- TEKsystems (New York, NY)
- IMMEDIATE OPENINGS FOR MEMBER APPEALS SPECIALIST MUST HAVE PRIOR APPEALS AND GRIEVANCES EXPERIENCE 100% REMOTE , EQUIPEMENT PROVIDED MONDAY - FRIDAY ... 8AM-5PM EST $23/HR Qualifications: + 3 years of medical claims experience/ appeals + grievances experience + Microsoft Office proficient Member Appeals … more
- Humana (Albany, NY)
- …first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on ... protect member PHI / HIPAA information This is a remote position Travel: While this is a remote position, occasional travel to Humana's offices for training or… more
- Sharecare (Albany, NY)
- …with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances / appeals , utilization management ... the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals… more