Remote Claims Appeals Specialist
Allied Benefit Systems
- 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
$40 per hour
Greenlife Healthcare Staffing in Jericho, NY, is seeking a Claims Specialist for a remote-to-on-site opening. This full-time contract position... ...detail-oriented professionals. The role involves managing appeal and dispute adjudication programs, liaising with various stakeholders...Remote jobHourly payFull timeContract work- 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
- ...seeking an Insurance Coordinator to manage denied insurance claims, process appeals, and provide necessary information to secure reimbursement. After 90 days of on-site training, the role becomes fully remote; Ohio residency and travel to Westerville as needed are required...Remote jobFull time
- CU Medicine in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance claim denials,... ...Certification in coding is preferred. The position is fully remote, offering flexibility and valuable benefits. #J-18808-...Remote job
$47.5k - $70k
...supervisor and our organization. About the role ~ The VA Claims Consultant is responsible for reviewing and addressing... ...functions. Including, but not limited to, claim status, drafting appeals, VA Forms, etc. Work on special projects Qualifications...Remote workTemporary workCasual workWork at officeLocal areaWork from homeFlexible hours$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$67k - $75k
...Healthcare Claims Resolution Specialist Fully Remote $67,000-$75,000 annually Monday-Friday | Full-Time Temp-to-Hire Position Overview... ...Claims Resolution Specialist to support payer audits, appeals, contracting activities, compliance efforts, and operational...Remote workFull timeContract workTemporary workLocal areaMonday to Friday$55k - $60k
...for the review and processing of claims within the claims transactional system... ...Service, Medical Management and Appeals and Grievance. Certified Coding Specialist (CCS) or Certified Coding... ...Telecommuting Requirements This is a remote position. Our whole company works...Remote workLive inWork at officeFlexible hoursWeekday work- ...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 workFull timeCasual workWork at officeFlexible hours
- ...Description Overview Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims... .... Responsibilities This role is a remote, work from home position. The Claims... ...process a claim correctly and/or send an appeal. Handle all correspondence via mail,...Remote jobWork from homeMonday to Friday
$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 workLocal area- ...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 workMonday to Friday
- 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
- ...quality member experience, the full-time Claims Support Advocate will serve as a liaison... ...handling claim inquiries and communications remotely. Key responsibilities Provide effective... ...providers on plan member balances and appeal claim denials from insurance companies Organize...Remote workFull timeWork experience placement
- ...Department of Veterans Affairs (VA) disability appeal process. Reviews claimant completed... ...to complete various disability claim forms. Places outgoing calls to claimants... ...in the training and development of other specialists; shares information. Maintains strict confidentiality...Temporary workCasual workLocal areaWork from homeFlexible hours
- CLAIMS ELIGIBILITY SPECIALIST - CLINICAL (Full Time, Hourly, Non-Exempt) Looking to join a growing company... ...lives of others! We are also open to remote candidates! About Continental... ...approval claims. Assists with complaints/appeals. Conveys more complex information (coverage...Remote workHourly payFull timeTemporary workWork at office
- ...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 jobWeekly payTemporary workWork at officeFlexible hours
- ...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 Patient...Remote workFull timeWork experience placementWork at officeMonday to Friday
$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 workFull timePrivate practiceShift work$40 per hour
Claims Specialist / Contract - Remote to Office-Based Setting - Jericho, NY (#25322A) Location: Remote to Office-Based Setting, Jericho, NY Employment... ...thrives in a collaborative, fast‑paced environment managing appeal and dispute adjudication programs. Why Join Us?...Remote jobHourly payFull timeContract workPrivate practiceWork at officeFlexible hours$50k - $60k
...Revenue Cycle Specialist NOCD is the #1 telehealth provider for the... ...our efforts. Full-time, Remote | 9:00 AM 5:30 PM CT, MondayFriday... ...managing the full insurance claims lifecyclefrom eligibility... ...payers Denial Management & Appeals Review and work denial queues...Remote workFull timeContract workWork at officeFlexible hours$75k - $140k
...$75000.00 - $140000.00 Job Category: Claims Description If you're looking for a... ...moving, and meaningful. The Senior Claims Specialist works within a Claims Team navigating... ...professionals who may work in office or remote depending on their location. You will partner...Remote workFull timeContract workFor contractorsFor subcontractorWork at officeLocal area- PFS Group is seeking an Insurance Appeals Representative in Houston to handle high-dollar denials for hospital insurance claims. You will review clinical docs and payer guidelines to draft timely appeals, potentially writing appeals or advising other reps with reference...
- Green Light Cost Management in Scottsdale is looking for a Claims and Appeals Specialist. The role involves supporting workflows related to claims, appeals, and case resolution. The ideal candidate should have strong organizational skills and experience in healthcare claims...Full time
$20 per hour
Healthcare Support Staffing is seeking an experienced Claims Examiner in Annapolis, Maryland. In this role, you will review provider disputes and appeals related to claims resolution, adhering to both state and federal policies. The ideal candidate will have at least 1...Permanent employmentTemporary workMonday to FridayShift work- ...company dedicated to transforming the industry through innovation and service. We’re seeking an energetic and knowledgeable Claims and Appeals Specialist who thrives in a dynamic environment and is ready to make a meaningful impact. This role is ideal for someone with...
- ...Exciting Opportunity: Entry-Level Sales Manager - Work Remotely with Flexibility! Are you ready to jumpstart your career in customer service and sales? We are looking for enthusiastic individuals with no prior experience to join our team and grow into successful sales...Remote workFull timeWork from homeFlexible hours
$83k - $157k
...$83000.00 - $157000.00 Job Category: Claims Description Looking for an amazing new... ...? Senior Complex Construction Claims Specialist - Complex CGL & Construction Liability (... ...with structure. This role is primarily remote, with a light-touch office cadence - just...Remote workFull timeWork at officeLocal areaImmediate startHome office$24 - $26.45 per hour
...of Revenue Cycle Management, theMedical Claims Specialist (ARManager)is responsible for complete,... ...denial sources, resolving and appealing denials which may include contacting payer... ...guidelines. Technical Requirements (for remote workers only, not applicable for onsite...Remote workHourly payFull timeContract workWork at officeLocal areaHome office- Pharmacy Careers is seeking a Remote Appeals Pharmacist to ensure fair access to medications. You will review clinical documentation for coverage appeals from home and provide evidence-based determinations. This role supports managed care through strong documentation,...Remote jobWork from home
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