Appeals Specialist II
A-Line Staffing Solutions
Job Title Appeals Specialist II - J00909 Address TX Manage and process appeals related to healthcare or insurance claims efficiently and accurately. Review case files to determine eligibility and compliance with policies and regulations. Communicate with providers and patients to gather necessary documentation and clarify information. Assess appeals for validity and escalate complex cases to senior staff as needed. Maintain detailed records of all case activities and outcomes in the system. Critical Information Remote work available. Shift and hours to be confirmed; compliance with submission protocols required. Work environment involves detailed case review and communication with external parties. Benefits Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. #J-18808-Ljbffr
- A-Line Staffing Solutions is seeking an Appeals Specialist II to manage and process healthcare or insurance claim appeals from TX. The role involves reviewing files for eligibility and policy compliance, communicating with providers and patients to obtain documentation,...SuggestedRemote jobFull time
$23 - $31 per hour
...X (Twitter) and Facebook. Position Summary As a Reimbursement Specialist II, you play an important role in the overall success of the company... ...outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims, follow-up on claims, and drive positive...SuggestedWork experience placementRemote workWork from home- Guardant Health, Inc. is seeking a Reimbursement Specialist II to drive payment for services and optimize billing processes. You will collaborate... ...resolve complex outstanding claims, troubleshoot EOBs, and appeal non-covered or low-pay claims. You will manage payer...SuggestedRemote job
- ...R1 RCM Inc. is hiring an HIM Associate II for on-site work at Ascension Seton Medical Center Austin. Shifts are Sunday-Thursday 9:00 AM - 5:30 PM, or Tue-Sat 9:00 AM - 5:30 PM. You will prepare, scan, and organize medical record information while upholding patient...SuggestedShift work
$22.99 per hour
...performance metrics. Qualifications & Skills: Minimum 40 WPM data entry and typing speed 2+ years of experience handling claims processing, appeals, or prior authorizations working knowledge of medical claims, billing, and coding terminology Working familiarity with TruCare and...SuggestedHourly payPermanent employmentTemporary workWork experience placementShift work- ...Job Description Job Description Job Summary/Primary Purpose As Maintenance Technician II, you will work independently and collaboratively within a team to perform facility maintenance functions. The role involves ensuring the safety, cleanliness, and efficiency...Work experience placementWork at officeImmediate start
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$41.8k
...Title: Specialist II, Learning Commons - Computer Learning Center Department: NW Campus Learn Center Campus Location: Northwest Campus Employee Classification: ISP - Instructional Sup Position Type: FT - Regular Grant Funded: No Pay...Work experience placementAfternoon shift- ...Summary The Certified Coding Specialist II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews...Full timeRemote workMonday to FridayFlexible hoursShift workDay shift
- ...Texas Children's in Austin is seeking an Ambulatory Services Representative II to be the first contact for patients, providers, and staff at ambulatory clinics. You will register patients, schedule appointments, verify insurance, obtain referrals and authorizations, collect...
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$3,793.41 per month
...career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Acquistions, Program Specialist II Job Title: Program Specialist II Agency: Health & Human Services Comm Department: ASSET MANAGEMENT Posting Number: 21410 Closing...Full timeTemporary workPart timeWork at officeLocal areaRemote workShift work- Specialist Project II (197) Pool for 2025-26 SY Join to apply for the Specialist Project II (197) Pool for 2025-26 SY role at Austin Independent School District Specialist Project II (197) Pool for 2025-26 SY 1 month ago Be among the first 25 applicants Join to apply for...Full timeRemote workFlexible hours
- Health & Human Services Commission in Austin, TX seeks a Program Specialist II to support Asset Management activities within the Acquisitions team. The role focuses on asset tracking, reporting, and coordination with purchasing and accounting functions to ensure compliance...
$50k - $60k
...solutions that support our clients’ operational needs. Position Overview We are seeking a highly skilled and experienced Camera Specialist II to oversee, manage, and optimize camera system installations across multiple locations. This full-time role involves hands-on...Full timeFor subcontractor- Cook Children’s Physician Network is seeking a Certified Coding Specialist II to assign ICD-10-CM and CPT codes for ambulatory surgery and E/M records. You will review documentation, code with accuracy, and collaborate with physicians on documentation needs. The role requires...Remote job
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- Texas Health and Human Services Commission (HHSC) seeks a Program Specialist II in Asset Management to support the Acquisitions Team. The role involves coordinating with purchasing, accounting, and statewide property management, training coordinators, and ensuring compliance...
- Deluxe Corporation in Texas is seeking a Remittance Processing Specialist II to join our operations team. You will perform complex sorting and decisioning of non-standard or rejected transactions, pull rejected items from all processing areas, and handle high speed mail...
$21.76 - $25.56 per hour
...Description Summary Department - Community & Workforce Development Job Type: Classified Job Classification: 5760 - Community & Workforce Specialist II Salary Grade: 6 Pay Range Hiring Range: $21.76 - $25.56 Per Hour Pay Range: $21.76 - $29.36 Per Hour Range Explanation: Hiring...Hourly payWork experience placementVisa sponsorship- Hamilton Healthcare System is seeking a Denials and Appeals Specialist to review, resolve, and track denials and appeals, identifying recurring causes and coordinating prevention across the revenue cycle. The role involves analyzing variances against payer contracts and...
$1,000 per month
Denials and Appeals Specialist (Level 3) Department: Revenue Cycle Employment Type: Permanent - Full Time Location: HQ Reporting To: Revenue Cycle Manager Description Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 3) to serve...Permanent employmentFull timeWork at office- Public Health Program Specialist II locations: RBJ Health Center time type: Full time job requisition id: JR105131 About This Position Job Description Purpose: Under general supervision, provide program-specific outreach and/or investigation activities of communicable...Full timeWork at officeWork from home
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- Cox Fleet is hiring a Mobile Diesel Technician Level II to perform licensed DOT inspections, preventive maintenance, and diesel repairs on a mobile/field fleet. You will work Monday-Friday, 8am-4pm, supporting a nationwide service model from a home-base in the US. Ideal...Work from homeMonday to FridayWeekend work
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- ...citing our people, benefits, work-life balance, inclusive culture, and team support as key reasons why. The Remittance Processing Specialist II position performs complex sorting and decisioning of non-standard or rejected transactions. The focus of the position is to...Temporary workWork experience placementDay shift
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