Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Claims Appeals Specialist

Allied Benefit Systems

Chicago, IL
  • Remote job

Allied Benefit Systems is seeking an Appeals Specialist responsible for organizing and completing all claim appeals in the Appeal Department. The role emphasizes accurate documentation and timely processing from a remote-friendly environment. You will review appeals, validate against Summary Plan Documents, and communicate with multiple teams to ensure proper handling and response to claim actions. A high level of attention to detail and professional written communication is essential. #J-18808-Ljbffr Allied Benefit Systems

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Claims Appeals Specialist in Chicago, IL vacancy
  • Sana Benefits is seeking a Claims and Appeals Processor for a remote, distributed team in the United States. The role focuses on timely adjudication, accurate claim processing, and resolution of appeals. You’ll support Customer Success teams and help optimize claims workflows... 
    Remote job

    Sana Benefits

    Brooklyn, NY
    4 days ago
  • Tampa General Hospital is seeking a Claims Resolution Specialist I to ensure timely submission, follow-...  ...requires analyzing trends, handling appeals, and adhering to payer guidelines and...  ...The position is part-time with hybrid remote eligibility in the Tampa area. Qualified... 
    Remote job
    Part time

    Tampa General Hospital

    Tampa, FL
    3 days ago
  • Firstsource Healthcare is seeking a detail-oriented Claims & Appeals & Grievances (A&G) Specialist to join our Healthcare Operations team. The candidate should have at least two years of experience in US healthcare back-office operations with expertise in claims processing... 
    Remote job

    Firstsource Healthcare

    New York, NY
    2 days ago
  •  ...VA Claims Consultant Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with...  ...functions. Including, but not limited to, claim status, drafting appeals, VA Forms, etc. Work on special projects Qualifications... 
    Remote work
    Temporary work
    Casual work
    Work at office
    Local area
    Work from home
    Flexible hours

    Allsup's

    United States
    5 days ago
  • $15 - $15.5 per hour

     ...Claims Specialist – Remote Healthcare Administrative Agent Join LEC as a remote Healthcare Administrative Support Representative, helping healthcare...  ...and clarification of denial reasons. Clarify appeal requirements and prior authorization status. Perform eligibility... 
    Remote work
    For contractors
    Work from home
    Home office
    Monday to Friday

    Leading Edge Connections, LLC

    United States
    4 days ago
  •  ...Claims Specialist As a Claims Specialist, you will combine veterinary medical knowledge, critical...  ...to detail. You will also support the appeals process by conducting secondary claim...  ...believe in a flexible workplace! This is a remote position for candidates in Germany or... 
    Remote work
    Full time
    Casual work
    Work at office
    Flexible hours

    Trupanion

    United States
    5 days ago
  •  ...veterinary medical knowledge with critical thinking, the full-time remote Claims Specialist will assess pet insurance claims by reviewing medical...  ...outcomes Conduct secondary claim reviews as part of the appeals process and communicate claim rationale clearly and professionally... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    4 days ago
  • $28 - $35 per hour

     ...Claims Resolution SpecialistThe Claims Resolution Specialist is responsible for the day-to-day investigation and resolution...  ...accurately and efficiently.*This is a remote role. We are only hiring in the...  ...claims.Assist in preparing appeal documentation and supporting materials... 
    Remote work

    Integrated Pain Management Medical Group, Inc.

    Walnut Creek, CA
    1 day ago
  •  ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and...  ...conducts status inquiries, processes appeals, and determines appropriate actions needed...  ...Laurel Dr Tampa 33612 Eligible for Remote Work: Hybrid Remote Job Patient... 
    Remote work
    Part time
    Work experience placement
    Work at office
    Monday to Friday
    Shift work

    Tampa General Hospital

    Tampa, FL
    2 days ago
  •  ...Senior Claims Specialist, Vertical As a Senior Claims Specialist, Vertical on our Customer Team...  ...claims, reopened claims and declined/appealed and escalated claims including claims actions...  ...Work Environment - our teams are remote working. • Global company, with the opportunity... 
    Remote work
    Local area
    Flexible hours

    Cover Genius

    United States
    4 days ago
  •  ...Job Description Claims Resolution Specialist (Remote) Denials * Appeals * Revenue Cycle * Reimbursement * Medical Billing * Insurance Claims Location: Fully Remote Schedule: Full-Time Employment Type: Contract-to-Hire Overview Are... 
    Remote work
    Full time
    Contract work
    Work at office
    Local area

    Ultimate LLC

    Roseville, MN
    2 days ago
  •  ...Seeking a detail-oriented Workers Compensation Claims Specialist, this full-time remote position will manage a portfolio of claims, gather necessary workers...  ...processing Review payments and denials, writing appeals as needed, while providing strong customer service to clients... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation...  ...and efficiently. *This is a remote role. We are only hiring in the...  ...underpaid claims. Assist in preparing appeal documentation and supporting... 
    Remote work

    Integrated Pain Management Medical Group, Inc.

    Walnut Creek, CA
    4 days ago
  • $27.52 per hour

     ...Position Summary The Claims Technical Review Specialist provides advanced technical review of all types of claims in accordance with Company...  ...prescribed procedures and plan guidelines. Coordinates appeals through research and documentation; generates denial or... 
    Remote work
    Local area

    Zenith American Solutions

    United States
    5 days ago
  • $23 - $34 per hour

     ....00 - $34.00 HourlyJob Category: Claims POSITION SUMMARY The Stop Loss Claim Specialist is responsible for preparing and...  ...Further responsibilities include the appeals of denied and reduced claim...  ...computer work. WORK ENVIRONMENT Remote Here at Allied, we believe that great... 
    Remote work
    Contract work
    Work experience placement
    Work at office
    Work from home

    Allied Benefit Systems, LLC

    Brooklyn, NY
    2 days ago
  •  ...seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial...  ...a high-volume workload in a remote work environment. The position operates...  ...researching, denying analysis, appeals, and documentation to ensure timely... 
    Remote work
    Monday to Friday

    Digitech

    Boydton, VA
    1 day ago
  • Digitech is seeking a Medicaid Account Resolution Specialist to resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow...  ..., identifying hold reasons, submitting documentation or appeals, and maintaining detailed records in the billing system... 
    Remote job

    Tri-anim Health Services, Inc.

    Brooklyn, NY
    3 days ago
  • $800 per month

     ...insurance by creating and evaluating realistic claims and risk-selection scenarios. This role...  ...analyses, return-to-work plans, and appeal decisions. Write expert-quality reference...  ...interactions. Work Terms Remote, open to candidates located in the United... 
    Remote work
    Contract work
    Temporary work
    Work at office
    Immediate start

    SaidGig

    United Kingdom
    9 days ago
  • Allsup LLC is seeking a detail-oriented customer support specialist to serve as the primary contact for inquiries from claimants in the VA disability appeals process. The role involves reviewing questionnaires, conducting phone interviews, data entry, and guiding claimants... 
    Remote job

    Allsup, LLC

    Saint Louis, MO
    3 days ago
  • A healthcare startup is seeking a Claims Specialist to manage healthcare claims processing, including investigating and resolving claim issues...  ...calls to clarify claims, correcting errors, and submitting appeal letters. Candidates should possess strong organizational skills... 
    Remote job

    Zaya Care

    New York, NY
    4 days ago
  • Allsup LLC is seeking a contact-focused specialist to support claimants in the VA disability appeal process. You will conduct telephone interviews, complete forms, and provide guidance to navigate the VA system. Accurate data entry and clear communication help resolve issues... 
    Remote job

    Allsup, LLC

    Phoenix, AZ
    3 days ago
  •  ...LLC in Chicago is seeking a Stop Loss Claim Specialist to prepare and file medical stop loss claims...  ...follow up to ensure timely payments, appeal denials, and maintain documentation for...  ...Excel and communication skills. This remote-friendly position supports flexible work... 
    Remote job
    Flexible hours

    Allied Benefit Systems, LLC

    Chicago, IL
    2 days ago
  •  ...quality insurance reasoning data. We're hiring Disability Claims & Underwriting Specialists to design realistic disability adjudication and risk-...  ..., return-to-work and absence-management specialists, and appeals reviewers from carriers, TPAs and employer-side programs.... 
    Remote job
    Contract work
    Temporary work
    Work at office
    Immediate start

    Mercor Inc

    New York, NY
    4 days ago
  •  ...established insurance client in Austin, TX looking for a Remote Long Term Care Claims Eligibility Specialist who is experienced, detail-oriented, and customer-...  ...approval claims Assist with customer complaints and appeals Communicate complex claim decisions and coverage... 
    Remote job
    Weekly pay
    Temporary work
    Work at office
    Flexible hours

    The HT Group

    Austin, TX
    3 days ago
  • $20 - $26 per hour

    Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission to...  ...common coding, data, and policy issues. Prepare and submit appeal letters for denied claims (when necessary), ensuring all documentation... 
    Remote work
    Full time
    Private practice
    Shift work

    Zaya Care

    New York, NY
    4 days ago
  •  ...Grievance & Appeals Coordinator Are you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated...  ...to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex member and provider... 
    Remote work
    Work from home
    Home office
    Weekend work

    Randstad

    United States
    4 days ago
  •  ...Description Job Description Do you enjoy solving complex claim challenges, uncovering answers others might overlook, and playing...  ...? Unified Group Services is seeking a full-time Claims Appeals Specialist to join our team in Anderson, IN. This is an exciting opportunity... 
    Full time

    Unified Group Services Inc

    Anderson, IN
    12 days ago
  • Unified Group Services in Anderson, IN is seeking a full-time Claims Appeals Specialist to join our team. This role focuses on researching and resolving complex appeals, ensuring accurate determinations for members and clients. You will collaborate with internal reviewers... 
    Full time

    Unified Group Services

    Anderson, IN
    1 day ago
  • Molina Healthcare in New York is seeking an entry-level claims support specialist to review and resolve member and provider complaints in accordance with CMS standards. You will enter denials and appeals, research issues using available systems, obtain records, and draft... 

    Molina Healthcare

    Florida, NY
    1 day ago
  •  ...Grievance & Appeals Coordinator Are you a detail-oriented managed care professional looking for an exciting work-from-home opportunity...  ...incoming complaints, investigate complex authorization and claims concerns, and provide clear written resolutions to ensure high... 
    Remote work
    Work from home

    Randstad

    United States
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Claims Appeals Specialist. Be the first to apply!