Remote Denials & Appeals Specialist
Railway Corp
- Remote job
St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers. You will collaborate with Case Management and Billing to improve denial workflows and maximize timely reimbursements. Qualified candidates will have nursing experience, RN license, and 2–5 years in case/un utilization management with exposure to payer appeals. #J-18808-Ljbffr Railway Corp
- VitalConnect, Inc. is seeking a Denial Management Specialist on a fully remote basis to join the Revenue Cycle team. You will investigate complex third-party insurance denials and optimize reimbursement by researching and acting quickly on denials. The role requires 3+...Remote job
- ...To support orthopedic services, the full-time Denial Management Specialist will manage denial appeals, analyze claims data, and collaborate with healthcare teams in a remote setting. Key responsibilities Supporting orthopedic revenue cycle and denial management operations...Remote workFull time
- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately... ...where candidates will leverage their denials and appeals expertise to evaluate and improve AI-driven denial...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$28.85 - $35 per hour
...been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare... ...recovery organization . This is a fully remote role (U.S.-based, any time zone) supporting... ...assigned denial queues, submit appeals, and follow claims through to final...Remote workHourly payTemporary workInterim roleFlexible hours$19 - $21 per hour
...Job Title Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within... ...and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training...Remote workHourly pay- ...Appeals Specialist We are seeking a detail-oriented and experienced Appeals Specialist for our... ...responsible for managing insurance claim denials and leading the appeals process to... ...Friday 8am-5pm 3 months in office then remote Benefits offered Key responsibilities include...Remote workWork at officeMonday to Friday
$28.83 - $46.14 per hour
...Range: $28.83 - $46.14 per hour. Location: Remote in Washington State only. Posted wage ranges represent... .... Job Summary Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for EvergreenHealth....Remote workHourly payContract workFlexible hoursShift work$20 per hour
...seeking a sharp, analytical, and results-driven Technical Denials & Appeals Specialist to join their team. If you have a proven track record of diving... ...that overturn them, we want to talk to you. This is a remote opportunity. However, candidates MUST RESIDE WITHIN the...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours.... ...Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of...Remote workHourly payFull timeContract workWork experience placementWork at office$29.7 - $31.8 per hour
...experience Job Description The Acute Coding Appeals Specialist integrates medical coding principles... ...Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and... ...patient and client experiences. This is a remote position; however, candidates must be willing...Remote workTemporary workWork at officeLocal area- ...PFS Denials Nurse Auditor Remote opportunity available in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas... ...post-claim denials and preparing clinical discussion and appeal letters. Consulting with clinical and hospital appeal...Remote workWork experience placementLocal area
$28.72 - $36.92 per hour
...subspecialties. This position is primarily remote, candidates must reside in the Tri-... ...Job Summary: The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and... ...complex coding-related denials and appeals in addition to following up on...Remote jobHourly payFull timeWork at officeLocal area- ...Endeavor Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims, focusing on... ...Physician Practices, Providers and Payers, submit timely appeals, gather medical records, and write appeal letters. Strong...
- ...for reviewing all post-billed denials (inclusive of coding-related... ...denials) for coding accuracy and appealing them based upon coding... ...of coding denials resolution specialists responsible for identifying and... ...This position operates in a remote environment that must be a dedicated...Remote workLocal area
$17 per hour
...Revenue Cycle Management Wizard Flexible hours & work from home remote option Starting salary: $17 and up (depending on specific experience... ...crew making magic happen in the billing follow-up and denial management world. You'll play a crucial part in ensuring comprehensive...Remote workWork at officeWork from homeFlexible hours- ...has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing Team in Houston.... ...documentation to resolve denied claims and submit appeals. Call payers to determine the true reason for denial and inquire on what corrections need to be made....Full timeContract workTemporary workLocal areaImmediate startMonday to Friday
- ...Managing member appeal cases remotely, the contract Member Appeals Specialist will ensure accuracy, compliance, and timely resolution while coordinating incoming appeals and collaborating with cross-functional teams in a highly regulated healthcare environment. Key responsibilities...Remote workContract work
- ...in Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement... ...including the resolution of insurance denials and inquiries, this position offers a full-time remote work option for residents of specific states. #J-...Remote workFull time
- ...Working remotely in a full-time capacity, the Appeals Specialist will leverage expertise in claims adjudication and risk management to guide clients through the appeals process, ensuring compliance and effective communication with stakeholders. Key responsibilities Reviews...Remote workFull timeContract work
- ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members and providers while ensuring compliance with applicable requirements. Key responsibilities Manage and resolve complaints...Remote workFull time
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...Remote workHourly payWork at office- ...Detail-oriented and analytical, the remote Billing & Appeals Specialist will manage provider billing disputes and appeals, ensuring accurate resolutions while maintaining exceptional customer service in a contract role. Key responsibilities Review, investigate, and resolve...Remote workContract workWork at office
$45.9k - $78.6k
...quality service is the norm and every member feels valued. The Appeals & Grievances Specialist plays a vital role in ensuring fair, timely, and... ...with Microsoft Word, Excel, and Outlook This position is a Remote role.To be eligible for consideration, candidates must have...Remote workWork experience placement- Workit Health is seeking a full-time RCM Specialist in Scottsdale, AZ. The role involves handling rejections and denials, and requires experience with telemedicine services and excellent customer service skills. Candidates should demonstrate empathetic communication while...Remote workFull timeFlexible hours
$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position... ...work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical...Remote workFull timeLocal areaShift workWeekend work- ...Summary of Position Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and... ...requirements and turn‑around times of the Expedited Appeal unit, the Specialists are required to work weekends and holidays as the organization...Remote workHourly payContract workWeekend work
- L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote jobFull time
- Banner Health seeks a remote Grievance & Appeals Coordinator in Arizona to support members and providers through the grievance, appeal, and claim-dispute process. This part-time role requires experience with AHCCCS, CMS regulations, and strong communication. You will manage...Remote jobPart timeMonday to FridayShift work
- ...Medicine in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance claim denials... ...Certification in coding is preferred. The position is fully remote, offering flexibility and valuable benefits. #J-18808-...Remote job
$23.63 per hour
...services? We are seeking a dedicated Denial Prevention Specialist to join our dynamic team! In this high... ..., and resolve claim denials and appeals for major insurance carriers while analyzing... ...and 9:00 AM! This role is primarily remote (work from home), with occasional on-...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeFlexible hoursShift work
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