Remote Claims Appeals Analyst II
Medica Services Company LLC
Medica Services Company LLC is seeking a remote Claims Appeals & Correspondence II to manage inventory of claim appeals and VIP cases, researching and resolving processing issues with limited supervision.
The role collaborates across departments to ensure timely outcomes, maintain quality, and support process improvements in post-adjudication operations. Strong analytical skills and Excel proficiency are required.
#J-18808-Ljbffr- ...Medica, a nonprofit health plan, seeks a Claim Appeals & Correspondence II to manage inventory of claim appeals, VIP cases, and inquiries remotely from the United States. The role involves researching, analyzing, and resolving post-adjudication issues with cross-functional...Remote work
- ...CoventBridge Integrity is seeking a Claims Analyst II for a remote role. You will review Medicare/Medicaid claims, re-pricing overpayments, and support Medical Review during fraud investigations. A strong grasp of medical terminology and coding principles is essential...Remote workDaily paidLocal areaWork from homeHome office
- ...Kelsey-Seybold Clinic, part of UnitedHealth Group, is recruiting for a Claims Appeals & Adjustment Analyst in a remote role. The position requires 5+ years in claims adjudication within HMO/PPO/TPA environments and strong knowledge of payor contracts and regulatory guidelines...Remote work
- ...TEKsystems seeks a Claims Analyst II to examine and process paper and electronic claims, deciding to return, pend, deny, or pay in line with... ...awareness, and maintaining confidentiality while handling professional and facility claims in a remote setting. #J-18808-LjbffrRemote work
$80k - $98k
...Epic HB Claims Analyst IIWe are looking for an Epic HB Claims Analyst II for a full-time permanent remote role in Durham, NC. We are looking for someone that is heavy in general claims with exposure to Epic Home Care (Dorothy) and Hospice (Comfort) billing would be ideal...Remote workPermanent employmentFull timeWeekend work- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive... ...and growth. This approach optimizes both remote and in-person interactions, enabling you to... ...Specialist I (grade 11) or Claims Specialist II (grade 12) depending on candidate...Remote workFull timeWork experience placementWork at officeLocal area- ...Description Job Description Location : Remote (Candidates must reside in Southern... ...Rancho Cucamonga, CA) Description: The Claims Specialist II – Provider Claims is responsible for providing technical support to appeals and support staff while ensuring that appeals...Remote workWork at officeImmediate start
- ...Description Job Description POSITION Claims Specialist II Position Type: Temporary Schedule : M-F, 8:00 am - 5:00 pm; Remote Assignment Length: Approximately 6-... ...the technical support needs of appeals and support staff, while ensuring that appeals...Remote workTemporary workWork at office
$73.88k - $108.97k
...Epic Resolute HB /PB/Claims Application Systems Analyst II Under the direction of the IT Application Manager, this position is responsible for the continuing... .... Annual Salary Range: $73,881.60 - $108,971.20 Remote position Qualifications Education : Requires a Bachelor'...Remote work- POSITION TITLE: Claims Representative II DEPARTMENT: Claims REPORTS TO: Claims Manager or Designee... ...Practices. DUTIES/RESPONSIBILITIES: Remote candidates must be located in AL, FL,... ...settlement conferences including the Board’s Appeals committee. Conducts audits to ensure...Remote workTemporary workFor contractorsLocal areaFlexible hoursNight shift
$56.27k - $69.9k
Pay Plan Title: Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status:... ...6,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS... ...Preferred: Experience working with provider claims, provider network, or provider...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Job Information Job Title Claims Representative II (Workers’ Compensation) Home Department: Claims Employment Status: Exempt... ...Position Location: Home Office, Hybrid, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI...Remote workFull timeLocal areaHome officeFlexible hours
- ...plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing to support... ...issues, document accurately, and ensure compliance. This remote role requires residing in Medica-eligible states and...Remote work
$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive... ...and growth. This approach optimizes both remote and in-person interactions, enabling you to... ...Specialist I (grade 11) or Claims Specialist II (grade 12) depending on candidate...Remote workFull timeWork experience placementWork at officeLocal area- CERiS, a division of CorVel Corporation, is seeking an Appeals Representative to handle provider inquiries and appeals via email, fax, telephone, or written correspondence. This is a remote role with strong emphasis on accuracy and timely processing in a compliant environment...Remote jobWork from home
- ...Auto Club Services is seeking a Temporary Claim Representative II to support Auto Physical Damage (APD) claims. This remote 3-6 month assignment involves handling moderately complex claims from review to resolution, investigating losses, negotiating settlements, and documenting...Remote workTemporary work
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist II FLSA Status: Non-Exempt Posting Salary Range: $42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is a...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Trillium Health Resources seeks a Claims Specialist II to analyze and audit claims per NC Medicaid guidelines. The role supports providers by... ...availability within NC, is expected. The position offers remote work within North Carolina, standard hours, and benefits. A...Remote work
$85.34k - $95.99k
...POSITION SUMMARY Process insurance claims for property losses based on coverage, appraisal, and verifiable damage. Interact with independent... ...from $100,000 to $300,000 in damages, but the Claims Examiner II may receive larger or smaller claims when necessary....Remote workFull timeWork experience placement$62.5k - $93.5k
...will encompass IA and surrounding states. Claims inspections will include onsite and virtual... ..., Paid time off and more. #LI-JJ1 #LI-Remote Job Description Summary No two property... ...salary range for Field Claims Specialist II, Property Content : $62,500.00-$115,500.00...Remote workFull timeTemporary workPart timeCasual workWork at officeLocal areaWork from homeFlexible hoursNight shift3 days per week- ...Reviewing and adjudicating claims in a remote full-time capacity, the Claims Processor II will manage paper and electronic claims, ensuring compliance with organizational policies and timely payments while conducting extensive research and collaborating with customer...Remote workFull time
$45.76k - $49.92k
...Job Title: Claims Escalation & Denials Appeals Specialist Reports To: Corporate Director of Revenue Cycle Management Location: Remote Schedule: Monday-Friday 8-5pm MST Compensation: $22-24/hour Northpoint Recovery Holdings, LLC began 2009 as Ashwood...Remote workFull timeTemporary workWork at officeMonday to Friday- ...Acceptance Corporation is seeking an Auto Liability Specialist II to investigate, evaluate, negotiate, and settle auto liability claims. Work location includes Tampa, FL or Nashville, TN with potential for remote full-time work. Responsibilities involve complex coverage...Remote workFull time
- Job Information Job Title Claims Representative II- General Liability (Bodily Injury focused) Home Department: Claims Employment Status: Exempt... ...Opportunities Position Location: Home Office, Telecommuting, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI...Remote workFull timeLocal areaHome officeFlexible hours
$59k - $79k
...The Auto Club Group is seeking an Auto Liability Michigan Claim Representative II to handle investigations, evaluations, negotiations, and resolutions... ...delivering fair outcomes for insureds. The position is remote with a Monday-Friday 9am-6pm ET schedule. It offers a...Remote workMonday to Friday$56.7k - $94.9k
...SUMMARY This is the intermediate level of the claims handling career path responsible for... ...high complexity. The Claim Representative II investigates and administers both litigated... ...and compliant claim handling. This fully remote opportunity is available for candidates residing...Remote workContract workWork at office$59.9k - $98.2k
...Zurich is looking for an accomplished Workers Compensation Claims Specialist II for our Northeast region. This position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup based in one of the following states: Connecticut, Delaware...Remote workFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaVisa sponsorship$74.2k - $92.7k
...Job Title: Claims Representative II, Professional Liability Pay Information: Non Exempt, $74,200 - $92,700 per year Location: Remote first work environment with occasional travel and in office meetings. Preference for candidates in California, Oregon, Washington...Remote workTemporary workNight shift- ...curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault... ...Familiarity with multi-jurisdictional claims handling requirements. Remote Proficiency: Ability to work productively and independently...Remote workFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Appeals Analyst II. Be the first to apply!
- remote medical claims processor Minnetonka, MN
- software engineer internship remote Minnetonka, MN
- remote banking Minnetonka, MN
- remote tasks Minnetonka, MN
- remote analyst Minnetonka, MN
- implementation project manager remote Minnetonka, MN
- devops aws developer (remote) Minnetonka, MN
- marketing intern remote Minnetonka, MN
- utilization review remote Minnetonka, MN
- remote medical billing part time Minnetonka, MN





