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- ...ABA Behavior Health Associate Position is Home Based. Under the direction of IBT Coordinator and Clinical Director, is responsible for the care and safety of assigned children. As a member of the ABA treatment, responsible for data compilation, correlation, and material...Remote workWork from homeShift work
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...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- ...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
- 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
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...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- 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
- ...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
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...Behavioral Health Solutions (BHS) is seeking a hard‑working, self‑driven individual to join our... ...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 workFull timeWork experience placementMonday to Friday$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$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$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location... ...Max.) Established in 1997, L.A. Care Health Plan is an independent public agency... ..., on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours...Remote workFull timeLocal areaShift workWeekend work$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- ...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
- 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
- ...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
$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- 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
- CVS Health is seeking a Care Associate for Behavioral Health Medicare Reviews. This fully remote role supports members and providers, coordinating peer-to-peer reviews and timely communications. You will work Monday-Friday, 9:00 AM-5:30 PM EST, with a strong emphasis on...Remote jobMonday to Friday
- UCHealth is seeking a part-time behavioral health support staff in Aurora, Colorado. Your role will involve maintaining a safe environment for... ...one year of related experience. This is an onsite only position, without hybrid or remote options. #J-18808-Ljbffr UCHealthRemote workPart timeNight shift
- 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 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- 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
- 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
- Behavioral Health Solutions (BHS) seeks a Behavioral Program Specialist or CNA for Federal Way and surrounding areas to support geriatric residents in SNFs and LTC facilities... ...health needs and coordinate care, with remote supervision. Prior SNF or BHS unit experience is...Remote work
- Doist is seeking a Remote Authorization Specialist to manage insurance authorizations for our PHP and IOP programs, ensuring timely pre-certifications... ..., building medical necessity cases using ASAM, LOCUS, and CALOCUS criteria, submitting appeals, and #J-18808-Ljbffr DoistRemote job
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