Remote Appeals Admin II - Client-Facing Case Specialist
Maximus
- Remote job
Maximus is seeking an Admin 2 - Appeals to join our State West team in a remote capacity. The role provides administrative and case management support, maintains accurate case records, processes documentation, enters and validates data, and supports client reporting and audits to ensure compliance. This client-facing position requires a dedicated clearance (including fingerprinting) and will involve interacting with health plans, enrollees, and providers while maintaining confidentiality and #J-18808-Ljbffr Maximus
- ...occasional overtime. This role is fully remote or can sit onsite at 26 Century Blvd, Suite... ...Experience in medical claims processing, appeals, or coding strongly preferred. Medicare... ...request for reasonable accommodation on a case-by-case basis. We participate in E-Verify...Remote workFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaShift work
$90k - $115k
...seeking highly experienced Project Specialists II to provide advanced technical... ...of technical reports, case studies, and lessons learned... ...Work Location and Schedule: Remote/Hybrid, Washington, DC or Alaska... ...trainings, site visits, and client locations may be required....Remote workFull timeContract work- ...Specialist II, Neurosurgery Company: AESCULAP INC... ...Working Model: Remote Days of Work:... ...internal and/or external clients and customers to negotiate... ...circumstances of each case. The range provided is... ...service, and other customer facing professionals are...Remote workSeasonal workWork at officeRelocationShift work
$21 per hour
...Admin 2 - Appeals Maximus is currently seeking an Admin 2... ...West team. This is a remote opportunity. This Admin... ...provides administrative and case management support by... ...inquiries, supports client reporting requirements... .... This is a client-facing position and will...Remote workHome officeMonday to Friday- Providence Health & Services is seeking an Appeals RN in Case Management for a remote, per diem role working 8-hour day shifts. The Care Management Recovery Advocate will manage clinically-based appeals between Providence California Region and outside payers, focusing...Remote jobDaily paidDay shift
- ...positions are classified as hybrid, onsite or remote. While the majority of our employees are... ...to requests for member and provider appeals, grievances, reconsiderations and corrected... ...(UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance...Remote jobContract workWork experience placement1 day per week
$24 - $33 per hour
...Position Summary As a Reimbursement Specialist II, Follow Up & Appeals, you will play a vital role in ensuring... ...billing tool provider, finance, and client services teams, you will streamline... ...patients. Salary Primary Location: Remote-USA-CA Primary Location Base Pay...Remote workWork experience placementWork at officeWork from home$60k - $81k
...Client Service Associate II Fiducient Advisors provides tailored and personalized... ...leadership and client-facing teams with ad-hoc projects... ...environments and two days remotely What We Offer: A workplace... ...offered will be determined on a case-by-case basis...Remote workWork at officeShift work$20.19 - $22.12 per hour
...mobility services to corporate clients with fleet mobile device... ...Join LINQ as a Client Service Specialist II and be a part of a collaborative... ...This is a full-time, fully remote position open to individuals... ...as appropriate with escalated cases Staff after hour support for...Remote workHourly payFull timeCurrently hiringWork at officeMonday to FridayFlexible hoursShift workDay shift$50k
...Readmission reviews. The Appeals Specialist I is responsible for... ...in compliance with client and organization... ...in general. ~ Triage admin appeals to validate appropriateness... ...ability to analyze case details to make timely... ...interruptions Remote Work Requirements ~...Remote workContract workWork experience placement$20 - $30 per hour
...Group Vehicle Operations Job Profile Fleet Client Services Specialist II Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox... ...Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all...Remote workHourly payCurrently hiringWork at officeVisa sponsorshipFlexible hoursShift workWeekend work$16 - $20.5 per hour
...addition to HIS I Foundation, HIS II is responsible for training... ...Highlights This is a Remote Role ~ Full Time: Monday... ...build relationships with on-site clients and customers.... ...Resources and determined on a case-by-case basis. Depending on the...Remote workHourly payFull timeWork experience placementWork at officeMonday to FridayWeekend workAfternoon shift- Specialist, Client Processing IIAt BNY, our culture allows us to run our company better and enables... ...the role of Specialist, Client Processing II to join our Wealth Management team. This... ...asset administrators, and our client facing team to resolve issues and meet client needs...Work experience placementWorldwideFlexible hours
$26.81 - $32.82 per hour
...become available. Patient Access Specialist II - GASTROENTEROLOGY #Full Time #Remote The 61st Street Service Corporation... ...scheduling needs. Work on escalated cases with higher complexity as assigned... ...we are committed to providing our client with excellent customer service...Remote workHourly payFull timeWork at officeLocal area- ...cultural beliefs and serve more than 650 clients ranging from innovative biotech start-... ...THE POSITION: The Program Specialist II will provide dedicated support to patients... ...payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional...Remote workLocal areaMonday to FridayFlexible hoursShift workWeekend work
- ClearStar is seeking an Operations Specialist II to manage escalated orders, high-risk verifications, and complex cases while collaborating with Compliance, Product, and Support... ..., and drive process improvements to enhance client experience and risk management. A dedicated...Remote jobHome office
- Permit Specialist I, II, III Employment Status: Full-Time, Non-Exempt Department... ...Location: Predominantly remote; candidates must be local to... ...resolves obstacles to approval. Face‑to‑face meetings and... ...with internal personnel and clients. Superior customer‑service skills...Remote workFull timeContract workWork at officeLocal areaFlexible hours
$22.99 per hour
...oriented and highly adaptable professional to join our fully remote team, focusing on managing cases across multiple Medicaid health plans. In this role,... ...Experience: Minimum of 2 years of experience handling appeals, claims, and authorizations. Industry Background:...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work$50k - $58k
....00 To $58,000.00 Annually Title: IT Client Support Specialist II Reports to: IT Department Manager Status... ...onsite at the Rockmart office and remotely to other company locations. Respond to... ...in creating and maintaining user-facing documentation, training guides, and knowledge...Remote workFull timeWork at office$20 - $23 per hour
...Medicaid Eligibility Specialist II (Las Vegas, NV / Hybrid) FreedomCare... ...3 days a week and 2 days remote Monday through Friday 9AM to... ...for Medicaid inquiries from clients, caregivers, and Health plan... ...with partnering departments, case managers, and other healthcare...Remote workTemporary workWork at officeMonday to Friday3 days per week$21 per hour
...National Debt Relief, LLC in Phoenix, AZ, is hiring a Client Success Agent II to empower clients on their financial journeys. You will provide exceptional support in a remote environment, managing complex inquiries while maintaining high compliance standards. The ideal...Remote work- ...Department of Social and Health Services is seeking a Social Service Specialist 2 to provide professional social services and case management through the Community Services Division. The role supports clients with barriers toward self-sufficiency and benefits, with a hybrid...Remote jobWork at office
$72.57k - $107.15k
...critical services for residents who face a variety of obstacles in... ...skills. The Program Specialist II will serve as a Community/Transitioning... ...will provide navigation/case management services and coordinate... ...to monitor services. Track client funding allocations, process...Remote workLocal areaWeekend workAfternoon shift- ...Specialist, Client Processing Representative II We're seeking a future team member for the role of Specialist, Client Processing Representative II, to join our Fund and IS Client Ops team. This role is located in Boston, MA. In this role, you'll make an impact in...Local area
- XperTECHS is seeking an MSP Service Specialist II to join our hybrid team, supporting Windows, M365, networking and devices for clients. The role blends office, remote support, and on-site visits, with a focus on incident resolution and service improvement. The candidate...Remote workWork at office
- ...Appeals And Grievance Specialist II This position requires the ability to work independently researching and reviewing inquiries from members and... ...plan level or by independent review entities. Adheres to Client Plan policies and procedures which are based on...
- ...and highly motivated Azure Administrator II to play a critical role in supporting our... ...procedures Support hosted and licensed clients running Shaw's flagship Java-based application... ...if within 75 miles of the Houston office. Remote with the ability to travel up to 5% from...Remote workFull timeCasual workWork at officeMonday to FridayNight shift
$21 per hour
National Debt Relief, LLC is looking for a Client Success Agent II to provide exceptional voice support to clients in a remote role. The ideal candidate will empower clients to manage their financial futures effectively and manage complex situations while maintaining compliance...Remote jobHourly payFull time- Revenue Cycle Specialist II (Physician Billing) Job Description Align yourself... ...analyze and resolve complex cases and problem accounts with... ...effectively bill, submit appeals and collect monies relative to... ...Los Angeles, CA, 90048, US (Remote) #J-18808-Ljbffr Cedars-Sinai...Remote work
- ...#TeamFirstInterstate.SUMMARYThe Treasury Delivery Specialist II will function in a dynamic capacity to... ...Bank partner to ensure all the client's needs are being met.ESSENTIAL DUTIES AND... ...Pay, Business Bill Pay (I Payables), Remote Deposit, Sweeps, and Electronic Bank Statements...Remote workFull timeWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Appeals Admin II - Client-Facing Case Specialist. Be the first to apply!
- senior sas administrator Brooklyn, NY
- licensing administrator Brooklyn, NY
- village administrator Brooklyn, NY
- erp administrator Brooklyn, NY
- admin support Brooklyn, NY
- microsoft exchange administrator Brooklyn, NY
- trust administrator Brooklyn, NY
- clinic administrator Brooklyn, NY
- corporate administrator Brooklyn, NY
- program administrator Brooklyn, NY



