- Equitable (Charlotte, NC)
- Appeals Specialist , Disability Claims ( 25000066 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... Appeals Specialist to join our Disability and Absence Claims organization. The Appeals , Complaints, and Litigation Specialist is responsible for… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... manages the process of receiving, researching, and resolving prior authorizations and appeals issues with health insurance companies, including any escalated step of… more
- VNS Health (Manhattan, NY)
- OverviewResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage ... appeal decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and reporting… more
- Robert Half Accountemps (Los Angeles, CA)
- …Medical IPA Company in Mid-Wilshire is seeking a dedicated and detail-oriented Grievance and Appeals Specialist to join our team. The ideal candidate will play a ... members receive excellent service and fair resolution of grievances and appeals in compliance with regulatory guidelines. This position requires strong analytical… more
- Elevance Health (San Antonio, TX)
- …and personalized support throughout the consumer's treatment journey. **Title:** Grievance/ Appeals Representative II **Location:** Onsite at TX-SAN ANTONIO, 4751 ... location. **Build the Possibilities. Make an extraordinary impact.** The Grievance/ Appeals Representative II is responsible for reviewing, analyzing and processing… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) Billings Clinic (ROCKY ... claims from government and third party payers. The Claims Specialist is responsible for preparing and...of refunds, if appropriate, and coordinating adjustments when necessary, claims appeals or resubmissions, moving balances from… more
- Kelly Services (Glastonbury, CT)
- **Medical Claims Specialist On-site (Bilingual-Spanish)** **Location:** Glastonbury, CT **Schedule:** 11am-8:30pm **Pay Rate:** $23/Hour **Why you should apply ... to be a Medical Claims Specialist :** + Competitive pay rate +...medical payments for clients and assisting in the client appeals process + Creating and updating financial batch records… more
- FlexStaff (Bronx, NY)
- **Req Number** 152179 ** Claims Specialist ** Bronx, NY Schedule: M-F, 8:30am to 5:30pm Work Location: Hybrid Assignment Length: Undetermined, potential for Direct ... Hire **FlexStaff** is seeking a ** Claims Specialist ** for our client, a non-profit... processed by the outside vendor, including resolving provider appeals /disputes. + Compiles claim reports + Investigates suspense conditions… more
- MetLife (Oriskany, NY)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates with both external… more
- Kelly Services (Houston, TX)
- We are Currently Seeking a **Medical Claims Recovery Specialist ** to work with a Healthcare insurance client located in **Northwest Houston, TX 77092!** **Pay: ... payers, and internal stakeholders. - Technical Proficiency: - Familiarity with healthcare claims processing systems and data analysis tools. - AAPC CPC certification… more