Remote Healthcare Appeals Specialist II
Med Review Inc
A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and excellent analytical and communication skills. Remote work options are available along with competitive benefits including healthcare plans and a 401(k) with employer match. #J-18808-Ljbffr
$50k - $55k
...clinical excellence to healthcare. As such, we are a leading... ...the direction of the Appeals Department leaders, the... ...Coordinator level II team member will assist... ...department. The Appeals Specialist level II performs research... ...frequent interruptions Remote Work Requirements...Remote work- ...classified as hybrid, onsite or remote. While the majority of our... ...requests for member and provider appeals, grievances, reconsiderations... ...and health insurance or other healthcare related field Level 2... ...effective, emotional level II Ability to demonstrate...Remote workFull timeContract workWork experience placementWork at officeLocal area1 day per week
- CorVel Corporation in Fort Worth, TX is looking for an Appeals Representative to manage provider inquiries and appeals efficiently following regulatory guidelines and client policies. Responsibilities include reviewing documentation, ensuring compliance, and initiating...Remote jobFull time
- ...skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care... ...degree, an active RN license, and several years of experience in healthcare, particularly in managed care environments. Strong analytical...Remote job
$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in... ...: Claims, Medicare, Medicaid, Healthcare, Insurance #J-18808-Ljbffr L.A. Care...Remote workFull timeLocal areaShift workWeekend work- ...Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance... ...a focus on customer service. Applicants should possess a healthcare-related degree and experience in clinical settings, along...Remote job
$24.32 - $40.16 per hour
...Apply Refer a Friend Back Remote Work from Home Share This Page... ..., OP Surgery & Observation, the Coding Specialist II analyzes and interprets clinical documentation... ...in health information management or a healthcare-related field preferred. Required...Remote workFull timeWork experience placementLocal areaWork from homeDay shift$18.5 - $20 per hour
...A healthcare provider is seeking an Accounts Receivable Specialist II to join their Revenue Cycle Management team. This remote position involves handling complex accounts receivable issues, ensuring timely resolution of insurance claims. Candidates should have at least...Remote work- ...better way to provide quality healthcare while achieving health... ...Investigates claims denials and/or appeals as directed. Consistently... ...preferred. Certified Coding Specialist (CCS), Certified Procedural... ...applicable, telecommuting (working remotely), must be able to comply...Remote workTemporary workLocal areaImmediate startFlexible hours
$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly Qualified Candidates Will Have The Following Experience Strong understanding of...Remote workHourly payFull timeContract workWork experience placementWork at office- ...Infection Prevention Specialist II The Infection Prevention Specialist II (IPS II) is an... ...on-site and the remaining time can be remote. Position will fall under the Behavioral... ...requirements to identify and reduce healthcare-associated infections. Provide expert...Remote workWork at office2 days per week3 days per week
- ...Refer a Friend Back Remote Work from Home Share This... .... The Revenue Integrity Specialist plays an important role in a... ...JHHS to local payer audit and appeals and collaborates with centralized... ..., preferably in business or healthcare Knowledge, Skills, and...Remote workFull timeWork experience placementLocal areaWork from homeDay shift
- ...and central services for payer audit and appeals processes. Requirements:... ...degree preferred, preferably in business or healthcare Coding certification (CPC, CCS, CCS... ...No weekends Location : Remote- only candidates working from MD or FL will...Remote workFull timeLocal areaDay shift
- ...Member Complaint Resolution Specialist 100% remote candidates must live in one of the preferred... ...comprehensive research and resolution of the appeals, dispute, grievances, and/or... ...responses per state, federal and Molina Healthcare guidelines. Responsible for meeting...Remote workContract workLive inMonday to Friday
$16 - $20.5 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the world’... ...experience. In addition to HIS I Foundation, HIS II is responsible for training HIS I staff... ...(including Word and Excel) This is a Remote Role Preferred Skills Knowledge of HIPAA...Remote workHourly payFull timeWork experience placementWork at officeMonday to Friday$16.5 - $23.39 per hour
...Patient Access Specialist II We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part of... ...Yes Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes The...Remote workHourly payWork experience placementWork at officeLocal areaShift workWeekend workWeekday work- ...Specialist II, Neurosurgery Company: AESCULAP INC. Job Posting Location:... ...Functional Area: Sales Working Model: Remote Days of Work: Wednesday,... ...innovative medical products and services to the healthcare industry. Other key product areas...Remote workSeasonal workWork at officeRelocationShift work
$28.3 per hour
...Recruitment/Posting Title Mental Health Specialist II- Part Time- NJ Hopeline Job Category Staff & Executive - Healthcare Department UBHC - NJ Hopeline Overview... ...This position may be eligible for a fully remote work arrangement. Union Description...Remote workHourly payDaily paid16 hoursFull timePart timeSeasonal workFlexible hoursShift workAfternoon shift$20.08 - $30.06 per hour
CERIS is hiring an Appeals Representative in Fort Worth, Texas. The role involves reviewing and addressing provider inquiries and appeals... ...detail, excellent communication skills, and a background in healthcare or insurance. A comprehensive benefits package is offered,...Remote jobHourly pay- A leading healthcare organization is seeking a Specialty Coder II to work remotely, focusing on coding procedures and diagnoses primarily in anesthesia. The successful candidate will require certifications such as CPC or CCS, alongside relevant coding experience. Responsibilities...Remote job
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...Remote jobHourly payWork at office- A leading healthcare consulting firm is seeking a Denial Specialist II for a remote contract position. This role involves writing and managing correspondence letters to providers and members, ensuring adherence to quality goals. Candidates should possess strong communication...Remote jobContract work
$23.69 - $32 per hour
A healthcare administrative support organization is seeking an Accounts Receivable Specialist II. This fully remote role involves following up on unpaid accounts, researching claim denials, and communicating with patients and insurance companies. Candidates should have...Remote jobHourly pay$22 - $36.32 per hour
Johns Hopkins Medicine seeks a Coding Specialist II who will analyze clinical documentation to accurately code and abstract outpatient records. The role involves using revenue management software and ensuring compliance with coding guidelines. A high school diploma and...Remote job- CorVel Corporation in Fort Worth, Texas, seeks an Appeals Representative responsible for managing provider inquiries related to healthcare appeals. You'll analyze and address appeals to ensure compliance with regulatory guidelines and facilitate the appeal process efficiently...Remote jobFull time
$22 - $23 per hour
...hr Immediate need for a talented Denial Specialist II . This is a 12 Months Contract opportunity with long-term potential and is US Remote . Please review the job description... ...approvals process Our client is a leading Healthcare industry , and we are currently interviewing...Remote workContract workLocal areaImmediate start- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately 1020 hours... ...will leverage their denials and appeals expertise to evaluate and improve AI-driven...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$16.5 - $23.39 per hour
...Job Description Patient Access Specialist II Job Code: AM4022 Full Time Days... ...US We are ushering in a new era of healthcare where achieving good health is just the... ...Ability to travel between campus buildings, remote facilities, and out of town as needed:...Remote workHourly payFull timeWork experience placementWork at officeLocal areaShift workWeekend workWeekday work- ...Medical Center in Torrance, California, is seeking a Revenue Cycle Specialist II (Physician Billing) to provide billing and collections support... ...environment. The candidate will be responsible for submitting appeals, monitoring accounts, and ensuring the integrity of the work....Remote job
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote job
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