Appeals representative jobs in United States

+ Receive expedited appeal requests · + Investigate and triage cases · + Process appeals in system · Requires at least 1 year of experience in health insurance claims and appeals. HS degree required but college degree with extensive experience preferred. · Outbound call experienc ...

This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently. · ...

Job Details · Description · 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, and industr ...

Job Details · Description · 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, and industr ...

This position is National Remote. · You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing, · researchi ...

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, and industry standards, along with CMS ...

This position follows a hybrid schedule with three (3) days in-office days per week. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of peop ...

The Appeals Support Representative role directly supports the Clinical Appeals Specialist in the administrative functions of Denials and Appeals within the Utilization Review Team.Essential Job Functions: · Complete outbound calls to payers for status updates on retro authorizat ...

This position follows a hybrid schedule with three (3) days in-office days per week (potentially more). Our office is located at 5701 Katella Ave., Cypress, CA 90630. · At UnitedHealthcare, we're simplifying the health care experience, · The Clinical Appeals Representative needs ...

This position is National Remote providing flexibility to telecommute* from anywhere within the U.S. · UMR offers consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, · lower costs and greater access to health care.In this rol ...

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, and industry standards, along with CMS ...

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, and industry standards, along with CMS ...

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. · This is a rem ...

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America's Greatest Workplaces in Health Care for 2025 –Becker's Hospital Review names TeamHealth among the top 1 ...

The Provider Appeals Representative is responsible for the timely review and resolution of post claim review provider appeals. · ...

Associate Attorney – Federal Social Security Disability Appeals · The Federal Appeals Firm (Konoski & Partners, P.C.) · Remote to start (with likely transition to in-office) · Attorney Should be Based in or near Tampa, Florida · About the Firm · The Federal Appeals Firm is a nat ...

The Grievance/Appeals Representative II is responsible for reviewing and processing policies related to claims events. · Conducts investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues. · Contacts customers to gather ...

We are seeking a Part-Time Criminal Appeals Drafting Attorney to join our legal team remotely. This position offers flexibility for experienced attorneys who are passionate about appellate work and legal research. · Draft detailed appellate briefs and legal memos for criminal app ...

Creates and prepares grievance and appeal (G&A) files for investigation. · Ensures Member and provider G&A communications are delivered on time. · Informs Members and Providers that call the Appeals and Grievance Department by relaying timeframes, · ...

The Grievance/Appeals Representative I will be responsible for reviewing, analyzing and processing claims in accordance with policies and claims events to determine the extent of the company's liability and entitlement. · A comprehensive benefits package. · ...