Healthcare Appeals & Grievances Specialist
MJHS
MJHS seeks an A&G Specialist in New York, NY to handle department correspondence, log and route mail, and provide back-up support to coordinators and the director. The role emphasizes timely processing of grievances and appeals within regulatory timeframes. Responsibilities include opening and date-stamping mail, maintaining files, and performing related admin duties while ensuring compliance with agency standards. #J-18808-Ljbffr MJHS
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...SuggestedRemote work
$30 - $35 per hour
...Now Hiring: Grievance & Appeals Specialists Are you an experienced Grievance & Appeals professional with a background in Medicare or Medicaid Managed Care? We're partnering with a leading healthcare organization that's looking to add multiple specialists to their growing...SuggestedWork at officeImmediate start$50k
...bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions... ...Validation, Cost Outlier and Readmission reviews. The Appeals Specialist I is responsible for performing triage, review, analysis,...SuggestedContract workWork experience placementRemote work- The challenges of affordable healthcare continue to create new opportunities. Elderplan... ...health plan members' lives. The A&G Specialist will process the department... ...and Director, inorder to insure that grievances and appeals are processed within established regulatory...Suggested
- ...operational work that keeps healthcare organizations running — the... ...status tracking, denials and appeals, A/R follow-up, and resolution... ...configuration, appeals & grievances, and member/provider services... ...Office Manager Revenue Cycle Specialist / RCM Analyst Medical...SuggestedWork at office
- ...About Amperos Amperos is healthcare's first AI-native denial management and revenue recovery... ...portal follow-ups and payor calls to appeals and medical records, so providers can resolve... ...for a Senior Accounts Receivable Specialist to join our client onboarding team — a small...Permanent employmentFull timeWork at officeImmediate startFlexible hours
- ...and reimbursement strategies in a dynamic healthcare organization. Collaborate on impactful... ...Job DescriptionBudget and Reimbursement Specialist OverviewThe Budget and Reimbursement Specialist... .../Medicare audits, rate reviews, and appeals processes.Manage the Certificate of Need...
$115k - $130k
...Position Overview\n The Regency Mental Healthcare Center is seeking a dedicated and compassionate... ...with psychiatrists, addiction medicine specialists, and other healthcare professionals to... ...candidate, further enhancing the appeal of this opportunity. Career Growth Opportunities...Full timeRemote workRelocation packageMonday to FridayFlexible hoursAfternoon shift- ...Judi Health in New York, NY seeks a subject-matter expert in prior authorization and appeals to oversee operations across multiple lines of business. This role manages a team of appeals pharmacists and staff, ensuring compliance and high quality of care. The position requires...Flexible hours
- ...detail-oriented and motivated Insurance Specialist to join our insurance support and billing... ..., claim status inquiries, and filing appeals for denied claims Process a high volume... ...Qualifications 3-5 years of experience in a healthcare setting such as a hospital business...Full timeWork at office
$80 per hour
...specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization... ...authorization status tracking, denial outcomes, appeal pathways, escalation processes, and turnaround time expectationsEvaluate...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours- ...contract negotiations and interpretation, investigation and processing of employee grievances and hospital discipline. Conducts hearings at the Corporate level, participates in arbitration appeals and maintains liaison with employee union representatives and personnel labor...Contract workWork at officeLocal areaWork from homeShift work
- ...nationwide The PAHub & Prior Authorization Specialist serves as a trusted consultant to... ...Qualifications 5+ years of experience in healthcare operations, prior authorization, utilization... ...MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by...Local areaRemote work
- ...NoctrixHealth is seeking a Patient Access Appeals Case Manager in the United States to support patients and providers through denial... ...developing reimbursement strategies. A strong background in healthcare and appeals is required. You will help identify denial trends,...
$28.85 - $35 per hour
...engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery organization . This is a fully remote... .... You will manage assigned denial queues, submit appeals, and follow claims through to final resolution while maintaining...Hourly payTemporary workInterim roleRemote workFlexible hours- The New York City Department of Correction (DOC) seeks a Constituent & Grievance Service Specialist/Coordinator under the Office of Constituent and Grievance Services. You will handle intake, coordinate investigations, and engage with facilities to resolve complaints from...Work at office
$49.92k - $62.4k
A healthcare organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and optimize revenue collection. Ideal candidates will have 3-5 years of experience in healthcare appeals, strong analytical skills, and knowledge of coding...- ...) to receive an alert: Certified Coding Specialist Date: Aug 18, 2026 Location: Remote, Remote... ...reviewing coding-related denials and appeals. Experience resolving front-end claim edits... ..., state or local law. Not Accepting Referrals #J-18808-Ljbffr Firstsource HealthcareWork at officeLocal areaRemote work
$19.71 per hour
...OVERVIEW OF POSITION: The Population Health Specialist supports Colorado Community Health... ...ideas to others Provides support with audit appeals research Responds to practice inquiries... ...medical records and/or patients in a healthcare setting Preferred experience: Experience...Contract workWork at officeRemote workHome office$77.29k - $94.21k
Job Description - Sr Revenue Cycle Specialist (2602625) Sr Revenue Cycle Specialist At Stony... ...a bachelor’s degree and three years’ healthcare revenue cycle experience or in lieu of degree... ...Contracts, CM System and Denials and Appeals process. Assist in maintaining and creating...Full timeContract workShift workDay shift- ...professionals and knowledgeable experts. The Office of Constituent and Grievance Services (OCGS) serves as the Department's centralized office... ...Grievance Services seeks a Constituent & Grievance Service Specialist/Coordinator. Under executive direction of the Executive...Full timeWork at office
- ...Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years... ...eleven years. Position Summary The Revenue Specialist, Commercial Billing investigates and... ...submitting corrected claims and filing appeals. Communicate with various parties to discuss...Remote jobFlexible hours
- ...Saint Peter’s Healthcare System in New Jersey seeks a Managed Care Specialist within the Department of Medicine to support the Pediatric Subspecialty unit. You will... ...24 hours, tracking referrals, coordinating appeals, and assisting with department payables and data...
$120k - $125k
...that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and... ...with superior outcomes. Join Medtronic as an EP Mapping Specialist and be at the forefront of transforming lives through advanced...Full timeWork experience placementH1bWork at officeLocal areaImmediate startRemote workWorldwideFlexible hoursNight shift$76k - $199.6k
...Activity Small Business Owner or other Entrepreneurial experience, Marketing, Customer Service and/or Account Management Relevant Healthcare/Scientific roles (e.g., RN, Pharmacist, PT, OT, etc.) Educator (e.g., Teacher, Principal) Full Time Military experience...Permanent employmentFull timeH1bLocal areaRemote workVisa sponsorshipWork visaRelocation package$125k - $135k
...a positive impact on patients’ lives? Do you have Electronic Healthcare Record (EHR) experience and are looking for a rewarding career... ...currently we are looking for Health Information Technology Specialists to support an IQVIA pharmaceutical client partnershipThis individual...Full timePart timeImmediate startWorldwideNight shift- ...Associate Spine Specialist At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life... ...inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional...Night shift
$90k - $110k
...years and has earned a strong reputation for excellence in the healthcare field. Our unique business model, combined with our dedication... ...typical positionsPosition DescriptionThe Regional Colorectal Specialist (RCS) is responsible for providing minimally invasive surgical...Local areaImmediate start- ...GroupAbout CMI Media GroupAt CMI Media Group, we are delivering healthcare marketing at the speed of life. Our success is built on... ...voice matters.We are looking for a proactive, detail-oriented Specialist, Audit & Compliance to join our team. In this role, you will be...Flexible hours1 day per week
$23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice on this job and more exclusive features... ...- $31.00/hr Professional Billing Denials & Appeals Analyst Full-Time | Remote (with location restrictions) Healthcare Revenue Cycle | Denials | Appeals | EPIC PB...Remote jobHourly payFull timeWeekday work
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