Talent.com
Appeals Specialist

Appeals Specialist

VirtualVocationsOxnard, California, United States
job_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 • Oxnard, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Appeals Management Coordinator

Appeals Management Coordinator

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coordinator, Appeals Management.Key Responsibilities Perform denial research and follow-up with insurance companies to resolve outstanding appeals Compile and submit a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Local Family Driver - Apply Today for Flexible Work

Local Family Driver - Apply Today for Flexible Work

Copilot CareersFrazier Park, CA, United States
serp_jobs.job_card.full_time
Make a difference in your community while earning up to $50 per ride with HopSkipDrive’s $500 Welcome Guarantee! Terms apply. We partnered with HopSkipDrive to find responsible CareDrivers to provid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Coordinator, Complaint and Appeals (Remote, PST).Key Responsibilities Oversee investigations and resolutions of appeals, ensuring timely and customer-focused res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Remote Commercial Banking Analyst - AI Trainer

Remote Commercial Banking Analyst - AI Trainer

Data AnnotationThousand Oaks, California
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Speech Pathologist Career Opportunity

Speech Pathologist Career Opportunity

Encompass HealthFrazier Park, CA, US
serp_jobs.job_card.full_time +1
Speech Pathologist Career Opportunity.Welcome to Encompass Health : Where Compassion Meets Speech Therapy.Are you searching for a career that aligns with your passion and brings fulfillment close to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
A / R Follow Up Specialist

A / R Follow Up Specialist

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for an AR Follow Up Specialist to manage unresolved insurance claims and ensure timely payments.Key Responsibilities Follow up on unresolved claims and check claim status wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Denials Specialist

Denials Specialist

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Denials Specialist - REMOTE.Key Responsibilities Validate denial reasons and ensure accurate coding in the DCM system Generate appeals based on dispute reasons and pay...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Appeals Specialist

Insurance Appeals Specialist

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Appeals Specialist to manage and draft responses to deductions taken by insurance companies on defense counsel invoices. Key Responsibilities Manage the revie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Speech Pathologist ($114,400 - $161,803 Annual)

Speech Pathologist ($114,400 - $161,803 Annual)

Encompass HealthFrazier Park, CA, US
serp_jobs.job_card.full_time +1
Speech Pathologist Career Opportunity.Welcome to Encompass Health : Where Compassion Meets Speech Therapy.Are you searching for a career that aligns with your passion and brings fulfillment close to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Inquiry Resolution Specialist

Inquiry Resolution Specialist

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for an Inquiry Resolution Representative to research and resolve patient disputes while ensuring compliance with relevant laws and regulations. Key Responsibilities Investigat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Title & Escrow Application Specialist

Title & Escrow Application Specialist

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Title & Escrow Application Specialist with SoftPro Select experience.Key Responsibilities Provide hands-on product support, troubleshoot user issues, and document solut...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Appeals and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coordinator, Appeals & Grievances.Key Responsibilities Review and process case requests ensuring compliance with regulatory and health plan guidelines Manage workload ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coordinator, Complaint & Appeals (Remote).Key Responsibilities Reviews and processes appeals and grievances filed by patients Conducts internal audits and addresses co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Healthcare Insurance Specialist

Healthcare Insurance Specialist

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Healthcare Insurance and Benefits Specialist.Key Responsibilities Perform outbound calls and assist patients with inbound calls Review and process prior authorization ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Certified Medical Billing Specialist

Certified Medical Billing Specialist

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Remote Insurance Follow-Up Representative for a hospital setting.Key Responsibilities Analyze denials to identify trends and recommend process improvements Contact thi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for an Appeals and Letters Coordinator remote position.Key Responsibilities : Process denial-related and member-oriented written communications in compliance with Federal and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
New York Licensed Clinical Appeals Specialist

New York Licensed Clinical Appeals Specialist

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Denials & Appeals Specialist (Remote).Key Responsibilities Review and respond to Corporate Compliance Audits and denial trends Prepare and defend level of car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Local Family Driver - Flexible Hours - Apply Now

Local Family Driver - Flexible Hours - Apply Now

Copilot CareersFrazier Park, CA, United States
serp_jobs.job_card.full_time
Make a difference in your community while earning up to $50 per ride with HopSkipDrive’s $500 Welcome Guarantee! Terms apply. We partnered with HopSkipDrive to find responsible CareDrivers to provid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days