Medical Claims Appeals Specialist (Hybrid)
CampusPoint
CampusPoint in Seattle is seeking an Appeals Specialist to support health and welfare claims disputes and appeals, joining a team focused on accuracy and policy compliance. You will review appeals, analyze claims and contracts, communicate outcomes to members and providers, and collaborate with internal teams to present cases for resolution. This role offers a hybrid schedule with 3 days in the office in the Seattle area and opportunities for professional development. #J-18808-Ljbffr CampusPoint
- Northwest Administrators, Inc. in Seattle is seeking an Appeals Specialist to join the Health and Welfare Claims Department. You will focus on member disputes and... ...and adherence to policies. This role offers a hybrid schedule with three days in the office, and you may...MedicalWork at office
- Pacific Medical Centers is seeking a Claims Specialist to review, process, and adjudicate TRICARE medical claims in our Renton area. You will investigate discrepancies, respond to provider and beneficiary inquiries, and ensure compliance with reimbursement guidelines in...Medical
- Providence Health & Services is seeking a Claims Specialist to review, process, and adjudicate TRICARE medical claims with accuracy and compliance. The role involves investigating discrepancies, responding to provider and beneficiary inquiries, and maintaining quality...Medical
- Pacific Medical Centers (PacMed) seeks a Claims Specialist to review, process, and adjudicate TRICARE medical claims with accuracy and adherence to TRICARE regulations and company policies. The role involves investigating discrepancies, resolving provider and beneficiary...Medical
- Northwest Administrators, Inc. is seeking an Appeals Specialist to join our Health and Welfare Claims team. You will focus on member disputes and appeals, reviewing... ...ability to manage complex information. This is a hybrid position with three days in the office at Seattle/...MedicalWork at office
- ...Administrators, Inc. seeks an Appeals Specialist to assist in operations of the Health and Welfare Claims Department. This role... ...resolve disputes. The position is hybrid, working three days a week in... ...or experience, preferably in medical claims, and possess strong analytical...MedicalHourly payWork at office3 days per week
$102.15k - $120.18k
...M.Best. We are looking for a Senior Claims Specialist – Commercial Auto BI to join our team!... ...and geographic location. • We offer a hybrid work model that provides flexibility to... ...on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family...MedicalWork at officeRemote work$21.55 - $33.53 per hour
Description The Claims Specialist is responsible for reviewing, processing, and adjudicating TRICARE medical claims accurately and in accordance with TRICARE regulations, contract... ...Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 The amounts listed...MedicalMinimum wageFull timeContract workLocal areaShift work$121.5k - $188.5k
Job DescriptionThis role is offered as hybrid in Seattle, WA. Candidates must be available to work in office at the Nordstrom corporate... ...of benefits to support employees and their families, including:Medical/Vision, Dental, Retirement and Paid Time AwayLife Insurance and...MedicalFull timeWork at office$80k - $132k
Job DescriptionNOTE: This position is offered as a hybrid role in the Seattle, WA area. You must be willing to work onsite at the Nordstrom... ...of benefits to support employees and their families, including:Medical/Vision, Dental, Retirement and Paid Time AwayLife Insurance and...MedicalFull timeWork at officeFlexible hoursShift work$99.74k - $149.61k
Welcome to a medical center where you're the center of attention. Pay range: - Salary$99,736.00 - $149,614.00 Work Location Hybrid in Bellevue WA after introductory period. Must reside in Washington state. About the Role Overlake is seeking a highly skilled Senior...MedicalLocal areaImmediate startShift work- Claims Specialist - Other Fiscal Services Be the engine behind accurate, efficient healthcare operations. As a Claims Specialist in Other Fiscal... ...’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-...MedicalWork experience placement
$70k - $95k
...Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation |... ...comprehensive benefits offering including medical, dental vision, 401K on day one. WORK ENVIRONMENT... ...benefits. #claimsexaminer #claims #hybrid #LI-REMOTE #Sedgwick #Hotjobs Sedgwick is...MedicalRemote workFlexible hours$6,685 - $9,045 per month
...functional and technical support to the business This position has a hybrid work schedule with 3 days per week (Tue, Wed & Thu) on-site in... ...$9,045 per month (dependent on experience & qualifications) Medical, Dental (w/Orthodontia), Vision, Rx benefits, disability & life...MedicalFull timeLocal area3 days per week- Providence Health Plan Group in Renton, WA is seeking a Claims Processor to adjudicate claims for its capitated population. You'll be... ...that values its caregivers. Enjoy generous benefits including medical, dental, vision, and a 401(k) plan with employer matching. #J-...Medical
- ...Job Title Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates... ...they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person...Medical
- Pacific Medical Centers in Renton, Washington is looking for an experienced claims adjudicator to manage and resolve complex claims. The ideal candidate will have a Bachelor's Degree in a related field and at least 4 years of Managed Care operations experience. This role...Medical
$21.33 - $31.98 per hour
...Insurance Billing And Collection Specialist Performs advanced follow-up on insurance billing... ...completeness of insurance records, and claims, contacts insurance companies and/or... ...Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology,...MedicalHourly payWork experience placementWork at office- The Hanover Insurance Group, Inc. is seeking a Senior Underwriting Specialist for Specialty General Liability who can work remotely or in hybrid arrangements. The role covers high hazard product liability underwriting with occasional travel to key specialty locations. You...Remote job
$80k - $100k
...Successful candidates will ideally have a Bachelor's degree or equivalent experience in the insurance industry. The role offers a hybrid work model with a salary range of $80k - $100k annually, along with various teammate benefits focusing on total well-being. #J-1880...$38.01 - $60 per hour
...plan reporting. Candidates should have a Bachelor’s degree and four years of experience in managed care operations. This full-time position offers a hybrid work environment and a competitive pay range of $38.01 - $60.00 per hour. #J-18808-Ljbffr Pacific Medical CentersMedicalHourly payFull time$60k - $75k
Full job description Where you'll work: Our flexible, hybrid work model offers the option to work remotely or in the office. How you'... ...financial counseling services. Health and Wellness - Competitive medical, vision, and dental plans plus tax‑free health savings accounts...MedicalRemote jobTemporary workWork at officeFlexible hoursShift work$19 - $24 per hour
...solutions for their customers. About the Role: The Insurance Claims Specialist is responsible for communicating effectively and... ...offer eligible associates comprehensive healthcare coverage (medical, dental, and vision plans), a 401(k)-retirement savings plan...MedicalFull timeContract work- Providence Swedish is hiring for a medical billing role focused on preparation, editing, and submission of insurance claims to Medicare, Medicaid, L&I, VA, and other payers. The team handles both electronic and manual submissions, reviews edits, and ensures accuracy across...Medical
- Zurich North America seeks an Underwriting Specialist OR Executive Underwriter, Large Property for the National Accounts Large Property Underwriting team in San Francisco or Seattle. This hybrid role requires in-office presence and a flexible schedule with your manager...Work at officeFlexible hours
- Northwest Administrators Inc. is seeking an Appeals Specialist to assist in the operations of the Health and Welfare Claims Department. The role involves... ...s degree and relevant experience in medical claims. The position offers a hybrid work schedule, a competitive hourly...MedicalHourly pay
$24.64 per hour
Northwestadministratorsinc is seeking an experienced medical claims processor in Mountlake Terrace, WA. The role involves processing claims accurately and timely, along with client follow-ups and handling problem claims. Ideal candidates will have a minimum of one year...Medical$102.5k - $170.5k
...’s reflected in our benefits. Nordstrom is proud to offer a variety of benefits to support employees and their families, including:Medical/Vision, Dental, Retirement and Paid Time AwayLife Insurance and DisabilityMerchandise Discount and EAP ResourcesThis position may be...MedicalFull timeShift work- Pacific Medical Centers, part of Providence Health & Services, is seeking a Lead Claims Specialist to adjudicate purchased services claims for the US Family Health Plan (USFHP). You will resolve complex claim situations, manage advanced processing needs, and apply TRICARE...Medical
$24.64 - $34.3 per hour
...Northwest Administrators! What you'll be doing... At NWA, we process claims per specific plan requirements. These plans are highly... ...successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and...MedicalLocal area
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