social Security and Medicare...MedicalWork at officeRemote work
- ...Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Assistant to join our team! Summary: Provides... ...Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and...Medical
$100k - $160k
...weekends, or holidays) ~ Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k), tuition reimbursement... ...(JD required) to handle Commercial General Liability (CGL) claims, including litigated files. What You'll Do Investigate claims...MedicalWork at officeRemote workWeekend work$130k - $170k
...weekends, or holidays) ~ Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k), tuition reimbursement... ...Responsibilities This role reports to the Director of Claims and handles commercial auto liability and physical damage claims...MedicalWork at officeRemote workWeekend work$75k - $120k
..., weekends, or holidays) ~ Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k), tuition reimbursement... ...General Liability (CGL) and Business Owners Policy (BOP) claims in California, including litigated files. Key Responsibilities...MedicalWork at officeRemote workWeekend work$65k - $150k
...: ~ Company-paid benefits: Short-Term Disability, Long-Term Disability, Basic Life, AD&D, and Team member Assistance Program ~ Medical, Dental, Vision, and Life ~401K Retirement Plan ~ Flexible Spending Account ~ Dependent Care ~ Tuition Reimbursement ~ A...MedicalContract workTemporary workLocal areaRemote workFlexible hours- A leading global claims management firm is seeking a Claim Examiner for General Liability/Product Liability to manage complex claims from investigation to resolution. The ideal candidate will possess a Bachelor's degree and five years of claims management experience. Responsibilities...
$18 per hour
A global innovator in business services is seeking a Medical Claims Processor in Texas for a remote role. The position requires 2 years of healthcare claims processing and proficiency in Windows applications. Responsibilities include processing claims accurately and adhering...MedicalRemote jobHourly pay$18 per hour
Join to apply for the Medical Claims Processor - Remote role at NTT DATA North America. NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM Central time....MedicalRemote jobHourly payMonday to Friday$65k - $75k
...Underwriter Support Specialist-DHI Title Insurance D.R. Horton, Inc., the largest homebuilder... .... The right candidate will manage claims and assist with risk analysis, legal research... ...excellent benefits package including: Medical, Dental and Vision 401(K) Employee Stock...MedicalRemote workNight shift$18 per hour
...Remote Medical Claims Representative At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people...MedicalRemote jobHourly payTemporary workFlexible hours- SmartLight Analytics is seeking a Clinical Analyst in Plano, Texas. This role focuses on supporting accurate claims processing, analyzing medical claims, and resolving billing discrepancies. The ideal candidate will have a Bachelor's degree in healthcare or a related field...Medical
- ...Description PLEASE DO NOT APPLY IF YOU DON'T HAVE THE EDUCATION AND MEDICAL BILL REVIEW EXPERIENCE Daily responsibilities will include:... ...to negotiate greatest discount/savings on out of network claims.Screening medical bills for possible negotiation and contacting...Medical
- ...reviewers, provider relations, care management, claims, and integration teams to enable... ...experience partnering with clinical reviewers and Medical Directors. • Prior experience in payers/... ...TATs, HIPAA, NCQA), including denial and appeal pathways. • Experience with testing...MedicalRemote work
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