Talent.com
Appeals Specialist

Appeals Specialist

VirtualVocationsLong Beach, 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 • Long Beach, California, United States

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

Appeals Management Coordinator

VirtualVocationsGarden Grove, 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
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocationsFullerton, California, United States
serp_jobs.job_card.full_time
A company is looking for a Managed Care Appeals Analyst.Key Responsibilities Research and review $0 balance accounts for contractual reimbursements and post necessary adjustments Create detailed...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Payment Applications Specialist

Payment Applications Specialist

VirtualVocationsSignal Hill, California, United States
serp_jobs.job_card.full_time
A company is looking for a Payment Applications Specialist responsible for resolving payment posting issues and ensuring accurate application of payments to patient accounts.Key Responsibilities ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Insurance Appeals Specialist

Insurance Appeals Specialist

VirtualVocationsGarden Grove, 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_variable_hours
  • serp_jobs.job_card.promoted
Specialist, Appeals & Grievances

Specialist, Appeals & Grievances

Molina HealthcareLong Beach, CA, US
serp_jobs.job_card.full_time
Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Labor & Employment Attorney

Labor & Employment Attorney

JobotCalabasas, CA, US
serp_jobs.job_card.full_time
No billable requirement! Small-firm culture, high-level practice — grow your career with a firm that blends prestige, impact, and personal mentorship!. This Jobot Job is hosted by : Karyn Spies...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse RN - Med Surg - $2,018 per week

Travel Nurse RN - Med Surg - $2,018 per week

The Good Life MedStaffAvalon, CA, United States
serp_jobs.job_card.full_time
The Good Life MedStaff is seeking a travel nurse RN Med Surg for a travel nursing job in Avalon, California.Job Description & Requirements. Beautiful Island location Hospital is in need of a Med Su...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

VirtualVocationsSignal Hill, 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
Workers' Compensation Defense Attorney - 2124642

Workers' Compensation Defense Attorney - 2124642

JBA InternationalAgoura Hills, CA, US
serp_jobs.job_card.full_time
Highly motivated, results driven, high energy and a sense of urgency.Strong attention to detail, with commitment to outstanding customer service. Excellent written and verbal communication skills.Ab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsWhittier, 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_30
  • serp_jobs.job_card.promoted
Negotiations Specialist

Negotiations Specialist

TradeJobsWorkForce92712 Santa Ana, CA, US
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsSignal Hill, 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_variable_hours
  • serp_jobs.job_card.promoted
Payment Accuracy Specialist

Payment Accuracy Specialist

VirtualVocationsGarden Grove, California, United States
serp_jobs.job_card.full_time
A company is looking for a Payment Accuracy Specialist 1.Key Responsibilities Audit client data and generate recoverable claims while documenting findings Utilize audit tools and systems to revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Inquiry Resolution Specialist

Inquiry Resolution Specialist

VirtualVocationsLong Beach, 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_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsHuntington Beach, 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_variable_hours
  • serp_jobs.job_card.promoted
Appeals Specialist

Appeals Specialist

VirtualVocationsCarson, California, United States
serp_jobs.job_card.full_time
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 lett...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Associate Attorney, Workers Compensation

Associate Attorney, Workers Compensation

JobotAgoura Hills, CA, US
serp_jobs.job_card.full_time
REMOTE - you must live and work in CA!.This Jobot Job is hosted by : Christina Finster.Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary : $1...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Travel Nurse RN - ED - Emergency Department - $2,320 per week

Travel Nurse RN - ED - Emergency Department - $2,320 per week

The Good Life MedStaffAvalon, CA, United States
serp_jobs.job_card.full_time
The Good Life MedStaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Avalon, California. Job Description & Requirements.Beautiful Island location travel contract...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Clinical Appeals Coordinator

Texas Licensed Clinical Appeals Coordinator

VirtualVocationsSignal Hill, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements Review clinical inform...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Title & Escrow Application Specialist

Title & Escrow Application Specialist

VirtualVocationsSignal Hill, 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_hours