Remote Healthcare Appeals Specialist I
CorVel
- Remote job
CorVel Corporation in Fort Worth, Texas, seeks an Appeals Representative responsible for managing provider inquiries related to healthcare appeals. You'll analyze and address appeals to ensure compliance with regulatory guidelines and facilitate the appeal process efficiently. The ideal candidate will have a high school diploma, plus relevant experience in healthcare or customer service. A comprehensive benefits package including medical, dental, and retirement plans is available for full-time staff. #J-18808-Ljbffr CorVel
$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly Qualified Candidates Will Have The Following Experience Strong understanding of...Remote workHourly payFull timeContract workWork experience placementWork at office- ...Member Complaint Resolution Specialist 100% remote candidates must live in one of the preferred... ...comprehensive research and resolution of the appeals, dispute, grievances, and/or... ...responses per state, federal and Molina Healthcare guidelines. Responsible for meeting...Remote workContract workLive inMonday to Friday
$20.08 - $30.06 per hour
CERIS is hiring an Appeals Representative in Fort Worth, Texas. The role involves reviewing and addressing provider inquiries and appeals... ...detail, excellent communication skills, and a background in healthcare or insurance. A comprehensive benefits package is offered,...Remote jobHourly pay- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately 1020 hours... ...will leverage their denials and appeals expertise to evaluate and improve AI-driven...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...Remote jobHourly payWork at office- A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints... ..., and excellent analytical and communication skills. Remote work options are available along with competitive...Remote job
- CorVel Corporation in Fort Worth, TX is looking for an Appeals Representative to manage provider inquiries and appeals efficiently following regulatory guidelines and client policies. Responsibilities include reviewing documentation, ensuring compliance, and initiating...Remote jobFull time
$50k - $55k
...Appeals Coordinator Level II At MedReview, our mission is to bring... ..., and clinical excellence to healthcare. As such, we are a leading... ...the department. The Appeals Specialist level II performs research, investigation... ...frequent interruptions Remote Work Requirements: High...Remote work- ...skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care... ...degree, an active RN license, and several years of experience in healthcare, particularly in managed care environments. Strong analytical...Remote job
$38.17 - $57.25 per hour
Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating... ...requires a high school diploma and 2+ years of managed care healthcare experience. Candidates must have an RN license for practice in...Remote jobFull time$35 - $63 per hour
Optum in Plymouth, Minnesota is seeking an experienced healthcare coder to analyze DRG Appeals, prepare written appeals, and collaborate with the leadership... ...as clinical judgment. Enjoy the flexibility to work remotely from anywhere in the U.S., with specific office...Remote jobHourly payWork at officeLocal area- ...Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance... ...a focus on customer service. Applicants should possess a healthcare-related degree and experience in clinical settings, along...Remote job
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote job
$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in... ...Angeles Job Segment: Claims, Medicare, Medicaid, Healthcare, Insurance #J-18808-Ljbffr...Remote workFull timeLocal areaShift workWeekend work- ...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... ...clinical and health insurance or other healthcare related field Level 2 ~3 years...Remote workFull timeContract workWork experience placementWork at officeLocal area1 day per week
- The Elevance Health Companies, Inc. is seeking a Nurse Appeals-RN to manage medical necessity appeal requests. The position allows for virtual work full-time with in-person training required. Successful candidates will investigate appeals, review medical records, and provide...Remote jobFull time
- Facilitating the resolution of member and provider complaints, the full-time Appeals and Grievances Specialist will manage claims activities, ensuring compliance with CMS standards while working in a remote environment. Key responsibilities Conduct comprehensive research and...Remote workWork at office
- ...is what sets us apart as a leader in the healthcare industry. As an integral part of our... ...better? Job Description The Coding Specialist II reflects the mission, vision, and values... ...drafting letters in order to coordinate appeals. * Acts as key point person for...Remote workWork at officeLocal areaRelocation package
- ...TeamHEALTH is looking for a Denials and Appeals Representative to handle denials and appeals for patient accounts in a cooperative team environment. The ideal candidate has at least two years of experience with insurance denial processes. Responsibilities include processing...Remote work
$26 - $33 per hour
...clinically differentiated, high-value healthcare solutions for transplant... ...the Insurance Reimbursement Specialist is to maximize reimbursement... ...up on unresolved claims and appeals, and by escalating claims for... ...office on a regular basis; remote candidates will work and collaborate...Remote workFull timeWork at officeWork from homeWorldwideMonday to Friday- ...A healthcare services provider is seeking a Specialist in Revenue Recovery to optimize hospital client revenues by analyzing claim denials and... ...include investigating denials, preparing appeals, and working in a 100% remote setting. Candidates should have at least a high...Remote work
- ...Elevance Health is looking for a dedicated individual to handle customer grievances and appeals within the health insurance sector, ensuring efficient service and communication. The role offers a virtual work environment with a standard shift from 9:00 am to 6:00 pm EST...Remote workShift work
- ...a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between... ...and strong skills in communication and multitasking. Comprehensive healthcare benefits are provided from day one. #J-18808-Ljbffr...Remote work
$22 - $26 per hour
...Job Title: Reimbursement Specialist - Liability Industry: Healthcare / Medical Billing Location: Westchester... ...claim denials and coordinate appeals with appropriate supporting... ...balance Hybrid work model with remote flexibility Opportunity to...Remote workFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hours$28.85 - $35 per hour
...search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery organization . This is a fully remote role (U.S.-based, any time zone) supporting... ...manage assigned denial queues, submit appeals, and follow claims through to final resolution...Remote workHourly payTemporary workInterim roleFlexible hours- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote workFull time
- ...Our mission is to transform healthcare through pharmacy, and our vision... ...looking to add a Medication Specialist to our Specialty Pharmacy... ...their patients. ABOUT THE ROLE (Remote, work from home) THE MEDICATION... ...clinics with submitting appeals related to coverage denials Communicates...Remote workFull timeWork from home
- ...THIS IS A FULLY REMOTE POSITION! Reimbursement Specialist - Healthcare Industry Assignment Length: 13-26 weeks Schedule : 8:30-4:30PM - Monday thru Friday... ...portals Composes and follows up on claims appeals Appropriately identifies, addresses, submits and...Remote workWork at officeLocal areaMonday to Friday
- ...Elevance Health in Tampa, Florida seeks a Grievance/Appeals Representative I to manage customer claims and ensure resolution of grievances. This role primarily involves analyzing and processing claims, with a significant focus on communication and documentation. The ideal...Remote workFlexible hours
$19.5 - $21 per hour
...seeking a detail-oriented and experienced Appeals Specialist for our client in Middleburg Heights,... ...8am-5pm ~3 months in office then remote ~ Benefits offered Key Responsibilities... ...required. Previous experience in healthcare billing, specifically in insurance...Remote workWork at officeImmediate startMonday to Friday
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