Remote Medicare Appeals Intake Specialist
A-Line
A-Line is seeking a Remote Appeals Coordinator to support processing of Medicare member and provider appeals and grievances. The role screens for urgency, benefit coverage, and medical necessity, routing cases to the appropriate analyst.
Responsibilities include investigations, documentation gathering, correspondence, and periodic auditing or monitoring activities, collaborating with Customer Service, Utilization Management, Medical Directors, and other teams to ensure compliant intake and
#J-18808-Ljbffr$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department:... ...compliance with Centers for Medicare and Medicaid Services (CMS... ...and regulations. Intakes, acknowledges, prepares case... ...weekends, holidays, a hybrid remote schedule, occasional flexibility...Remote workFull timeLocal areaShift workWeekend work$20 per hour
...Role Snapshot The Intake Specialist manages inbound and outbound communications... ...consideration, we do offer remote work in the following... ...Process claims and support appeals and authorization workflows... ...support for beneficiaries of the Medicare program and manage benefits...Remote workHourly payFor contractorsWork at officeLocal areaImmediate start2 days per week- ...Minnesota Department of Human Services is seeking an Appeals Specialist to support the Eligibility Appeals Unit in processing MHCP eligibility appeals. You will conduct intake, perform initial reviews, and coordinate information with multiple stakeholders to ensure accuracy...Remote work
- ...Banner Health is seeking a Grievance & Appeals Coordinator to manage the intake, review, investigation, and resolution of member grievances, appeals,... ...detailed documentation, and timely correspondence in a remote setting with Arizona residency required. The incumbent...Remote work
$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 to...Remote jobHourly payWork at office- Banner Health in Arizona seeks a Health Plans Grievance and Appeals Coordinator to manage intake, review, investigation, and resolution of member... ...attention to detail and regulatory compliance, primarily in a remote setting with AZ residency required. Responsibilities...Remote job
$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 UM, Appeals...Remote workHourly payFull timeContract workWork experience placementWork at office$18 - $21 per hour
...Intake Representative At Disability Law Group, we exist for one reason: to help people... ...professionals across intake, applications and appeals, records, case management, attorneys, and... ..., PTO, bonus plan, and opportunity for remote work. Key Responsibilities:...Remote workFull timeWork at officeFlexible hours$23 - $28 per hour
...the full lifecycle of member/provider appeals from intake and eligibility validation through analysis... ..., and collaborate with coding specialists, nurses, and physician reviewers to reach... ...2026. Workplace Type This is a fully remote position. About TEKsystems We're partners...Remote workContract workTemporary work- CVS Health is hiring for a full-time Intake Specialist in Ohio to review, research, and enter grievance and appeal cases within one business day. You will monitor multiple intake sources, prioritize requests, and manage diverse case types with varying turnaround times....Full time
- Intake Specialist/Sales Person - Lemon Law Firm (REMOTE)Position OverviewWe are a Los Angeles-based lemon law firm seeking an award-winning telemarketing/sales superstar! The ideal candidate have experience in a client-facing role with a proven background in closing leads...Remote work
- ...person's life. We're seeking a compassionate and engaging Intake Specialist to serve as the first point of contact for prospective... ...values and invests in employees The flexibility to work remotely or from one of our offices A fast-paced environment where...Remote workFull timeWork at officeMonday to Friday
- ...seeking a Denials Management Follow Up Representative for a fully remote, full-time position in the United States. You will coordinate... ...for institutional and professional claims, monitor appeals, and analyze performance data to drive improvements. Work closely...Remote workFull time
$31.2k - $37.44k
...Upstream Rehabilitation is looking for a Full Time Patient Intake Specialist to join our team! Patient Intake Specialist Location Type: Remote (Must Reside in the United States) Build Your Career with Us! Upstream Rehabilitation is the country’s largest...Remote workFull timePart timeReliefWork at office- ...Supporting the documentation and processing of appeals, the full-time Appeals Specialist II will manage appeals, disputes, and reconsiderations to ensure... ...with state and NCQA requirements while working remotely. Key responsibilities Perform data entry to track, log...Remote workFull timeVisa sponsorshipWork visa
$34.82k - $55.99k
...The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and... ...CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$48.32k - $82.39k
...for reviewing, investigating and tracking member grievances and appeals, and provider claims disputes. Responsible for coordinating as... ...paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be...Remote workHourly payFull timePart timeWork at officeFlexible hours$41.6k - $54.08k
...ongoing business needs. Impact you will make The Denials Appeals Specialist is responsible for analyzing, drafting, and submitting high-quality... ...in a productivity and quality metrics-driven environment Remote work experience in a structured environment Experience...Remote workPermanent employmentContract workFor contractorsWork experience placement$52k - $79.04k
...Appeals Specialist | Tyson & Mendes Are you a detail-oriented billing professional who enjoys solving problems, navigating complex billing... ...policies, please refer to the document provided here . No recruiters/agencies #li-remote Pay Range $25—$38 USD...Remote workHourly payFull timeWork at office- ...Leveraging expertise in claims adjudication and risk management, the full-time remote Appeals Specialist will guide clients through the appeals process, ensuring compliance and fair decisions while collaborating with internal teams and mentoring staff. Key responsibilities...Remote workFull timeContract work
$32.47k - $49.55k
...The CareIQ Intake Specialist provides administrative customer service assistance to claimants, providers, and claims management by receiving... ...computer systems simultaneously throughout the workday. This is a remote position and for continuity of business, candidate must live...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...Providing friendly and empathetic customer service, the remote Legal Intake Specialist will manage intake calls, schedule consultations, and screen leads to maximize client conversion rates. Key responsibilities Taking intake calls and contacting potential new clients...Remote work
$20 - $21 per hour
...Appeals Specialist Fully Remote • Allied Benefit Systems Overview Salary Range $20.00 - $21.00 Hourly Position Type Full Time Category Claims Description POSITION SUMMARY The Appeals Specialist will be responsible for the organization and completion...Remote workHourly payFull timeWork experience placementWork from home$25 - $30 per hour
...About the Role Intake Specialists are part of a devoted and exceptionally important team at The Advocates. It is a sales-focused teamwho speak on the phone with potential clientsto understand their needs, help them feel comfortable, position our firm as a solution...Remote workFor contractorsWork at officeFlexible hoursWeekday work- ...Job Title Appeals Specialist II - J00909 Address Austin, TX Job Description Review and process appeals in accordance with policies and procedures... ...and organizational standards. _Critical Information_ Remote Shift/hours: standard hours (to be confirmed) Verify with a Recruiter...Remote workFull timeShift work
- ...Intake Specialist Job Description At Washington Auto Law, we are dedicated to making a difference. Our mission is to provide exceptional... ...Firm Intake Specialist Location: Washington Auto Law | Fully Remote Position Reports To: Intake Manager Summary: The...Remote workFull timeWork at officeImmediate start
- CERiS, a division of CorVel Corporation, is seeking an Appeals Representative to handle provider inquiries and appeals via email, fax, telephone, or written correspondence. This is a remote role with strong emphasis on accuracy and timely processing in a compliant environment...Remote jobWork from home
$48k - $50k
...Float Health is seeking an Intake Specialist for a fully remote US-based role. You will manage new patient referrals, coordinate start-of-care visits, and liaise between pharmacies, nurses, and patients, ensuring timely staffing and smooth care delivery. The position...Remote work$1,400 - $2,500 per month
...Hiring REMOTE Legal Intake Specialist - Multiple positions immediately available. Compensation: $1400-$2500 USD Per Month! We help US businesses hire applicants from various countries for REMOTE job opportunities, and we have multiple open Legal Intake Specialist positions...Remote workImmediate start- ...Infusion Care, a division of AIS Healthcare, seeks an experienced Intake Coordinator. This full-time role provides patient access by... ...verifying insurance eligibility, benefits, and intake authorizations. Remote work from home is available, with an office option for those who...Remote jobFull timeWork at officeWork from home
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