Unemployment Appeals Specialist
Thomas & Company
Thomas & Company is seeking a Hearing Analyst in Nashville, TN. This role involves serving as a subject-matter expert in unemployment law and providing consultation to clients throughout the appeals process. The ideal candidate should have a college degree or equivalent experience, along with 2+ years in unemployment work. The position requires proficiency in MS Office Suite, strong analytical skills, and the ability to manage sensitive information confidentially. Join our dedicated team to help navigate clients through the unemployment process. #J-18808-Ljbffr
- CGS Administrators LLC is hiring an Appeals Specialist in Nashville, TN. The role involves performing non-medical reviews, processing redetermination letters, and preparing documentation for legal inquiries. Candidates should have a High School Diploma and 2 years of relevant...SuggestedRemote jobWork at office
$48.68k
...Executive Service APPEALS RESOLUTION SPECIALISTDivision of TennCareMember ServicesNashville, TNMinimum Annual Salary: $48,684TennCare... ...The Division of TennCare is seeking an Appeals Resolution Specialist for the Appeals Operations Group within Member Services. The...SuggestedWork experience placementWork at officeWork from home- ...Century Blvd Suite ST610 Nashville, TN 37214 and two days remote, this is a full-time role (40 hours/week) Monday-Friday.As an Appeals Specialist, you'll be at the forefront of patient advocacy, reviewing and managing redeterminations and first-level appeals with...SuggestedFull timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaRemote workMonday to Friday
- ...CGS Administrators is seeking an Appeals Specialist in Nashville, TN. This hybrid position involves reviewing non-medical redetermination letters, analyzing documentation, and ensuring timely healthcare decisions. The ideal candidate will have at least 2 years of related...SuggestedWork at office
- Join BlueCross BlueShield of South Carolina as an Appeals Specialist and engage in non-medical reviews and processing redetermination letters. This role offers flexibility with fully remote options and a supportive team environment. Candidates should have a High School...SuggestedRemote jobSecond jobWork at office
- BlueCross BlueShield of South Carolina is seeking an Appeals Specialist based in Nashville, TN, for a role that includes performing non-medical reviews and processing redetermination letters. This position offers the flexibility to work remotely, ensuring accurate documentation...Remote jobWork at office
- Internal Reference Number: R1050717 We are currently hiring for an Appeals Specialist to join BlueCross BlueShield of South Carolina. In this role, the candidate will perform non‑medical reviews and process redetermination letters. BlueCross BlueShield of South Carolina...Full timeContract workFor contractorsWork experience placementCurrently hiringWork at officeLocal areaRemote workShift work
- ...skills.Required Software and Tools: Microsoft Office.We Prefer That You Have the Following:Experience in medical claims processing, appeals, or coding strongly preferredMedicare Part B experience preferredStrong computer proficiency, with the ability to navigate multiple...Full timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaRemote workShift work
- Summary We are currently hiring for an Appeals Specialist to join BlueCross BlueShield of South Carolina. In this role as Appeals Specialist, you will be required to perform non‑medical reviews and process redetermination letters. Why Join Us BlueCross BlueShield of South...Full timeContract workFor contractorsWork experience placementSecond jobCurrently hiringWork at officeLocal areaRemote workShift work
- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions...Full timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
- BlueCross BlueShield is looking for a dedicated professional for an onsite position in Nashville, TN, with options for remote work. The role involves performing non-medical reviews and ensuring accuracy in documentation. You will support the health services division by ...Remote jobSecond jobWork at officeFlexible hours
- ...Follow Up Billing Representative in Goodlettsville, TN. This full-time, in-office role involves verifying claim statuses, processing appeals, and resolving billing issues. The ideal candidate will have over a year of billing follow-up experience and exceptional...Full timeWork at office
$46.99k - $122.4k
...detail oriented? Are you comfortable corresponding with provider offices on patient medication inquiries? We are looking for a member appeal coordinator. The candidate must be a highly trained, certified pharmacy technician that has multiple years of experience within...Hourly payFull timeTemporary workLocal area- ...Parking Enforcement Specialist Metropolis is an artificial intelligence company that uses computer vision technology to enable frictionless... ...enforcement activities, including citations issued, and appeals processed. Manage the parking enforcement database,...Casual workWork at officeLocal areaAfternoon shift
$18 - $23 per hour
...our support center and on jobsites. We combine old school skill sets with new technology and products, resulting in a durable and appealing repair all provided with a smile. Most repairs are simple and smaller than a dinner plate, yet our competition focuses on complete...Hourly payLocal areaFlexible hours- ...Healthcare Revenue Cycle Specialist Midtown Plaza (PLZ) - Nashville, TN 37203 Overview Position Type: Full Time Job Shift: Day... ...outstanding and/or denied insurance claims, submitting insurance appeals, and maintaining assigned insurance queues. Insurance...Full timeWork at officeShift work
- ...Overview Join to apply for the Specialist, Revenue Recovery role at Ovation Healthcare . Direct message the job poster from Ovation Healthcare... ...documentation and justification to support underpayment appeals and resolution efforts. Collaborate with Clinical Appeals...Full timeContract workWork experience placementRemote work
- ...A healthcare services provider is seeking a Specialist in Revenue Recovery to optimize hospital client revenues by analyzing claim denials... .... Responsibilities include investigating denials, preparing appeals, and working in a 100% remote setting. Candidates should have...Remote work
$46.99k - $122.4k
Phipps Pharmacy in Nashville, Tennessee is looking for a detail-oriented member appeal coordinator with at least 2 years of Certified Pharmacy Technician experience. The ideal candidate will engage with patients, assist them in navigating costs for medications, and coordinate...Full time$61.2k - $91.75k
Executive Service ACCOUNTABILITY & REPORTING PROGRAM SPECIALIST Tennessee Department of Education Assessment, Accountability, and Research... ...: Document Review: The AR team processes over 50,000 appeals annually to verify accountability data. This role will conduct...Local area$48k - $60k
Multimedia Specialist About Barn2Door is a high growth food+tech startup HQ in Nashville, TN. We offer an all-in-one solution to help Farmers... ...Passionate about graphic design and creating visually appealing marketing assets Excellent at organizing, planning, and communicating...Full timeWork at officeLocal area$24 per hour
Conservation Specialist ID: ATN1-010 Location: Nashville Program: ACE Wage/Hr: $24.00 Hours/Week: 24 Minimum Age: 55 Disclaimer:... ...implementation, and potential cancellations or terminations, Appeals and Equitable Relief. 20% Reviews and manages documentation required...Full timeContract workTemporary workPart timeNight shift- 260 CGS Administrators, LLC is seeking a RN Appeals Analyst to join their team. This fully remote role involves conducting thorough clinical reviews to determine medical necessity guidelines for appeals. Ideal candidates will have a nursing degree and relevant clinical...Remote jobWork at office
- Job Posting Title RN Appeals Analyst Medicare Part B - CGS Life insurance, paid holidays, tuition assistance, 401(k) Apr 08, 2026 Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you...Full timeFor contractorsCurrently hiringWork at officeLocal areaMonday to Friday
- A healthcare service provider in Tennessee is seeking an Appeals Analyst to manage and document complex appeal requests. This full-time role requires a valid RN license, significant clinical experience, and proficiency in Microsoft Office. You will research appeals and...Full timeWork at officeWork from home
- ...AR Specialist Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on diagnosing... ...clerical procedures, accustomed to using mostly payer websites for appeals/reconsiderations, medical records attachments, verification of...Work at office
- BlueCross BlueShield of South Carolina is seeking an Appeals Analyst. This role requires researching complex appeal requests, conducting clinical reviews, and ensuring compliance with medical necessity guidelines. Candidates should have an Associate's degree, nursing license...Full timeWork from homeMonday to Friday
- Summary We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as a RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal...Full timeFor contractorsWork experience placementCurrently hiringWork at officeLocal areaRemote workMonday to Friday
- BlueCross BlueShield of South Carolina is seeking a RN Appeals Analyst to join their team in a fully remote role. The analyst will handle complex appeal requests, ensuring compliance with medical necessity guidelines. This full-time position requires an Associate's degree...Remote jobFull time
- The Revenue Cycle Specialist II is responsible for analyzing and optimizing the financial processes within a healthcare organization, including... ...and determine next appropriate action Submit carrier appeals and reconsideration requests in a timely manner based on SOPs...Work at office
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