Remote Appeals Specialist II - Healthcare & CMS
CorVel
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
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
...days) to receive an alert: Appeals and Grievances Specialist II Job Category: Customer... ...Medicare and Medicaid Services (CMS), California Department of... ..., holidays, a hybrid remote schedule, occasional flexibility... ..., Medicare, Medicaid, Healthcare, Insurance #J-18808-Ljbffr...Remote workCmsFull timeLocal areaShift workWeekend workL.A. Care Health Plan
Lancaster, CA6 hours 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... ...knowledge Strong understanding of CMS regulations, Medicare MMP regulations and...Remote workCmsHourly payFull timeContract workWork experience placementWork at officeMolina Healthcare
Phoenix, AZ4 days ago$50k - $55k
...Appeals Coordinator Level II At MedReview, our mission is to bring accuracy,... ...and clinical excellence to healthcare. As such, we are a leading... ...the department. The Appeals Specialist level II performs research... ...interruptions Remote Work Requirements: High...Remote work- ...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 - ...Truman Medical Centers is looking for a Professional Coder II to work remotely. The role involves accurately coding professional services based on medical documentation, adhering to AMA/CMS guidelines. Ideal candidates must possess a high school diploma, relevant coding...Remote workCms
Truman Medical Centers
New York, NY1 day ago $88.85k
...Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Location: Los Angeles, CA, US, 90017 Position... ...of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workCmsFull timeShift workWeekend workL.A. Care Health Plan
Los Angeles, CA4 days 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
- ...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
Blue Cross Blue Shield of Arizona
Phoenix, AZ2 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
Texas Medical Center
Houston, TX12 days ago - ...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
- ...what sets us apart as a leader in the healthcare industry. As an integral part of our team... ...? Job Description The Coding Specialist II reflects the mission, vision, and values... ...drafting letters in order to coordinate appeals. * Acts as key point person for Revenue...Remote workWork at officeLocal areaRelocation package
- ...this role you will effectively bill, submit appeals and collect monies relative to physician... ...and goals of the department. *Approved remote states: Arizona, California, Colorado,... ...interpret regulations for commercial ins, CMS or Medi-Cal. Professional and courteous demeanor...Remote workCms
- Facilitating the resolution of member and provider complaints, the full-time Appeals and Grievances Specialist will manage claims activities, ensuring compliance with CMS standards while working in a remote environment. Key responsibilities Conduct comprehensive research and...Remote workCmsWork at office
- ...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 - ...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 workCms
$70k - $95k
...seeking an ITSM Configuration Management II, either remote or local to Richmond, VA, to define,... ...mature ITIL‑based Configuration Management (CMS, CMDB, and CSDM) lifecycles within... ...CSDM) • ITIL v3 or v4 certification • Healthcare IT or other highly regulated...Remote workCmsLocal areaInsight Global
Richmond, VA4 days ago- Guardant Health is looking for a Reimbursement Specialist II to ensure financial success by... ...various teams to manage complex claims, appeal denials, and maintain accurate documentation. This role requires strong healthcare reimbursement experience, excellent communication...Remote job
- ...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 $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, TX9 days ago- ...A prominent healthcare institution in California is seeking an experienced Coder II for a remote position. The role involves assigning ICD-10-CM and CPT codes for patient services. Candidates must have a CPC certification and familiarity with multi-specialty surgical...Remote workCms
Cedars-Sinai
Los Angeles, CA4 days ago $70k - $95k
...seeking an ITSM Configuration Management II, either remote or local to Richmond, VA, to define,... ...mature ITILbased Configuration Management (CMS, CMDB, and CSDM) lifecycles within... ...CSDM) • ITIL v3 or v4 certification • Healthcare IT or other highly regulated...Remote workCmsLocal areaInsight Global
United States3 days ago$24 - $25 per hour
...currently looking to add a Revenue Cycle Appeals & Recovery Specialist to join our fast-paced and energetic... ...apply today! This role is full time, remote with a base rate of $24 to $25 per hour... ...HCPCS coding concepts Knowledge of CMS regulations and payer compliance...Remote workCmsHourly payFull timeLive inShift workAmerican Vascular
Jacksonville, FL17 hours ago$19 per hour
...Machinify is a leading healthcare intelligence company... ...Healthcare Customer Service Specialist II (SCA)** you will work... ...timely responses to CMS (Medicare) and... ...process protocols and their appeal rights.* Establish appropriate... ...in a hybrid or fully remote setting, access to...Remote workCmsHourly payContract workFor contractorsWork at officeWork from homeHome officeShift workPerformant
San Angelo, TX6 hours ago$18.8 - $30.34 per hour
...Appeals Representative II The Appeals Representative is responsible for addressing... ...standards along with CMS and state guidelines as well... ...client instructions. This is a remote role. Essential... ...equivalent ~3+ years of healthcare revenue cycle experience (collections...Remote workCmsHourly payMinimum wageFull timeContract workLocal areaFlexible hours- Appeals AND Grievance Registered Nurse Ii‑Clinical Appeals‑Tlra job at Christus Health. Houston, TX. DescriptionSummary: Responsible... ...or law, federal regulations, and relevant CMS policies Communicates with members of the healthcare team identifying root causes for potential...CmsFull timeFor contractors
- Position Title: Neuro Interventional Radiology Professional Coding Specialist II Department: Revenue Integrity Remote: 100% remote, work from home, eligible only for candidates in Arkansas, Kansas, Missouri, Oklahoma, or Texas. Job Overview Independent coding of complex...Remote workCmsWork at office
- Orthopedic Professional Coding Specialist II - Revenue Integrity Position Title: Orthopedic Professional Coding Specialist II Department:... ...specialties so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work...Remote workCmsFull timeWork from homeFlexible hours
- ...a Friend Back Remote Work from Home Share... ...The Revenue Integrity Specialist plays an important... ...local payer audit and appeals and collaborates with... ...regulatory standards (i.e. CMS, AHCA, etc.)... ...preferably in business or healthcare Knowledge, Skills,...Remote workCmsFull timeWork experience placementLocal areaWork from homeDay shift
Johns Hopkins Medicine
Baltimore, MD4 days ago - ...are seeking a highly skilled Appeals Processor III (APP III) to join our dedicated team in a remote capacity. The Appeals Processor... ...reviewing, analyzing, and processing healthcare appeals related to Medicaid or... ...federal/state regulations, CMS guidelines, and contract...Remote workCmsContract work
Ghost RX
New York, NY2 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
- esports specialist Fort Worth, TX
- delivery assurance specialist Fort Worth, TX
- instructional technology specialist Fort Worth, TX
- hospitality specialist Fort Worth, TX
- ecommerce specialist Fort Worth, TX
- community outreach specialist Fort Worth, TX
- chargeback specialist Fort Worth, TX
- policy specialist Fort Worth, TX
- qc specialist Fort Worth, TX
- utility specialist Fort Worth, TX