Remote Medicare Appeals Specialist
St. George Tanaq Corporation
A federal services contractor in the U.S. is seeking a Medicare Appeals Professional to support clients in the healthcare sector. This remote position requires expertise in medical dispute resolution and Medicare regulations, alongside excellent analytical and communication skills. Responsibilities include reviewing medical records, making impartial decisions, and staying updated on healthcare policies. Qualified candidates should have three years of relevant experience and an associate's degree or equivalent in a related field. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Medicare Appeals Specialist in New York, NY vacancy
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention to...Remote workHourly payWork at officeMolina Healthcare
Phoenix, AZ2 days ago- ...A healthcare company is seeking a skilled Appeals Processor III to work remotely in the United States. This role involves reviewing and processing healthcare appeals related to Medicaid or Medicare coverage decisions. The ideal candidate will have at least 2 years of experience...Remote work
Ghost RX
New York, NY3 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 Candidates Will Have The Following Experience Strong understanding of UM, Appeals...Remote workHourly payFull timeContract workWork experience placementWork at officeMolina Healthcare
Phoenix, AZ18 hours ago- ...your trusted partner in innovation. The Redetermination (Appeals) Specialist supports the Medicare Appeals team by performing non-medical reviews,... ...information. Strong spelling, grammar, and punctuation skills. Remote, work from home M-F, 40 hours a week 401(k) & matching...Remote workFor contractorsWork experience placementWork at officeWork from home
Broadway Ventures LLC
New York, NY3 days ago $60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017... ...complaints in compliance with Centers for Medicare and Medicaid Services (CMS),... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workFull timeLocal areaShift workWeekend work$14.9 - $29.06 per hour
...representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities Enters denials and requests for appeals into information system and prepares documentation for further review. Researches...Remote workHourly payWork experience placementWork at officeWeekend workMolina Healthcare
Fort Worth, TX1 day ago$50k - $55k
...MedReview is seeking an Appeals Coordinator in the United States to manage appeals and grievances while ensuring timely resolutions. Candidates should have at least 3 years of healthcare experience, with strong problem-solving and analytical skills. Responsibilities include...Remote workMed Review Inc
New York, NY3 days ago$50k - $55k
...Readmission reviews. Under the direction of the Appeals Department leaders, the Appeals... ...work within the department. The Appeals Specialist level II performs research, investigation... ...an atmosphere of frequent interruptions Remote Work Requirements High speed internet (1...Remote workMed Review Inc
New York, NY18 hours ago$27.88 - $36.06 per hour
A healthcare service provider is seeking an AR Follow-Up Specialist III, focusing on resolving coding-related denials and appeals while collaborating with coding professionals. This remote role requires strong customer service skills and a minimum of two years of relevant...Remote workHourly pay61st Street Service Corp
New York, NY18 hours ago- ...A healthcare management company is seeking an Appeals Representative who will handle provider inquiries and appeals in a remote capacity. The ideal candidate has extensive knowledge of the healthcare revenue cycle and excellent communication skills. Key responsibilities...Remote workFull time
CorVel
Fort Worth, TX18 hours ago - ...A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage... ...processing, and excellent analytical and communication skills. Remote work options are available along with competitive benefits...Remote work
Med Review Inc
New York, NY18 hours ago $18 - $24 per hour
...Responsibilities: Triaging incoming appeals and grievances, categorizing them appropriately... ...pre-service pharmacy coverage for non-Medicare products. Managing case load of... ...Collaborating with team members such as Specialists, Supervisors, Quality Nurses, Medical Directors...Remote workAxelon
United States18 hours ago- ...Senior Appeals Specialist Job Category: Medical Billing Full-Time Remote Multiple Locations Description Key Responsibilities: Work as needed in all appeal worklists, potentially with a focus on contracted or sensitive insurance companies....Remote workFull time
Quadax
United States2 days ago $350 per month
...Appeals Specialist I Will the position be 100% remote? Yes- please source candidates from any one of the following 15 states: AZ, FL, GA, ID, IA, KY, MI, NE... ...day to day responsibilities? Research and respond to Medicare grievances in accordance with CMS regulations (...Remote workContract workSaviance
United States1 day ago$48.6k - $83.16k
...Summary of Position Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs,... ...requirements and turn-around times of the Expedited Appeal unit, the Specialists are required to work weekends and holidays as the organization...Remote workHourly payContract workWeekend workEmblemHealth
New York, NY4 days ago- ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following... ..., resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all...Remote workFull timeContract workWork experience placementWork at officeLocal area1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ3 days ago - ...A healthcare solutions company seeks an Acute Coding Appeals Specialist to manage medical coding appeals and denials. Candidates should have... ...facility coding, and hold an active coding certification. This remote position requires knowledge of various coding systems and the...Remote work
Ensemble Health Partners
New York, NY3 days ago - ...looking for a Technical Denials Management Specialist II within its Revenue Cycle Department.... ..., and resolving claim denials and appeals across various insurance companies. A successful... .... The position offers flexibility with remote work opportunities but requires...Remote job
$19 per hour
A leading healthcare services provider is looking for an Appeals Specialist to join their team in California. Responsible for reviewing denials, submitting appeals, and maintaining communication with insurance companies, the ideal candidate will have at least 2 years of...Remote jobHourly pay$29.7 - $31.8 per hour
...$31.80 based on experience Position Summary The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the performance... ...including AI to improve processes and experiences This is a remote position; however, candidates must be willing and able to...Remote workTemporary workWork at officeLocal areaEnsemble Health Partners
New York, NY3 days ago- A healthcare services company in Brentwood, TN is looking for an experienced Central Appeals Support Specialist to manage the behavioral health appeals process. This fully remote role involves tracking claims, analyzing EOBs, and maintaining organized records. Candidates...Remote job
- UHS is looking for a Central Appeals Support Specialist in Brentwood, TN. This fully remote role involves managing the behavioral health appeals process, including liaising with insurance companies and re‑filing denied claims. Candidates must have a high school degree...Remote job
- A healthcare services provider is seeking a Central Appeals Support Specialist in a fully remote role. Responsibilities include managing the behavioral health appeals process, following up with insurance companies, and refiling denied claims. The ideal candidate will have...Remote job
- A pediatric healthcare organization is seeking a Denials Management Follow Up Representative to manage payor responses to appeals. This role involves coordinating denial follow-up, maintaining tracking systems, and analyzing activity metrics. Candidates should have experience...Remote job
- L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote jobFull time
$29.7 - $31.8 per hour
Ensemble is looking for an Acute Coding Appeals Specialist in Massachusetts. This remote position involves integrating medical coding principles in coding appeals activities and reviewing denials. The ideal candidate will have 5 years of coding experience and an active...Remote job- Healthcare Legal Solutions, LLC is seeking a detail-oriented Revenue Cycle/Follow Up Specialist to manage unpaid claims and appeals in a remote setting. Ideal candidates should be organized, assertive, and interested in healthcare law, ensuring prompt payments and maintaining...Remote jobFull timeWork at office
- Ensemble is looking for an Acute Coding Appeals Specialist to join their team in the United States. This role requires 5 years of coding experience... ...and addressing billing issues. The position offers remote work flexibility but requires the ability to travel for onsite...Remote job
$18.6 - $28 per hour
...professional to validate dispute reasons after reviewing Explanation of Benefits (EOB), escalate payment variance trends, and generate appeals for denied claims in Frisco, Texas. The ideal candidate should have a strong background in hospital billing and coding, along with...Remote jobHourly payWork at office- WPS Data Logistics, Inc. is seeking a Grievance & Appeals Specialist in Madison, WI. This role focuses on resolving member and provider grievances... ...to delivering quality service. The position allows for remote work options, requiring candidates to live within 45 miles of...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicare Appeals Specialist. Be the first to apply!
Related searches
- vetting specialist New York, NY
- protection specialist New York, NY
- mental health specialist New York, NY
- outreach specialist New York, NY
- fixed income specialist New York, NY
- community outreach specialist New York, NY
- registration specialist New York, NY
- accessibility specialist New York, NY
- intake specialist New York, NY
- bilingual specialist New York, NY