Appeals Specialist
VirtualVocationsOakland, California, United Statesjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for an Appeals Specialist to perform non-medical reviews and process redetermination letters.
Key Responsibilities
Perform non-medical reviews and process redetermination letters ensuring timeliness and accuracy
Prepare unit reports, analyze and interpret workload, and process issues utilizing various software tools
Update letters and documents with the department when necessary and gather documentation for legal inquiries
Required Qualifications
High School Diploma or equivalent
2 years of experience in a job-related field
Proficiency in Microsoft Office
Experience in reviewing medical documentation is preferred
serp_jobs.job_alerts.create_a_job
Specialist • Oakland, California, United States
Job_description.internal_linking.related_jobs
Negotiations Specialist Job Duties : Call providers, navigate call trees to get to the right people Negoti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Join a dynamic and innovative team dedicated to revolutionizing the medical device industry.Our company specializes in the development and manufacturing of cutting-edge handheld surgical robots des...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Location : Santa Clara, CA Duration : Full-time / Perm In this role, the Sales Operations Specialist will.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Color Health is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states.Our innovative, guideli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Processor | Leading Healthcare Administration Firm.This role is ideal for someone with experience in healthcare billing or financial services who enjoys detailed work and wants to grow withi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Consult with project teams to review and analyze entitlement positions with regards to schedule delays, productivity impacts, and review subcontractor claim positions, as well as develop schedules ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We are seeking a Complaint Escalation Specialist to join our Risk Team and serve as a key point of contact for customers who have concerns about their financial agreements.In this role, you will wo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
NEXT's mission is to help entrepreneurs thrive.We're doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire va...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Responsibilities : Correspond and work with stakeholders and cross-functional partners Resolve issues related to Contract and Purchase Request (PR) processes (e.
Third Party Assessment (TPA) mismatch...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We have an opening for a talented PayPal Dispute Resolution Specialist to perform daily responsibilities with dedication.
Stay adaptable in a dynamic, fast-paced environment.Provide excellent intera...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Acquisition Content Marketer, Apple Ads.Cupertino, California, United States.At Apple, we focus deeply on our customers' experience.
Apple Ads brings this same approach to advertising, helping peopl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Job Description Summary : Consult with Project Teams to review and analyze entitlement positions with regards to schedule delays, productivity impacts, and review subcontractor claim positions, as w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Marketing Operations Email Specialist.Cupertino, California, United States.At Apple, we focus deeply on our customers' experience.
Apple Ads brings this same approach to advertising, helping people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
WelbeHealth provides life-extending health care to our most vulnerable seniors.Our PACE model of care is unique, in that we are the health plan and the provider of primary care services that allow ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The global leader in automotive diagnostic equipment, Snap-on Diagnostics has an immediate opening for an Applications Specialist.
The successful candidate will perform assignments supporting projec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Elastic, the Search AI Company, enables everyone to find the answers they need in real time, using all their data, at scale - unleashing the potential of businesses and people.The Elastic Search AI...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private & public sector firms across the US.
We specialize in Healthcare, IT, Business Support, and Professional...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Negotiations Specialist
TradeJobsWorkForce94128 South San Francisco, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Complaints Engineer
THINK Surgical, Inc.Fremont, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sales Operations Specialist
StaffingSan Jose, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Fulfillment Specialist (Contract)
Color HealthBurlingame, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Specialist
LHHSan Francisco, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Associate, Scheduling / Claims
SwinertonSan Francisco, CA, USserp_jobs.job_card.full_time
Complaint Escalation Specialist
QcellsSan Francisco, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Specialist
Next InsurancePalo Alto, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contracts & Sourcing Specialist
Aditi ConsultingBurlingame, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contract Operations Specialist - 25-164
Hill Physicians Medical GroupSan Ramon, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
PayPal Dispute Resolution Specialist
TradeJobsWorkforce94134 San Francisco, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Acquisition Content Marketer, Apple Ads
AppleCupertino, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Specialist - Crop
QBE InsuranceSan Francisco, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Scheduling / Claims Associate
SwinertonSan Francisco, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Proposal Development Specialist
PG ForstaEmeryville, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Marketing Operations Email Specialist
AppleCupertino, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Sales SpecialistSan Jose, CA, USA
WelbeHealthSan Jose, CA, USserp_jobs.job_card.full_time
Applications Specialist
Snap OnUSA, California, San Joseserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Specialist, Analyst Relations
ElasticMountain View, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Elections Support Specialist
TryfactaPleasanton, CA, USserp_jobs.job_card.full_time