Appeals Specialist - Medical Claims (Hybrid)
Northwest Administrators
Northwest Administrators, Inc. is seeking an Appeals Specialist to join our Health and Welfare Claims team. You will focus on member disputes and appeals, reviewing and processing cases with attention to policies and regulations. The role requires strong analytical skills, clear communication, and the ability to manage complex information. This is a hybrid position with three days in the office at Seattle/Mountlake Terrace/Federal Way locations, and a commitment to delivering exceptional service. #J-18808-Ljbffr Northwest Administrators
- ...Administrators, Inc. seeks an Appeals Specialist to assist in operations of the Health and Welfare Claims Department. This role... ...resolve disputes. The position is hybrid, working three days a week in... ...or experience, preferably in medical claims, and possess strong analytical...MedicalClaimsHourly payWork at office3 days per week
$30.7 - $41.54 per hour
...person we’re seeking for our Appeals Specialist position! What you’ll be... ...operations of the Health and Welfare Claims Department and will... ...procedures This position has a hybrid work schedule with 3 days... ...relevant education and experience Medical claims processing and/or...MedicalClaimsHourly payWork at officeLocal area3 days per week$14.76 - $31.97 per hour
...Job Description Provides support for claims activities including reviewing and resolving... ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints... ...outcomes. Requests and reviews medical records, notes, and/or detailed bills as...MedicalClaimsHourly payFull timeContract workWork experience placementWork at office- Northwest Administrators, Inc. in Seattle is seeking an Appeals Specialist to join the Health and Welfare Claims Department. You will focus on member disputes and... ...and adherence to policies. This role offers a hybrid schedule with three days in the office, and you may...MedicalClaimsWork at office
- CampusPoint in Seattle is seeking an Appeals Specialist to support health and welfare claims disputes and appeals, joining a team focused on accuracy and policy... ...present cases for resolution. This role offers a hybrid schedule with 3 days in the office in the Seattle area...MedicalClaimsWork at office
- Specialty GL - Senior Underwriting Specialist (Remote/Hybrid) Chicago, IL, USA • Denver, CO, USA • Dallas... ...sales process. Effectively utilize Claims and Loss Control to display service... ...need to succeed. Benefits include: Medical, dental, vision, life, and disability...MedicalClaimsRemote jobTemporary workWork from homeFlexible hours
- Molina Healthcare is seeking a Claims Analyst to support resolution of member and provider inquiries and ensure timely responses under CMS standards. The role involves researching appeals, grievances, and denials while coordinating with providers and members. Ideal candidates...Claims
- ...administration firm in Mountlake Terrace seeks a Claims Auditor for its Health & Welfare group.... ...ideal candidate will have experience in medical and dental claims processing and will... ...claims processors. This role offers a hybrid work schedule after training and a comprehensive...MedicalClaims
- Northwest Administrators Inc. is seeking an Appeals Specialist to assist in the operations of the Health and Welfare Claims Department. The role involves... ...s degree and relevant experience in medical claims. The position offers a hybrid work schedule, a competitive hourly...MedicalClaimsHourly pay
- Northwest Administrators, Inc. is seeking an Appeals Specialist to support the Health and Welfare Claims Department. You will review and process member and provider... ...with clear outcomes. This role offers a hybrid schedule with 3 days in the office and locations in...ClaimsWork at office
$133.3k - $207k
...and lead coordination of Risk Services & Claims Service plans for key accounts. Develop... ...underwriting authority #LI-JG1 #LI-Hybrid #LI-Remote For individuals assigned... ...benefits package that includes multiple medical plans plus dental, vision and prescription...MedicalClaimsFull timeTemporary workWork at officeRemote work$115.78k - $168.75k
...Proactively handle professional liability claims primarily involving miscellaneous... ...Parental and family care leave Flexible & hybrid work arrangements Fitness center discounts... ...Health & Wellness ~ Comprehensive medical, dental and vision benefits ~ Flexible...MedicalClaimsFull timeTemporary workLocal areaFlexible hours$129.3k - $172.3k
...with an in-house opportunity?The Senior Claims Counsel position with First American Title... ...Seattle offices are expected to work in a hybrid capacity.Pay Range: $129,300.00 - $172,30... ...comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick...MedicalClaimsFull timeWork at officeLocal areaRemote work- ...Liability team is seeking a Senior Underwriting Specialist with high hazard product liability... ...flexible arrangements. This role may be hybrid or fully remote, with occasional travel... ...sales process. Effectively utilize Claims and Loss Control to display service and/...ClaimsFull timeRemote workFlexible hours
$100k - $125k
...Most companies claim to have the best people. We say to them, "... ...SUMMARY The Senior Global Sourcing Specialist is responsible for leading... ...– BDA page: #LI-AH1 #LI-Hybrid We are pleased to share the base... ...summer Fridays, Benefits; medical, dental, vision, life, and AD...MedicalClaimsSummer workWork at officeLocal areaRemote workOverseas$30.7 - $41.54 per hour
Claims Auditor - Health & Welfare (Hybrid) Apply for the Claims Auditor - Health & Welfare (Hybrid) role at Northwest Administrators, Inc . Are you a great... ...with strong writing skills? Are you experienced in medical/dental claims processing? Do you enjoy working with people...MedicalClaimsHourly payWork at officeLocal area3 days per week$28.83 - $46.14 per hour
...equity. Job Summary Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for... ...of denial activity and appeal actions in electronic medical record (EMR) system and supporting tools. Develops...MedicalClaimsHourly payContract workRemote workFlexible hoursShift work- ...focuses on analyzing insurance denials, correcting claims based on established protocols, and monitoring appeals for resolution. Ideal candidates will have a high... ...Knowledge of healthcare reimbursement systems and medical terminologies is essential. This position provides...Medical
- ...Francona is looking for a Change Management Specialist that will be responsible for planning... ..., including: Beneficiary enrollment Claims adjudication Appeals processing Benefits coordination Care... ...and best practices Health Care Plan (Medical, Dental & Vision) Retirement Plan (40...MedicalClaimsTemporary work
$80.2k - $125.6k
...The Care Coordinator - Clinical Appeals The Care Coordinator -... ...and protocols to determine the medical appropriateness of the clinical... ...Liaisons, Health Care Services and Claims to ensure appropriate cost-... ...accomplishments, and more. For our hybrid employees, our on-campus model...MedicalClaimsWork experience placementMonday to Friday$68k - $90k
...Title: Early Careers: Actuarial Specialist Are you intellectually... ...across the United States in a hybrid environment, allowing work from... ...plans, including the analysis of medical and prescription drug network... ...team provides risk transfer, claims advocacy and capital...MedicalClaimsFull timeTemporary workPart timeWork at officeLocal areaRemote workFlexible hours- ...Product Manager for Pyxis Med and Supply in a hybrid role at the BD office in San Diego, CA.... ...and entry to hospitals and other medical facilities is part of the role. You will... ...Medical Affairs to develop evidence and product claims. #J-18808-Ljbffr Becton DickinsonMedicalClaimsWork at office
- Premera is seeking a Care Coordinator for Clinical Appeals to review medical necessity across inpatient, outpatient, and out-of-network requests... ...collaborate with medical directors, health care services, and claims operations to apply clinical criteria and policies. The...MedicalClaimsRemote job
- ...Safety Specialist/Subcontractor Coordinator Do you envision a workplace where every team... ...competitive pay and top-shelf benefits package - Medical and dental insurance - Paid vacation: -... ...causes and handle worker's compensation claims. Prepare reports on occurrences and...MedicalClaimsHourly payPermanent employmentTemporary workWork experience placementFor subcontractorWorldwideFlexible hoursShift work
- Providence Swedish Medical Center is seeking a Revenue Cycle Clerk focused on patient access... ...Swedish Physician Division providers to specialists and facilities, and verify benefits for... ...with payers and care teams. The hybrid work arrangement supports patient-centered...MedicalWork at office
- ...seeking a skilled and board-certified Pain Medicine Specialist to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling... ...) issues Respond to clinical queries to support claims management Deliver detailed IME reports within an...MedicalClaimsExtra incomeContract workFlexible hours
$26.76 - $44.16 per hour
...Responsibilities As our Patient Relations Specialist, you will be the primary liaison between... ...resolution of missing property claims. Participates in the review, analysis... ...care. We are proud of our pioneering medical advances and numerous awards and accreditations...MedicalClaims- ...Surgeons is seeking a Remote Revenue Cycle Specialist to oversee billing processes from a home... ..., including charge entry, billing, claims, and patient AR. You will post payments... ...capacity. Requirements include 1-2 years medical billing experience, CPC certification, and...MedicalClaimsRemote jobHome office
- ...Safety Specialist - Washington DC / Baltimore Area Full-Time Salary Position with our Electrical... .... Communicate appropriately with the claims manager on preventive measures, incident... ...the claims manager to ensure prompt medical care for occupational injuries, monitor...MedicalClaimsFull timeWork experience placementAfternoon shift
- Providence Swedish in Seattle seeks a Reimbursement Specialist - Physicians Billing to ensure accurate claim processing and timely reimbursement follow-up. You... ...healthcare experience and a strong understanding of medical billing, payer requirements, and insurance...MedicalClaims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals Specialist - Medical Claims (Hybrid). Be the first to apply!
- treasury specialist Mountlake Terrace, WA
- helpdesk specialist Mountlake Terrace, WA
- international relations specialist Mountlake Terrace, WA
- mental health specialist Mountlake Terrace, WA
- loss prevention specialist Mountlake Terrace, WA
- writing specialist Mountlake Terrace, WA
- executive protection specialist Mountlake Terrace, WA
- fabrication specialist Mountlake Terrace, WA
- lighting specialist Mountlake Terrace, WA
- credit specialist Mountlake Terrace, WA

