Senior Behavioral Health Appeals Coordinator (Remote)
$84k - $126kElevance Health
Elevance Health seeks a Senior Behavioral Health Appeals Coordinator to work virtually, ensuring member and provider grievances are managed effectively. This role requires at least a master's degree related to behavioral health, a minimum of four years in a healthcare setting, and an active professional license. With responsibilities spanning from investigating grievances to preparing recommendations on appeals, the ideal candidate will have excellent problem-solving and communication skills. The position offers a competitive salary range of $84,000 to $126,000. #J-18808-Ljbffr
$84k - $126k
Elevance Health is seeking a dedicated professional to investigate member and provider grievances and appeals. This role requires strong problem-solving skills and at least four years... ...Health to make a real difference in behavioral health management. #J-18808-Ljbffr...Remote jobSenior- SHPCA SCAN Health Plan is seeking a Grievances and Appeals Senior Coordinator to support team supervisors and manage member grievances. The role includes investigating... ...skills. This position offers mostly remote work, an annual bonus program, generous PTO, and...Remote jobSenior
$84k - $126k
...Investigates and reviews member and provider grievances and appeals. Generally works on issues that are of a complex nature. Serves as an internal resource for lower level behavioral health appeal coordinators and staff. Reviews prospective, inpatient, or...SeniorFull timeLocal areaMonday to FridayShift work- ...screening criteria to peer reviewer. Coordinates and participates in peer-to-peer... ...subscriber. Coordinates and participates in appeal process as directed by management.... ...experience working in a clinical or behavioral health environment ~ This contract requires...Remote workSeniorContract workLocal area
- ...Mental Health Center of Denver is seeking a Behavioral Health Intake Specialist to serve as the first point of contact for individuals seeking mental health... ...in psychology or a related field and occurs in a remote setting, offering a competitive salary of $30.12/hour...Remote work
- ...To support the Collaborative Care Model, the remote Behavioral Health Coordinator will manage patient scheduling, conduct outreach for engagement, and ensure timely follow-up care while collaborating with healthcare providers and Behavioral Health Care Managers. Key Responsibilities...Remote workWork at office
$57.82k - $92.37k
...Join to apply for the Behavioral Health Intake Coordinator, Pennsaukan role at Virtua Health 2 days ago Be among... ...benefits information click here. Seniority level Seniority level Mid-Senior level... ...Behavioral Health (Crisis Triage) - remote Philadelphia, PA $30,634.00-$30,634....Remote workDaily paidFull timeTemporary workPart timeLocal areaFlexible hoursShift workRotating shiftDay shift$60.2k - $107.4k
...UnitedHealthcare is seeking a Senior Clinical Administrative Nurse to engage... ...with members and support their health care navigation. The role... ...experience, preferably in acute and behavioral health settings. The position offers remote work flexibility anywhere within...Remote workSenior- ...UnitedHealth Group is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing to manage appeals. This position allows remote work throughout the U.S., except for Minneapolis or Washington, D.C. hires, who need to work in-office at least...Remote workSeniorWork at office
$35 - $63 per hour
...The University of Minnesota School of Nursing is looking for a Senior Clinical Appeals RN. This role involves reviewing and responding to appeals in MS-DRG and APR-DRG auditing and provides coaching to remote specialists. Remote work is available within the U.S., but...Remote workSeniorHourly payWork at office$35 - $63 per hour
...Council of State and Territorial Epidemiologists is hiring a Senior Clinical Appeals RN. This position utilizes expertise in MS-DRG and APR-DRG... ...of experience in ICD-10 coding. The role allows for remote work, and candidates should be solution-oriented problem solvers...Remote workSeniorHourly pay$35 - $63 per hour
...Stryker Corporation is seeking a Senior Clinical Appeals RN to utilize clinical expertise in appealing and coding medical records. The role includes... ...have at least 2 years of coding experience with ICD-10. Remote work opportunities are available in the U.S., and the...Remote workSeniorHourly pay$35 - $63 per hour
...Optum is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing for appeals management. This role involves... ...auditors, and authoring rebuttals. The job can be performed remotely across the U.S., with certain locations requiring in-office...Remote workSeniorHourly payWork at office$35 - $63 per hour
...Texas Health Institute is looking for a Senior Clinical Appeals RN to utilize expertise in MS‑DRG and APR‑DRG auditing. This role involves reviewing medical records... ...responding to appeals while providing coaching to remote DRG Validation Specialists. The position allows...Remote workSeniorHourly payWork at office- Consociate-Health is offering a remote Utilization Management Coordinator position responsible for coordinating appeal activities and the UM process. Candidates should have strong administrative skills, excellent communication abilities, and a High School diploma or GED...Remote job
- A health services company is seeking a Care Coordinator to manage Fast Cert authorizations for behavioral healthcare clients. Responsibilities include processing provider calls, ensuring proper authorization processes, and collaborating with various healthcare providers...Remote jobHourly pay
$34.42 - $67.6 per hour
...Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first... ...with our team will directly improve health outcomes by connecting people with... ...test before beginning employment. Seniority level ~ Seniority level Mid-Senior...Remote workHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work- ...Seeking a full-time Senior Behavioral Scientist to work remotely, who will translate evidence-based behavioral science into actionable business strategies, enhance member engagement, and improve health outcomes through research and intervention design. Key responsibilities...Remote workSeniorFull time
$18.5 - $35.29 per hour
Senior Coordinator Complaint Appeals Operations At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company,...SeniorHourly payFull timeLocal areaFlexible hours$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote jobHourly payFull time- ...organization is seeking a Claims Follow-Up Lead for a fully remote position. The ideal candidate will resolve denials, manage accounts... ...a mission-driven team. Candidates should have 3-5+ years in behavioral health claims follow-up with strong government payer experience....Remote workSeniorFlexible hours
$16.75 - $21.75 per hour
...Cardinal Health is seeking a Senior Coordinator, Prior Authorization in Phoenix, Arizona. This fully remote role involves obtaining and tracking payer approvals for medical equipment orders. Key responsibilities include preparing authorization requests, following up with...Remote workSeniorHourly pay- ...physically disabled individuals with mental health and/or chemical addiction issues. BFL... ...applicants to join our team. The Behavioral Health Coordinator will report to the Director of Social... ...with a staggered schedule and remote arrangement including meetings. Supervisor...Remote workHourly payFull timeContract workWork at officeImmediate startMonday to Friday
- ...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 workSeniorFull time
$67k - $69k
...Hunger isseekinga Dietitian Nutritionist,Senior Coordinator(Spanish -Speaking) to join our team.... ...diverse backgrounds with a variety of health conditions to set incremental goals for... ...employees are currentlyworking ona hybrid remote and in-office model and are expected to...Remote workSeniorWork at officeFlexible hours1 day per week$72.8k - $130k
Inspire Health Alliance is seeking a Senior Behavioral Health Care Advocate (CLIP Liaison) based in Washington. This... ...responsibilities across care coordination, CLIP liaison duties, and utilization... ...package and the flexibility of remote work. #J-18808-Ljbffr Inspire...Remote workSenior- A leading behavioral health provider is seeking a Senior Account Executive to join their sales team. This full-time role involves solution selling to mid... ...health, experience in sales, and the ability to work remotely. Responsibilities include driving sales, presenting solutions...Remote jobSeniorFull time
- ...General Brigham Incorporated is looking for a Senior Nurse Reviewer responsible for coordinating clinical charge audits and appeal processes. The role demands strong... ...clinical nursing and quality assurance. This is a remote position requiring effective communication with...Remote jobSenior
$16.75 - $21.75 per hour
...Cardinal Health is seeking a Senior Coordinator for Prior Authorization to handle obtaining and tracking payer approvals for durable medical equipment orders. This fully remote position involves documenting requests, conducting follow-ups with payers, and ensuring compliance...Remote workSeniorHourly pay$72.8k - $130k
Optum is seeking a Senior Behavioral Health Care Advocate to coordinate care for members with complex behavioral health needs. This role involves high-quality... ...clinical licensure in Washington. The job offers remote work flexibility and a salary range of $72,800 to $1...Remote jobSenior
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