Rev Cycle Specialist: Prior Authorizations & Appeals
PRISM Vision Group
Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess a High School Diploma with 3 years of experience in a medical billing environment and familiarity with CPT and ICD-10 coding. Strong communication, problem-solving, and organization skills are essential. #J-18808-Ljbffr
$21.38 - $44.4 per hour
...hr (Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and... ...accounts and prepare charge corrections. Appeal carrier denials through review of coding... ...General Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical...Suggested- ...automation and intelligence, overcoming revenue cycle challenges and improving reimbursements... ...Summary Description The Revenue Cycle Specialist will be responsible for accurately... ...necessary Claim rejection handling Filing claim appeals with insurance companies to ensure...SuggestedRemote workFlexible hours
- ...InfuCare Rx is seeking a Revenue Cycle Specialist to manage the pharmacy/infusion reimbursement process. You will file claims, appeal when needed, and interact with insurers and patients to secure payment. Ideal candidates have at least 2 years of infusion billing experience...Suggested
- ...Prior Authorization Specialist Full-Time | On-Site | Ashland, PA About the Role Concept Billing Solutions... ...requests through resolution. Coordinate appeals and additional documentation when... ...growing medical billing and revenue cycle management (RCM) company serving healthcare...SuggestedFull timeWork at office
$22 per hour
...industry, seeking a seasoned Revenue Cycle Specialist with health insurance claims experience... ...payer timelines. Review, analyze, and appeal denied or underpaid claims in accordance... ...-specific timely filing limits and authorization processes to ensure compliance. Prepare...SuggestedHourly payPermanent employmentFull timeTemporary workWork at officeRemote work$50k
...healthcare. As such, we are a leading authority in payment integrity solutions including... ...Outlier and Readmission reviews. The Appeals Specialist I is responsible for performing triage,... ...claims, appeals, billing or revenue cycle ~ Experience in handling administrative...Contract workWork experience placementRemote work- ...cultivates achievement and success. Job Summary As a Revenue Cycle Specialist, you'll take charge of multiple facets of the pharmacy/... ...professional with a track record of filing claims, billing, appeals, reviews, customer service, problem resolution and overall revenue...Work experience placementWork at office
$23 - $25 per hour
...standard of care. As a Cash Application Specialist, you will be an essential part of the corporate... ...to ensure prompt payment Research, appeal and resolve claim rejections/denials with... ...(preferred) Certified Revenue Cycle Representative or other billing certification...Hourly payRemote work$77.29k - $94.21k
Job Description - Sr Revenue Cycle Specialist (2602625) Sr Revenue Cycle Specialist At Stony Brook Medicine, the Senior Revenue Cycle Specialist... ...regarding Managed Care Contracts, CM System and Denials and Appeals process. Assist in maintaining and creating payer report...Full timeContract workShift workDay shift- Weill Cornell Medicine - Qatar seeks a Revenue Cycle Specialist in Revenue Integrity Pathology for a remote position. Apply CPC/CCS expertise... ..., review medical records for accuracy, and prepare robust appeals defending medical necessity. The role supports the Central Business...Remote jobWork at office
- Northeast Georgia Health System is seeking a Rev Cycle Specialist II to handle complex account follow-up, denials, and claims resolution with increasing independence and advanced payer knowledge. The role emphasizes accurate research, effective communication, and adherence...
- Northeast Georgia Health System is seeking a Rev Cycle Specialist II to manage complex account follow-ups and claims resolutions. Candidates should have a minimum of 3 years of hospital billing experience and a High School Diploma or GED. The role demands understanding...
- ...and covered, securing authorizations, moving claims through... ...referral management Prior Authorizations & Utilization... ...Claims & Revenue Cycle: claim submission, status... ...tracking, denials and appeals, A/R follow-up, and... ...Manager Revenue Cycle Specialist / RCM Analyst Medical...Work at office
$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...requirementsAssess authorization status tracking, denial outcomes, appeal pathways, escalation processes, and turnaround time...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours- ...A healthcare technology company is seeking a seasoned Revenue Cycle Specialist to manage Medicaid payer accounts and ensure timely reimbursement for healthcare services. This fully remote role involves critical tasks such as claim follow-up and denial resolution, making...Remote work
- ...Medix is seeking a Customer Service Specialist (Revenue Cycle) for a remote, contract-to-hire role. You will serve as a primary contact for patients and support Revenue Cycle activities in a phone-based, high-volume call center. Responsibilities include handling inbound...Contract workRemote work
$120k - $130k
...a P/E-backed Healthcare company based in Monmouth County, NJ. Due to recent growth, they are looking to add a dynamic Revenue Cycle Specialist to their organization. This company offers a competitive salary w/ benefits including a hybrid schedule and executive visibility...- ...Proud Moments ABA is hiring a Revenue Cycle Specialist to support timely, accurate submission of medical claims across multiple payors. The role involves reviewing, processing, and auditing billing data to ensure smooth revenue cycle operations, with emphasis on attention...Remote work
$55k - $60k
...Revenue Cycle Specialist Grow your career with the industry leader in behavioral health –... ...volume of claims, maintaining billing and authorization data, auditing reports, identifying... ...following experience and competencies: Prior experience in medical billing or...Local areaRemote work- ...AtlantiCare is seeking a Professional Revenue Cycle Specialist to support professional revenue cycle processes across departments. The role focuses on accurate revenue cycle tasks, reporting, and data analysis using multiple systems including EMR and payer portals. Ideal...
- A healthcare provider is seeking a Billing & Revenue Cycle Specialist based in Georgia for part-time remote work. This role involves ensuring accurate billing, managing service authorizations, and conducting daily eligibility checks. The successful candidate will need...Part timeRemote work
- ...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...Remote work
$55k - $60k
...Revenue Optimization, the Revenue Integrity Specialist is responsible for complete, accurate and... ...trends. Work closely with our Revenue Cycle Teams, payer representatives and create one... ...Upload Speed. This should be acquired prior to the start of your employment. The best...Contract workWork at officeLocal areaRemote workWork from homeHome office- ...Talkspace is seeking a Revenue Cycle Associate to support claims processing and billing operations in a remote, fast-paced environment. You will organize and document claims and invoices, ensuring accuracy and compliance with healthcare billing regulations. Collaboration...Remote work
- ...Judi Health in New York, NY seeks a subject-matter expert in prior authorization and appeals to oversee operations across multiple lines of business. This role manages a team of appeals pharmacists and staff, ensuring compliance and high quality of care. The position requires...Flexible hours
- ...Systems Inc. is seeking a detail-oriented and motivated Insurance Specialist to join our insurance support and billing team. The ideal... ...including claim submission, claim status inquiries, and filing appeals for denied claims Process a high volume of detailed account information...Full timeWork at office
- Brami Inc. is seeking an Accounting Associate to own the full accounts payable cycle in a fully remote role reporting to the VP of Finance. The position requires handling vendors, co-manufacturers, and brokers to ensure timely, accurate payments and proper book reflection...Remote job
- Sprinter Health is seeking a Revenue Cycle Specialist to own the front and back ends of our billing cycle from pre-submission QA to AR reconciliation. You will ensure accurate posting, resolve rejections, and maintain payer relationships across multiple queues. This is...Remote job
- ...providers. Job Overview: The Intake Specialist is responsible for managing... ...all required elements are obtained prior to benefits investigation and authorization Conduct welcome calls to patients... ...investigation, or revenue cycle processes preferred Strong attention...Work at officeRemote work
$30 - $35 per hour
...Now Hiring: Grievance & Appeals Specialists Are you an experienced Grievance & Appeals professional with a background in Medicare or Medicaid Managed Care? We're partnering with a leading healthcare organization that's looking to add multiple specialists to their growing...Work at officeImmediate start
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