Top 682 Senior Appeals Representative Jobs

Appeals Representative II
CorVel Corporation —Fort Worth, TX
- $18.80 - $30.34 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- Disability insurance
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Medicare Accounts Receivable Billing Representative
Total Orthopedics & Sports Medicine —Syosset, NY
- $25 - $28 an hour
- Full-time
- Mid-level
- Office
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
4d
Senior Litigation Associate Attorney, (Employment Law) (Hybrid)
Abramson Labor Group —Burbank, CA
- $180,000 - $250,000 a year
- Full-time
- Hybrid work
- Writing skills
- Business development experience
- Mentoring
- Health insurance
- Paid time off
Quick Apply
Physician Reviewer (Hematology / Oncology / ENT / Orthopedics / Radiology / Urology)
TMF Health Quality Institute —Remote
- $10 - $150 an hour
- Contract
- Remote
- Medicine
- BC/BE
- Senior level
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Legal Counsel
LUKOIL North America LLC —Moorestown, NJ
- $100,000 - $120,000 a year
- Full-time
- 5 years
- English
- Office
- Health savings account
- Health insurance
Quick Apply
Assistant Property Manager
Impact Management Group —Saukville, WI
- $25 - $28 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
9d
Criminal Attorney
PINAL COUNTY —Florence, AZ
- $86,656 - $176,231 a year
- Full-time
- Background check
- Doctoral degree
- Writing skills
- Health savings account
- Relocation assistance
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Senior Account Manager
Advanced Programs, Inc. —Columbia, MD
- $110,000 - $160,000 a year
- Full-time
- Background check
- 7 years
- Ability to walk for extended periods
- Disability insurance
- Health insurance
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Property Manager for Apartment Community
KONOVER RESIDENTIAL CORPORATION —New Haven, CT
- Full-time
- Basic math
- Office
- Residential
- Health insurance
- Dental insurance
Quick Apply
Community Manager - OHT,OW,OW2
Cambridge Management, Inc. —Tacoma, WA
- $28 - $30 an hour
- Weekends as needed
- Background check
- Computer literacy
- Writing skills
- AD&D insurance
- Paid holidays
Quick Apply
11d
Community Manager - Traveling - Southern WA *LIHTC AND HUD EXP REQ*
Cambridge Management, Inc. —Olympia, WA
- $32 an hour
- Weekends as needed
- Background check
- Computer literacy
- Writing skills
- AD&D insurance
- Paid holidays
Quick Apply
Director, North America Tax
LG Electronics —Englewood Cliffs, NJ
- $210,000 - $230,000 a year
- Research
- 3 years
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
CP - Regional Sales Director (RSD)
Century Park Associates —Seattle, WA
- $105,000 - $120,000 a year
- Full-time
- English
- Mid-level
- 3 years
Quick Apply
Resident Experience Manager - The Meadows Graduate Housing
American Campus Communities —Princeton, NJ
- $48,000 a year
- Full-time
- Mid-level
- Office
- Residential
- Paid parental leave
- Health savings account
Quick Apply
Community Manager - Traveling - Tacoma Area *LIHTC AND HUD EXP REQ*
Cambridge Management, Inc. —Tacoma, WA
- $32 an hour
- Weekends as needed
- Background check
- Computer literacy
- Writing skills
- AD&D insurance
- Paid holidays
Quick Apply
Senior Attorney
Everforth —Irvine, CA
- $180,000 - $280,000 a year
- Overtime
- 5 years
- Writing skills
- Supervising experience
- AD&D insurance
- Paid holidays
Quick Apply
Business Development Manager
BluSky Restoration Contractors, LLC —Woburn, MA
- $70,000 - $105,000 a year
- Online Application
- Marketing
- Customer service
- Mid-level
- Fuel card
- Paid holidays
Quick Apply
13d
Associate Attorney
Everforth —Los Angeles, CA
- $130,000 - $200,000 a year
- Full-time
- Hybrid work
- Construction site
- US work authorization
- Fair chance
- Paid time off
Quick Apply
Veterans Service Officer VSO Representative/Claims Agent/ Senior Case Manager
Cameron Firm, PC —Remote
- $72,500 - $85,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Case management
- Health insurance
- Dental insurance
Quick Apply
Denial Management Specialist
EvergreenHealth —Kirkland, WA
- $28.83 - $46.14 an hour
- Full-time
- 5 years
- Senior level
- Associate's degree
- Free parking
- Commuter assistance
Quick Apply

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Appeals Representative II

CorVel Corporation -
Fort Worth, TX

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Job Details

Full-time
$18.80 - $30.34 an hour

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Appeals
Customer communication
High school diploma or GED
Medical insurance appeals management
Insurance claims appeal handling
Technical Proficiency
Hospital experience

Full Job Description

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 completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication
Ability to appropriately interpret provider appeals and apply analytical thinking skills
Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill
Utilize applicable tools and resources to complete appeals
Timely completion of appeals
Additional duties as assigned

KNOWLEDGE & SKILLS:

Prior knowledge of inpatient and outpatient hospital revenue cycle required
Excellent written and verbal communication skills
Contract interpretation, medical terminology and coding knowledge
Proficiency with Microsoft applications

EDUCATION & EXPERIENCE:

High school diploma or equivalent
3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
2+ years working with customers in a fast‐paced, deadline‐oriented environment
2+ years experience as an Appeals Representative
Strong attention to detail, organizational and time management skills with the ability to
interpret, research and identify core issues
Strong customer focus, analytical and decision making skills
Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $18.80 - $30.34 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CERiS:

CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

Senior Appeals Representative jobs

Appeals Representative II

Medicare Accounts Receivable Billing Representative

Senior Litigation Associate Attorney, (Employment Law) (Hybrid)

Physician Reviewer (Hematology / Oncology / ENT / Orthopedics / Radiology / Urology)

Legal Counsel

Assistant Property Manager

Criminal Attorney

Senior Account Manager

Property Manager for Apartment Community

Community Manager - OHT,OW,OW2

Community Manager - Traveling - Southern WA LIHTC AND HUD EXP REQ

Director, North America Tax

CP - Regional Sales Director (RSD)

Resident Experience Manager - The Meadows Graduate Housing

Community Manager - Traveling - Tacoma Area LIHTC AND HUD EXP REQ

Senior Attorney

Business Development Manager

Associate Attorney

Veterans Service Officer VSO Representative/Claims Agent/ Senior Case Manager

Denial Management Specialist

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