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
$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...SeniorClaimsHourly payFull timeLocal areaFlexible hours- ...insurance ~ Health insurance ~ Vision insurance Insurance Operations Coordinator Location: Austin, TX (Remote considered for exceptional... ...) and Managed Repair Program (MRP) operations by ensuring claims move efficiently from assignment through scheduling and...ClaimsFull timeWork at officeImmediate startRemote workFlexible hours
$55k
...Position Description Foundation Communities owns and operates two Prosper Centers in Austin, Texas where thousands of community... ...wellness programs, and college support services. The Senior Operations Coordinator is responsible for supporting the day-to-day operations...SeniorFull timeWork at officeAfternoon shift- ...Senior Claims Adjuster The State Office of Risk Management (SORM) is currently seeking an... ...management programs, and continuity of operations program for other state entities. SORM'... ...Knowledge of Division of Workers' Compensation appeals process Knowledge of Texas Workers'...SeniorClaimsFull timeWork at officeRelocationNight shift
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$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. At...ClaimsHourly payWork at officeLocal areaRemote work- A leading health insurance provider is looking for a detail-oriented claims analyst to evaluate and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves building client relationships, analyzing claim losses, and ensuring adherence to policies and guidelines...SeniorClaims
$21.97 - $35.14 per hour
...based in Austin, TX is looking for someone to provide high-level service to clinicians and patients by assisting with data accuracy for claim submission. Candidates should have a high school diploma or GED and a minimum of 3 years experience in a hospital/clinical...ClaimsRemote jobHourly payWork at office$21.97 - $35.14 per hour
...Partners in Austin, Texas, is seeking a detail-oriented professional to provide high-level service by assisting with data accuracy for claim submissions. Responsibilities include maintaining effective relationships with hospital staff, processing medical records, and...ClaimsHourly pay- ...employee-first culture. Quest Software is seeking a Senior Specialist, Global HR Operations to support and evolve our global HR Operations model. This... ...approached in this way and only interact with people claiming to be Quest employees if they have an email address...SeniorClaimsFlexible hours
$32.96 - $41.2 per hour
...Compliance Specialist Senior Under minimal supervision... ...: Coordinates, directs, and/or conducts... ...protocol and standard operating procedures. Responds... ...committees. Resolves appeals of permit denials.... ...copy of your DD-214 if claiming veteran's preference....SeniorClaimsFor contractorsMonday to Friday$29.05 - $67.97 per hour
...seeking a qualified Registered Nurse to handle clinical reviews. This role involves assessing medical necessity, validating claims, and facilitating appeals. Candidates should have a minimum of 2 years of clinical nursing experience. The position offers financial...ClaimsHourly pay$14.9 - $29.06 per hour
...provider in Austin, Texas is seeking an entry-level support specialist for claims activities. Responsibilities include reviewing and resolving member complaints, preparing documentation for appeals, and collaborating with provider services. The role requires at least 1...ClaimsHourly payWork at office- A leading risk and claims administration firm in Austin, Texas, seeks an experienced Field Adjuster. The candidate will be responsible for conducting inspections, assessing damages, and preparing appraisal documentation. The role requires a minimum of 5 years in property...SeniorClaims
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$15k
A leading insurance firm based in Austin, Texas, is seeking an Experienced Surety Bond Desk Adjuster to handle losses and claims up to $15,000. The role involves investigating and resolving claims related to surety bonds, requiring strong analytical skills and knowledge...SeniorClaims$401 per month
Tesla Motors, Inc. is seeking a Sr. Workers' Compensation Claims Analyst in Austin, Texas. This role involves acting as the main liaison for internal and external stakeholders while managing workers' compensation claims efficiently. Candidates should have at least 5 years...SeniorClaims- Indotronix UK in Austin, TX, seeks an experienced professional with at least 5 years in Medicaid Claims Processing and related business analysis. Candidates should demonstrate strong analytical, communication, and interpersonal skills, alongside experience in Agile methodologies...SeniorClaims
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Ryder System, Inc. is seeking a Claims Analyst to manage complex bodily injury and property damage claims. This role involves direct supervision of defense counsel and vendors during the claims process, along with ensuring compliance with applicable laws. Ideal candidates...SeniorClaims- A leading claims management firm in the United States is seeking a Claims Adjuster to manage claims effectively and provide exceptional customer service. The ideal candidate will have at least 5 years of relevant experience and hold a Texas Adjusters’ license. Responsibilities...SeniorClaimsRemote job
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Sedgwick is looking for a Sr. Claims Specialist for a remote position focusing on the analysis and management of complex professional liability claims. The ideal candidate will have six years of claims management experience and a Bachelor's degree. Responsibilities include...SeniorClaimsRemote job- Valid8 Financial, Inc. is seeking a Senior Claims Integrity & Quality Analyst to improve claims accuracy and reduce operational friction. You will partner with various teams to design and execute a quality framework. This role will conduct audits of high-dollar claims and...SeniorClaims
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$80k - $85k
Sedgwick is looking for a skilled professional in Austin, Texas, to manage complex claims and high-end injury cases. The role requires ten years of litigation experience, along with five years in claims management. A Bachelor's degree is preferred. The position offers...SeniorClaims- ...needs. This remote role requires strong skills in SQL programming, experience with clinical stakeholders, and understanding of health claims data. Responsibilities include system integration projects, conducting financial analyses, and collaborating on departmental goals....SeniorClaimsRemote job
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