Appeals SpecialistVirtualVocations • Boise, Idaho, United States
Appeals Specialist
VirtualVocations • Boise, Idaho, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for an Appeals Specialist I (Remote).
Key Responsibilities
Prioritize, research, and analyze appeal requests, ensuring accurate data entry and case assignment
Utilize professional communication to respond to appeals while maintaining confidentiality and compliance with regulations
Assist supervisors and other specialists with unit projects and provide feedback for workflow improvement
Required Qualifications
High School Diploma or GED
3 years of experience in managed care, health care, or insurance payor environments
Preferred : College degree
Knowledge of medical terminology
Experience with CareFirst systems or related services is a plus
Create a job alert for this search
Specialist • Boise, Idaho, United States
Related jobs
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show more A company is looking for an Account Resolution I representative.Key Responsibilities Collect and resolve payments from insurance companies, executing the denial appeals process and ensuring accur...Show more A company is looking for a Denials and Appeals Administrator.Key Responsibilities Manage the pre-denial, denial, and appeal processes, ensuring compliance with nationally accepted admission crite...Show more A company is looking for a Managed Care Appeals Analyst to work remotely and manage appeals for underpayment amounts from payors.
Key Responsibilities Research and review $0 balance accounts for c...Show more 
Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the...Show more A company is looking for an Application Operations Specialist to provide support and implementation services to healthcare clients.
Key Responsibilities Manage and resolve client support tickets r...Show more A company is looking for an Appeals & Grievances Specialist, working remotely in the Pacific Time Zone.Key Responsibilities Facilitates research and resolution of appeals, grievances, and complai...Show more A company is looking for a Coordinator, Complaint & Appeals - Work From Home.Key Responsibilities Review and process appeals filed by participating providers Assist with adherence to regulatory ...Show more 
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...Show more Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show more A company is looking for a Pre-Authorization Specialist.Key Responsibilities Identify prior authorization requirements by insurance / payer and process pre-authorizations for scheduled and add-on s...Show more A company is looking for a Medicare Appeals & Grievances Specialist (PST Hours).Key Responsibilities Facilitates research and resolution of appeals, disputes, grievances, and complaints from memb...Show more A company is looking for a Follow-Up Specialist to ensure timely and effective follow-ups with insurance companies.Key Responsibilities : Follow up on unpaid claims with insurance carriers after s...Show more A company is looking for a Director of Pre Appeals Management.Key Responsibilities Lead and manage the pre appeals department and related vendors Develop and implement pre appeals strategies, po...Show more A company is looking for a Senior Coordinator, Complaint and Appeals (Remote).Key Responsibilities Process appeals, including determination letters and expedited requests Update systems and comp...Show more 
WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country.
You also get unmatched service.From the moment y...Show more Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show more A company is looking for a Pharmacy Appeals Team Lead (remote).Key Responsibilities Meet all KPI metrics and deliverables while supervising workload and quality of work Provide ongoing training ...Show more
United States Border Patrol Agent
U.S. Customs and Border Protection • Letha, ID, US
Full-time
Last updated: 1 day ago • Promoted
Account Resolution Specialist
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 30+ days ago • Promoted
RN Appeals Administrator
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 1 day ago • Promoted
Managed Care Appeals Analyst
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 25 days ago • Promoted
Specialist, Appeals & Grievances
Idaho Staffing • Boise, ID, US
Full-time
Last updated: 3 days ago • Promoted
Application Operations Specialist
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 2 days ago • Promoted
Appeals and Grievances Specialist
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 30+ days ago • Promoted
Complaint and Appeals Coordinator
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 30+ days ago • Promoted
Dashers - Sign Up and Start Earning
DoorDash • Emmett, ID, United States
Full-time +1
Last updated: 23 hours ago • Promoted
Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives
U.S. Customs and Border Protection • Letha, ID, US
Full-time
Last updated: 1 day ago • Promoted
Pre-Authorization Specialist
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 30+ days ago • Promoted
Medicare Appeals Specialist
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 30+ days ago • Promoted
Follow-Up Specialist
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 2 days ago • Promoted
New York Licensed Director of Pre Appeals
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 1 day ago • Promoted
Senior Coordinator, Appeals Processing
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 4 days ago • Promoted
Travel - CT Technologist
Titan Medical Group • Melba, ID, US
Full-time
Last updated: 10 hours ago • Promoted • New!
U.S. Border Patrol Agent
U.S. Customs and Border Protection • Melba, ID, US
Full-time
Last updated: 1 day ago • Promoted
Pharmacy Appeals Team Lead
VirtualVocations • Boise, Idaho, United States
Full-time
Last updated: 3 days ago • Promoted