Support provider-related workflows involving claims, appeals, reimbursement issues, dispute intake, and case follow-up * Review claim details, supporting documentation, and case information to ...
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Support provider-related workflows involving claims, appeals, reimbursement issues, dispute intake, and case follow-up * Review claim details, supporting documentation, and case information to ...
Quick apply
Support provider-related workflows involving claims, appeals, reimbursement issues, dispute intake, and case follow-up * Review claim details, supporting documentation, and case information to ...
Philadelphia, PA · On-site
$22.25 - $27.50/hr
Ensures timely and accurate execution of all appeal-related activities, including intake, triage, case creation, tracking, letter generation, and documentation within business systems. * Provides ...
Philadelphia, PA · On-site
$22.25 - $27.50/hr
Ensures timely and accurate execution of all appeal-related activities, including intake, triage, case creation, tracking, letter generation, and documentation within business systems. * Provides ...
Baton Rouge, LA (Main Campus) Work Arrangement: 100% Onsite Pay Rate: $25/hr Position Summary The Medical Appeals Representative provides operational support for the intake, review, prioritization ...
Baton Rouge, LA (Main Campus) Work Arrangement: 100% Onsite Pay Rate: $25/hr Position Summary The Medical Appeals Representative provides operational support for the intake, review, prioritization ...
Huntington Beach, CA · On-site
$26 - $32/hr
Job Summary The Appeals & Grievances Resolution Specialist supports the intake, investigation, and resolution of member grievances, appeals, provider disputes, and complaints in accordance with CMS ...
New
Huntington Beach, CA · On-site
$26 - $32/hr
Job Summary The Appeals & Grievances Resolution Specialist supports the intake, investigation, and resolution of member grievances, appeals, provider disputes, and complaints in accordance with CMS ...
New
Huntington Beach, CA · On-site
$26 - $32/hr
Job Summary The Appeals & Grievances Resolution Specialist supports the intake, investigation, and resolution of member grievances, appeals, provider disputes, and complaints in accordance with CMS ...
New
Huntington Beach, CA · On-site
$26 - $32/hr
Job Summary The Appeals & Grievances Resolution Specialist supports the intake, investigation, and resolution of member grievances, appeals, provider disputes, and complaints in accordance with CMS ...
New
Baton Rouge, LA · On-site
$25/hr
Baton Rouge, LA (Main Campus) Work Arrangement: 100% Onsite Pay Rate: $25/hr Position Summary The Medical Appeals Representative provides operational support for the intake, review, prioritization ...
Baton Rouge, LA · On-site
$25/hr
Baton Rouge, LA (Main Campus) Work Arrangement: 100% Onsite Pay Rate: $25/hr Position Summary The Medical Appeals Representative provides operational support for the intake, review, prioritization ...
This position provides operational support for the intake, prioritization, coordination, and tracking of medical appeals. The Medical Appeals Representative will review incoming appeal requests ...
This position provides operational support for the intake, prioritization, coordination, and tracking of medical appeals. The Medical Appeals Representative will review incoming appeal requests ...
... appeals, and related correspondence. This position ensures that all incoming cases are accurately ... intake, tracking, prioritization, and distribution of incoming disputes, appeals, and ...
... appeals, and related correspondence. This position ensures that all incoming cases are accurately ... intake, tracking, prioritization, and distribution of incoming disputes, appeals, and ...
Fort Worth, TX · Remote
$17/hr
Our client is looking for motivated professionals with healthcare or insurance experience to support the appeals process from intake through setup. This position is ideal for individuals who enjoy ...
Fort Worth, TX · Remote
$17/hr
Our client is looking for motivated professionals with healthcare or insurance experience to support the appeals process from intake through setup. This position is ideal for individuals who enjoy ...
Walnut, CA · On-site
$18.50 - $24.75/hr
Assists the entire intake process from taking referrals and verifying insurance to obtaining ... appeals letters based off of specific denial reason and patient's clinical presentation and ...
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Walnut, CA · On-site
$18.50 - $24.75/hr
Assists the entire intake process from taking referrals and verifying insurance to obtaining ... appeals letters based off of specific denial reason and patient's clinical presentation and ...
San Diego, CA · On-site +1
$73.30 - $94.43/hr
Summary The Appeals team oversees all operational and clinical aspects of the appeals process, including intake, case processing, clinical determinations, notifications, and compliance with ...
San Diego, CA · On-site +1
$73.30 - $94.43/hr
Summary The Appeals team oversees all operational and clinical aspects of the appeals process, including intake, case processing, clinical determinations, notifications, and compliance with ...
$73.30 - $94.43/hr
Summary The Appeals team oversees all operational and clinical aspects of the appeals process, including intake, case processing, clinical determinations, notifications, and compliance with ...
$73.30 - $94.43/hr
Summary The Appeals team oversees all operational and clinical aspects of the appeals process, including intake, case processing, clinical determinations, notifications, and compliance with ...
Pearland, TX · On-site
$15.50 - $21/hr
Data Intake Specialist, 8am-5pm. Candidate will ensure the accurate and efficient management of ... regulatory requirements. - Appeals and Grievances Management: Handling incoming requests ...
Quick apply
Pearland, TX · On-site
$15.50 - $21/hr
Data Intake Specialist, 8am-5pm. Candidate will ensure the accurate and efficient management of ... regulatory requirements. - Appeals and Grievances Management: Handling incoming requests ...
$15.50 - $21/hr
Data Intake Specialist, 8am-5pm. Candidate will ensure the accurate and efficient management of ... regulatory requirements. - Appeals and Grievances Management: Handling incoming requests ...
$15.50 - $21/hr
Data Intake Specialist, 8am-5pm. Candidate will ensure the accurate and efficient management of ... regulatory requirements. - Appeals and Grievances Management: Handling incoming requests ...
Colorado Springs, CO · On-site
$28.84/hr
Manage appeals intake and filing: prepare and file court records with District Court, meet filing deadlines, and monitor appeal status. Jury Commissioner duties (as assigned): summon jurors, manage ...
Colorado Springs, CO · On-site
$28.84/hr
Manage appeals intake and filing: prepare and file court records with District Court, meet filing deadlines, and monitor appeal status. Jury Commissioner duties (as assigned): summon jurors, manage ...
Pearland, TX · On-site
$15.50 - $21/hr
Data Intake Specialist, 8am-5pm. Candidate will ensure the accurate and efficient management of ... regulatory requirements. - Appeals and Grievances Management: Handling incoming requests ...
Pearland, TX · On-site
$15.50 - $21/hr
Data Intake Specialist, 8am-5pm. Candidate will ensure the accurate and efficient management of ... regulatory requirements. - Appeals and Grievances Management: Handling incoming requests ...
Rancho Cucamonga, CA · On-site
$23.98/hr
... intake cases, the Grievance and Appeals Coordinator will ensure the following: a. Assign new cases as received for medical urgency and assign to appropriate Grievance Team Member for investigation ...
Rancho Cucamonga, CA · On-site
$23.98/hr
... intake cases, the Grievance and Appeals Coordinator will ensure the following: a. Assign new cases as received for medical urgency and assign to appropriate Grievance Team Member for investigation ...
$70K - $82K/yr
Own the intake operations strategy for assigned program(s) from initial implementation through ... and appeals. * Proven ability to lead teams and drive performance, with a coach's instinct for ...
$70K - $82K/yr
Own the intake operations strategy for assigned program(s) from initial implementation through ... and appeals. * Proven ability to lead teams and drive performance, with a coach's instinct for ...
Columbus, OH · On-site
$70K - $82K/yr
Own the intake operations strategy for assigned program(s) from initial implementation through ... and appeals. * Proven ability to lead teams and drive performance, with a coach's instinct for ...
Columbus, OH · On-site
$70K - $82K/yr
Own the intake operations strategy for assigned program(s) from initial implementation through ... and appeals. * Proven ability to lead teams and drive performance, with a coach's instinct for ...
Columbus, OH · On-site
$70K - $82K/yr
Own the intake operations strategy for assigned program(s) from initial implementation through ... and appeals. * Proven ability to lead teams and drive performance, with a coach's instinct for ...
Quick apply
Columbus, OH · On-site
$70K - $82K/yr
Own the intake operations strategy for assigned program(s) from initial implementation through ... and appeals. * Proven ability to lead teams and drive performance, with a coach's instinct for ...
$12.02 - $13.81
2% of jobs
$13.81 - $15.60
9% of jobs
$16.75 is the 25th percentile. Wages below this are outliers.
$15.60 - $17.40
21% of jobs
The median wage is $18.95 / hr.
$17.40 - $19.19
20% of jobs
$19.19 - $20.98
18% of jobs
$21.74 is the 75th percentile. Wages above this are outliers.
$20.98 - $22.77
11% of jobs
$22.77 - $24.56
9% of jobs
$24.56 - $26.35
3% of jobs
$26.35 - $28.15
3% of jobs
$28.15 - $29.94
2% of jobs
$29.94 - $31.73
1% of jobs
$12
$20
$31

Full-time
Re-posted 21 days ago
About Green Light:
Green Light is a fast-growing healthcare technology company dedicated to transforming the industry through innovation and service. Were seeking an energetic and knowledgeable Claims and Appeals Specialist who thrives in a dynamic environment and is ready to make a meaningful impact. This role is ideal for someone with experience in healthcare claims, appeals, reimbursement, provider services, or related healthcare operations who enjoys problem-solving, working with providers, and helping drive timely, accurate resolutions.
Job Summary:
As a Claims and Appeals Specialist at Green Light, youll play a critical role in supporting provider-facing workflows related to claims, appeals, reimbursement, dispute intake, and case resolution. This position helps ensure matters are handled accurately, efficiently, and in compliance with internal processes and applicable requirements. Were looking for someone who is proactive, detail-oriented, organized, and comfortable managing multiple priorities in a fast-paced environment. The ideal candidate is a strong communicator, a problem solver, and someone who works well with both internal teams and external partners.
Responsibilities:
Qualifications:
Preferred Experience:
Sourced by ZipRecruiter
Health care and social assistance
1 - 10 Employees
Scottsdale, AZ, US
2011