Senior Appeals Specialist, Health Claims & Operations
Triwill Group
Judi Health in Charlotte, NC is seeking a Senior Coordinator, Appeals to join our TPA team. You will monitor and escalate appeals, support claims adjudication, and help ensure timely, compliant resolutions for providers, patients, and plans. The role emphasizes cross-functional collaboration with product and client teams, adherence to NSA guidelines, and development of training materials to improve processes and service levels. #J-18808-Ljbffr Triwill Group
- Judi Health in Charlotte, NC is seeking a Senior Coordinator, Appeals to monitor, handle and escalate disputes within our TPA team. You will support daily operations of the TPA, including appeals, root cause analysis... ...has 3+ years in claims adjudication or appeals,...OperationsSeniorClaims
$22.69 - $28.37 per hour
About Judi Health Judi Health is a health technology company... ...the industry's first Unified Claims Processing™ architecture,... ...clients achieve unprecedented operational efficiency and service... ...Judi Health TPA team as a Senior Coordinator, Appeals, where you will play a pivotal...OperationsSeniorClaimsWork at officeLocal areaImmediate startFlexible hoursShift work- Judi Health is seeking a Senior Coordinator, Appeals, in Charlotte, NC. You will monitor, handle and escalate appeals, supporting the TPA team with daily operations including NSA/IDR, root cause analysis, and policy development to improve efficiency. You will collaborate...OperationsSenior
$101.61k - $135.64k
...of our continued success.OverviewThe Senior Project Controls Specialist is responsible for providing... ...feasibility studies.Interacts with Operations and represents the Company in the best... ...Manager)Support the development of claims including back charges against subcontractors...OperationsSeniorClaimsContract workFor subcontractorWork at office- ...Admin 2025-11-28T16:55:46-05:00 Senior Medical Billing Specialist- Belmont, NC Compleat Kidz - Belmont... ..., denials, reconsiderations, and appeals until all claims are fully adjudicated. Duties... ...Regularly meet with the VP of Revenue Operations to discuss and resolve...OperationsSeniorClaimsContract workWork at office
- ...or strategic company initiatives. The Senior Sourcing Specialist will lead the assessment of the... ...the business unit partner to a between operations and economic thinking to drive optimal... ...award supplier activities, settlements, claims or disputes. Performs purchase order...OperationsSeniorClaimsOngoing contractFull timeContract workTemporary workWork experience placementRemote workVisa sponsorshipRelocation package
$22.69 - $28.37 per hour
...Carolina, United States Judi Health is a health technology... ...the industry's first Unified Claims Processing™ architecture, seamlessly... ...achieve unprecedented operational efficiency and service... ...Judi Health TPA team as a Senior Coordinator, Appeals, where you will play a pivotal...OperationsSeniorClaimsContract workFor contractorsFor subcontractorWork at officeLocal areaImmediate startShift work$128k - $252.5k
...healthcare ecosystem. As an Actuarial Senior Consultant, you will apply... ...spanning the entire health care landscape and product types... ...on the Insights, Innovation & Operate team, you will provide strategic... ...network changes, or other detailed claims analytics Review Medicare...OperationsSeniorClaimsWork at officeLocal areaVisa sponsorship- ...transportation guidelines.Report loss and damage claims and generate comprehensive reports on... ...unique situations, ensuring seamless operations.Provide consulting and assistance to... ...daily flights across our global network.Health Benefits: On day one, you’ll have access...OperationsSeniorClaimsContract workFlexible hours
$135k - $146k
...About Judi Health Judi Health is an enterprise health technology company providing a comprehensive... ...Platform (EHP), which consolidates all claim administration-related workflows in one... ..., client services, clinical operations) to design, refine, automate, and maintain...OperationsSeniorClaimsLocal areaFlexible hoursShift work- Compleat Kidz in Belmont, NC seeks a Senior Medical Billing Specialist with 3-5 years' experience to join... ...filing, follow-up, denials handling, and appeals. Ideal candidates have NC Medicaid,... ...Part A & B, private insurance claims experience, familiarity with NCTracks...SeniorClaims
$98k - $122.5k
About Judi Health Judi Health is a health technology company providing... ...the industry's first Unified Claims Processing architecture,... ...clients achieve unprecedented operational efficiency and service levels... ...area) Position Summary: The Senior Analyst, Risk Management (...OperationsSeniorClaimsLocal areaFlexible hours- ...against chronic diseases. Our client operates a pioneering disease management platform,... ...making a meaningful difference in their health journey. As a Data Scientist, you will... ...experience handling healthcare data, including claims, prior authorizations, and electronic...OperationsSeniorClaims
$95.2k - $169k
About Judi Health Judi Health is a health technology company providing... ...the industry's first Unified Claims Processing architecture,... ...clients achieve unprecedented operational efficiency and service levels... ...visit Position Summary The Senior Manager, Client Experience &...OperationsSeniorClaimsContract workLocal areaRemote workFlexible hours- ...Compleat KiDZ / Kare Partners is seeking an experienced Senior Medical Billing Specialist to join our growing team in Belmont, NC. If you... ...will support the billing team by managing claims, follow-up, denials, appeals, and insurance reimbursement to ensure timely and...SeniorClaimsTemporary workWork at office
- ...exciting opportunity as a Senior Specialist, Claims. This will be a Hybrid role... ...and report to the Director, Health, Safety & Environment. Do not... ...objections and appeals, supporting accommodation and... ...balances employee well-being with operational and financial objectives. This...SeniorClaims
$35 - $40 per hour
...Role summary / purpose The Senior Sourcing Specialist will lead the assessment of opportunities, internal... ...supplier activities, settlements, claims, or disputes, and maintaining... ...knowledge of electric utility plant operations Previous strategic sourcing and contracting...OperationsSeniorClaimsContract workWork experience placementRemote workNight shift- Compleat KiDZ in Belmont, NC is seeking a Senior Medical Billing Specialist to join our on-site team. You will manage claims, follow-up, denials, and appeals to ensure timely reimbursement. Requirements include 3-5+ years in medical billing, NC Medicaid/NCTracks familiarity...SeniorClaims
- ...Charlotte Area at Carowinds. Responsibilities Manage staff and daily operations for the entire Safety Department. Manage team member job... ...Assist the Safety Manager with managing worker’s compensation claims and internal safety investigations. Make our guests happy by...OperationsSeniorClaimsLocal areaNight shiftAfternoon shiftWeekday work
$90.6k - $124.5k
...center. Access to on-site day care (operated by Bright Horizons) and company store... ...make history here…The Environmental Health & Safety Specialist is responsible for Environmental, Health... ....• Supports Workers' Compensation claims management. Conducts claims investigations...OperationsSeniorClaimsFull timeTemporary workFor contractorsLocal areaImmediate start- Tryon Med is seeking a Revenue Cycle Account Reimbursement Specialist II to support the RCM team in Charlotte, NC. The role focuses on accurate... ...for office and hospital procedures, with duties spanning claim processing, eligibility checks, and payer communications. The position...SeniorClaimsWork at officeMonday to Friday
- ...Senior Vice President, Head of Claims Intake About the Company Insurance claims operations leader focused on efficient intake, reporting, and client relations. Industry Insurance Type Privately Held About the Role The Company is seeking an SVP,...OperationsSeniorClaims
- ...award supplier activities, settlements, claims or disputes. Performs purchase order and... ...Required/Basic Qualifications (Sourcing Specialist)Bachelor's degree AND two (2) years related... .../Basic Qualifications (Senior Sourcing Specialist)Bachelor's Degree AND...SeniorClaimsOngoing contractFull timeContract workTemporary workWork experience placementWork at officeRemote workVisa sponsorshipRelocation package3 days per week
- Job descriptionThe Sustain Engineer is responsible for BAU operations and L2L3 sustain support of the Customer Customer Marketing Data Layer... ...preferredMust HaveBAU monitoring of data pipelines and marts health checks batch job monitoring SLA trackingIncident triage and...OperationsSeniorPermanent employmentShift work
- ...including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts... ...factors. Exercises judgment within defined standard operating procedures to determine appropriate action....OperationsClaimsWork at officeShift work
- ...Senior Sourcing SpecialistRequired Education: High School Diploma Required Qualifications: Prior experience working closely with external... ...are key to business initiatives aimed at successful operations of the bank and to accomplish broad, long-term strategic objectives...OperationsSeniorContract work
$95.86k - $208.27k
...in Advisory.KPMG is currently seeking a Senior Specialist, IAM, SailPoint to join our Managed... ...maintain client knowledge articles, Standard Operating Procedure (SOPs), and scripts to... ...-being benefits to support your mental health. Depending on job classification, standard...OperationsSeniorH1bLocal areaNight shiftWeekend work- ...Airswift is looking for a Sourcing Specialist to support one of our clients... ...engagement and procurement operations. This company operates in a... ..., including settlements, claims, disputes, invoice mismatches... ...including engagement with middle and senior supplier management....OperationsClaimsContract workFor contractors
- A medical office in Charlotte, NC is seeking an experienced Account Reimbursement Specialist II to manage complex claim follow-ups and ensure maximum payor reimbursement. The ideal candidate will have over 3 years of experience in a healthcare setting and a thorough understanding...SeniorClaimsFull timeWork at officeMonday to Friday
- We are seeking a highly capable Senior Protective Intelligence Specialist to support the protection of senior Vanguard executives globally. This role... ...intersection of intelligence tradecraft and protective operations and is ideal for an analyst who writes quickly, thinks...OperationsSeniorFull timeImmediate startWorldwideWeekend workAfternoon shiftEarly shift
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