Remote Claims & Appeals Specialist
Sana Benefits
- Remote job
Sana Benefits is seeking a Claims and Appeals Processor for a remote, distributed team in the United States. The role focuses on timely adjudication, accurate claim processing, and resolution of appeals. You’ll support Customer Success teams and help optimize claims workflows while meeting daily and weekly quotas. We value detail-oriented, self-directed individuals who can work independently or with a team, and who bring strong communication skills. #J-18808-Ljbffr Sana Benefits
- Allied Benefit Systems is seeking an Appeals Specialist responsible for organizing and completing all claim appeals in the Appeal Department. The role emphasizes accurate documentation and timely processing from a remote-friendly environment. You will review appeals, validate...Remote job
- Firstsource Healthcare is seeking a detail-oriented Claims & Appeals & Grievances (A&G) Specialist to join our Healthcare Operations team. The candidate should have at least two years of experience in US healthcare back-office operations with expertise in claims processing...Remote job
$40 per hour
Greenlife Healthcare Staffing in Jericho, NY, is seeking a Claims Specialist for a remote-to-on-site opening. This full-time contract position... ...detail-oriented professionals. The role involves managing appeal and dispute adjudication programs, liaising with various stakeholders...Remote jobHourly payFull timeContract work- ...VA Claims Consultant Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with... ...functions. Including, but not limited to, claim status, drafting appeals, VA Forms, etc. Work on special projects Qualifications...Remote workTemporary workCasual workWork at officeLocal areaWork from homeFlexible hours
- 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
$15 - $15.5 per hour
...Claims Specialist – Remote Healthcare Administrative Agent Join LEC as a remote Healthcare Administrative Support Representative, helping healthcare... ...and clarification of denial reasons. Clarify appeal requirements and prior authorization status. Perform eligibility...Remote workFor contractorsWork from homeHome officeMonday to Friday$28 - $35 per hour
...Claims Resolution SpecialistThe Claims Resolution Specialist is responsible for the day-to-day investigation and resolution... ...accurately and efficiently.*This is a remote role. We are only hiring in the... ...claims.Assist in preparing appeal documentation and supporting materials...Remote work$67k - $75k
...Job Description Healthcare Claims Resolution Specialist Fully Remote $67,000-$75,000 annually Monday-Friday | Full-Time Temp-to-Hire... ...Claims Resolution Specialist to support payer audits, appeals, contracting activities, compliance efforts, and operational...Remote workFull timeContract workTemporary workLocal areaMonday to Friday- ...Location: Harwood Heights, IL Remote Status: On-Site Job Id: 532 # of Openings... ...is seeking an experienced full-time Claims Denial Management Specialist to join our fast-paced and growing laboratory... ...and ensure claims are submitted and appealed accurately and within payer...Remote workFull timeWork at office
$55k - $60k
...for the review and processing of claims within the claims transactional system... ...Service, Medical Management and Appeals and Grievance. Certified Coding Specialist (CCS) or Certified Coding... ...Telecommuting Requirements This is a remote position. Our whole company works...Remote workLive inWork at officeFlexible hoursWeekday work- ...Standard Weekly Hours: 40 Summary: The Claims Resolutions Specialist/Account Specialist II is primarily... ...insurance claims, and initiation of the appeals process on behalf of CCPN providers.... ...manner. Note: This is a remote position but will require 1-2 weeks of...Remote workLive inWork at officeShift workDay shift
- ...Claims Specialist As a Claims Specialist, you will combine veterinary medical knowledge, critical... ...to detail. You will also support the appeals process by conducting secondary claim... ...believe in a flexible workplace! This is a remote position for candidates in Germany or...Remote workFull timeCasual workWork at officeFlexible hours
- ...Description Overview Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims... .... Responsibilities This role is a remote, work from home position. The Claims... ...process a claim correctly and/or send an appeal. Handle all correspondence via mail,...Remote jobWork from homeMonday to Friday
- ...seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial... ...a high-volume workload in a remote work environment. The position operates... ...researching, denying analysis, appeals, and documentation to ensure timely...Remote workMonday to Friday
- A healthcare startup is seeking a Claims Specialist to manage healthcare claims processing, including investigating and resolving claim issues... ...calls to clarify claims, correcting errors, and submitting appeal letters. Candidates should possess strong organizational skills...Remote job
- ...Physicians, Inc. is seeking an Accounts Receivable Claims Specialist (Chesapeake Specialty Care) to work remotely in handling payer denials and resubmitting... ...payer policies, communicating with providers, and appealing denials to ensure proper adjudication. The ideal...Remote job
- ...Department of Veterans Affairs (VA) disability appeal process. Reviews claimant completed... ...to complete various disability claim forms. Places outgoing calls to claimants... ...in the training and development of other specialists; shares information. Maintains strict confidentiality...Temporary workCasual workLocal areaWork from homeFlexible hours
- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and... ...conducts status inquiries, processes appeals, and determines appropriate actions needed... ...Laurel Dr Tampa 33612 Eligible for Remote Work: Hybrid Remote Patient...Remote workFull timeWork experience placementWork at officeMonday to Friday
- CLAIMS ELIGIBILITY SPECIALIST - CLINICAL (Full Time, Hourly, Non-Exempt) Looking to join a growing company... ...lives of others! We are also open to remote candidates! About Continental... ...approval claims. Assists with complaints/appeals. Conveys more complex information (coverage...Remote workHourly payFull timeTemporary workWork at office
- ...quality member experience, the full-time Claims Support Advocate will serve as a liaison... ...handling claim inquiries and communications remotely. Key responsibilities Provide effective... ...providers on plan member balances and appeal claim denials from insurance companies Organize...Remote workFull timeWork experience placement
- ...established insurance client in Austin, TX looking for a Remote Long Term Care Claims Eligibility Specialist who is experienced, detail-oriented, and customer-... ...approval claims Assist with customer complaints and appeals Communicate complex claim decisions and coverage...Remote jobWeekly payTemporary workWork at officeFlexible hours
$26.5k - $37.8k
...and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts... ...role focuses on third-party billing, claims follow-up, and appeals while ensuring compliance with Medicaid and payer...Remote workFull timeWork at officeFlexible hoursShift work$20 - $26 per hour
Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission to... ...common coding, data, and policy issues. Prepare and submit appeal letters for denied claims (when necessary), ensuring all documentation...Remote workFull timePrivate practiceShift work$40 per hour
Claims Specialist / Contract - Remote to Office-Based Setting - Jericho, NY (#25322A) Location: Remote to Office-Based Setting, Jericho, NY Employment... ...thrives in a collaborative, fast‑paced environment managing appeal and dispute adjudication programs. Why Join Us?...Remote jobHourly payFull timeContract workPrivate practiceWork at officeFlexible hours$16 - $22 per hour
## EverHealth - Backend Claims Management Specialist (Remote, US)Applylocations: Remote- UStime type: Full timeposted on: Posted Todayjob requisition... ...healthcare revenue cycle operations, denial prevention, appeals, or payer relations.* Experience driving operational improvements...Remote jobHourly payWork at officeLocal areaImmediate startFlexible hours$20 per hour
Healthcare Support Staffing is seeking an experienced Claims Examiner in Annapolis, Maryland. In this role, you will review provider disputes and appeals related to claims resolution, adhering to both state and federal policies. The ideal candidate will have at least 1...Permanent employmentTemporary workMonday to FridayShift work- A health care organization is seeking a Specialist, Appeals & Grievances to support claims activities by resolving member and provider complaints. The ideal candidate will have at least 2 years of managed care experience and a strong understanding of health claims processing...Hourly payFull time
- PFS Group is seeking an Insurance Appeals Representative in Houston to handle high-dollar denials for hospital insurance claims. You will review clinical docs and payer guidelines to draft timely appeals, potentially writing appeals or advising other reps with reference...
- Do you enjoy solving complex claim challenges, uncovering answers others might overlook, and playing a key role in delivering fair... ...? Unified Group Services is seeking a full-time Claims Appeals Specialist to join our team in Anderson, IN. This is an exciting opportunity...Full timeTemporary work
- Unified Group Services in Anderson, IN is seeking a full-time Claims Appeals Specialist to join our team. This role focuses on researching and resolving complex appeals, ensuring accurate determinations for members and clients. You will collaborate with internal reviewers...Full time
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