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
- 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
- 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 jobPart time
- 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
- ...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 workTemporary workCasual workWork at officeLocal areaWork from homeFlexible hours
$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 workFor contractorsWork from homeHome officeMonday to Friday- ...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
- ...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 workFull time
$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- ...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 workPart timeWork experience placementWork at officeMonday to FridayShift work
- ...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 workLocal areaFlexible hours
- ...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 workFull timeContract workWork at officeLocal area
- ...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 workFull time
- ...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
$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$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 workContract workWork experience placementWork at officeWork from home- ...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
- 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
$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 workContract workTemporary workWork at officeImmediate start- 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
- 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
- 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
- ...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 jobFlexible hours
- ...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 jobContract workTemporary workWork at officeImmediate start
- ...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
$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- ...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 workWork from homeHome officeWeekend work
- ...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 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
- 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...
- ...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 workWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Appeals Specialist. Be the first to apply!
- claims assistant Chicago, IL
- claims processor Chicago, IL
- claims resolution specialist Chicago, IL
- claim representative (remote) Chicago, IL
- claim specialist Chicago, IL
- claims analyst Chicago, IL
- medical claims analyst Chicago, IL
- insurance claims processor Chicago, IL
- remote medical claims processor Chicago, IL
- medical insurance claims specialist Chicago, IL


