Talent.com
No longer accepting applications
Appeals Representative

Appeals Representative

VirtualVocationsCranston, Rhode Island, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for an Appeals Representative.

Key Responsibilities

Investigate and resolve member and practitioner issues

Manage client denials and conduct comprehensive reviews of clinical documentation

Perform data entry and inventory management tasks

Required Qualifications

3 or more years of Appeals experience

1 or more years of Healthcare experience

Strong data entry skills

Intermediate experience with Microsoft Word and Excel

Ability to work in a hybrid office setting (3 days in office, 2 days at home)

Create a job alert for this search

Representative • Cranston, Rhode Island, United States

Related jobs
TeleSales Representative

TeleSales Representative

Joseph and YoungNew Bedford, MA, US
Full-time
Quick Apply
Propel Your Career to New Heights with Us!.Ready for an extraordinary career opportunity?.Our rapidly growing company is featured in Forbes and has been on the Inc. With numerous client requests dai...Show moreLast updated: 30+ days ago
  • Promoted
Psychologist- Competitive Pay

Psychologist- Competitive Pay

LifeStance HealthSouth Kingstown, RI, United States
Full-time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
  • Promoted
Sales Representative (Remote)

Sales Representative (Remote)

American Income LifeProvidence, RI, US
Remote
Full-time
American Income Life is growing! We are seeking ambitious individuals who are driven to build their own business while also leaving a positive impact within the community they serve.American Income...Show moreLast updated: 30+ days ago
  • Promoted
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Managed Care Appeals Analyst.Key Responsibilities Conduct systematic reviews of $0 balance accounts for contractual reimbursement accuracy Create detailed appeals for ...Show moreLast updated: 2 days ago
  • Promoted
Pre-Litigation Attorney

Pre-Litigation Attorney

Providence Staffing LLCPawtucket, RI, US
Full-time
Providence Staffing's client, a respected personal injury law firm, is seeking a skilled and dedicated.This role focuses on managing personal injury claims during the critical pre-litigation ph...Show moreLast updated: 30+ days ago
  • Promoted
ECRP Analyst

ECRP Analyst

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for an ECRP Analyst / Liaison.Key Responsibilities Investigate and enter data related to Out of Area ECRP claims processing and adjustments Provide customer service to interna...Show moreLast updated: 1 day ago
  • Promoted
Provider Relations Representative

Provider Relations Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Provider Relations Representative to serve as the primary point of contact for their provider network. Key Responsibilities Respond to provider inquiries via a case mana...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Health Benefits Attorney (Hybrid $100K - $125K)

Health Benefits Attorney (Hybrid $100K - $125K)

The Phia GroupCanton, MA, US
Full-time
The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts.As consultants, we represent health plans nationwide, providing our clients with innovative cost-c...Show moreLast updated: 18 hours ago
  • Promoted
  • New!
Hospice Billing Team Lead

Hospice Billing Team Lead

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Hospice Billing Team Lead (Fully Remote).Key Responsibilities Manage AR for non-Medicare collections in assigned territory Format and file claims reconsiderations Man...Show moreLast updated: 12 hours ago
  • Promoted
California Licensed Grievance Manager

California Licensed Grievance Manager

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Manager, Grievance & Appeals.Key Responsibilities Manage member complaints and ensure compliance with regulatory requirements Monitor and report on trends in appeals a...Show moreLast updated: 1 day ago
  • Promoted
Litigation Attorney

Litigation Attorney

Providence Staffing LLCFall River, MA, US
Full-time
Providence Staffing's client is seeking a licensed Rhode Island dedicated to representing personal injury victims in their fight against large insurance companies. The Personal Injury Attorney r...Show moreLast updated: 30+ days ago
  • Promoted
Illinois Licensed Claims Representative

Illinois Licensed Claims Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for an Inside Claims Representative I.Key Responsibilities Investigates and adjudicates claims, ensuring compliance with statutory laws and maintaining accurate documentation...Show moreLast updated: 1 day ago
  • Promoted
Patient Account Representative

Patient Account Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Patient Account Representative to manage billing and collection activities in a remote capacity. Key Responsibilities Manage billing and collection activities for medica...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Pharmaceutical TeleSales Representative

Pharmaceutical TeleSales Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Pharmaceutical TeleSales Representative (PTR).Key Responsibilities Generate and qualify leads through targeted contact lists Manage, track, and follow up with targets ...Show moreLast updated: 12 hours ago
  • Promoted
  • New!
Merchant Maintenance Representative

Merchant Maintenance Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Merchant Maintenance II.Key Responsibilities Manage daily assignment queue for ticket handling and process merchant and agent requests Maintain accurate records and co...Show moreLast updated: 14 hours ago
  • Promoted
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Coordinator, Complaint & Appeals.Key Responsibilities Manage resolution of complaint and appeal scenarios for various products Ensure timely and customer-focused respo...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Senior Billing Follow-up Representative

Senior Billing Follow-up Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Senior PFS CBO Acute Billing Follow-up Rep.Key Responsibilities Coordinate patient billing and collection activities, ensuring reimbursement through claims processing ...Show moreLast updated: 8 hours ago
  • Promoted
Iowa Licensed Claims Representative

Iowa Licensed Claims Representative

VirtualVocationsCranston, Rhode Island, United States
Full-time
A company is looking for a Claims Representative to handle various aspects of claims processing remotely in Iowa.Key Responsibilities Analyze coverage and ensure losses are covered by client poli...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Texas Licensed Clinical Appeals Coordinator

Texas Licensed Clinical Appeals Coordinator

VirtualVocationsCranston, Rhode Island, United States
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...Show moreLast updated: 12 hours ago
  • Promoted
  • New!
Health Benefits Attorney (Hybrid $90K - $120K)

Health Benefits Attorney (Hybrid $90K - $120K)

The Phia GroupCanton, MA, US
Full-time
The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts.As consultants, we represent health plans nationwide, providing our clients with innovative cost-c...Show moreLast updated: 2 hours ago