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$19 - $20 per hour
...Job Description Job Description Are you a natural leader ready to take charge? Our client is looking to hire an Appeals Setup Team Lead in Fort Worth, TX to manage and motivate a high-performing team responsible for reviewing and completing department appeals. In...SuggestedContract workImmediate startMonday to FridayBurnetts Staffing
Fort Worth, TX4 days ago$20.5 per hour
...Description & Requirements Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team. This is a remote opportunity. The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up...SuggestedMinimum wageFull timeContract workTemporary workWork experience placementCurrently hiringWork at officeRemote workHome officeMonday to FridayMaximus
Murfreesboro, TN4 days ago- ...organization across multiple locations in the US, South America, and India. Position Summary As a member of The Grievance and Appeals Department, Specialists are responsible for investigating and processing grievances and appeals received by members or directly...SuggestedLocal areaFlexible hours
NationsBenefits
Fort Lauderdale, FL16 days ago $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, NY1 hour ago- ...Job Description Job Description Appeals Nurse VillageCareMAX 112 Charles Street, New York, NY 10014 VillageCare is looking for a self-motivated and passionate RN for our Appeals Nurse position. While supporting the Utilization Management team, the Appeals Nurse...SuggestedWork from home
Village Care
New York, NY8 days ago - ...Job Description Job Description Therapy Documentation and Appeals Coordinator Appeals Experience Required Prestige Healthcare seeks a top-notch Therapy Documentation and Appeals Coordinator who has a strong work ethic, exceptional organization skills, attention...SuggestedFlexible hours
Prestige Administrative Services LLC
Louisville, KY5 days ago $140k - $152k
...Job Description Job Description Reporting to the Sr Medical Director, the Appeals & Quality Review Nurse Manager, provides leadership and oversight of SFHP's quality review functions, ensuring timely and compliant resolution of clinical grievances, appeals, potential...SuggestedWork at officeRemote workSan Francisco Health Plan
San Francisco, CA5 days ago- ...Appeal Specialist The Appeal Specialist is responsible for the investigation and resolution of all administrative and clinical appeals based upon specific regulatory and or client requirements. In addition, this position is responsible for the assembly and preparation...Suggested
$21.65 - $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- ...(if necessary) the information in your candidate profile as it will transfer to your application. Job Title:Manager of Clinical Appeals Department:Health System Shared Services | Revenue Cycle Clinical Support Scope of Position Revenue Cycle Clinical Support...SuggestedFull timeContract workFlexible hoursShift workDay shift
$21.11 - $31.67 per hour
...Title: Grievance/Appeals Representative I Locations: Woburn, MA and Manchester, NH This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work...SuggestedTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week$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:...SuggestedRemote workMonday to Friday$23.02 - $34.53 per hour
...Appeals And Grievance Analyst Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care...SuggestedWork at officeWork from homeAfternoon shift$19 per hour
...Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor. We are seeking an Appeals Specialist to join our growing team. As an Appeals Specialist, you will be exposed to the complex reimbursement methodology between...SuggestedHourly payWork experience placementLocal areaRemote workAspirion
Delray Beach, FL2 days ago$30 - $43.63 per hour
...means to be part of Mass General Brigham. Job Summary The incumbent will coordinate, process, and document all aspects of member appeals and grievances, as well as provider appeals across all of our product offerings (Commercial, Medicaid and Medicare). Responsible...SuggestedHourly payWork at officeRemote workShift workWeekend work- ...Denial Resource Center Appeal Support Specialist Job Summary: The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are submitted to the payer in a timely manner according to guidelines...Immediate start
$21.11 - $31.67 per hour
...Grievance/Appeals Representative I This 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...Work experience placementWork at officeLocal area2 days per week1 day per week$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...$47.32k
Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and ...Full timeWork experience placementWork from home$16.36 - $22.09 per hour
...Grievances & Appeals Specialist Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Grievances & Appeals Specialist...Permanent employmentTemporary workWork experience placementFlexible hours$18.8 - $30.34 per hour
...Appeals Team Lead 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...Hourly payMinimum wageContract workWork at officeLocal areaRemote work- ...Job Title Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct pertinent research...
$50k - $55k
...authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the Appeals Department leaders, the Appeals Coordinator level II team member will assist Appeals leadership with daily administrative work...Full timeRemote work$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- ...extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current...Full time
$17.07 per hour
...Although we aren't perfect people, we are serving our perfect God and our Members to the best of our ability. The Job The Appeals Administrate Specialist is responsible for supporting the Appeals/Grievances Department by completing clerical and administrative tasks...Full timeTemporary workWork at officeChristian Care Ministry
Melbourne, FL10 days ago- ...service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist. The Senior Appeals Specialist is responsible for the resolution of all appeals relating to technical issues...Work at officeLocal area
$6,031 - $7,547 per month
Job Description and Duties In all job functions, employees are responsible for creating an inclusive, safe, and secure work environment that values diverse cultures, perspectives, and experiences, and is free from discrimination. Employees are expected to provide all...Permanent employmentFull timeWeekend work$41.47k - $76.03k
...Appeals Specialist I The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, and determination of next steps for Commercial and Government Program lines of business. The incumbent is responsible for collecting, organizing...Remote job$17.74 per hour
...training. Primary Responsibilities Provides expertise or general support in reviewing, researching, investigating, and resolving appeals Understands the appeals process rules and regulations, including turnaround time and compliance expectations Demonstrates...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaImmediate startRemote workShift workUnitedHealthcare
Dallas, TX4 days ago
