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$56 per hour
...candidate to join their team. In this role, we are looking for someone who is a Registered Nurse in the state of New York to work in the appeals and grievances department. This is a fantastic opportunity for a registered nurse to work for a nonprofit healthcare company...SuggestedHourly payFull timeContract workRemote workTalentHub Workforce, Inc
New York, NY6 days ago- ...Job Description Position: Medical Claims/ Appeals Specialist Location: Tampa, FL Duration: 6 months+ temp-to-hire!!! Pay rate: $24/hr on W2 Note: REMOTE role with possibility The schedule for the training period will be a set schedule: 8:00am...SuggestedTemporary workLocal areaRemote workFlexible hours3 days per week1 day per week
Amerit Consulting
Tampa, FL11 days ago $20 - $25 per hour
...Job Description Immediate need for a talented Case Manager – Appeals & Grievances (California). This is a 06+months contract opportunity with long-term potential and is located in CA(Remote). Please review the job description below and contact me ASAP if you are...SuggestedContract workWork at officeLocal areaImmediate startRemote workPyramid Consulting, Inc
Oakland, CA10 days ago- ...part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health. The Patient Access Appeals Case Manager is responsible for supporting patients through the denial and appeal process, coordinating with healthcare providers,...Suggested
Noctrix Health
Pleasanton, CA5 days ago $45k
...Job Description Job Description Hooks, Meng & Clement (HMC) is seeking a highly organized and efficient Appeals Specialist to join our team. This role is ideal for a detail-oriented professional who excels at managing insurance claim denials, preparing well-written...SuggestedWork at officeHooks Meng & Clement
Las Vegas, NV12 days ago$38.2k - $51.6k
...and value, we aim to make quality care accessible to improve the oral health of all. Job Description: The opportunity: The Appeal Specialist is responsible for the investigation and resolution of all administrative and clinical appeals based upon specific...SuggestedFull timeWork at officeLocal areaFlexible hours$22 per hour
...APPEALS SUPERVISOR Location: Fort Worth, TX 76109 | Remote after 1-month onsite training Compensation & Schedule • $22/hour • Monday–Friday, 8:00am–5:00pm • Full-time, W2 ROLE IMPACT The Appeals Supervisor leads the day-to-day operations of the Appeals...SuggestedFull timeWork at officeRemote workMonday to Friday- Medical Data Systems Inc. is seeking a detail-oriented and motivated Insurance Appeals Specialist to join our insurance support and billing team. The ideal candidate will demonstrate professionalism, independence, and a strong understanding of insurance processes while...SuggestedFull timeWork at office
$37 - $42 per hour
...inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals...SuggestedFull timeWork at officeImmediate start3 days per week$29.68 - $38.14 per hour
**Working Title: Appeals Paralegal** **Job Class: Paralegal** **Agency: Human Services Dept** + **Job ID** : 90802 + **Location** : St. Paul + **Telework Eligible** : Yes + **Full/Part Time** : Full-Time + **Regular/Temporary** : Unlimited + **Who May Apply** : Open to...SuggestedHourly payFull timeTemporary workPart timeLive inWork at officeLocal areaRemote workMonday to FridayShift workDay shift$71.1k - $97.8k
...collected there is subject to their terms and privacy notice. Become a part of our caring community and help us put health first The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to Friday$21.16 - $38.37 per hour
...Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or...SuggestedHourly payContract workWork experience placementWork at office$18 - $24 per hour
...Job Opportunity Pay Offers: $18 to $24/hr Primary responsibilities would include triaging incoming appeals / grievances, categorizing them appropriately, assigning them to the team, making outbound calls when necessary. Also checking voicemails, responding to emails...Suggested- ...Denials And Appeals Analyst Singing River Health System Administrative Building - Gautier | Full-Time | Monday-Friday 8:00am-4:30pm | 2101 US-90 Gautier, Mississippi United States Position Overview The Denials And Appeals Analyst assists in the recovery of Health...SuggestedFull timeWork at officeMonday to FridayShift workWeekend workDay shift
$19.04 - $32.35 per hour
...-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and...SuggestedHourly payFull timePart timeH1bWork at officeRemote workFlexible hours- ...Clinical Appeals Specialist BJC HealthCare is seeking a Clinical Appeals Specialist to assist with infusion appeals for both government and commercial plans. This individual will be handling clinical denials and sending them to a nurse to review and appeal and then...Contract workFlexible hours
$22.92 - $34.38 per hour
...Member Appeals And Grievance Analyst Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of...- Sr Appeals Representative Location Knoxville, TN : Job Snapshot Employee Type: Full-Time Location: Knoxville, TN Job Type: Admin - Clerical Health Care Insurance Experience: Not Specified Date Posted: 1/18/2024 TeamHealth has ranked three years running...Full timeCasual workWork at officeFlexible hours
$22.92 - $34.38 per hour
...Appeals And Grievance Analyst Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member...Work at officeWork from homeAfternoon shift$22.92 - $34.38 per hour
...Appeals And Grievance Analyst Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member...Work at officeWork from homeAfternoon shift$21 - $25 per hour
...Medical Appeals Specialist (Fully Remote) Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As a Medical Appeals Specialist , you’ll combine deep payer policy knowledge with analytical problem‑solving...Contract workTemporary workRemote work- The Manager, Clinical Appeals (RN) leads the end-to-end clinical appeals function for both member and provider appeals, ensuring decisions are clinically sound, timely, defensible, and fully compliant with applicable federal, state, and accreditation requirements. This...
$66.64k - $99.96k
...redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Nurse Appeals -Licensed Nurse Location : Ohio, candidates must be residents of Ohio to be considered. Hybrid 1 : This role requires...Full timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday2 days per week1 day per week- ...Job Responsibilities: Appeal and Grievance Coordinator Claims research and processing (more of researching why the claim was denied than actually researching into the claim) Authorization lookup/ building authorizations as well as updating authorizations Researching...Remote job
$17 - $18 per hour
...Job Description: The Appeals Specialist is a vital member of the MYMB System of Care. The Appeals Specialist is responsible for managing and resolving insurance claim denials by submitting timely, accurate, and compliant appeals. This role requires strong knowledge...Full timeWork at office- ...the Committee for Public Counsel Services, the public defender agency of Massachusetts, is seeking two full-time attorneys for its Appeals Unit in Boston. The Public Defender Division provides legal representation and zealous advocacy to the indigent community. We...Full timeWork at officeRemote workFlexible hoursShift work
$140k - $200k
...highly regarded New Jersey law firm with a nationally recognized property tax practice Handle sophisticated commercial property tax appeals for institutional and high-value clients Work on matters involving major financial institutions, REITs, developers, and large...Full timeWork at office$80k - $90k
We prioritize delivering exceptional patient care while creating a supportive and rewarding environment for our team members. Key Responsibilities: Follow state laws and company policies. Complete required Medicare, OSHA, and continuing education. Evaluate ...$250.24k - $428.98k
...Appeals Medical Director - Medicare Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life...Full timeTemporary workWork experience placementLocal area1 day per week$72.36k - $90.46k
...Grievance & Appeals Resolution Partner Represents Partnership in the Grievance & Appeals Resolution process. Responsible for reviewing, investigating, and resolving assigned member grievance and appeal cases ranging from low to high complexity. Works to transform member...Work experience placement
