Appeals Specialist II
Randstad
Remote Medicaid Case Manager
We are seeking a detail-oriented and highly adaptable professional to join our fully remote team, focusing on managing cases across multiple Medicaid health plans. In this role, you will evaluate case files, resolve provider disputes, and process reconsideration requests. You will work in a highly collaborative virtual environment—engaging in daily team huddles, video calls, and 1:1 meetings with leadership—to ensure accurate and timely case management.
- UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with...SuggestedRemote job
$60.78k
...communities and residents and to support the safety net required to achieve that purpose. Job Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent...SuggestedLocal areaRemote workShift workWeekend work$56.27k - $69.9k
...Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina. Make an Impact Trillium Health Resources is a Tailored Plan and Managed...SuggestedWork at officeLocal areaImmediate startRemote workWork from homeFlexible hours- ...PsychCare has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing Team in Houston. ABOUT US: Senior... ...appropriate documentation to resolve denied claims and submit appeals. Call payers to determine the true reason for denial and...SuggestedFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
- CorVel Corporation, via its CERIS division, is seeking an Appeals Representative to review and address provider inquiries and appeals by email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry...SuggestedRemote job
- Savista, LLC in Kentucky is seeking a medical billing specialist with 2-3 years of experience in medical collections, denials, and appeals to help secure payments and resolve claims. You will verify eligibility, update demographics, research unpaid or denied claims, and...
- ...Schedule: Full-time, Monday-Friday ROLE OVERVIEW The RCM Specialist II is an individual contributor role on the RCM team, responsible... ..., denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.) ~ Audit accounts to verify...Remote jobFull timeMonday to Friday
- ...Coding Specialist IIAt Northwestern Medicine, every patient interaction makes a difference in... ...our quest for better?The Coding Specialist II reflects the mission, vision, and values... ...drafting letters in order to coordinate appeals.Acts as key point person for Revenue Cycle...Work at office
- ...:00 AM to 5:00 PM EST THE POSITION: The Program Specialist II will provide dedicated support to patients and doctors for activities... ...related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information....Local areaRemote workMonday to FridayFlexible hoursShift workWeekend work
- ...to: Director of Revenue Cycle Management The Denials Specialist/Revenue Cycle Specialist II is essential for revenue cycle management, ensuring healthcare... ...clinical guidelines to support claim corrections and appeal strategies, including Medicare, Medicaid, and commercial...Full time
$18 - $25 per hour
...Revenue Cycle Specialist II The Revenue Cycle Specialist II is a position that calculates and posts receipts to appropriate accounts,... ...promptly and accurately Assist in preparing and submitting appeals and reconsiderations to payers Collaborate with internal teams...$47.84k - $95.25k
...Alcohol and Drug Treatment Specialist I/II/III Print ( Apply Alcohol and Drug Treatment Specialist I/II/III Salary $47,84... ..., denials, or incomplete applications are outlined including appeal rights. Those with master's degrees in relevant fields are exempt...Hourly payFull timeTemporary workFixed term contractTraineeshipWork experience placementInternshipLocal areaImmediate startNight shift- ...and limb pain and painful diabetic neuropathy. Senza®, Senza II®, Senza Omnia™, and Senza HFX iQ™ are the only SCS systems that... ...practice management. Position Summary: The Patient Access Appeals Specialist is part of the HFX Access team, playing a critical role in...Full timeWork at officeLocal area
- ...Appeals and Grievance Specialist II (Managed Care) – Irving, TX | 12-Week Contract Location: Irving, TX Job Type: 12-Week Contract Company: Sigma Inc. Schedule: Monday–Friday | 8-Hour Shifts Join Our Team as an Appeals and Grievance Specialist II! Sigma Inc. is...Contract workMonday to FridayShift work
$24 - $33 per hour
...com and follow the company on LinkedIn, X (Twitter) and Facebook. Position Summary: As a Reimbursement Specialist II, Follow Up & Appeals, you will play a vital role in ensuring the financial success of our organization. Collaborating with our billing tool...Work at officeRemote workWork from home$52.14k
...PROGRAM ELIGIBILITY SPECIALIST II Date: Sep 3, 2026 Req ID: 59586 Location: Little Rock, AR, US, 72203 Category: AR DEPT OF HUMAN SERVICES... ...of program participants and process renewals, changes, and appeals as needed. Identify potential discrepancies or fraudulent applications...Work at office- ...Description Summary: The Child Life Specialist II demonstrates progressive skill and knowledge of the therapeutic process of working with children and families; evaluating their development skills and psychosocial needs and providing them with a variety of appropriate...Full timeInternshipMonday to Friday
- ...Accounts Receivable II (AR II) Specialist We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional... ..., medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement. Manage all incoming...Work at officeWork from home
- ...Legal Specialist II The City of Lynnwood is seeking to hire one or more Legal Specialists II! Individuals assigned to this position... ...agencies, etc. Receive, process, and schedule motions. Process appeals, legal documents, FTA on citations, various reports, and...Work at officeFlexible hours
$14.23 - $17.5 per hour
...Exception Specialist II Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry... .... Managing and recommending improvements to the denial and appeal process. Assisting with handling inbound and outbound...Temporary workFlexible hours- UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals within the Revenue Cycle Department. The role emphasizes follow-up and resolution of denied claims and does not involve...Remote job
- ...seeking qualified candidates for the position of Behavioral Health Specialist I/II. The entry-level position performs under supervision while... ...insurability requirements. Application and/or Examination Appeal Rights Application and/or examination results may be appealed...Permanent employmentFull timeContract workPart timeWork experience placementWork at officeLocal areaImmediate startShift workWeekend work
$9.61k - $12.09k
...Requirements in the Class Specification. ~ PAROLE AGENT II, ADULT PAROLE SPECIALIST Additional Documents Job Application Package Checklist... ...position. Candidates who have been withheld may file an appeal with the State Personnel Board. Candidates new to...Permanent employmentFull timeWork at officeLocal areaRemote workWeekend work$22.99 per hour
...processes, systems, and health plan specifics. Qualifications & Requirements Experience: Minimum of 2 years of experience handling appeals, claims, and authorizations. Industry Background: Previous roles in Utilization Management, medical billing/coding, or claims processing...Hourly payPermanent employmentTemporary workWork experience placementRemote workShift work- CDOC Electronics Specialist II (Trinidad) Colorado Department of Corrections Department Information If your goal is to build a career that... ...will be administered on hire and periodically thereafter Appeal Rights If you receive notice that you have been eliminated from...Full timeWork experience placementWork at officeShift workNight shiftRotating shift
$9.61k - $12.09k
...considered for this position(s). Region II provides safe and secure housing for... ...is for a Correctional Counselor II, Specialist position located in Elk Grove. Please indicate... ...who have been withheld may file an appeal with the State Personnel Board....Permanent employmentFull timeWork at officeRemote workWeekend work$23 - $26 per hour
...Company Description Join Our Passionate Team as a Mental Health Coordinator II (MHC II) - Make a Lasting Impact Every Day! At Dungarvin, we are more than a provider of support services - we're a mission-driven team rooted in respect, response, and choice...Full timeAll shiftsShift workWeekend work- ...considered for this position(s). Region II provides safe and secure housing for... ...advertisement is for a Correctional Counselor II, Specialist position located in Elk Grove. Please... ...who have been withheld may file an appeal with the State Personnel Board. Applicants...Work at officeWeekend work
- ...and their families The General Maintenance Technician - HVAC Specialist may specialize as a COM (Change of Occupancy Maintenance) or... ...and must be rated "skilled" based on assessment in HVAC. HVAC II should have knowledge of the principles of Refrigeration’s, basic...Work at officeFlexible hours
- ...Cook Specialist II Under supervision, the incumbent works as part of the cooking team to prepare meals that are appetizing, appealing, and safe to eat. Prepares, cooks, bakes, and transports food items as specified on the production work sheets. Follows safe food handling...
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