appeals representative

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 remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and...

Overview Senior Appeals Representative role at UnitedHealthcare. This position is National Remote. You’ll have the flexibility to telecommute from anywhere within the U.S. while handling challenging tasks. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you...

Anticipated End Date: 2026-11-14 Position Title: SCA Appeals Representative I Job Description: SCA Appeals Representative I Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and...

SGS Consulting in Austin, TX is seeking a detail-oriented administrative coordinator for a hybrid role combining in-office and remote work. The position requires reporting to the office three days a week and a dedicated quiet space with wired internet. You will review fax documents, forward them to the correct queues, and keep up-to-date with relevant...

Grievance/Appeals Representative // Thousand Oaks CA 91362 Contract Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at Business Grievance/Appeals Representative Location 1 WellPoint Way, Thousand Oaks CA 91362, USA Contract 5 Months SUMMARY Reviews, analyzes and...

Now hiring for an Appeals Representative Location: Knoxville, TN Pay Rate: $18.00 per hour Schedule: Monday-Friday, 8:00 AM-5:00 PM Office Ninja Wanted - Sharp, Swift, and Super Organized You're the one who keeps everything on track, from schedules to supplies to smiling faces. In this Appeals Representative role, your multitasking magic and...

Contract Company Description Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at Job Description Business Grievance/Appeals Representative Contract 4 Months Qualifications SUMMARY · Reviews, analyzes and processes claims in accordance with policies and claims events...

Brief Description The Harris Center for Mental Health and IDD is hiring a Revenue Representative – Appeals and Collection. The Revenue Appeals and Collection Representative reviews, disputes, and resolves denied healthcare claims from commercial and government insurance payers to maximize reimbursement and meet collection targets. This role supports...

SGS Consulting in Austin, TX is seeking a detail-oriented administrative coordinator for a hybrid role combining in-office and remote work. The position requires reporting to the office three days a week and a dedicated quiet space with wired internet. You will review fax documents, forward them to the correct queues, and keep up-to-date with relevant...

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 remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and...

Anticipated End Date: 2026-10-23 Position Title: Grievance/Appeals Representative (Latham, NY) Job Description Grievance/Appeals Representative I Shift: Monday - Friday Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and...

Grievance/Appeals Representative // Thousand Oaks CA 91362 Contract Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at Business Grievance/Appeals Representative Location 1 WellPoint Way, Thousand Oaks CA 91362, USA Contract 5 Months SUMMARY Reviews, analyzes and...

Contract Company Description Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at Job Description Business Grievance/Appeals Representative Contract 4 Months Qualifications SUMMARY · Reviews, analyzes and processes claims in accordance with policies and claims events...

Anticipated End Date: 2026-10-23 Position Title: Grievance/Appeals Representative (Latham, NY) Job Description: Grievance/Appeals Representative I Shift: Monday - Friday Location: Hybrid This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and...

Overview Senior Appeals Representative role at UnitedHealthcare. This position is National Remote. You’ll have the flexibility to telecommute from anywhere within the U.S. while handling challenging tasks. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you...

Appeals Representative IThe 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 and state guidelines. This role ensures that all appeals...

SGS Consulting in Austin, TX is seeking a detail-oriented administrative coordinator for a hybrid role combining in-office and remote work. The position requires reporting to the office three days a week and a dedicated quiet space with wired internet. You will review fax documents, forward them to the correct queues, and keep up-to-date with relevant...

Job Responsibilities: Review Fax documents appropriately and forward to appropriate queuesUpdate and maintain knowledge of relevant processes, regulations and clinical material.Provide assistance or guidance in partnership with learning and innovation when neededParticipating in developmental discussions receiving feedback with SupervisorSkills: This is a...

Account Representative- PCM Appeals Follow-Up Feel the Pride of a Mission-Driven Career Join the patient-inspired team at NewYork-Presbyterian and bring new meaning to your career. See how the revenue cycle team in our Patient Case Management department plays an active role in world-class care and caring. Thrive as a valued member of the team at New York...

Location New York, New York Shift: Day (United States of America) Description: Feel the Pride of a Mission-Driven Career Account Representative- PCM Appeals Follow-Up Join the patient-inspired team at NewYork-Presbyterian and bring new meaning to your career. See how the revenue cycle team in our Patient Case Management department plays an active role in...