Remote Healthcare Appeals Specialist
ISHE
- Remote job
UnitedHealth Group is hiring a remote Appeals Specialist to support nationwide operations. This full-time role offers 40 hours weekly with 8:00 am–5:00 pm shifts in your time zone and occasional weekend work, including two Saturdays per month and possible overtime. You will review, research, and resolve appeals, understand the rules governing processing times, and maintain accuracy in data entry. Paid training will be conducted virtually from your home. #J-18808-Ljbffr ISHE
- ...Appeals And Grievances Specialist Will the position be 100% remote? Yes. Are there any specific location requirements? No. Are there any time zone requirements?... ...appropriateness of responses per state, federal and Molina Healthcare guidelines. Responsible for meeting...Remote workContract work
$29.7 - $31.8 per hour
...hospitals healthy. We recognize that healthcare requires a human touch, and we believe... ...based on experience The Acute Coding Appeals Specialist integrates medical coding principles... ...client experiences. ~ This is a remote position; however, candidates must be...Remote workTemporary workWork at officeLocal area$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- UnitedHealth Group is hiring a remote Appeals Specialist to support nationwide operations. This full-time role offers 40 hours weekly with 8:00 am-5:00 pm shifts in your time zone and occasional weekend work, including two Saturdays per month and possible overtime. You...Remote jobFull timeCasual workShift work
$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 UM, Appeals...Remote workHourly payFull timeContract workWork experience placementWork at office$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- UnitedHealth Group is seeking a dedicated appeals specialist to review, investigate and resolve healthcare appeals from a national remote location in the United States. The role requires strong knowledge of health insurance processes, claims terminology, and high-volume...Remote jobFull timeFlexible hoursWeekend work
- 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 work
- ...Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment... ...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...Remote workFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaShift work
- Universal Health Services is seeking an experienced Market Appeals Specialist for our Central Appeals Office. This fully remote role supports utilization management and shared services within the behavioral health division, handling standard appeals across Cerner and non...Remote jobWork at office
$50k
...accountability, and clinical excellence to healthcare. As such, we are a leading authority... ...and Readmission reviews. The Appeals Specialist I is responsible for performing triage... ...atmosphere of frequent interruptions Remote Work Requirements ~ High speed...Remote workFull timeContract workWork experience placement- ...Technical Denials & Appeals Specialist Our client is seeking a sharp, analytical, and results-driven Technical Denials & Appeals Specialist... ...that overturn them, we want to talk to you. This is a remote opportunity. However, candidates must reside within the greater...Remote workWork at office
- 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
$20 - $22 per hour
...a sharp, analytical, and results-driven Technical Denials & Appeals Specialist to join their team. If you have a proven track record of diving... ...that overturn them, we want to talk to you. This is a remote opportunity. However, candidates MUST RESIDE WITHIN the GREATER...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$45k - $55k
...About This Role We are seeking a REMOTE Utilization Review Specialist to obtain appropriate insurance... ...Coordinating physicians’ reviews and appeals. Who You Are: Bachelor... ...relevant experience Previous healthcare or insurance experience...Remote workFull timeWork at office- ...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
- ...Center is seeking a Full Revenue Cycle Specialist to support all RCM sub-teams,... ...posting, insurance follow-up, and denial appeals. This remote role offers a stable schedule and a supportive... ...environment. We require 3+ years in healthcare/insurance, experience with insurance...Remote workWork at office
- ...Ovation Healthcare Opportunity At Ovation Healthcare, we've been making local healthcare... ...addressed. Writes first and second level appeals of all denials in effort to overturn and... ...Conditions: Work from home and remote location with a stable internet connection...Remote workWork experience placementWork at officeLocal areaWork from home
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on experience... ...Schedule peer-to-peer reviews and coordinate urgent/expedited appeals Staff individual cases with medical doctors as required...Remote work- ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members and providers while ensuring compliance with applicable requirements. Key responsibilities Manage and resolve complaints...Remote workFull time
- ...Apply Refer a Friend Back Remote Work from Home Share This Page... ...and central services for payer audit and appeals processes. Requirements: Bachelor... ...degree preferred, preferably in business or healthcare Coding certification (CPC, CCS, CCS-P...Remote workFull timeLocal areaWork from homeDay shift
$19 - $21 per hour
...Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within... ...plan and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training period...Remote workHourly pay$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$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$62k - $70k
...Utilization Review Specialist Remote, United States Why Charlie Health? Millions of people... ...lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported... ...Participate in denial management, appeals, and peer-to-peer review processes...Remote workFull timeLocal area- ...Reimbursement Specialist - Healthcare Industry This is a fully remote position. Assignment Length: 13-26 weeks. Schedule: 8:30-4:30PM - Monday thru Friday.... ...online portals Composes and follows up on claims appeals Appropriately identifies, addresses, submits...Remote workWork at officeLocal areaMonday to Friday
$19.71 per hour
...: The Population Health Specialist supports Colorado Community Health... ...Provides support with audit appeals research Responds to... ...records and/or patients in a healthcare setting Preferred experience... ...that is HIPAA compliant for all remote or hybrid work arrangement...Remote workContract workWork at officeHome office- ...Now Hiring: Revenue Cycle Specialist Remote in USA Our Network That Serves Nationwide: Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 1... ...experience. ~ Healthcare background with payor appeals experience. ~ Advanced computer skills...Remote workTemporary workWork at officeLocal areaImmediate startMonday to Friday
$24.76 - $33.17 per hour
...Top Healthcare Provider Network The 61st Street Service Corporation... ...This position is primarily remote, candidates must reside in the... ...Summary: The Authorization Specialist II is responsible for... ...status or denials. Submits appeals in the event of denial of prior...Remote workHourly payFull timeWork at officeLocal areaImmediate start- ...Health is seeking a motivated professional to investigate and respond to medical, pharmacy and dental grievances, complaints, and appeals. This is a full-time work-from-home position within Government Programs. Responsibilities include thorough case review, timely written...Remote jobFull timeWork from home
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