Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Appeals Operations Coordinator — Medicare & Claims

CVS Health

A leading health solutions company in Austin, Texas, is seeking a Senior Coordinator for Complaint Appeals Operations. This role involves researching and resolving various appeals, coordinating cross-departmental efforts, and addressing complaints. Candidates should possess strong communication skills and knowledge of Medicare. The position offers full-time hours and a competitive salary range, alongside comprehensive benefits aimed at investing in employees' well-being. #J-18808-Ljbffr CVS Health

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Appeals Operations Coordinator — Medicare & Claims in Austin, TX vacancy
  • $18.5 - $35.29 per hour

    Senior Coordinator Complaint Appeals Operations At CVS Health, we’re building a world of health around every consumer...  ...for decision. Able to research claim processing logic and various systems...  ...customer service skills. Medicare knowledge/experience. Preferred Qualifications... 
    Senior
    Claims
    Hourly pay
    Full time
    Local area
    Flexible hours

    CVS Health

    Austin, TX
    1 day ago
  •  ...Appeals Specialist REMOTE - this position will be fully remote...  ...insurance denials by reviewing claims and clinical documentation,...  ...patient billing questions Coordinates medical and billing records payments...  ...to job accomplishments Operates standard office equipment (e.... 
    Claims
    Work experience placement
    Work at office
    Local area
    Remote work

    Advanced Pain Care

    Austin, TX
    12 hours ago
  •  ...company in its search for a Senior Paralegal to join its...  ...policy disputes, claims handling, regulatory compliance...  ...through trial and appeal. Responsibilities...  ...document collection, review coordination, privilege logs,...  ...within litigation support operations Qualifications 5+... 
    Senior
    Claims
    Long term contract
    Full time
    Contract work
    Work at office
    Local area
    Immediate start

    Society of Defense Financial Management

    Austin, TX
    22 hours ago
  •  ...Senior Vice President, Head of Claims Intake About the Company Insurance claims operations leader focused on efficient intake, reporting, and client relations. Industry Insurance Type Privately Held About the Role The Company is seeking an SVP,... 
    Senior
    Claims

    Confidential

    Austin, TX
    2 days ago
  • EY is seeking an experienced insurance claims professional in Chicago, Atlanta, Dallas, Houston, and other cities to quantify complex claims and support policyholders through the process. You will work with forensic accountants, valuation professionals, attorneys, and... 
    Senior
    Claims

    EY

    Austin, TX
    2 days ago
  •  ...: What to Expect The People Operations Coordinator drives our mission by supporting the broader People Operations and Programs team and cross-...  ...tactical role that provides support in the areas of Unemployment Claim processing. As well as tier 1 support to our internal teams... 
    Claims
    Full time
    Work experience placement

    Tesla

    Austin, TX
    3 days ago
  • EY’s Forensics Insurance and Federal Claims Services practice seeks an experienced insurance claims Manager to lead complex recovery engagements and advise corporate policyholders, brokers, insurers, and attorneys. You’ll oversee teams in multimillion-dollar claims, require... 
    Senior
    Claims

    EY

    Austin, TX
    12 hours ago
  •  ...Operations CoordinatorSun & Ski Sports is seeking a driven and detail-oriented Operations Coordinator to join our team! We're looking for a motivated professional with retail cashier...  ...merchandise.Process mark-outs-of-stock, warranty claims, and returns to vendors accurately and... 
    Claims

    Sun & Ski

    Austin, TX
    1 day ago
  •  ...Anesthesia Partners is seeking an entry-level administrative assistant to support clinicians and patients, ensuring accurate data for claims and handling office duties. This role offers room for growth, with base pay described below and a bonus opportunity based on... 
    Claims

    US Anesthesia Partners

    Austin, TX
    22 hours ago
  • EY is seeking an experienced insurance claims Manager to lead complex engagements across property, BI, cyber, and other commercial losses. You’ll advise clients, guide engagement teams, and collaborate with brokers, insurers, and attorneys to develop and execute claim... 
    Senior
    Claims
    Remote work

    EY

    Austin, TX
    1 day ago
  • U.S. Anesthesia Partners in Austin, TX is seeking an entry-level Administrative Assistant to support data accuracy for claim submissions and to perform essential business office duties across the anesthesia practice. This role offers room for growth and the ability to multi... 
    Claims
    Work at office

    U.S. Anesthesia Partners

    Austin, TX
    2 days ago
  •  ...Regulatory Affairs function during integration and implementation activities * Help define and draft procedures as needed, including claims review and approval * Author internal regulatory documentation in accordance with established requirements and procedures * Assess... 
    Senior
    Claims
    For contractors

    Planet Pharma

    Austin, TX
    2 days ago
  • Harbor Health in Texas seeks an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function across...  .... Lead a team and collaborate with Compliance, Legal, Claims, Clinical, and Member Services to advocate for members within Harbor... 
    Claims

    Harbor Health

    Austin, TX
    1 day ago
  •  ...work arrangement. Position Summary The Senior Claims Consultant serves as a subject matter...  ...initiatives that improve claims outcomes and operational efficiency. The ideal candidate...  ...catastrophe and large-loss property claims. Coordinate with carriers, TPAs, consultants,... 
    Senior
    Claims
    Full time
    Work at office
    Remote work
    1 day per week

    The Amherst Group

    Austin, TX
    3 days ago
  • $190k

     ...the Firm’s Insurance Recovery practice to assist with securing defense and indemnity coverage for a variety of third-party liability claims. The successful candidate should have at least four years of experience in insurance coverage, preferably at another AmLaw 200 firm... 
    Senior
    Claims
    Full time
    Flexible hours

    Perkins Coie

    Austin, TX
    2 days ago
  • Senior Director, Enterprise Architecture - PBM Modernization & TransformationThe Senior...  ...architecture that enhances business agility, operational efficiency, and innovation. The role...  ...across critical PBM domains, including claims processing, benefit administration, pricing... 
    Senior
    Claims
    Full time
    Local area
    Work from home

    CIGNA

    Austin, TX
    1 day ago
  • Arrive Logistics, located in Austin, TX, is seeking a Claims Analyst to manage complex cargo claims with ownership from initiation to resolution. This role requires advanced negotiation skills and keen financial oversight, along with mentoring responsibilities for junior... 
    Senior
    Claims

    Arrive Logistics

    Austin, TX
    1 day ago
  • $21.97 - $35.14 per hour

    Overview Responsible for providing high level service to our clinicians and patients by assisting with accuracy of data for claim submission. Performs business office duties that support the anesthesia practice requiring the ability to multi-task efficiently. *** This... 
    Claims
    Hourly pay
    Work at office
    Local area
    Remote work

    U.S. Anesthesia Partners

    Austin, TX
    12 hours ago
  • The University of Texas System seeks a Supervisor, Workers’ Compensation Claims to oversee the claims handling function of the Workers' Compensation Insurance program, coordinating with the Third Party Administrator and the system's healthcare network. This role will review... 
    Senior
    Claims

    The University of Texas System

    Austin, TX
    2 days ago
  •  ...Services Commission in Austin, TX seeks a Business Analyst IV (Senior LTC Production Support BA) to lead complex LTC data analysis, production...  ...BAS teams. The BA IV will supervise business analysis work, coordinate testing, and act as a liaison among vendors, IT, and policy... 
    Senior
    Claims

    FALL CREEK FARM & NURSERY

    Austin, TX
    3 days ago
  • Gfoat in Texas seeks a Workers' Compensation Claims Adjuster to investigate and manage claims, ensuring accurate benefit administration...  ...while protecting pooled funds. You will assess compensability, coordinate medical treatment, prepare cases for dispute resolution, and... 
    Senior
    Claims

    Gfoat

    Austin, TX
    1 day ago
  •  ...seeking an attorney to join the Firm’s Insurance Recovery practice to secure defense and indemnity coverage for third‑party liability claims. The candidate should have at least four years of experience in insurance coverage, ideally at an AmLaw 200 firm or policyholder... 
    Senior
    Claims
    Flexible hours

    Ashurst Perkins Coie

    Austin, TX
    12 hours ago
  • CLEAResult is seeking a Senior Paralegal to lead the paralegal function and act as the main contact for employees, outside counsel, and...  ...process with business collaboration, handling cases from small claims to large litigation. The role requires deep e-discovery and document... 
    Senior
    Claims

    CLEAResult

    Austin, TX
    3 days ago
  • Sedgwick in Austin, TX is seeking a Per Diem General Liability Adjuster to handle complex automobile, homeowner, and excess liability claims. You’ll evaluate coverage, damages and evidentiary issues while delivering an exceptional customer experience. The role requires... 
    Senior
    Claims
    Daily paid

    Sedgwick

    Austin, TX
    1 day ago
  •  ...the Long-Term Care Products unit. The role includes senior Product Owner responsibilities in an Agile...  ...candidate will oversee complex service authorizations, claims processing, and production improvements, coordinating with multiple program areas, vendors, and IT to deliver... 
    Senior
    Claims

    TX-HHSC-DSHS-DFPS

    Austin, TX
    4 days ago
  • Liberty Mutual Insurance in Austin, TX is seeking a Senior Claims Specialist to manage attorney represented auto and homeowner's bodily injury claims. You will investigate, resolve, and provide prompt service to policyholders within authority limits in a hybrid work environment... 
    Senior
    Claims

    Liberty Mutual Insurance

    Austin, TX
    4 days ago
  •  ...) unit. The role leads complex service authorization, claims adjudication, and payment initiatives, acting as a senior Product Owner in an Agile setting. The BA IV will coordinate across IT, program, and operations, translate business needs into system requirements, and... 
    Senior
    Claims
    Remote work

    Texas Health and Human Services

    Austin, TX
    4 days ago
  •  ...Insurance Group is seeking a seasoned Underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. You will operate under underwriting authority to ensure profitability and growth, and you will identify quotes... 
    Senior
    Claims
    Contract work

    Highmark Health

    Austin, TX
    12 hours ago
  •  ...cases. The ideal candidate will have a J.D., Texas Bar license, and two years of legal experience. Responsibilities include defending claims, conducting trials, and collaborating within a team. This role offers hands-on legal work, a supportive environment, and... 
    Senior
    Claims

    Texas Attorney General

    Austin, TX
    14 hours ago
  •  ...Austin seeks an Assistant Attorney General in the Transportation Division to manage a range of legal cases involving personal injury claims. The role requires a Juris Doctor degree, two years of experience, and involves trial preparation, legal advisory roles, and... 
    Senior
    Claims

    Texas Attorney General

    Austin, TX
    12 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Appeals Operations Coordinator — Medicare & Claims. Be the first to apply!