Appeals Reviewer
VirtualVocations
Working remotely on a contract basis, the Appeals Reviewer will analyze and research medical grievances and appeals for final resolution while maintaining knowledge of multiple systems and ensuring compliance with relevant standards. Key responsibilities Perform analysis and research of medical grievance and appeal requests, ensuring compliance with State, Federal, and URAC standards Review medical records to determine if they meet the required supporting information for appeals Monitor appeals and grievances, identifying trends or patterns and reporting findings to management Required qualifications High School Diploma or equivalent required 1+ year of claims processing, appeals review, or grievances review experience required Experience operating computer software without supervision is essential Knowledge of contract benefits is preferred
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Appeals Reviewer in Wichita, KS vacancy
- Description & Requirements Maximus is currently seeking a Records & Document Control Specialist for a bid opportunity. This program supports the Health Resources and Services Administration (HRSA) in overseeing the national organ transplant system through the Organ...SuggestedMinimum wageFull timeContract workTemporary workWork experience placementRemote work
Maximus
Wichita, KS1 day ago - Seeking a part-time Regional AAC Content Reviewer for Vietnamese, this remote role will evaluate, refine, and culturally adapt Augmentative and Alternative Communication (AAC) content to ensure it meets the linguistic and cultural needs of the target community. Key responsibilities...SuggestedLocal areaRemote work
$30k
...executing various supplier quality engineering related activities such as Compliance, Process, and Product Audits, MRB, FAI Witnessing, Review and Sign off, Problem Solving, Corrective and Preventive Actions, Supplier Performance Reporting and other Quality Improvement...SuggestedHourly payDaily paidFull timeWork experience placementWork at officeImmediate startWorldwideLong distanceMonday to Friday$20 per hour
...unpaid claims within standard billing cycle timeframe. Preparing, reviewing, and transmitting claims using billing software, including... ...accounts for insurance of patient follow-up. Researching and appealing denied claims. Answering all patient or insurance telephone inquiries...SuggestedFull timeContract workTemporary workWork at officeImmediate startMonday to FridayTheraPlay Spot LLC
Wichita, KS3 days ago- Protects company assets from internal and external theft. Observes and reports potential safety and security hazards. For additional information about pay ranges, click here. We offer a comprehensive package of benefits including paid time off, health benefits (medical/...SuggestedTemporary work
Costco
Wichita, KSmore than 2 months ago - NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1 million people and is hiring nationwide. There is NO experience required, ...Full time
- NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1 million people and is hiring nationwide. There is NO experience required, ...Full time
- ...such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing. Appeal Claims: Analyze denied claims, identify reasons for denials, and prepare and submit appeals to insurance payers for reconsideration...Temporary workWork at officeRemote workWork visaFlexible hours
MedHQ
Wichita, KS3 days ago - Position Summary: Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Assist the department manager in reaching sales and profit goals est
- ...about. Inform customers of Drug GM specials. Recommend Drug GM items to customers to ensure they get the products they want and need. Review "sell by" dates and take appropriate action. Label, stock and inventory department merchandise. Report product ordering/shipping...Full timePart timeSeasonal workFlexible hours
Dillons
Wichita, KS5 hours ago - Location 1124 W 21ST STREET,Andover, KS, 67002-5500,United States Job Category Supply, Storeroom Required Degree High school Description Kansas Medical Center (KMC) is adding a Clerk to the team! Previous experience in a hospital or other healthcare setting is required...Full timeMonday to Friday
City of Lincoln
Andover, KS16 hours ago - ...about. Inform customers of Drug GM specials. Recommend Drug GM items to customers to ensure they get the products they want and need. Review "sell by" dates and take appropriate action. Label, stock and inventory department merchandise. Report product ordering/shipping...Full timePart timeSeasonal workFlexible hours
Kroger
Derby, KS16 hours ago - AP Clerk Hospitality Management Corporation is a Dallas based privately held provider of management solutions and hospitality industry services, each customized to fit our clients’ unique needs. HMC’s core value and mission is to provide our clients with the finest management...
HMC Hospitality Group
Wichita, KS3 days ago - Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Embrace the Customer 1st strategy and encourage associates to deliver excellent custom
Kroger
Wichita, KS16 hours ago $20.37 per hour
Light Assembly Repair Clerk - 2nd Shift Location: Wichita Job area: Terminal/Warehouse/Transport Compensation: $20.37 an hour with .75 cent 2nd shift differential Schedule: Monday-Friday 1pm-9:30pm Role Summary: As a Customer Service Employee, you will play...Hourly payLocal areaMonday to FridayAfternoon shiftDSV
Wichita, KS3 days ago$750 per week
ApexFocusGroup collaborates with research firms, universities, and trusted brands to gather genuine consumer insights. We help connect everyday people with flexible remote market research opportunities that influence real products, services, and customer experiences. Role...Casual workRemote workFlexible hoursAFG
Derby, KS5 hours ago- Benefits: 401(k) matching Bonus based on performance Company parties Competitive salary Employee discounts Flexible schedule Free food & snacks Opportunity for advancement Paid time off Training & development Our Company & Culture: Hi...Part timeFlexible hoursDay shift
Kid-to-Kid Wichita
Wichita, KS4 days ago - Tutera Senior Living & Health Care - - Responsibilities: Maintain resident medical records in accordance with State and Federal regulations; Ensure accuracy of medical resident records from pre-admission to post discharge; Maintain compliance with LTC/SNF/AL/MC regulations...
- The Kroger Company - 3707 North Woodlawn Boulevard - Responsibilities: Create an environment that enables customers to feel welcome, important and appreciated by answering questions regarding products sold within the department and throughout the store; Gain and maintain...Local area
The Kroger Company
Wichita, KS3 days ago - ...medical cards, certificates, and motor vehicle records. - Monitor driver logs and violations through onboard computer systems. - Review and process DriveCam events for coaching documentation. - Run daily transportation and operations reports. - Process inbound...Work at officeImmediate startMonday to Friday
Ambassador Personnel, Inc. [Bainbridge, GA]
Wichita, KS7 days ago - Hours: Monday - Friday 8:00am - 5:00pm Position Purpose: The Oral Surgery Billing Specialist is responsible for managing the billing and reimbursement process for oral surgery procedures. This may include verifying insurance coverage, coding claims accurately, submitting...Monday to Friday
Oral Surgery Partners
Wichita, KS1 day ago - ...card reconciliations, and client invoicing Resolve hotel/client issues and exceptions Maintain necessary electronic files and records Review and research hotel statements for accuracy and reconciliation in a timely manner Make and/or handle phone calls regarding billing...Work at officeLocal area
Corpay
Wichita, KS1 day ago - Job Description Medical Records Clerk Are you a Medical Records Clerk seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! ...Flexible hours
Tutera Senior Living & Health Care
Wichita, KS16 hours ago - RCB Bank Job Opportunity RCB Bank has been a responsible employer since 1936, standing firm on moral and ethical principles as a bank and as an inclusive employer while fulfilling our commitment to excellence. Operating with values such as integrity, respect, sincerity...Work at officeFlexible hoursShift work
RCB Bank
Wichita, KS4 days ago - The Teller is responsible for accurately processing financial transactions and being an effective source of information for our customers: in lobby, drive‑thru window or by telephone. Provides friendly, professional, confidential and effective assistance to customers and...Work at officeMonday to FridayFlexible hoursDay shift
Oxford Management Group
Wichita, KS3 days ago - ...Protected Veterans/Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr...Contract workWork at officeLocal areaFlexible hours
INTRUST Bank
Wichita, KS16 hours ago - Teller Heartland Credit Union is growing and we are looking for three Tellers and one Traveling Teller to work at our brand new Wichita branch that is located at 21st & Rock Rd, opening in August! If you are a positive, friendly, and motivated individual who enjoys ...Local areaAfternoon shift
Heartland Credit Union (Kansas)
Wichita, KS3 days ago $15.5 per hour
...Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Hourly payFull timeWork at officeLocal areaINTRUST Bank
Wichita, KS16 hours ago- Job Title This is not a remote position. Role Use knowledge of credit union products and services to assess members' needs and assist with their financial transactions while minimizing risk related to negotiable instruments, documents of identification, transaction...Part timeWork at office
Credit Union of America
Wichita, KS3 days ago - Billing Clerk The Billing Clerk will be responsible for invoicing clients in an accurate and timely manner, ensuring they are billed by the terms set forth in the contract associated with the project. The role involves frequent interaction with both internal and external...Contract workCasual workWork at office
Professional Engineering Consultants
Wichita, KS2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals Reviewer. Be the first to apply!
