Remote Appeals Specialist II - Healthcare & CMS
CorVel Corporation
Fort Worth, TX
- Remote job
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 the appeals process. The ideal candidate will have knowledge of Medicare, Medicaid, and excellent communication skills. A comprehensive benefits package is available for full-time employees, including medical and retirement plans. #J-18808-Ljbffr CorVel Corporation
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Appeals Specialist II - Healthcare & CMS in Fort Worth, TX vacancy
$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles... ...and Medicaid Services (CMS), California Department of... ...weekends, holidays, a hybrid remote schedule, occasional... ...Claims, Medicare, Medicaid, Healthcare, Insurance #J-18808-Ljbffr...Remote workCmsFull timeLocal areaShift workWeekend work$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... ...frequent interruptions Remote Work Requirements...Remote workMed Review Inc
United States23 hours ago- ...Apply Refer a Friend Back Remote Work from Home Share This Page... ...and central services for payer audit and appeals processes. Requirements: Bachelor... ...degree preferred, preferably in business or healthcare Coding certification (CPC, CCS, CCS-P...Remote workCmsFull timeLocal areaWork from homeDay shift
Johns Hopkins Medicine
Saint Petersburg, FL23 hours ago - ...Insight Hospital Coding Specialist At Insight Hospital... ...to provide quality healthcare while achieving health... ...Medicare/Medicaid Services (CMS) ICD-CM Official... ...claims denials and/or appeals as directed. Consistently... ...(working remotely), must be able to comply...Remote workCmsTemporary workLocal areaImmediate startFlexible hours
INSIGHT HEALTH SYSTEMS, INC.
Chicago, IL2 days ago $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... ...knowledge Strong understanding of CMS regulations, Medicare MMP regulations and...Remote workCmsHourly payFull timeContract workWork experience placementWork at office- Revenue Cycle Specialist II (Physician Billing) Job Description Align yourself... ...effectively bill, submit appeals and collect monies relative... ...regulations for Commercial Ins, CMS or Medi-Cal Professional and... ...Los Angeles, CA, 90048, US (Remote) #J-18808-Ljbffr Cedars-...Remote workCms
- ...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 specialized...Remote workFull timeContract workWork experience placementWork at officeLocal area1 day per week
Blue Cross Blue Shield of Arizona
United States23 hours ago - A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints... ..., and excellent analytical and communication skills. Remote work options are available along with competitive...Remote job
- ...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
- ...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
- ...their first touchpoint with the healthcare system—driving over $300B in... ...for an experienced Denial & Appeal Specialist to own denial management end-... ...files and CARC/RARC codes CMS-1500 and/or UB-04 billing experience... ...-10-CM, CPT, and HCPCS Level II coding Ability to identify...CmsWork at office
$75 - $100 per hour
...assigned projects, the Project Specialist II provides support to the... ...with large projects within the healthcare industry preferred. ~Familiarity... ...ACHE, ASHE, TJC, CDPH, HCAi, CMS, and AAMI preferred. ~... ...~Flex-time schedules ~Remote work options ~401k plan...Remote workCmsHourly payTemporary workFlexible hoursCannonDesign
Remote3 days ago- ...Certified Coding Specialist What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in... ...UTHealth Houston Ob/Gyn Revenue Cycle - Remote (following in person training) Position...Remote workCmsFull timeFor contractorsWork at office
- ...Appeals and Grievance Specialist II (Managed Care) Irving, TX | 12-Week Contract Location: Irving, TX Job... ...Grievance Specialist II to join our healthcare team in Irving, TX. This role is ideal... ...with Medicare-covered benefits, CMS, and TRICARE regulations. Experience...CmsContract workShift work
- ...To support orthopedic services, the full-time Denial Management Specialist will manage denial appeals, analyze claims data, and collaborate with healthcare teams in a remote setting. Key responsibilities Supporting orthopedic revenue cycle and denial management operations...Remote workCmsFull time
Virtual Vocations Inc
United States1 day ago - ...Coding Reimbursement Specialist II Job Summary: The Coding Reimbursement Specialist II performs various duties to accurately interpret... ...into the Billing system. (This is a full-time hybrid or remote position that will support the RCM team, Monday to Friday 8 am...Remote workCmsFull timeMonday to Friday
Tryon Medical Partners
Charlotte, NC3 days ago $18.8 - $30.34 per hour
...The Appeals Representative is responsible for addressing... ...standards along with CMS and state guidelines as... ...instructions. This is a remote role. ESSENTIAL... ...equivalent ~3+ years of healthcare revenue cycle... ...For leveled roles (I, II, III, Senior, Lead, etc...Remote workCmsHourly payMinimum wageFull timeContract workLocal areaFlexible hoursCorVel
United States3 days ago- ...Job Description Join TriHealth as a Coding Specialist II! At TriHealth , our Medical Coding Specialists play a key role in supporting accurate, compliant, and high-quality patient care. In this position, you'll review provider documentation, assign correct ICD...Remote workCmsFull timeWork from homeDay shift
TriHealth
United States3 days ago $19 per hour
...Healthcare Customer Service Specialist II (SCA) In October 2025, Machinify acquired Performant... ...accurate and timely responses to CMS (Medicare) and provider... ...protocols and their appeal rights. Establish appropriate... ...in a hybrid or fully remote setting, access to reliable...Remote workCmsHourly payContract workFor contractorsWork at officeWork from homeHome officeShift workPerformant Healthcare, Inc.
Goodfellow Air Force Base, TX6 days ago$20.08 - $30.06 per hour
...The Appeals Representative is responsible for reviewing... ...standards, along with CMS and state guidelines. This... ...years of experience in healthcare, insurance, claim... ...software systems and work remotely with self-management skills... ...For leveled roles (I, II, III, Senior, Lead, etc...Remote workCmsHourly payMinimum wageFull timeLocal areaFlexible hoursCERIS Health
Fort Worth, TX19 days ago- ...A leading healthcare organization is seeking a Medical Records Coder II to work remotely. This full-time position involves coding medical records using ICD-10-CM, CPT-4, and mentoring junior coders. Ideal candidates will have at least 2 years of experience and preferably...Remote workCmsFull time
BayCare Health System
New York, NY2 days ago - ...Expedited Appeals Specialist Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs,... ...pending reports and personal worklists, ensuring adherence to CMS, NCQA, DOH, NYS, Connecticut and Massachusetts regulatory requirements...Remote workCmsHourly payContract workWeekend work
EmblemHealth
United States4 days ago - ...A leading healthcare organization in Durham is seeking a Medical Records Coder II. This role requires certified coding and responsibilities include coordinating the work of others and ensuring accuracy in coding medical records using ICD-10-CM and CPT-4 systems. Candidates...Cms
Duke PF
Durham, NC4 days ago - ...Outpatient Coding Specialist II (Remote) A Brief Overview: Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following...Remote jobCmsFull timeWork experience placementWork at officeShift work
- ...IDR Filing Specialist Clearest Health is building the... ...platform in healthcare. We help out-of-network... ...billing, payer disputes, appeals, collections, or revenue... ...work independently in a remote, fast-paced startup environment... ...Experience with CMS IDR portals, payer...Remote workCms
- ...Practice Coding Specialist II Radiation Oncology Penn Medicine is dedicated to our tripartite mission of providing the highest level of... ...of the University of Pennsylvania- 3400 Spruce St Hours: Fully remote, flexible hours between 7:30am - 5pm Summary: This...Remote workCmsFlexible hours
- Verda Healthcare, Inc. in Huntington Beach, CA is seeking a Grievance & Appeal Analyst to respond to member and provider grievances, appeals, and disputes in accordance with CMS guidelines and internal policies. This role sits within our Call Center and collaborates with...Cms
- ...Reimbursement Coordinator II Since 1983,... ..., nurses and specialists throughout Johns Hopkins... ...; 8am-4:30pm Remote- Must have the... ...Familiarity with healthcare billing systems and... ...e.g., LOAs, EOBs, CMS-1500 forms) for billing... .... Initiates appeals, resubmissions, or...Remote workCmsLocal areaMonday to FridayFlexible hoursDay shift
- Molina Healthcare is looking for a professional to provide support for claims activities, including... ...member and provider complaints per CMS standards. The ideal candidate will have... ...skills. You will be responsible for managing appeals and grievances, preparing documentation,...Cms
- ...department, the full-time Certified Medical Coder II will accurately assign ICD-10-CM, HCPCS,... ...compliance with regulations, all in a remote work environment. Key responsibilities... ...regulations Provides coding guidance to healthcare staff and collaborates with auditors to...Remote workCmsFull time
Virtual Vocations Inc
United States2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Appeals Specialist II - Healthcare & CMS. Be the first to apply!
Related searches
- order management specialist Fort Worth, TX
- measurement specialist Fort Worth, TX
- facility management specialist Fort Worth, TX
- human factors specialist Fort Worth, TX
- leasing specialist Fort Worth, TX
- order specialist Fort Worth, TX
- funding specialist Fort Worth, TX
- assessment specialist Fort Worth, TX
- systems integration specialist Fort Worth, TX
- housing specialist Fort Worth, TX