Talent.com
Appeals Specialist I
Appeals Specialist IVirtualVocations • Richmond, Virginia, United States
Appeals Specialist I

Appeals Specialist I

VirtualVocations • Richmond, Virginia, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for an Appeals Specialist I (Remote).

Key Responsibilities

Analyze appeals and grievance correspondence, determining next steps for processing

Maintain accurate records and communication regarding appeals and grievances

Assist 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 Medicare / Medicaid lines of business is a plus

[job_alerts.create_a_job]

Appeals Specialist I • Richmond, Virginia, United States

[internal_linking.similar_jobs]
Travel Behavioral Health RN

Travel Behavioral Health RN

American Medical Staffing • Hopewell, VA, US
[job_card.full_time]
American Medical Staffing is seeking a travel nurse RN Psychiatric for a travel nursing job in Hopewell, Virginia.Job Description & Requirements. We’re living in the new normal.Lives and c...[show_more]
[last_updated.last_updated_1_hour] • [promoted] • [new]
Mortgage Operations Manager

Mortgage Operations Manager

The Cowart Team Home Loans • Richmond, VA, US
[job_card.full_time]
Are you a proven leader in the Mortgage and Real Estate space?.The Cowart Team Home Loans, an established, highly respected mortgage branch in Richmond, VA, is seeking an Operations Manager to keep...[show_more]
[last_updated.last_updated_30] • [promoted]
Clinical Director / BCBA SIGN-ON BONUS $4,000 - Colonial Heights

Clinical Director / BCBA SIGN-ON BONUS $4,000 - Colonial Heights

TASKids • Colonial Heights, VA, US
[job_card.part_time]
Taskids VA Clinical Director : Richmond / Colonial Heights, VA.Benefits of Growing with Taskids : .Competitive Pay, Based on Education and Experience. Family Focused ABA! Our Clinical Directors focus on ...[show_more]
[last_updated.last_updated_30] • [promoted]
Supported Employment Specialist (Job Coach)

Supported Employment Specialist (Job Coach)

SOAR365 • Richmond, VA, US
[job_card.full_time]
Are you passionate about empowering individuals with disabilities to succeed in the workplace? Join SOAR365, a mission-driven organization that has supported people of all abilities for over 70 yea...[show_more]
[last_updated.last_updated_30] • [promoted]
Service Facilitator Contractor Healthcare Services

Service Facilitator Contractor Healthcare Services

SURPASSION HEALTHCARE SERVICES, IN • Ruther Glen, VA, US
[job_card.full_time]
Seeking a highly dedicated individual focused on helping our community facilitate the healthcare services provided through the Medicaid Waiver Program needed for individuals and families requiring ...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Procurement Support Specialist

Procurement Support Specialist

Phlow Corp. • Petersburg, VA, US
[job_card.full_time]
The Procurement Operations Specialist bridges the gap between Operations and Procurement, ensuring that site-level purchasing needs are defined, documented, and executed efficiently within Phlow&rs...[show_more]
[last_updated.last_updated_30] • [promoted]
PARTS SALES

PARTS SALES

Cunningham Brothers Auto Parts LLC • Hopewell, VA, US
[job_card.full_time]
Cunningham Brothers Auto Parts.Must have previous phone sales experience, organizational capabilities, computer skills and automotive knowledge. Fast paced sales environment that requires sales focu...[show_more]
[last_updated.last_updated_30] • [promoted]
SIU Investigator

SIU Investigator

Allied Universal® Compliance and Investigations • Petersburg, VA, US
[job_card.full_time]
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services.Allied Universal® Compliance and Investigation Services is the premier destination for a...[show_more]
[last_updated.last_updated_30] • [promoted]
Territory Sales Manager - North Texas

Territory Sales Manager - North Texas

Indevco North America Inc • Doswell, VA, US
[job_card.full_time]
INDEVCO North America Inc is a leading manufacturer of building materials, made right here in the USA.We are a family-owned business that was founded in 1956. Our Barricade Building Products and Per...[show_more]
[last_updated.last_updated_30] • [promoted]
Team Lead, Market Operations

Team Lead, Market Operations

Carvana • Petersburg, VA, US
[job_card.full_time]
At Carvana, we sell cars, but we are not salespeople.We have made it our mission to create a hassle-free way for people to buy and sell cars. We saw a huge problem with how much of a headache it is ...[show_more]
[last_updated.last_updated_30] • [promoted]
Commercial Underwriting Supervisor

Commercial Underwriting Supervisor

Volant Programs Inc • Chester, VA, US
[job_card.full_time]
Commercial Underwriting Supervisor Habitational (Property & Casualty).Management Experience Not Required.Founded in 2022, Volant Programs Inc. Surplus Lines Wholesale Brokerage and Managing Gene...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Appeals Specialist

Appeals Specialist

Universal Health Services, Inc. • Richmond, Virginia, United States
[job_card.full_time]
The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service...[show_more]
[last_updated.last_updated_30] • [promoted]
Affidavit Specialist

Affidavit Specialist

Virginia Staffing • Richmond, VA, US
[job_card.full_time]
Processing affidavit submissions routed to multiple client email folders within 9 calendar days.Properly executing all rush requests and responding to client emails within 24 hours.Escalating proce...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Claims Specialist

Claims Specialist

ApTask • Richmond, VA, US
[job_card.full_time]
Company is a worldwide provider of legal services, serving law firms, corporations, financial institutions and government agencieshelping them streamline the administration of business operations.I...[show_more]
[last_updated.last_updated_30] • [promoted]
Claims Specialist - Executive Claims Specialist - Coverage - Claims-Made

Claims Specialist - Executive Claims Specialist - Coverage - Claims-Made

James River Management Company • Richmond, VA, United States
[job_card.full_time]
Come grow with James River Insurance!.James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. Since 2003, James River has provided thousands of commercial pr...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Underwriting Operations Specialist

Underwriting Operations Specialist

Ryan Specialty • Richmond, VA, US
[job_card.full_time]
The Underwriting Operations Specialist provides technical rating and policy issuance support for routine to moderately complex transactions in underwriting. They work closely with agents, process mi...[show_more]
[last_updated.last_updated_1_day] • [promoted]
Business Development Associate

Business Development Associate

Talent Find Professional • Hopewell, VA, US
[job_card.full_time]
Business Development Associate.Leadership Track | Contract-Based).Most people spend their entire life building someone else’s future — working harder every year while their income stays...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Business Specialist with Healthcare Background

Business Specialist with Healthcare Background

Polk Region - Modern Woodmen of America • Richmond, VA, US
[job_card.full_time]
Transition Your Healthcare Expertise into Financial Services with Polk Region - Modern Woodmen of America!.Leverage Your Healthcare Background for a Rewarding Career : . Build Direct Client Relationsh...[show_more]
[last_updated.last_updated_30] • [promoted]