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$54.1k - $129.62k
...We’re building a world of health around every individual — shaping a more connected... ...community at a time. Title: Behavioral Health Specialist - LCSW Only Company: Oak Street... ...role has the potential option for remote work days based upon achievement and...Remote workHourly payFull timeTemporary workLocal area- ...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
- ...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
- 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 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
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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$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- 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
- 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
$23 - $25 per hour
...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$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- ...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
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...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$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- 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
$17 - $25.63 per hour
...Behavioral Health Specialist Bainbridge, OH 45612 Overview Salary Range $17.00 - $25.63 Hourly Description Summary: Guides and supports... ...on the program. This role is considered essential with no remote work options. The position is exposed to a physically...Remote workHourly payLocal areaDay shiftAfternoon shift- ...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
- 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
- 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
- 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
$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- Barrycountyrecovery is seeking a detail-oriented Behavioral Health Utilization Management Specialist. This position involves reviewing behavioral health services... ...of care levels. The role offers a primarily remote environment, with optional four-day work weeks catering...Remote job
- 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
- L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote jobFull time
- 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
- 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
- UnitedHealth Group's Optum is hiring a Clinical Wellbeing Specialist to support behavioral health navigation and crisis guidance. This hybrid California... ...shifts, secure home workspace, and residence in California; remote work from #J-18808-Ljbffr Stryker CorporationRemote workFlexible hours
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