Remote Claims Appeals & Adjustment Analyst
UnitedHealth Group
Kelsey-Seybold Clinic, part of UnitedHealth Group, is recruiting for a Claims Appeals & Adjustment Analyst in a remote role. The position requires 5+ years in claims adjudication within HMO/PPO/TPA environments and strong knowledge of payor contracts and regulatory guidelines.Responsibilities include adjudication, provider/payor reconciliations, and leakage analysis. Outlined duties cover analysis of high-dollar payments, system issue reporting, and back-out processing for returned checks, withJ-18808-Ljbffr
$63k - $84.42k
## GP Appeals Analyst IApply: Hopewell, NJ - Remote: Full time: Posted 2 Days Ago: 2026-0586**Horizon Blue Cross Blue... ...needed, ensuring exhibits include claim records, authorizations, research... ...exceptions, including claim adjustments at higher thresholds, to resolve appeals...Remote workClaimsFull timeContract workLive inWork at officeLocal area$42 - $51 per hour
...Cambia Health Solutions is seeking a Risk Adjustment Campaign Associate for a ~5-month, remote assignment across Oregon, Washington, Idaho, or Utah. Work with the Claims Audit/Risk Adjustment team and support EMR record retrieval and campaign operations. The role requires...Remote workClaimsHourly payContract work$70k - $85k
...Risk Adjustment Coding Specialist II - Orange CountyWe are currently seeking a highly motivated... ...identify, assess, monitor, and document claims and encounter coding information as it... ...County (approximately 50% travel) with remote support to help practices. The Company...Remote workClaimsWork at officeWork from homeHome office- ...PurposeResearches the substance of complex appeal or retrospective review requests... ...subsidiary companies.LocationThis is a full-time, remote (40-hours/week) working an 8hr shift... ...organizational and time management skillsKnowledge of claims systemsPresentation skillsWhat We Can Do...Remote workClaimsFull timeFor contractorsWork experience placementLocal areaMonday to FridayShift work
$70k - $85k
...Risk Adjustment Coding Specialist IIWe are currently seeking a highly motivated Risk Adjustment... ...identify, assess, monitor, and document claims and encounter coding information as it... .... There can be weeks that are fully remote, and then weeks where there are more in-...Remote workClaimsWork at office- ...decisions. About This Opportunity: As an Appeals Analyst, you'll review provider appeals by... ...requirements to ensure accurate and timely claim determinations. You'll calculate and negotiate... .... Where You'll Work: This is a fully remote position, and we'll provide all the...Remote workClaimsContract workImmediate startFlexible hours
- ...Denial Management SpecialistWork remotely while using your denial... ..., reimbursement outcomes, and appeal turnaround times.Performs in-depth... ...assigned work queues, including claim resubmissions, authorization... ...coding guidelinesReviews and adjusts charges as needed based on documentation...Remote workClaimsFull time
- .... As an Underpayment Analyst within our Revenue Integrity... ...examining hospital claims to verify proper... ...arrange for payment or adjustment processing on behalf of... ...faxes, online inquiries, appeals, adjustments, reports... ...working in a remote environment Work at...Remote workClaimsFull timeTemporary workWork experience placementWork from home
$65k - $75k
...& Casualty Corporate Claims provides shared services... ...Litigation Services Analyst supports the oversight... ...appropriately. This is a fully remote position. Essential... ...appropriate billing adjustments and document decisions... ...and resolve billing appeals and disputes submitted...Remote workClaimsHourly payFull timePart timeSeasonal work- ...Remote Denial Management SpecialistWork remotely while using your... ..., reimbursement outcomes, and appeal turnaround times.Performs in-depth... ...denial work queues, including claim resubmission, authorization... ...coding denials.• Reviews and adjusts charges as appropriate according...Remote workClaimsFull time
- ...looking for an Underpayment Analyst based in the United... ...services they provide. In this remote role, you will analyze hospital claims, identify payment... ...and coordinate payment or adjustment processing on behalf of... ...faxes, online inquiries, appeals, adjustment requests,...Remote workClaimsFull timeWork experience placementWork at office
- ...Physician based Insurance Follow Up Analyst to resolve outstanding and unpaid insurance claims. This is a remote position, but please note the... ...overturn the denials. Also identify adjustments and write-offs in cases where an appeal is denied or as required by policy....Remote workClaimsWork at officeLocal area
$34.26 - $53.96 per hour
...variances, monitoring of individual claims (logs), etc.). Interacts with HIM,... ...and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to appropriately... ...and expectations. If applying for a remote or hybrid role, this includes...Remote workClaimsHourly payFor contractorsWork at officeMonday to FridayFlexible hoursShift work- ...Financial Analyst of Pharmacy Services Revenue IntegrityThe... ...proposal evaluations, claims payment accuracy... ....**This is a remote position**AnalysisAnalyzing... ...party payer reimbursement appeals.Support manager in... ...activities and recommend plan adjustments or other improvement...Remote workClaimsContract workTemporary workRelocation package
$20 - $25 per hour
...Job Description. Process appeals and grievances analyze research and provide comprehensive... ...and regulatory provisions. This is a Remote Role Experience; Experience... ...experience. Experience in analyzing a claim Experience in classification between a...Remote workClaimsFull timeContract workApprenticeshipLocal area$18.82 per hour
...post service grievances and appeals requests in the Enterprise Grievance... ...issue(s) and pertinent claims and medical records to either... ...requirements. As such, the analyst will strictly follow... ...Eastern Time. Schedule may be adjusted based on operational needs and...ClaimsHourly payDaily paidContract workTemporary workFor contractorsWork experience placementLocal areaMonday to Friday1 day per week$66.94k - $101.26k
...The Payment Integrity Analyst is responsible for accurately... ...pre- and post pay claim audits based on client... .... This is a remote position. ESSENTIAL... ...internal audits and/or appeals in accordance with client... ...salary range and these adjustments would be clarified...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...Leading a team of claims examiners, the full-time Texas Licensed Claims Adjuster Lead will supervise claims adjudication for workers... ...with quality standards in a remote environment. Key... ...coordination Acts as a second level of appeal for client and claimant issues,...Remote workClaimsFull time
$5,405 - $5,623 per month
...Manager, the Administrative Analyst provides complex... ...parking citations and appeals into T2 Flex parking management... ...Release of Liability claims from customers and... ...information from remote databases, such as those... ...reconciliations, adjustments, and related documentation...Remote workClaimsFull timeWork experience placementWork at officeFlexible hoursShift work- ...Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities... ...preference for experience in denials/appeals. Strong communication and analytical...Remote workClaims
- ...Intermountain Health is seeking a Coding Analyst I for SelectHealth—Remote. The role covers professional, facility, drug, DME, and lab coding for government programs, reviewing claims and appeals, and ensuring compliance with regulations. Strong communication and MS Office...Remote workClaimsFlexible hours
- ...operations, the full-time temporary Revenue Cycle Analyst - CPB/CRCP Licensed will manage medical billing, denials, and appeals processes remotely, ensuring accurate account documentation and timely resolution of outstanding claims. Key responsibilities Review and resolve...Remote workClaimsFull timeTemporary work
- ...Working remotely in a full-time capacity, the Revenue Cycle Analyst will validate and review hospital accounts for additional... ...revenue opportunities, confirm claim reimbursements, and diagnose root... ...account details to support appeal and resolution efforts while meeting...Remote workClaimsFull time
$37.6k - $64.4k
...and every member feels valued. The Claim Appeals & Correspondence II position is responsible... ...operations Experience researching, adjusting, or reprocessing medical claims... ...across departments This position is a Remote role. To be eligible for consideration,...Remote workClaimsWork experience placement- ...Summary Provides lead level support for claims activities including reviewing and... ...submission, intervention and resolution of appeals, grievances, and/or complaints from Molina... ...to claims payment, requests for claim adjustments, and/or requests from outside agencies....Remote workClaimsContract workWork at office
$20.91 - $45.04 per hour
...Location The location for this position is REMOTE (Street Address: REMOTE ) Job Overview... .... TE Connectivity reserves the right to adjust ranges depending on the experience/... ...by individuals or organizations falsely claiming to represent TE Connectivity. Please be advised...Remote workClaimsWork experience placementSummer workInternshipLocal area- ...To support patient care across UVA Health, the fully remote CBO Insurance Appeals Specialist will investigate and resolve complex coding and global... ...appeals. Key responsibilities Review assigned charges, claims, and previously worked accounts across applicable systems...Remote workClaims
$38.17k - $66.5k
...DESCRIPTION Job Summary Provides support for claims activities including reviewing and... ...research and resolution of appeals, disputes, grievances, and/or complaints... ...related to claims payment, requests for claim adjustments, and/or requests from outside agencies....Remote workClaimsFull timeContract workWork at office$73.35k - $113.25k
...The Payment Integrity Analyst (Team Lead) assists with... ...pre and post pay claim audits based on client... ...of internal auditing, appeals of pre and post payment... ...policies. This is a remote position. ESSENTIAL... ...salary range and these adjustments would be clarified during...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...cycle performance, the full-time Florida Licensed Clinical Denial Analyst will manage clinical denials and appeals, analyze denied claims, and collaborate with various departments while working remotely. Key Responsibilities Review, track, and manage clinical denials...Remote workClaimsFull time
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