Appeals Dismissal SpecialistVirtualVocations • Buffalo, New York, United States
[error_messages.no_longer_accepting]
Appeals Dismissal Specialist
VirtualVocations • Buffalo, New York, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for an Appeals and Grievances Dismissal Specialist.
Key Responsibilities
Independently manage a caseload through the complete case lifecycle, including outreach and dismissal
Analyze appeals and grievances for eligibility based on Medicaid and Medicare guidelines
Draft and issue clear and compliant outreach and dismissal letters
Required Qualifications
High School Diploma or GED from an accredited institution
Work experience in appeals and grievances or a healthcare environment
Experience handling complex situations and / or projects
Microsoft Office Suite application work experience
Customer service experience, including resolving escalated complaints
[job_alerts.create_a_job]
Specialist • Buffalo, New York, United States
[internal_linking.similar_jobs]
Case Filing Specialist (2025-113).Be the cornerstone of our no-fault arbitration process.Administer new case intake with precision, ensuring compliance and maintaining accurate records in our case ...[show_more]
At Chartwell, we don’t just serve clients—we live our values.With over 300 attorneys in 30+ offices nationwide, we’re a fast-growing civil litigation firm built on collaboration, innovation, and in...[show_more]
With opportunities across the United States, we provide the platform and support to build your career with us.Our nationwide platform attracts outstanding professionals who are dedicated team playe...[show_more]
Court Name / Organization New York Western District Court Overview of the Position The Relief Courtroom Deputy / Case Administrator is the "face" of the court to much of the public and attorneys who pr...[show_more]
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.
We guarantee 15-25 hours per week with an hourly pay of bet...[show_more]
Your key responsibilities include : .Maintaining accurate patient records and adhering to .Australian dental regulations and best practices.
Flexibility : While we try hard not to change plans, sometim...[show_more] A company is looking for a Grievance & Appeals Specialist II.Key Responsibilities Review and prepare appeals for clinical review, ensuring proper documentation and tracking Attend Appeals Commit...[show_more] 
Job Description Job Summary The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolu...[show_more]
Purpose : The BSA / AML Manager - Cases is responsible for directly managing the Bank Secrecy Act (BSA) / Anti-Money Laundering (AML) Case Investigators and assisting the BSA / AML & OFAC Officer in overs...[show_more]
Client Safety Specialist of BestResponse Intensive Crisis Center FLSA Status : Non-Exempt Pay rate : $18.Schedule : Part Time Shift- Sunday, Monday, Saturday Location • BestResponse Intensive Cris...[show_more] A company is looking for an Appeals Specialist I (Remote).Key Responsibilities Analyze and prioritize appeals and grievance requests, ensuring accurate data entry and case assignment Communicate...[show_more] JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized represent...[show_more] 
The Licensed Relationship Manager is expected to be a customer experience champion and trusted financial professional.This position is to be the primary "asset" gatherer, retail investment sales le...[show_more]
Position Summary Deloitte is seeking a Senior Litigation Specialist to join its Office of General Counsel ("OGC").The hired individual will support litigation attorneys and accountants across vari...[show_more]
Negotiations Specialist Job Duties : Call providers, navigate call trees to get to the right people Negoti...[show_more]
Ingersoll Rand is an equal opportunity employer.All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender ident...[show_more] JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized represent...[show_more] A company is looking for an Appeals and Grievances Operations Expert.Key Responsibilities Oversee production, accuracy, and timely delivery of appeals and grievances operational and regulatory re...[show_more]
Case Filing Specialist
American Arbitration Association Inc. • Buffalo, NY, US
[job_card.full_time]
[last_updated.last_updated_variable_days]
Partner / Of Counsel - General Liability - Insurance Defense
Chartwell Law • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Buffalo Civil Litigation Attorneys
GORDON REES SCULLY MANSUKHANI, LLP • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Relief Courtroom Deputy / Case Administrator
United States Courts • Buffalo, NY, United States
[job_card.permanent]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Hiring Now - Work from Home - No Experience
OCPA • Youngstown, New York, us
[filters.remote]
[job_card.part_time] +1
[last_updated.last_updated_30] • [promoted]
Dentist - Job Location : Australia or New Zealand - Relocation Bonus
Abano USA • Youngstown, NY, USA
[job_card.permanent]
[last_updated.last_updated_30] • [promoted]
Grievance Appeals Specialist
VirtualVocations • Buffalo, New York, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Adjudicator, Provider Claims-Ohio-On the Phone
Molina Healthcare Inc. • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
BSA / AML Manager - Cases
Five Star Bank • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Client Safety Specialist of BestResponse Intensive Crisis Center
BestSelf Behavioral Health • Buffalo, NY, United States
[job_card.part_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Appeals Specialist
VirtualVocations • Buffalo, New York, United States
[job_card.full_time]
[last_updated.last_updated_1_day] • [promoted]
Specialist, Appeals & Grievances
Molina Healthcare Inc. • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Licensed Relationship Manager
Northwest Bank • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Office of General Counsel - Senior Litigation Specialist
Deloitte • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Negotiations Specialist
TradeJobsWorkForce • 14202 Buffalo, NY, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Advanced Billing Specialist
Ingersoll Rand • Buffalo, NY, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Appeals & Grievances Specialist (Complaints & Grievances)
Molina Healthcare Inc. • Buffalo, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Medicare Appeals Operations Expert
VirtualVocations • Buffalo, New York, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]