Top 592 Work from home Jobs in East Moline, Il

Market Appeals Specialist
UHS - Nashville Regional Office —Illinois
- $69,000 - $99,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Frontend Developer - AI Trainer
DataAnnotation —Milan, IL
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Quantitative AI Evaluator - AI Trainer
DataAnnotation —Moline, IL
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- Writing skills
- English
- Flexible schedule
Quick Apply
Embedded Systems Developer - AI Trainer
DataAnnotation —Milan, IL
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Product Analyst - AI Trainer
DataAnnotation —Moline, IL
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- Writing skills
- English
- Flexible schedule
Quick Apply
Care Management Processor (Central Time Zone Hours) - REMOTE
Molina Healthcare —Illinois City, IL
- $17.05 - $30.52 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
Remote Member Service Representative - Part Time
Copart —Eldridge, IA
- $16.04 - $24.00 an hour
- Overtime
- Remote
- Bilingual
- Computer literacy
- High school diploma or GED
- Employee stock purchase plan
- 401(k)
Quick Apply
6d
Licensed Clinical Social Worker
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Principal Data Scientist - AI Trainer
DataAnnotation —Moline, IL
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- Writing skills
- English
- Flexible schedule
Quick Apply
Licensed Clinical Social Worker
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Licensed Marriage and Family Therapist
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- LMFT
- Mid-level
Remote Psychiatric Nurse Practitioner (PMHNP) - Outpatient Practice. W2 w/Benefits, PT & FT options
Talkiatry —Illinois
- $180,000 - $215,000 a year
- Part-time
- Remote
- Nursing
- Psychiatry
- Outpatient experience
- Health savings account
- Paid holidays
Licensed Clinical Social Worker (LCSW) - Remote
Brave Health —Illinois
- $69,000 - $76,000 a year
- Full-time
- Remote
- Licensed Clinical Social Worker
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Telehealth Registered Dietitian
Nourish —Illinois
- $50 - $55 an hour
- Part-time
- Remote
- US work authorization
- Telehealth
- Entry level
- Continuing education credits
- Health savings account
Mental Health Therapist (Illinois)
SonderMind —Illinois
- $77 - $105 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Professional development assistance
- Flexible schedule
Quick Apply
Illinois (remote) - Speech-language pathologist
Presence —Illinois
- $40 - $55 an hour
- Remote
- School experience
- Clinic experience
- Mid-level
Quick Apply
Licensed Mental Health Therapist
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
Licensed Mental Health Therapist
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
Licensed Mental Health Therapist
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker
Licensed Mental Health Therapist
Headway —Illinois
- Up to $129 an hour
- Remote
- Private practice
- LMFT
- Licensed Clinical Social Worker

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Market Appeals Specialist

UHS - Nashville Regional Office
Illinois

Quick Apply

Job Details

Full-time
$69,000 - $99,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Appeals
Microsoft Excel
Writing skills
LPC
Inventory management software
Master's degree
Database management
Case appeal in utilization management
Bachelor's degree
Utilization management
Resource utilization in healthcare
Microsoft Teams
Productivity software
Clinical documentation standards
Insurance claims appeal handling
LCSW-C

Full Job Description

BH Shared Services (a UHS company) is currently seeking an experienced Market Appeals Specialist to join our established team in the Central Appeals Office.

POSITION SUMMARY: This position supports utilization management and shared services within the behavioral health division. This role oversees and completes all standard appeals within a designated market, including both Cerner and non-Cerner facilities.
A successful candidate must have knowledge of utilization management operations, including experience with appeal letters and payer engagement. The ability to apply clinical acumen in a behavioral health setting both verbally and in writing is essential to this role. *This is a fully remote position.

RESPONSIBILITIES:

Complete all standard appeals timely and manage appeal inventory through ongoing tracking and monitoring.
Act as a liaison with local facilities and payers to ensure timely appeal processing including appropriate follow-up with payers for facility reimbursement.
Participate in local facility UM team meetings to support the standard appeal process.
Provide feedback to providers and UM team on opportunities impacting facility recoveries (e.g., documentation)
Performs other duties as assigned/required by this position

This opportunity provides the following:

UHS offers a challenging and rewarding work environment
Growth and development opportunities within UHS and its subsidiaries
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan.
401k plan with company match
Generous Paid Time Off

REQUIREMENTS:

Bachelor's degree required, Master's preferred
RN License or Master's level clinician required,Licenusre preferred
3-5 years related experience required, 5-8 preferred
Knowledge of utilization management operations, including experience with appeal letters and payer engagement.
Proficient in Excel, Microsoft Office/Teams, Word, and database inventory management.
Knowledge of payer requirements for reimbursement across all levels of care and behavioral health business office operations.
Strong oral communication skills to represent patient progress and treatment in behavioral health.
Understanding of medical necessity criteria application for all levels of care.
Ability to apply clinical acumen in behavioral health to written correspondence.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay: $69,000.00 - $99,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Education:

Master's (Preferred)

License/Certification:

LCSW-C (Preferred)
LPC (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

work from home jobs in east moline, il

Market Appeals Specialist

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Quantitative AI Evaluator - AI Trainer

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Product Analyst - AI Trainer

Care Management Processor (Central Time Zone Hours) - REMOTE

Remote Member Service Representative - Part Time

Licensed Clinical Social Worker

Principal Data Scientist - AI Trainer

Licensed Clinical Social Worker

Licensed Marriage and Family Therapist

Remote Psychiatric Nurse Practitioner (PMHNP) - Outpatient Practice. W2 w/Benefits, PT & FT options

Licensed Clinical Social Worker (LCSW) - Remote

Telehealth Registered Dietitian

Mental Health Therapist (Illinois)

Illinois (remote) - Speech-language pathologist

Licensed Mental Health Therapist

Licensed Mental Health Therapist

Licensed Mental Health Therapist

Licensed Mental Health Therapist

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