Remote Appeals Specialist (ET Hours)
Centene Corporation
New York, NY
- Remote job
Centene Corporation is seeking an Appeals Specialist to support the documentation and processing of appeals, disputes and reconsiderations to meet NCQA requirements. This fully remote role is open to candidates anywhere in the U.S. and follows Eastern Time hours (8:30 AM to 5:00 PM ET). The ideal candidate has 1–2 years of related experience in regulated casework, strong data entry skills, and the ability to manage complex cases in a deadline-driven environment. No license is required. #J-18808-Ljbffr Centene Corporation
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Appeals Specialist (ET Hours) in New York, NY vacancy
$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- ...content into engaging social assets across Instagram, YouTube Shorts, grid posts, and Community. This remote role requires availability to work primarily during ET business hours and a proactive, highly organized approach. You will collaborate with the Content & Production...Remote jobFor contractors
$20.39 - $34.71 per hour
...the documentation and processing of appeals, disputes and reconsiderations to... ...timely. Key Details: This fully remote Appeals Specialist position is open to candidates anywhere... ...and requires working Eastern Time hours, 8:30 AM to 5:00 PM ET. The ideal candidate has...Remote workHourly payFull timePart timeWork at officeFlexible hours$48.32k - $82.39k
...investigating and tracking member grievances and appeals, and provider claims disputes.... ...required. Pay Range: $23.23 - $39.61 per hour At Centene, we connect people to the... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workHourly payFull timePart timeWork at officeFlexible hours$52k - $79.04k
...Appeals Specialist | Tyson & Mendes Are you a detail-oriented billing professional who enjoys solving... ..., and work-life balance. With a 37.5-hour standard workweek, competitive... ...provided here . No recruiters/agencies #li-remote Pay Range $25—$38 USD...Remote workHourly payFull timeWork at office$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location: Los... ...Information This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift...Remote workFull timeLocal areaShift workWeekend workL.A. Care Health Plan
Los Angeles, CA1 day ago$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... ...in Microsoft Office. The role offers an hourly pay range of $21.16 - $38.37, depending on qualifications...Remote jobHourly payWork at office- nTech Workforce is looking for a Provider Enrollment Coordinator. This remote position requires ensuring the accuracy of provider databases and managing confidential information with integrity. The ideal candidate will have over 3 years of experience in billing or health...Remote job
$16 - $17 per hour
Intake Specialist - Call Center (Sat/Sun, 7AM-7PM ET) Join to apply for the Intake Specialist - Call Center (Sat/Sun... ...Call Center (Sat/Sun, 7AM-7PM ET) 22 hours ago Be among the first 25... ...manner. This role is a full-time, remote position with a schedule of Saturday...Remote workFull timeContract workTemporary workWork at officeWeekend work- ...Centers for Medicare and Medicaid Services (CMS). Essential Job Duties • Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or...Remote workFull timeContract workWork at office
- ...seeking a Denials Management Follow Up Representative for a fully remote, full-time position in the United States. You will coordinate... ...for institutional and professional claims, monitor appeals, and analyze performance data to drive improvements. Work closely...Remote workFull time
jobgether
New York, NY2 days ago - ...Supporting the documentation and processing of appeals, the full-time Appeals Specialist II will manage appeals, disputes, and reconsiderations to ensure... ...with state and NCQA requirements while working remotely. Key responsibilities Perform data entry to track, log...Remote workFull timeVisa sponsorshipWork visa
Virtual Vocations Inc
United States4 days ago - ...Managing the full life cycle of member and provider appeals and grievance cases, the full-time Appeals and Grievance Specialist will conduct case intake, investigation, and... ...to ensure timely resolution while working remotely. Key responsibilities Research and analyze case...Remote workFull timeWork at office
Virtual Vocations Inc
United States3 days ago - ...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 workFull timeContract work
Virtual Vocations Inc
United States2 days ago - ...digital marketing company is seeking a part-time Facebook Ads Specialist to create and manage advertising campaigns that drive... ...strong data analysis skills. This role offers flexible working hours and remote work options, along with professional development opportunities...Remote workPart timeFlexible hours
DreamSite Gurus
Grenada, MS4 days ago - 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
$29.7 - $31.8 per hour
...between $29.70 - $31.80 based on experience. The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the... ...and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel...Remote workTemporary workWork at officeLocal areaEnsemble Health Partners
Columbus, OH3 days ago- Channel Blend is seeking a Call Center Representative to join our remote team. You will qualify leads for clients, following a strict script and guidelines, with a minimum of 20 hours per week. This role requires reliable equipment and a stable internet connection. You...Remote jobWork from homeFlexible hours
- ...a Work-from-Home Pledge Drive Donation Specialist in Detroit to support charitable campaigns... ..., accurate service while working remotely as an independent contractor (1099). You... ...your own schedule, enjoy a competitive hourly rate, and join a supportive team focused...Remote jobHourly payFor contractorsWork from homeFlexible hours
- ...AND ARIES LLC is seeking a Work From Home Pledge Drive Donation Specialist in Idabel, OK to support donors with courteous service and accurate data entry. This full-time remote position offers flexible hours and the chance to grow with a mission-driven team. You’ll...Remote jobFull timeWork from homeFlexible hours
- ...applications and next steps. Our partner is looking for a Lead Specialist, Appeals & Grievances based in the United States. As a Lead... ..., healthcare coverage, retirement plans, paid time off, and remote or flexible work arrangements are not provided in the source...Remote workFull timeContract workWork at officeFlexible hours
$13 - $15 per hour
withPurpose is seeking a Remote Donation Call Specialist to help nonprofits raise funds from generous donors. You will work from home, handle donor... ...donation and donor details accurately. You can set your own hours, enjoy growth opportunities, and start at $13-$15 per hour...Remote jobHourly payWork from homeFlexible hours- 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
- 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
Healthfirst
New York, NY3 days ago - ...have prior telemarketing experience, excellent English skills, and access to specific softphone technology. Flexibility in work hours is essential, and applicants must pass a skill assessment as part of the selection process. J-18808-Ljbffr Insurance Protection SpecialistsRemote jobWork from homeFlexible hours
- IVX Health is seeking a Prior Authorization Appeals Specialist to resolve complex pre-service denials and appeals. You will work with providers... ...authorization, denial management, and collaboration in a remote setting, ensuring accurate clinical documentation and streamlined...Remote job
- Ensemble Health Partners is seeking a Remote Coding Appeals Specialist to join our team and support hospital and health system clients nationwide. You will apply ICD10CM/PCS, HCPCS, NCCI, CMS and CMG guidelines to substantiate coding decisions and draft DRG-related appeals...Remote job
- Lumeris is seeking an Appeals Coordinator for a remote, United States-based role. You will review, research, and resolve appeals, ensuring compliance with regulations and deadlines. You will handle documentation, communications with members and providers, and prepare case...Remote job
- Humana is seeking a Grievances and Appeals Representative 4 within the Internal Review Team to manage denials by reviewing clinical documentation... ...to finalize outcomes, while maintaining high productivity and strict confidentiality in a remote work setup. #J-18808-Ljbffr HumanaRemote job
- Aspirion is seeking a Denials Appeals Specialist to analyze denial reasons, draft and submit appeals, and support improved cash flow. You will... ...experience in healthcare revenue cycle or denial management. Remote work within the United States is allowed. #J-18808-Ljbffr...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Appeals Specialist (ET Hours). Be the first to apply!
Related searches
- eye specialist New York, NY
- reentry specialist New York, NY
- crisis specialist New York, NY
- technology integration specialist New York, NY
- deployment specialist New York, NY
- recovery specialist New York, NY
- qc specialist New York, NY
- parts specialist New York, NY
- crisis intervention specialist New York, NY
- traffic specialist New York, NY