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- ...Our client, a US Fortune 50 organization and a leading provider of Health care and Health Insurance services, seeks Medical Claims/ Appeals Specialist. ** JOB ID: JP00046403 ** JOB TITLE: Medical Claims/ Appeals Specialist ** JOB LOCATION: Location:...SuggestedTemporary workLocal areaRemote workFlexible hours3 days per week1 day per week
Amerit Consulting
Louisville, KY4 days ago $17.08 - $25.49 per hour
...Appeals Representative I The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions,...SuggestedHourly payMinimum wageFull timeLocal areaRemote workFlexible hours- ...Appeals Specialist The Appeals Specialist will be responsible for the organization and completion of all claim appeals received in the Appeal Department. Essential Functions: Reviewing appeal and supporting documentation Reviewing Summary Plan Documents to...SuggestedWork experience placementRemote workWork from home
- ...Fortune 50 organization and a leading provider of Healthcare and Health Insurance services, seeks an accomplished Medical Claims/ Appeals Specialist Position: Medical Claims/ Appeals Specialist Location: Tampa, FL Duration: 6-12 months+ temp-to-hire!!!...SuggestedTemporary workLocal areaRemote workFlexible hours3 days per week1 day per week
Amerit Consulting
Tampa, FL17 days ago $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...SuggestedTemporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week$75k - $150k
Appeals RN Location: Boston, MA Salary range: $75,000 to $150,000 /year Description: Hospitals on Incredible Health are actively hiring and accepting applications in the Boston, MA area for the following position: Appeals RN. Nurses with experience in any of the following...SuggestedHourly payDaily paidFull timePart timeShift workDay shift- Internal Reference Number: R1049614 Summary Responsible for maintaining the proper flow of the request for appeals. Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies. Work Setting: Onsite at 200 Dozier Blvd, Florence, SC 295...SuggestedFor contractorsWork at officeLocal areaFlexible hours
- ...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 during...SuggestedWork at officeLocal area
$41.72 - $50.99 per hour
Ready to help us transform healthcare? Bring your true colors to blue. Job Profile: Appeals Nurse Reviewer Job Code: HCM101 Business Title: Appeals Nurse Reviewer Reports To: Patricia Corsini RN, BSN The Role The Clinical Appeals Nurse Reviewer facilitates, coordinates...SuggestedHourly payFull timeShift workNight shift- ...Position Purpose Researches and responds to inquiries from providers, suppliers, beneficiaries, health plans, or others involved in the appeals/dispute process. May conduct phone calls with appellants for the purpose of scheduling phone discussions with the company decision...SuggestedFull timeContract workTemporary workPart timeFor contractorsWork at officeRemote work
- NYC based Prestigious legal services firm seeks an E-Billing Analyst to join their team! Responsibilities Prepare and submit appeals for rejected invoices. Logging reduced invoices for all clients. Following up with firm timekeepers to prepare for appeal replies. Negotiating...Suggested
$72.49k - $108.74k
Overview Anticipated End Date: 2026-04-11 Position Title: Nurse Appeals Job Description: Nurse Appeals - Licensed Nurse Location: Virtual. This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility...SuggestedFull timeContract workShift workWeekend work$11 - $13 per hour
...Toll Free: (***) ***-**** Facebook page opens in new window YouTube page opens in new window Linkedin page opens in new window The Appeals department is the backend for when an insurance hasn’t paid a medical claim correctly, or hasn’t been processed correctly based on...SuggestedContract workWork at office- 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
- ...about this position, we encourage you to apply - even if your experience doesn’t match every requirement. Overview About the role The Appeal Coordinator is responsible for facilitating all appeal requests according to Quantum Health’s defined process for the intake,...SuggestedPermanent employmentCasual workWork at office
- The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customers’ concerns, conduct necessary...
- Join to apply for the Appeals Assistant role at Charter Healthcare 5 days ago Be among the first 25 applicants Join to apply for the Appeals Assistant role at Charter Healthcare POSITION SUMMARY: The Appeals Assistant: Responsible for ensuring professional handling of all...Full timeWork at office
$22 per hour
We are seeking an Appeals & Grievances Coordinator to join The Hollister Group, a leading women-owned staffing firm in the Boston area. This role is remote with a compensation of $22/hr . Responsibilities: Coordinate appeals and grievances activities Track all member appeals...Contract workRemote work$37 - $42 per hour
...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 and...Work at officeImmediate start3 days per week- ...Patient Access Appeals Specialist At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare...Work 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...Remote job
$21.65 - $38.37 per hour
...the 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...Hourly payContract workWork experience placementWork at office- Overview Description 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...Remote work
$21.1 - $44.99 per hour
A leading healthcare company in the United States is hiring for a role focused on processing dental appeals. This position requires a strong understanding of dental standards and involves managing complaints to resolution. Ideal candidates will have vocational training...Hourly payFull time- ...you ready to turn your attention to detail into a rewarding career? Unified Group Services in Anderson, IN is seeking a full-time Appeals Specialist to join our dedicated team. If you're passionate about problem-solving, communication, and making a meaningful impact in...Hourly payFull timeTemporary workMonday to Friday
$21.1 - $44.99 per hour
A leading dental provider seeks a full-time position in Pennsylvania supporting the daily processing of appeals in the Dental Appeals department. The ideal candidate will have strong technical knowledge of contemporary dental care standards and experience in complaint resolution...Hourly payFull time- ...the successful operations of a department that is responsible for administering part of a Medicare service contract. Oversees all appeals and rebuttals activities and requirements outlined in the National Provider Enrollment (NPE) Statement of Work, and applicable sections...Full timeContract workFor contractorsWork experience placementWork at officeLocal areaMonday to FridayShift work
$21.1 - $44.99 per hour
A nationwide healthcare company is looking for a professional to support dental appeals processing. Responsibilities include preparing dental requests, managing complaint scenarios, and ensuring compliance with regulatory standards. Ideal candidates should possess high...Hourly payFull time- A healthcare organization in Pennsylvania is seeking a qualified individual to manage daily processing of dental appeals. Responsibilities include completing appeals letters, updating systems, and coordinating responses to complaints. The ideal candidate has technical knowledge...Full time
- ...Appeals Clerk Job Title: Appeals Clerk Duration: 3+ months contract Location: Milwaukee, Wisconsin 53224 Shift: 8:00AM to 5:00PM Need strong data entry abilities, healthcare experience and attention to details. Will take information and transfer appeals documentation...Contract workWork at officeShift work
