Remote Health Claims & Appeals Specialist
$17.75 per hourWidescope Consulting and Contracting Services LLC
- Remote job
Widescope Consulting and Contracting Services LLC is urgently hiring for the position of Appeals and Grievance Representative. This full-time, remote role involves reviewing and resolving member and provider appeals with professionalism. Ideal candidates will have a strong background in healthcare claims and excellent problem-solving skills. This position offers a competitive pay structure, including $17.75/hour with additional benefits based on choices made. A quiet home workspace and reliable internet connection are necessary for this role. #J-18808-Ljbffr Widescope Consulting and Contracting Services LLC
$15.5 - $19.63 per hour
Franciscan Health is looking for a Denial Collections Specialist to work from home in Indiana. The specialist will review denied medical insurance claims, identifying the basis for appeal and ensuring timely and compliant resubmissions. Applicants must have a high school...Remote jobHourly payWork from home$19.6 per hour
...Department of Defense restrictions. The Appeals Claims Processor is responsible for reviewing... ...Shift Work Location: This is a 100% remote opportunity within any of our approved... ...) ~ Competitive paid time off ~ Health insurance, dental insurance, and...Remote workHourly payContract workFor contractorsLocal areaImmediate startDay shift- A healthcare solutions provider is seeking a Registered Nurse for Claims & Appeals Review. This remote role supports compliance and quality assurance in appeal reviews. Candidates should have a Bachelor's degree in healthcare and valid RN license in Florida. Key responsibilities...Remote job
- ...is building the future of health insurance with a first-of-its... ...better. Summary The Claims Resolution Specialist is responsible for ensuring... ...external claim inquiries, appeals, reconsiderations, and dispute... .... Maintain a secure remote work environment. Perform...Remote workFull timeWork at officeFlexible hours
- ...Children's Hospital in Bellaire, Texas, is seeking a Claims Benefits Specialist to efficiently handle claim appeals in a fast-paced environment. This role requires... ...position offers a hybrid work schedule, combining remote and on-site work, with a commitment to equal opportunity...Remote work
- ...The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed... ...eligible beneficiary referrals and claims for services not directly available at ANTHC... ...workload and process including any appeals and suggestions of patients and providers...Remote workTemporary workWork experience placementWork at officeImmediate startFlexible hours
- ...company partnering with mental health providers across the United... ..., detail-oriented Medical Claims Specialist who excels in phone communication... ...Billing Solutions office. Remote or hybrid work arrangements... ...issues, and initiate appeals when appropriate. Maintain clear...Remote workWork at office
- ...Company Description Privia Health™ is a technology-driven, national... ...processing of all designated claims, reviewing and responding to... ...sources, resolving and appealing denials which may include contacting... ...Technical Requirements (for remote workers only, not applicable...Remote workHourly payContract workWork at officeLocal areaHome officeNight shift
$26 - $29 per hour
...Medical Claims And Billing Specialist Boulder Care is an award-winning digital clinic... ...partners with leading health plans, employers, and community... ...up, denial resolution, and appeals processes ~ CPT and ICD... ...This is a fully remote role but we are currently only...Remote workHourly payFull timeContract workTemporary workCurrently hiringMonday to Friday- ...Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small... ...we are looking for. The role we are looking to fill: Claims Specialist If you are a passionate and detail-oriented professional...Remote workFull timeWork at officeLocal areaWork from homeVisa sponsorshipWork visa
$11 - $13 per hour
A medical billing company in Oklahoma City is seeking an Appeals Specialist to manage insurance claim discrepancies. The role requires great work ethic, attention to detail, and the ability to multitask. While prior medical billing experience is beneficial, it's not mandatory...Hourly pay- ...Claims Specialist - Accident and Health Location: USA – MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is: $76,000-125,500K The Opportunity The purpose of this role is to provide exceptional claims service...Remote workFull timePart timeWork experience placementWork at officeWork from home
- Primary DetailsTime Type: Full time Worker Type: Employee Claims Specialist - Accident and Health Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is:$76,000-125,500K The Opportunity...Remote workFull timePart timeWork experience placementWork at officeWork from home
- Primary DetailsTime Type: Full time Worker Type: Employee Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote The salary range for this role is:$88,000-145,000K...Remote workFull timePart timeWork experience placementWork at officeWork from home
- ...challenges faced in accident & health, disability, and supplemental... ...Outbound calls and adjudicate claims. Duties/Responsibilities:... ...of action on claims where an appeal or a grievance has been filed... ...Accountable and able to work remotely and independently. Able to...Remote work
- ...supporting the World Trade Center Health Program. In this role, you... ...in processing complex medical claims. If you are eager to make a positive... ...the Atlanta office, two days remote Monday through Friday, 8:00... ...denial resolution and the appeals process. Ability to manage...Remote workFor contractorsWork at officeMonday to FridayFlexible hours
$95k - $110k
...DRG Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to... ...perform reviews of multiple claim types to provide a flexible... ...Coder (CPC), Certified Coding Specialist (CCS), or Certified... ...employer match, comprehensive health benefits, and educational assistance...Remote workFull timeWork from homeRelocation packageFlexible hours$40k - $50k
...Claims Recovery Specialist - Albany, NY - Hybrid Great companies need great teams to propel their operations... ..., storage, and handling of Personal Health Information (PHI). Manage a high-... ...this role This position is primarily remote; however, candidates must reside in New...Remote workFull timeWork at officeFlexible hours$76k - $125.5k
QBE North America is hiring a Claims Specialist - Accident and Health based in Marblehead, Massachusetts. The role involves managing complex claims while providing exceptional service to customers. Candidates should have relevant insurance qualifications and moderate experience...Remote job$76k - $125.5k
Claims Specialist - Accident and Health Full Time - Employee Location: USA - MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote Salary Range: $76,000-$125,500 Overview The purpose of this role is to provide exceptional claims service to customers by managing...Remote workFull timeWork experience placementWork at officeWork from home$76k - $125.5k
QBE Americas, Inc. is looking for a Claims Specialist - Accident and Health to provide exceptional claims service to customers. You will manage complex claims while collaborating with suppliers and stakeholders, ensuring effective negotiation and assessment of policy coverage...Remote job$16.74 - $26.92 per hour
...The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic... ...Department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...for the workers’ compensation, auto, health and disability management industries....Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$100k - $140k
...Ins Claims Specialist Medical Malpractice - Pittsburgh, PA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE AVAILABLE Analyze and resolve complex or technically difficult...Remote workContract workImmediate startWork from homeRelocation package- American Specialty Health Incorporated is seeking a Sr Reconciliation Representative to join our Reconciliation department. This remote position involves reconciling complex claims for payment and requires a High School Diploma or GED, alongside 2 years of claims processing...Remote jobWork at office
$20 per hour
...Medical Appeals Coordinator (Remote) Fully Remote Allied Benefit Systems Overview Salary Range $20.00 Hourly Position Type Full Time Category Claims Description POSITION SUMMARY The Appeal Coordinator is an intermediate level administration position that...Remote workHourly payFull timeWork experience placementWork from home- ...Position Grievance and Appeals Coordinator Position Description Join our clients dynamic team as a vital link in thier... ...our organization. Ensure our processes align with all Health Plan regulatory agencies. Provide essential administrative...Remote workWork at officeImmediate startWork from home
$19 per hour
...contribute to the success of our hospital and health system partners. Aspirion maintains a... ...equity sponsor. We are seeking an Appeals Specialist to join our growing team. As an Appeals... ...) reports to follow up on unpaid claims Compose and submit appeals to insurance...Remote workHourly payFull timeWork at officeWork from home- ...standard of care through a concierge-level experience. Role: Health Insurance Claims Specialist This position reports to the Billing Manager and is... ...only team member in the office If you’re seeking a remote role, this position will not be a fit What You’ll Do...Remote workWork at officeMonday to Friday
- Encova Mutual Insurance Group in Virginia is seeking a Medical Only Claims Specialist to manage a high frequency desk primarily focused on medical-only claims. This role requires proficiency in claims handling and investigation, aiming to provide superior service while...Remote job
$68.97k - $140k
...Senior Workers Compensation Claims Specialist I DEPARTMENT: CLAIMS STATUS: EXEMPT... ...entertainment, film and tv insurance, employee health & benefits insurance, and private... ...Identity employers. #LI-DNI #LI-Remote #LI-hybrid #LI-onsite The applicable...Remote workMinimum wageFull timeLocal areaNight shift
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