Appeals Specialist II
Randstad
Job Title
We are seeking a detail-oriented and highly adaptable professional to join our fully remote team, focusing on managing cases across multiple Medicaid health plans. In this role, you will evaluate case files, resolve provider disputes, and process reconsideration requests. You will work in a highly collaborative virtual environment—engaging in daily team huddles, video calls, and 1:1 meetings with leadership—to ensure accurate and timely case management.
$56.27k - $69.9k
...Pay Plan Title: Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina. POSTING DETAILS: Make an Impact Trillium...SuggestedWork at officeLocal areaImmediate startRemote workWork from homeFlexible hours$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, L.A. Care...SuggestedFull timeLocal areaRemote workShift workWeekend work- Senior PsychCare has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing Team in Houston. About Us Senior Psych... ...appropriate documentation to resolve denied claims and submit appeals. Call payers to determine the true reason for denial and...SuggestedFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
- Savista, LLC in Kentucky is seeking a medical billing specialist with 2-3 years of experience in medical collections, denials, and appeals to help secure payments and resolve claims. You will verify eligibility, update demographics, research unpaid or denied claims, and...Suggested
- ...Job Description Job Description Appeals and Grievance Specialist II \ 29 Shift: 8 AM - 5 PM Monday-Friday Irving, TX 75039 - ONSITE Duration: 12 Weeks Notes: Submit with proof of education; High school diploma 3 years customer service experience with Managed...SuggestedPermanent employmentContract workMonday to FridayShift work
- ...Pharmacy Benefits Management solution! Job Description Summary The Appeals & Grievances (A&G) team is responsible for managing all aspects... ..., and compliance. The Appeals & Grievances Coordinator II serves as a key member of the A&G team, processing appeal and grievance...Full timeLocal areaRemote workMonday to FridayNight shift
- City of New York seeks a permanent Paralegal Aide for the Appeals Division to assist with record on appeal preparation, documentation, and filing. The role requires passing the Paralegal Aide Civil Service Exam and appointment from the Civil Service List, with lateral movement...Permanent employment
- ...Southwestern Medical Center is hiring a Technical Denials Management Specialist II within the Revenue Cycle Department. The role focuses on reviewing, researching and resolving claim denials and appeals across payors to maximize collections. The candidate should have...Local areaRemote workWork from home
- ...Reports to: Director of Revenue Cycle Management The Denials Specialist/Revenue Cycle Specialist II is essential for revenue cycle management, ensuring... ...and clinical guidelines to support claim corrections and appeal strategies, including Medicare, Medicaid, and commercial...Full time
$22 - $27 per hour
...Schedule: Full-time, Monday-Friday ROLE OVERVIEW The RCM Specialist II is an individual contributor role on the RCM team, responsible... ..., denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.) ~ Audit accounts to verify...Hourly payFull timeMonday to Friday$8.63k - $11.56k
...seeking an experienced and innovative Information Technology Specialist II (ITS II) to serve as the Network Security Engineer for our Sacramento... ...the position. Applicants who have been withheld may file an appeal with the State Personnel Board. It is strongly encouraged...Permanent employmentFull timeWork at officeRemote workMonday to FridayShift work- ...serve. We are EVERSANA. Job Description THE POSITION: The Program Specialist II will provide dedicated support to patients and doctors for... ...issues related to payments, reimbursements, payment denials, and appeals. Make outbound calls to customers for additional information....Local area
- ...and limb pain and painful diabetic neuropathy. Senza®, Senza II®, Senza Omnia™, and Senza HFX iQ™ are the only SCS systems that... ...practice management. Position Summary: The Patient Access Appeals Specialist is part of the HFX Access team, playing a critical role in...Full timeWork at officeLocal area
- ...Appeals and Grievance Specialist II (Managed Care) – Irving, TX | 12-Week Contract Location: Irving, TX Job Type: 12-Week Contract Company: Sigma Inc. Schedule: Monday–Friday | 8-Hour Shifts Join Our Team as an Appeals and Grievance Specialist II! Sigma Inc. is...Contract workMonday to FridayShift work
- ...join our quest for better? Job Description The Coding Specialist II reflects the mission, vision, and values of NM, adheres to the... ...and is responsible for drafting letters in order to coordinate appeals. * Acts as key point person for Revenue Cycle staff and...Work at officeLocal areaRelocation package
$47.84k - $95.25k
...supervision (Level I) or general direction (Level II/III), the incumbent performs educational... ...in the Alcohol and Drug Treatment Specialist series are distinguished by the... ...incomplete applications are outlined including appeal rights. Those with master's degrees in relevant...Hourly payFull timeTemporary workFixed term contractTraineeshipWork experience placementInternshipLocal areaImmediate startNight shift- ...Office Specialist IIYamhill County has one regular, full-time position for an Office Specialist II in our Community Justice Department. This position performs office support work... ...are available. We have the benefits, appeal and superior quality of life found in a small...Full timeWork experience placementLive inWork at officeFlexible hours
$18 - $25 per hour
...Revenue Cycle Specialist II The Revenue Cycle Specialist II is a position that calculates and posts receipts to appropriate accounts,... ...promptly and accurately Assist in preparing and submitting appeals and reconsiderations to payers Collaborate with internal teams...- ...Appeals & Grievance Specialist Schedule Monday – Friday Onsite Position Position Summary The Appeals & Grievance Specialist II is responsible for independently researching, reviewing, and resolving member and provider inquiries, complaints, appeals, and grievances. This...Work at officeMonday to Friday
$24.76 - $33.17 per hour
...and other business needs. Job Summary: The Authorization Specialist II is responsible for verifying insurance policy benefit... ...coordinators regarding authorizations status or denials. Submits appeals in the event of denial of prior authorizations or denial of payment...Hourly payFull timeWork at officeLocal areaImmediate startRemote work- ...Mental Health Coordinator II (MHC II)Join Our Passionate Team as a Mental Health Coordinator II (MHC II) - Make a Lasting Impact Every Day!At Dungarvin, we are more than a provider of support services - we're a mission-driven team rooted in respect, response, and choice...Full timePart timeShift workWeekend work
- DC Water in Washington, DC, is seeking a Meter Technician II to perform field testing, meter repairs, and reads for large meters. You will install meters and MTUs, conduct QA inspections, and troubleshoot AMR transmissions, while adhering to safety and confined-space procedures...
- ...are caregiver positions with an emphasis on mental health and behavior management supportsJob DescriptionThe Mental Health Coordinator II (MHCII) helps manage many aspects of care and support for individuals in a group home setting. Responsibilities include:Assisting...Full timePart timeCurrently hiringLocal areaShift workWeekend workWeekday work
- CDOC Electronics Specialist II (Trinidad) Colorado Department of Corrections Department Information If your goal is to build a career that... ...will be administered on hire and periodically thereafter Appeal Rights If you receive notice that you have been eliminated from...Full timeWork experience placementWork at officeShift workNight shiftRotating shift
$42k - $47k
...Revenue Cycle Specialist II, RCM The Revenue Cycle Specialist II, RCM is a position that calculates and posts receipts to appropriate... ...claim denials and ability to follow up on denials Assists with appeals Submits of waiver requests as needed Enrolls with payers...$22 - $27 per hour
...an accommodation or an alternative application process. RCM Specialist II (On-Site) Full Time Jackson Township, NJ, US 3 days ago Requisition... ..., denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.) Audit accounts to verify...Hourly payFull timeMonday to Friday- AP Health is seeking a Denials Specialist/Revenue Cycle Specialist II in a full-time, M-F hybrid Nashville role. You will review denied claims, support corrections and appeals, and collaborate with billing and clinical teams to optimize reimbursement. Strong knowledge...Full time
$22.99 - $30.66 per hour
Revenue Cycle Specialist I Hiring Range $22.99 to $30.66 Revenue Cycle Specialist II Hiring Range $26.33 to $35.10 Summary of Job Responsibilities: The Southcentral... ...include revenue recovery, quality assurance, and appeals. The Revenue Cycle Specialist is considered a...Contract workWork experience placement- ...Facebook, Instagram, X and YouTube. Job Description The Insurance Specialist II acts as the primary point of contact for Health Care Providers... ...forms, portals, and websites for prior authorizations and appeal submissions. Clearly communicate and educate customers on...Temporary workWork experience placementWork at officeLocal areaFlexible hours
- ...Measures is seeking qualified applicants for: INSECT DETECTION SPECIALIST II Interviews will take place on an ongoing basis. The starting... ...and having an interest in plants, insects or horticulture appeals to you, this might be your ideal job! The mission of Agriculture...Work experience placementCasual work
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