Top 1337 Work from home Jobs in Edwardsville, Il

Market Appeals Specialist
UHS - Nashville Regional Office —Illinois
- $69,000 - $89,000 a year
- Full-time
- Remote
- Microsoft Excel
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
7d
Telehealth Registered Dietitian
Nourish —Illinois
- $50 - $55 an hour
- Part-time
- Remote
- US work authorization
- Telehealth
- Entry level
- Continuing education credits
- Health savings account
8d
Branch Auditor
Edward Jones —St. Louis, MO
- $63,200 - $104,200 a year
- Full-time
- Remote
- Mid-level
- Office
- Bachelor's degree
- Profit sharing
- Health savings account
Companion Animal Business Development Manager
Trouw Nutrition —Highland, IL
- $160,000 - $170,000 a year
- Full-time
- Remote
- Background check
- Up to 50% travel
- Marketing
- Paid parental leave
- Health savings account
Account Management Team Lead- Northeast
aventiv —Illinois
- $101,101.50 - $115,255.71 a year
- Remote
- Microsoft Excel
- Mid-level
- Finance
- Disability insurance
- Health insurance
Quick Apply
Pharmacy Tech Support / Call Center Rep (Remote Work from Home)
IQVIA —St. Louis, MO
- $18 an hour
- Full-time
- Remote
- Spanish
- English
- High school diploma or GED
- Work from home
1d
Customer Engagement Representative
SKF —St. Louis, MO
- $60,000 - $67,000 a year
- Remote
- Mid-level
- Continuous improvement
- Organizational skills
- Paid holidays
- Disability insurance
12d
Tier I Customer Support Representatives – 3rd Shift (REMOTE)
Koniag Government Services —Scott AFB, IL
- Full-time
- Remote
- Bilingual
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
1d
Glass Claim Specialist (Remote)
CSAA Insurance Services, Inc. —St. Louis, MO
- $25.32 - $33.71 an hour
- Full-time
- Remote
- Computer literacy
- Bachelor of Science
- Writing skills
- 401(k) matching
20h
Enrollment Specialist (Patient Outreach)
COUNSELMEDS —St. Louis, MO
- $23 - $25 an hour
- Part-time
- Remote
- Background check
- Spanish
- Google Workspace
Quick Apply
3d
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)
National General —Illinois
- $68,500 - $104,100 a year
- Online Application
- Remote
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Work from home
Medical Debt Collections Call Center Agent
Parallon —St. Louis, MO
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Accounts Receivable Specialist I
Allsup Employment Services —St. Louis, MO
- $35,360 - $43,100 a year
- Full-time
- Remote
- High school diploma or GED
- Organizational skills
- Associate's degree
- Health savings account
- Paid holidays
Quick Apply
Vehicle Acquisition Representative - St. Louis, MO
Enterprise Mobility —St. Louis, MO
- $18.00 - $20.24 an hour
- Full-time
- Remote
- 18 years or older
- Microsoft Outlook
- Residential
- Profit sharing
- Health savings account
21h
Claims Specialist II - Veterans Disability Appeals
Allsup Employment Services —St. Louis, MO
- $17 - $21 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
EHR Application I Analyst
BJC HealthCare —St. Louis, MO
- $57,304 - $93,288 a year
- Full-time
- Remote
- High school diploma or GED
- Bachelor's degree
- Children
- Disability insurance
- Health insurance
21h
Online Casino Reviewer (Remote) - Paid Contract Position
Signup Expert —St. Louis, MO
- Contract
- Remote
- Research
- Communication skills
- Entry level
Quick Apply
Credentialing Specialist
TeleMed2U —St. Louis, MO
- $21 - $30 an hour
- Full-time
- Remote
- Data analysis skills
- Mid-level
- High school diploma or GED
Quick Apply
Seasonal (Temporary) Customer Service Call Center Agent
TRANZACT —St. Louis, MO
- $15.50 an hour
- 8 hour shift
- Remote
- English
- High school diploma or GED
- Older adults
Quick Apply
13d
Help Desk Technician I
Sunstar Insurance Group LLC —St. Louis, MO
- Remote
- Microsoft Outlook
- Windows
- Organizational skills
Quick Apply
18h

I want to receive the latest job alert for work from home in edwardsville, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

work from home jobs near edwardsville, il

Market Appeals Specialist

UHS - Nashville Regional Office
Illinois

Quick Apply

Job Details

Full-time
$69,000 - $89,000 a year
7 days ago

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 - $89,000.00 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 edwardsville, il

Market Appeals Specialist

Telehealth Registered Dietitian

Branch Auditor

Companion Animal Business Development Manager

Account Management Team Lead- Northeast

Pharmacy Tech Support / Call Center Rep (Remote Work from Home)

Customer Engagement Representative

Tier I Customer Support Representatives – 3rd Shift (REMOTE)

Glass Claim Specialist (Remote)

Enrollment Specialist (Patient Outreach)

Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)

Medical Debt Collections Call Center Agent

Accounts Receivable Specialist I

Vehicle Acquisition Representative - St. Louis, MO

Claims Specialist II - Veterans Disability Appeals

EHR Application I Analyst

Online Casino Reviewer (Remote) - Paid Contract Position

Credentialing Specialist

Seasonal (Temporary) Customer Service Call Center Agent

Help Desk Technician I

I want to receive the latest job alert for work from home in edwardsville, il

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected