Remote Behavioral Health Appeals Specialist
Universal Health Services
- Remote job
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-Cerner facilities. The ideal candidate has knowledge of utilization management operations, experience with appeal letters and payer engagement, and can apply clinical acumen in behavioral health in written and verbal form. #J-18808-Ljbffr Universal Health Services
- ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care... ...certification, concurrent reviews, and appeals with a focus on compliance and patient...Remote work
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting... ...reviews and coordinate urgent/expedited appeals Staff individual cases with medical... ...(Qualifications) Bachelor’s degree in a health or behavioral health-related field required...Remote work$18.13 - $29.9 per hour
...Behavior Health Specialist I Position is home based. Under the direction of IBT Coordinator and Clinical Director, the Behavior Health Specialist I (BHS I) is responsible for the care and safety of assigned children. As a member of the ABA treatment team, responsible...Remote workDaily paidWork from homeShift work$54.1k - $116.76k
...We’re building a world of health around every individual — shaping a more connected... ...community at a time. Title: Behavioral Health Specialist - Requires LISW-CP, LPC or LMFT... ...This role has the potential option for remote work days based upon achievement and...Remote workHourly payFull timeTemporary workLocal area- ...Behavioral Health Solutions is seeking a dedicated Behavioral Program Specialist to work with clinical staff in long-term care facilities, ensuring accurate behavioral documentation... ...to special programs and train under remote supervision on all cases. Ideal candidates...Remote work
- A healthcare coding firm is seeking Remote Outpatient/Behavioral Health Coders. Responsibilities include assigning diagnosis and CPT codes for various outpatient services, ensuring compliance with federal and state regulations. Candidates must have at least 3 years of coding...Remote work
- ...Behavioral Health Solutions (BHS) seeks a Behavioral Program Specialist to work with clinical staff at long-term care facilities, ensuring accurate behavioral documentation... ...health unit experience. Training with a remote Clinical Supervisor is provided; travel through...Remote work
$21 - $23.13 per hour
...Sun River Health is seeking a Engagement Specialist for the Call Center Behavioral Health department. The role is primarily remote, coordinating appointments and providing patient-centered access to behavioral health services for diverse populations. We offer a $1,500...Remote workHourly payRelocation package- Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure compliance with guidelines. The role conducts pre-certifications, pre-authorizations, and retrospective reviews, collaborating...Remote jobWork at officeWork from home
- Moda 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...Remote jobFull timeWork from home
$54.1k - $129.62k
...Behavioral Health Specialist - LCSW OnlyWe're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...as indicated. This role has the potential option for remote work days based upon achievement and maintenance of...Remote workFull timeTemporary workLocal area$24.79 per hour
...Member Appeals Specialist Trillium Professional is now seeking a Member Appeals Specialist for a 100% remote position! Candidates will work Monday-Friday, 40 hours/week for about... ...pharmacy coverage for non-Medicare health plans. This is a fully remote case management...Remote workWork at officeMonday to Friday- ...Behavioral Health SpecialistAs a Behavioral Health Specialist, you will be part of an integrated care team dedicated to providing whole-person care. In this role... ...offer a flexible schedule with opportunities for both remote and on-site work.Professional Standards and...Remote workWork at officeFlexible hours
- ...Inova 8221 Willow Oaks is looking for a dedicated Behavioral Health Intake Coordinator 1 to join the team. This role will be Full-time Days... ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Behavioral Health Intake...Remote workFull timeFlexible hours
$19.5 - $26.48 per hour
...Job Description:The Behavioral Health Specialist (BHS), under the direction and supervision of the treatment team, provides direct therapeutic contact... ...policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related...Remote workHourly payWork experience placementImmediate start$23 - $25 per hour
...Overview Behavioral Health Solutions (BHS) is seeking a hard‑working, self‑driven individual to... ...behavioral team as a Behavioral Program Specialist. A behavioral specialist is a healthcare... ...will train with and report to a remote Clinical Supervisor for oversight on all...Remote workHourly payFull timeWork experience placementMonday to Friday$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position... ...Max.) Established in 1997, L.A. Care Health Plan is an independent public agency... ..., on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workFull timeLocal areaShift workWeekend work- ...Behavioral Health SpecialistBainbridge, OH 45612OverviewSalary Range $17.00 - $25.63 HourlyDescriptionSummary: Guides and supports youth in... ...depend on the program. This role is considered essential with no remote work options. The position is exposed to a physically...Remote workLocal areaDay shiftAfternoon shift
$29.7 - $31.8 per hour
...revenue cycle management solutions for health systems, including hospitals and affiliated... ...Job Description The Acute Coding Appeals Specialist integrates medical coding principles and... ...patient and client experiences. This is a remote position; however, candidates must be...Remote workTemporary workWork at officeLocal area$20.87 - $27.13 per hour
...experienceThis position is an onsite role and does not offer a hybrid or remote optionCareer Ladder:UCHealth offers a structured way for you... ...a safe and therapeutic environment for patients with behavioral health needs in the inpatient, emergency department or ambulatory...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$29.7 - $31.8 per hour
...revenue cycle management solutions for health systems, including hospitals and affiliated... ...on experience The Acute Coding Appeals Specialist integrates medical coding principles... ...and client experiences. ~ This is a remote position; however, candidates must be willing...Remote workTemporary workWork at officeLocal area- Adolescent Wellness Academy is seeking a Remote Authorization Specialist to manage insurance authorizations... ...pre-certifications, and submit appeals as needed. The role requires 2+ years in UR/authorization within mental health or substance use settings, familiarity...Remote jobWeekday work
- Santa Barbara Cottage Hospital is seeking a Remote Authorization Specialist to manage insurance authorizations for PHP and IOP programs, ensuring... ...by handling pre-certifications, concurrent reviews, and appeals across payer plans. In this remote role you will verify benefits...Remote job
- Optum is a global organization focused on behavioral health navigation and support. The Clinical Wellbeing Specialist role uses Solution Focused Consultation, Motivational... ...benefits and resources. You’ll work remotely from anywhere in the U.S. and handle inbound/outbound...Remote job
- Seven Starling is seeking a detail-oriented Behavioral Health Revenue Cycle Coordinator to help patients access care quickly by verifying insurance benefits, obtaining prior authorizations, and reconciling balances. You will identify and fix issues that cause denials and...Remote job
$29 - $52 per hour
UnitedHealth Group is seeking a Clinical Wellbeing Specialist to support behavioral health navigation and crisis response. The role includes telephonic... ...to ensure appropriate levels of care. You will work remotely from anywhere in the U.S., with shifting schedules and...Remote jobHourly payFull timeShift work- ...Behavioral Health Specialist Are you seeking a career where you can make a difference? Gulf Coast Center (GCC) recruits people who are committed... ...: Work will be performed in the Office, Field and/or remotely setting(s). May require varied work hours depending...Remote workFull timeContract workTemporary workWork at officeLocal areaMonday to FridayFlexible hours
- HopeLink Behavioral Health is hiring a Mobile Crisis Specialist to respond to crisis calls, triage cases, and coordinate care with clinicians and dispatchers.... ...a 10am-6:30pm EST schedule, Monday through Friday, with fully remote work options. #J-18808-Ljbffr EmergencyMDRemote jobMonday to Friday
- UnitedHealth Group is seeking an EAP Specialist to provide telephonic assessments, solution-focused consultations, and crisis support to members with behavioral health benefits. Remote work from anywhere in the U.S. is offered, with residency preferences noted for California...Remote job
$100k - $120k
Discovery Behavioral Health in Seattle seeks a Clinical Outreach Representative to drive regional marketing and build referral sources. You... ...outreach or mental health, full-time status, exempt schedule, remote work local to Seattle, and a salary range of $100,000-$120,00...Remote jobFull timeLocal area
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