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$40k - $160k
About the Role \ We are looking for a Full Stack Developer \ who loves building products that users love. You will join a dynamic engineering team where you will have the autonomy to make technical decisions and the support to grow your skills. \ In this role, you...SuggestedFull timeRemote workHome officeBoxNCase
Commack, NY12 hours ago$18 - $24 per hour
...Job Title 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/voicemails...Suggested$21.11 - $31.67 per hour
...divh2Grievance/Appeals Representative I/h2pThis role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement...SuggestedWork experience placementWork at officeLocal area2 days per week1 day per week- ...Court Of Appeals For Veterans Claims The U.S. Court of Appeals for Veterans Claims has exclusive jurisdiction over decisions of the Board of Veterans' Appeals (Board or BVA). The Court reviews Board decisions appealed by claimants who believe the Board erred in its...Suggested
$39 - $46 per hour
...Join a mission‑driven healthcare organization where your clinical expertise directly influences fair, accurate, and timely appeal determinations for members and providers. This role is ideal for an experienced clinician who thrives in a detail‑driven environment and enjoys...SuggestedHourly payContract workTemporary workImmediate startManpower
Durham, NC3 days ago$21.65 - $46.42 per hour
...Medicare and Medicaid Services (CMS). Essential Job Duties Serves as team lead for submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members, providers and related outside agencies. Trains new employees and provides...SuggestedHourly payContract workWork experience placementWork at office$37 - $42 per hour
...diversity and 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...SuggestedWork at officeImmediate start3 days per week- ...customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist. The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified...SuggestedWork at officeLocal area
- Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their...SuggestedRemote job
- ...Key Responsibilities Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims. Process a high volume of detailed account information accurately and within established performance guidelines...SuggestedFull timeWork at office
$20 - $35.72 per hour
Overview Senior Appeals Representative role at UnitedHealthcare. This position is National Remote. You’ll have the flexibility to telecommute from anywhere within the U.S. while handling challenging tasks. At UnitedHealthcare, we’re simplifying the health care experience...SuggestedHourly payMinimum wageFull timeWork experience placementLive inWork at officeRemote workMonday to FridayShift work$99.47k - $141.8k
...options, career growth opportunities, and much more.**Job Summary**The role leads a team responsible for the processing of all Member Appeals and Grievances for Medicaid and Commercial product lines. Oversight includes appeal and grievance intake, investigation, and...SuggestedWork at officeRemote workFlexible hoursShift work$21 - $28 per hour
...and analyze denied claims, payment discrepancies, and reimbursement issues to identify the root causes. - Initiate and manage the appeals and arbitration process for denied or underpaid claims, ensuring timely and accurate submissions. - Prepare compelling appeal...SuggestedContract workTemporary work$18.8 - $30.34 per hour
The Appeals Team Lead assists injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position...SuggestedHourly payMinimum wageFull timeContract workWork at officeLocal areaRemote workFlexible hours$6,623 - $8,290 per month
...Duties Under the general direction of the Supervisor II, the Analyst III is responsible for reviewing and analyzing highly complex appeals and writing corresponding formal decisions. The incumbent is also responsible for performing a variety of the more complex...SuggestedPermanent employmentFull timeWork at officeRemote work2 days per week$18.8 - $30.34 per hour
Overview The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines as well as client instructions...Hourly payMinimum wageContract workLocal areaRemote work- ...have a Bachelor's degree, Texas licensure, and a solid background in clinical nursing. Responsibilities include training staff on the appeals process, mitigating denials through effective communication, and staying updated on medical policies. This role ensures the highest...
- ...the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Appeals is responsible for investigating and processing and medical necessity appeals requests from members and providers. How You Will...Full timeTemporary workLocal area1 day per week
Elevance Health
Indianapolis, IN16 days ago $19.43 - $32.98 per hour
...reside in Arizona per our contract with the state. Position Purpose Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Responsibilities Gather, analyze and report verbal and...Hourly payFull timeContract workPart timeH1bWork at officeRemote workFlexible hours$102k - $144.5k
...criminal offenses in Maricopa County? Join our team at the Office of the Legal Defender and make a difference in people's lives! As an Appeals Attorney, you will have an opportunity to make a difference in the lives of indigent clients appointed to our office by the court....Work at officeRotating shift- Job Summary: We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing...Remote work
- As a Data Analyst, you will play a pivotal role in supporting data-driven decision-making across various business units. Your responsibilities will encompass data collection, analysis, reporting, and visualization—contributing to the optimization of operations and enhancement...Internship
- A healthcare organization in Dallas, Texas is seeking an experienced Appeal Support Specialist. This role involves managing and submitting appeals for denied claims while ensuring documentation accuracy and compliance with deadlines. The ideal candidate has a minimum of...Work at office
- ...health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Grievance & Appeals Coordinator Work Location: Remote Duration: 6 Months Job Type: Temporary Assignment Work Type: Remote Dept...Contract workTemporary workRemote work
$23 per hour
Grievance & Appeals Coordinator I Location: Remote (California) - Candidates should live within reasonable distance of the Woodland Hills or Natomas offices Schedule: Monday‑Friday, 8:00 AM-5:00 PM (overtime as needed; occasional weekends/holidays) Duration: 12‑month...Remote workMonday to Friday$77.2k - $96.5k
Overview Supervises and monitors department staff members' handling of grievances and appeals for all product lines, and ensuring compliance with state and federal regulatory requirements and timelines. Responsible for oversight of the subcontractors who have been delegated...Work experience placementFor subcontractorFlexible hoursWeekend work$17 - $25.65 per hour
A leading health solutions company is seeking a candidate for intake, investigation, and resolution of complaints and grievances. The role requires strong analytical skills, excellent communication abilities, and familiarity with clinical terminology. Candidates should ...Hourly pay$75k
...industries. OST is successful because we listen to our clients, we learn from our clients, and we know our clients. Position Claims Appeals Examiner Description Description of specific duties in a typical workday for this position: Core responsibilities focus on the...Full timeWork at officeLocal area- ...Description REMOTE - this position will be fully remote after training. **Texas residents only*** Job purpose ~ The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence...Full timeWork experience placementWork at officeLocal areaRemote work
$21.65 - $46.42 per hour
A healthcare organization located in Arizona is seeking a Claims Team Lead. This role involves overseeing claims activities, resolving member and provider complaints, and training staff on complex cases. Candidates should have at least 3 years of managed care experience...Hourly pay
