Remote Appeals Specialist II: Healthcare Claims
A-Line Staffing Solutions
- Remote job
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, and escalating complex cases when needed. Detailed record-keeping of all activities is required. Remote work is available. Full-time role with benefits after 90 days and a 401(k) with company match after one year of service. #J-18808-Ljbffr A-Line Staffing Solutions
- ...their clients, and the whole healthcare community. Job... ...to their clients. As an RCM Specialist II, you will serve as a trusted... ...unpaid insurance and healthcare claims with a focus on accuracy and... ...posting, denial management, appeals, and accounts receivable follow...Remote workClaimsWork at office
- ...seeks an A/R Management Specialist II to support revenue... ...receivable, denials, and appeals. You will perform analysis on complex claims, coordinate follow-up with... ...requires experience in healthcare billing, strong... ...independently in a fast-paced remote environment. #J-18808-...Remote jobClaims
$66.56k - $72.8k
...The Reimbursement Specialist II ensures that healthcare providers and organizations are... ...submitting reimbursement claims, and communicating with insurance... ...information relative to appeals, payor specific billing... ...Requirements: As a remote-forward organization, this...Remote workClaimsFull timeWork at officeLocal area- 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... ...in the system. Critical Information Remote work available. Shift and hours to be...Remote workFull timeShift work
$20.67 - $28.94 per hour
...September 14, 2026 Full-Time Remote Hourly Range : $20.67 USD to... ...Join our Team as a Coding Specialist II Are you detail-oriented and... ...passionate about accuracy in healthcare documentation and billing? We... ...coding of hospital charges and claims by abstracting information...Remote workClaimsHourly payFull timeApprenticeship$29.7 - $31.8 per hour
...healthy. We recognize that healthcare requires a human touch, and... ...experience The Acute Coding Appeals Specialist integrates medical coding... ...spreadsheets, account, and claim examples of root cause issues... ...experiences. ~ This is a remote position; however, candidates...Remote workClaimsTemporary workWork at officeLocal area$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... ...regulatory timelines are met. Researches claims appeals and grievances using support systems...Remote workClaimsHourly payFull timeContract workWork experience placementWork at office- ...better way to provide quality healthcare while achieving health... ...fashion. Investigates claims denials and/or appeals as directed. Consistently... .... Certified Coding Specialist (CCS), Certified Procedural... ...applicable, telecommuting (working remotely), must be able to comply...Remote workClaimsTemporary workLocal areaImmediate startFlexible hours
- ...Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of... ...of appeal with corrected claims and denial resolution in... ...information to send along to healthcare insurance providers in... ...have the opportunity to work remotely after 90 days when able to...Remote workClaimsFull time
- Revenue Cycle Specialist II (Physician Billing) Job Description Align yourself... ...submitting multi-specialty claims to third party payors,... ...will effectively bill, submit appeals and collect monies relative to... ...Los Angeles, CA, 90048, US (Remote) #J-18808-Ljbffr Cedars-Sinai...Remote workClaims
- ...Reimbursement Specialist II Guardant Health is a leading precision oncology company focused on guarding wellness... ...tracking, reporting and addressing complex outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims, follow-up on claims,...Remote workClaims
$32.24k - $58.45k
...CBO Specialist II As the Central Business Office (CBO) Specialist II... ...denied professional insurance claims and be responsible for identifying... ...responsible for accurately appealing denials within appeal limits... ...discounts. This is a remote position; however, employment...Remote workClaimsWork at officeFlexible hours- ...RCM Specialist II The RCM Specialist II is an individual contributor role on the RCM team, responsible... ...AR follow-up to resolve unpaid or underpaid claims, denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.) Audit accounts...Remote workClaims
- Guardant Health, Inc. is seeking a Reimbursement Specialist II to drive payment for services and optimize billing processes... ...to track, address, and resolve complex outstanding claims, troubleshoot EOBs, and appeal non-covered or low-pay claims. You will manage payer communication...Remote jobClaims
- ...Welcome to Ovation Healthcare! At Ovation... ...skilled subject matter specialists and operations... ...Cycle Specialist II with ruralMED, is... ...electronic and paper claims accurately and timely... ...and appeals processes, with emphasis... ...conferencing. Remote work is expected 1...Remote workClaimsWork at officeLocal areaWork from home
- ...Houston is Texas' resource for healthcare education, innovation,... ...in. The Certified Coding Specialist working in our Ob/Gyn Department... ...Houston Ob/Gyn Revenue Cycle - Remote (following in person training... ...Epic Coding and Optum Claims Manager edits. Responsible...Remote workClaimsFull timeFor contractorsWork at office
$23.8 - $34.62 per hour
...document management issues that may delay claims processing or reimbursement. Monitor... ...Certified Electronic Health Records Specialist (CEHRS) Knowledge, Skills and Abilities... ...multiple priorities in a fast-paced healthcare environment. Key Performance Indicators...Remote workClaimsFull timeFixed term contractFlexible hours- ...Managing appeals cases, the full-time Appeals Specialist II will review documentation, communicate resolutions, and coordinate with departments to ensure compliance in a remote work environment. Key responsibilities Manage appeals cases and document all actions taken...Remote workFull time
- ...Physician Coding Specialist II Remote A Brief Overview Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding... ...appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily basis and in...Remote jobClaimsFull timeWork experience placementWork at officeShift work
- ...their clients, and the whole healthcare community. Job... ...to their clients. As an RCM Specialist II, you will serve as a trusted... ...unpaid insurance and healthcare claims with a focus on accuracy and... ...posting, denial management, appeals, and accounts receivable follow...ClaimsFull timeWork at office
- ...support behavioral health providers, the remote RCM Specialist II will manage accounts, resolve complex... ..., rejected, and unpaid insurance claims with a focus on timely resolution Research... ...processes Working knowledge of the healthcare revenue cycle, including claims...Remote workClaimsWork at office
- ...Leveraging expertise in claims adjudication and risk management, the full-time remote Appeals Specialist will guide clients through the appeals process, ensuring compliance and fair decisions while collaborating with internal teams and mentoring staff. Key responsibilities...Remote workClaimsFull timeContract work
$16.49 - $26.39 per hour
...Accounts Receivable Representative II - RCM to manage collecting on outstanding claims from government and commercial payers. This role combines remote work with on-site attendance in Orlando... ...claims, follow up on denials, file appeals, and maintain high accuracy while...Remote jobClaimsHourly pay- ...Surgery & Observation, the Coding Specialist II analyzes and interprets... ...codes as documented for accurate claim submission, as well as assign... ...as needed. Registered Remote Locations: Maryland, Virginia... ...community, and engage in equitable healthcare delivery and workforce...Remote jobClaimsFull timeWork experience placement
- ...AR Specialist At Zotec Partners, our people make it... ...happen. Transforming the healthcare industry isn't easy.... ...to join us. This is a remote position. What you'... ...ll do: Follow up on claims rejections and denials... ...and follow up on appeals Resolve correspondence...Remote workClaims
- ...Reimbursement Specialist Liability A well-established healthcare organization specializing in orthopedic... ...carriers to resolve claims efficiently. This role... ...denials and coordinate appeals with appropriate supporting... ...Hybrid work model with remote flexibility Opportunity...Remote workClaimsWork at officeLocal areaWork from homeFlexible hours
- ...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately, assigning... ...will: Have member appeals experience (not provider claim appeals experience, though a combo of both member and...Remote workClaimsTraineeship
$42.54k - $46.8k
...healthy. We recognize that healthcare requires a human touch,... ...experience The Spec II Revenue Recovery will... ...and recovered. The Specialist will determine the appropriate... ..., file underpayment appeals with payors, resolve... ...Monster Top Workplace for Remote Work 2024 Great Place...Remote workFull timeContract workWork at officeLocal area- Aspirion is seeking a Denials Appeals Specialist to analyze denial reasons, draft... ...and internal teams to resolve claims and minimize revenue leakage. Ideal... ..., and experience in healthcare revenue cycle or denial management. Remote work within the United States is...Remote jobClaims
- ...seeking a detail-oriented Program Payments Specialist II to join our growing team. In this role,... ...behind the scenes. Location: Remote (U.S.) Key Responsibilities:... ...experience in medical billing, accounts payable, claims processing, disbursement processing, or...Remote workClaimsWork at officeFlexible hours
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