Appeal Operations Specialist Job at Cash App (Denver)

Vehicle Ad Optimization Specialist

We’re seeking a skilled and detail-oriented mid-level professional to play a key...

Location

Albania , Tirane

Salary:

Not provided

AUTO1 Group

Expiration Date

Until further notice

Requirements

Experience in the automotive industry (e.g., vehicle sales, appraisals, inspections, or similar roles)
Basic technical knowledge of cars, including service histories, equipment, and features
A structured, detail-oriented approach to handling information and processes
Strong communication skills and fluency in English

Job Responsibility

Conducting thorough checks on vehicle service histories to ensure accuracy
Identifying and documenting car equipment and features for advertisements
Supporting the creation of high-quality vehicle listings that appeal to buyers across the EU market
Collaborating with the team to ensure compliance with automotive standards
Staying updated on industry trends to improve processes and ensure accurate representations

What we offer

Competitive salary with fixed and performance-based components
Be part of an innovative, fast-paced team that’s transforming the automotive sector
Opportunities for professional growth in a dynamic and merit-based environment

Fulltime

Appeals Specialist I

Responsible for all activities associated with requests for Provider Billing Dis...

Location

United States , Portland

Salary:

25.00 - 30.00 USD / Hour

Apex Systems

Expiration Date

Until further notice

Requirements

Excellent verbal and written communication skills
Intermediate computer skills (e.g. Microsoft Word, Excel, Outlook)
Knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs)
Knowledge of claims processing and clinical services operations
Demonstrated initiative and analytical ability in identifying problems, researching issues, developing solutions, and implementing a course of action
Ability to listen and communicate appropriately in a manner that promotes positive, professional interaction while maintaining confidentiality and sensitivity in all aspects of internal and external contacts
Ability to present complex medical and reimbursement information to others and to be diplomatic and persuasive regarding health plan benefits, claims and eligibility
Ability to switch from one task or type of work to another as the business needs require
Ability to effectively prioritize work to meet strict timelines while maintaining quality and consumer centric focus
High school diploma or GED and a minimum 4 years’ experience in customer Service, Claims, or Clinical Services or equivalent combination of education and work experience

Job Responsibility

Responsible for all activities associated with appeal analysis, decision-making and closure
Appeal Intake – Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for each appeal. Document information in appropriate system
Appeal Analysis – Review claim coding and claim processing history, medical policy and reimbursement policies, regulatory and legal requirements, benefit contracts, and/or provider contracts. Collect and catalogue supporting documentation and formulate an appeal recommendation. Document information in appropriate system. Apply knowledge and experience to answer a variety of increasingly complex inquiries from members, providers, and provider representatives. Collaborate effectively with coding specialists, appeal nurses, physician reviewers, and others as necessary to reach timely decisions on appeals
Decision & Closure – Make non-clinical appeal determinations as permitted by department business processes and guidelines. Follow department’s processes to receive a clinical review and decision from licensed health professionals. Present complex cases to appeal panels, document decisions, communicate determinations to members, providers or their representatives. Document information in appropriate system(s)
External review process – Oversee set-up of appeals for external review organizations, including document collection and coordination, communication with all parties, and other responsibilities as an intermediary between the provider and the external review organization. Ensure external review information is documented in appropriate system. Prepares letters and cases for external review as needed. Implement external review decisions
Interpersonal and Communication – Provide information, education and assistance to members, providers, and their representatives. Facilitate the member’s or provider’s’ understanding of the appeal process and of the information necessary to effectively process an appeal. Be a courteous advocate to the member or provider when requesting supporting information. Work cooperatively and effectively across all business areas to resolve
Systems and data – Track appeals in appropriate systems and assist in the maintenance of files. Assist with compilation of reports on appeals, including trends, number of cases, decisions, suggestions for process improvement, types of appeals, and compliance with timelines
Support, apply and promote Provider or Member Appeal Policies & Procedures
Adhere to dependability, customer focus, and all performance criteria as established by the department including: timeliness, production, and quality standards for all work
Manage a defined caseload within department productivity and quality expectations and provide back up for other appeals staff

What we offer

Medical, dental, vision, life, disability, and other insurance plans
ESPP (employee stock purchase program)
401K program with company match after 12 months
HSA (Health Savings Account on the HDHP plan)
SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions
Corporate discount savings program
On-demand training program
Access to certification prep and a library of technical and leadership courses/books/seminars after 6+ months of tenure
Certification discounts and other perks to associations that include CompTIA and IIBA
Dedicated customer service team for Consultants

Fulltime

New

Medical Biller/Collections Specialist

We are looking for an experienced Medical Biller/Collections Specialist to join ...

Location

United States , Mount Laurel

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in medical billing for Medicare and Medicaid
Proficiency in handling medical collections and accounts receivable
Strong knowledge of medical denials and appeals processes
Expertise in hospital billing operations and documentation
Familiarity with healthcare insurance regulations and compliance standards
Excellent analytical and problem-solving skills
Effective communication abilities for interacting with insurance providers and healthcare teams
Detail-oriented approach to ensure accuracy in billing and record-keeping

Job Responsibility

Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards
Handle accounts receivable tasks, including tracking and resolving outstanding balances
Investigate and manage medical denials, implementing solutions to ensure proper claim resolution
Prepare and submit medical appeals to recover denied or underpaid claims
Conduct hospital billing operations, maintaining accuracy and consistency in documentation
Communicate with insurance providers to address claim discrepancies and secure timely reimbursements
Maintain detailed records of billing and collection activities for auditing purposes
Collaborate with healthcare providers and administrative teams to streamline billing processes
Identify opportunities to improve efficiency within the billing and collections workflow
Provide regular updates on accounts and collections to management

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Medical Biller/Collections Specialist

We are looking for an experienced Medical Biller/Collections Specialist to join ...

Location

United States , Mt Laurel Township

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in medical billing for Medicare and Medicaid
Proficiency in handling medical collections and accounts receivable
Strong knowledge of medical denials and appeals processes
Expertise in hospital billing operations and documentation
Familiarity with healthcare insurance regulations and compliance standards
Excellent analytical and problem-solving skills
Effective communication abilities for interacting with insurance providers and healthcare teams
Detail-oriented approach to ensure accuracy in billing and record-keeping

Job Responsibility

Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards
Handle accounts receivable tasks, including tracking and resolving outstanding balances
Investigate and manage medical denials, implementing solutions to ensure proper claim resolution
Prepare and submit medical appeals to recover denied or underpaid claims
Conduct hospital billing operations, maintaining accuracy and consistency in documentation
Communicate with insurance providers to address claim discrepancies and secure timely reimbursements
Maintain detailed records of billing and collection activities for auditing purposes
Collaborate with healthcare providers and administrative teams to streamline billing processes
Identify opportunities to improve efficiency within the billing and collections workflow
Provide regular updates on accounts and collections to management

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Account Operations Specialist

Wilson Sonsini is seeking an enthusiastic and energic Account Operations Special...

Location

United States , Palo Alto; San Francisco; San Diego; Century City; Los Angeles

Salary:

32.28 - 48.65 USD / Hour

Wilson, Sonsini, Goodrich & Rosati

Expiration Date

Until further notice

Requirements

Bachelor’s degree preferred
Experience with Aderant Expert Billing, Entity Manager and BillBlast required
2+ years of extensive experience with billing, collections and e-billing functions of a law firm required
Knowledge of firm and client billing policies and procedures
Advanced knowledge of Microsoft Excel
Strong service-oriented skills including excellent interpersonal and communication skills
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices

Job Responsibility

Maintain rejections and pending invoices under a set threshold
Assist with monthly departmental collections targets by monitoring invoice validations, approvals, reductions, and rejections of e-bills to ensure full timely payment
Adhere to client deadlines for invoicing, accruals and budgets
Manage onboarding for assigned clients migrating to e-billing or switching e-billing vendor sites
Update e-billing data in Aderant and BillBlast systems, as needed
Oversee timekeeper rate submissions and new matter setups for assigned e-bill clients
Implement enhancements and troubleshoot e-billing issues
Review outside counsel guidelines and update BillBlast and Aderant to ensure compliance
Assist Account Managers with e-bill reports, training, and other e-billing related issues
Collaborate with Account Managers to submit appeals

What we offer

Highly competitive salary and benefits package
Discretionary year-end merit bonus based on performance

Fulltime

Operations Compliance Specialist

Reporting to the Senior Manager of Regulatory and Business Operations, the Opera...

Location

Salary:

Not provided

Spring Health

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent experience
4+ years of cross functional experience in a high growth startup and or healthcare systems
Exceptional written, verbal, and listening communication skills
A working understanding of grievance and appeals regulations and how they are applied in practice
Proven ability to build effective relationships across teams as a self starter
Ability to manage multiple priorities and perform well under pressure
Strong analytical, organizational, and attention to detail skills
Demonstrated ability to contribute innovative solutions to complex problems with input from multiple stakeholders
A member > team > individual mindset
A collaborative, humble approach with a sense of levity and fulfillment from shared success

Job Responsibility

Support internal and external audits by helping coordinate documentation, timelines, and follow up items
Own day to day execution of assigned audit and monitoring workstreams within established processes, including documentation, tracking, prioritization, and issue escalation
Collaborate with cross functional partners to gather information and support compliance reviews
Maintain organized, audit ready records for assigned activities, observations, and follow up actions, ensuring accuracy and completeness prior to senior review
Monitor daily, weekly, and monthly quality and oversight reports to ensure regulatory and internal deadlines are met, evaluate trends and risks, and determine when escalation is required
Identify process gaps and share observations and recommendations with senior team members to support quality, regulatory, and operational improvements
Other duties as assigned

What we offer

Health, Dental, Vision benefits start on your first day
Access to One Medical accounts
HSA and FSA plans available with Spring contributing up to $1K for HSAs
Employer sponsored 401(k) match of up to 2%
Yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
Competitive paid time off policies including vacation, sick leave and company holidays
Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents at 6 months tenure
Access to Noom, a weight management program
Access to fertility care support through Carrot, plus $4,000 reimbursement for related fertility expenses
Access to Wellhub for fitness, mindfulness, nutrition, and sleep

Fulltime

Medical Billing Specialist

We are looking for a skilled Medical Billing Specialist to join our team on a co...

Location

United States , Cincinnati

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing and coding within healthcare settings
Strong knowledge of Medicaid and Medicare billing processes
Ability to manage claim denials and appeals with attention to detail
Proficiency in handling government and commercial payer invoicing
Excellent organizational skills to track and manage multiple billing tasks
Strong analytical abilities to identify and resolve billing discrepancies
Effective communication skills for interacting with payers and team members

Job Responsibility

Process and submit medical claims accurately and efficiently
Investigate and resolve claim denials, ensuring timely follow-up and appeals
Manage invoicing operations for both government payers and commercial insurers
Monitor reimbursement processes and address discrepancies to ensure proper payments
Handle Medicaid and Medicare billing with precision and compliance
Collaborate with team members to optimize billing workflows and minimize errors
Track claim statuses and maintain detailed records of billing activities
Ensure adherence to healthcare billing regulations and policies
Provide support in resolving complex billing issues that may arise
Communicate effectively with payers to clarify billing concerns or discrepancies

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Medical Billing Specialist

We are looking for a skilled Medical Billing Specialist to join our team on a co...

Location

United States , Cincinnati

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing and coding within healthcare settings
Strong knowledge of Medicaid and Medicare billing processes
Ability to manage claim denials and appeals with attention to detail
Proficiency in handling government and commercial payer invoicing
Excellent organizational skills to track and manage multiple billing tasks
Strong analytical abilities to identify and resolve billing discrepancies
Effective communication skills for interacting with payers and team members

Job Responsibility

Process and submit medical claims accurately and efficiently
Investigate and resolve claim denials, ensuring timely follow-up and appeals
Manage invoicing operations for both government payers and commercial insurers
Monitor reimbursement processes and address discrepancies to ensure proper payments
Handle Medicaid and Medicare billing with precision and compliance
Collaborate with team members to optimize billing workflows and minimize errors
Track claim statuses and maintain detailed records of billing activities
Ensure adherence to healthcare billing regulations and policies
Provide support in resolving complex billing issues that may arise
Communicate effectively with payers to clarify billing concerns or discrepancies

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Appeal Operations Specialist

Cash App

Location:
United States , Denver

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 26, 2026

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Location:United States , Denver

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Job Description:

Job Responsibility:

Requirements:

Nice to have:

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Job Posted:January 26, 2026

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Job Posted:
January 26, 2026