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$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$65k
....00/Yr. Max USD $68,000.00/Yr. Position Overview The Revenue Cycle Specialist reports to the Revenue Cycle Manager and will interface with... ...basis Reconcile claim denial reports on weekly basis, prepare appeals and implementation of programs to prevent future billing issues...SuggestedLocal area- ...North Carolina. The Field Reimbursement Specialist (FRS) serves as a subject‑matter... ...expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is... ...specialty pharmacy. Experience in revenue cycle, formulary, benefit investigations,...SuggestedWork at officeLocal areaNight shift
$18.92 - $23.46 per hour
...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. Communicate...SuggestedFull timeContract workTemporary workLocal areaRemote workFlexible hours- ...LICENSES AND CERTIFICATIONS Preferred CRCP - Certified Revenue Cycle Professional (AAHAM) Technician SKILLS AND ABILITIES Demonstrates... ...insurance contractual agreements, payer policies, guidelines and appeals process. Sharp analytical abilities are required in order to...Shift work
$24.76 - $33.17 per hour
...posted here as they become available. Authorization Specialist II #Full Time #Remote The 61st... ...authorizations for professional services prior to the patient’s visit, scheduled... ...authorizations status or denials. Submits appeals in the event of denial of prior...Hourly payFull timeWork at officeLocal areaImmediate startRemote work$19 - $22 per hour
## Revenue Cycle Management SpecialistApplylocations: NY - Remotetime type: Full timeposted on: Posted 2 Days Agojob requisition id:... ...opportunity to join our dedicated team as a Revenue Cycle Management Specialist.**Essential Responsibilities*** RCM Specialists care for the...$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...- ...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
- ...Geisinger in Pennsylvania is hiring for a position focused on supporting the Appeals and Grievance process. The role involves acting as a liaison between members and the plan, ensuring compliance with regulations regarding denied claims and quality of care. The ideal candidate...
$50k - $55k
...to healthcare. As such, we are a leading authority in payment integrity solutions including... ...reviews. Under the direction of the Appeals Department leaders, the Appeals Coordinator... ...work within the department. The Appeals Specialist level II performs research, investigation...Remote work$58.9k - $80.07k
...The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals... ...enrollments, Medicare and complete care. Appeals Specialist is the subject matter expert responsible... ...communications are not coming from or authorized by Healthfirst. Healthfirst will never...Temporary workWork experience placement- ...Responsible for processing expedited appeals: those that are complex in... ...Expedited Appeal unit, the Specialists are required to work weekends... ...eligibility, benefits, and prior activity related to the... ...correspondence as needed for authorized representative or needed clinical...Hourly payContract workRemote workWeekend work
- A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and...Remote work
- 340B Health is looking for a motivated individual to manage the Appeals and Grievance process. This role requires communication with members, vendors, and providers to ensure the appeal process is completed accurately and timely. The ideal candidate should have a high school...Full timePart time
- ...Cycling Specialist Innovation has guided our every decision since 1974. As more riders of all ages get on the roads, trails, and streets than ever before, we're here to do the best work of our lives to push the greatest human powered machine into the future each and...Temporary workWork experience placementRemote work
$18 - $22 per hour
...excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote...Hourly payFull timeTemporary workWork at officeRemote workMonday to Friday$18.92 per hour
...strong communication skills. This role emphasizes accuracy in processing referrals, document verification, and obtaining insurance authorizations. The salary range for this position is competitive, starting at $18.92 going up to $23.46 per hour and a comprehensive benefits...Hourly payFull timeRemote work- ...quality customer service, the full-time Senior Reimbursement Specialist will conduct benefit investigations, verify insurance... ...responsibilities Conduct benefit investigations and submit prior authorizations for patients and physicians' offices Accurately maintain data...Full timeRemote work
- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in...Remote workWork from home
$18.67 - $21.96 per hour
...RhodeIsland, SouthCarolina, SouthDakota, Vermont, WestVirginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty...TraineeshipRemote workFlexible hoursShift work- ...Geisinger is looking for a Billing Specialist in the United States to manage professional and hospital billing and collection functions. This role involves ensuring efficient operations to generate necessary cash flow and providing analysis on trends and identified issues...Remote work
- ...Prior Authorization Specialist (Contract) Flagler Health | Posted Mar 9 Apply Full-time New York Negotiable Unknown Flagler Health is a fast-growing healthtech company transforming how healthcare organizations deliver care through AI-powered workflow automation, remote...Full timeContract workRemote work
$23 - $25 per hour
...A leading behavioral health services provider is seeking a Cash Application Specialist to join their remote team. The ideal candidate will have a minimum of one year of physician billing experience, strong communication skills, and the ability to manage their workflow...Hourly payRemote work$101.18k - $120.46k
...Business Title(s): Senior Shared Services Specialist Employment Type: Full-Time FLSA... ...and within broad limits and authority,partner with adjuster, auto/property owner... ...for this or any other position without prior authorization from Human Resources will...Full timeWork experience placementLocal area- ...IDR Filing Specialist Clearest Health is building the most advanced Independent Dispute Resolution platform in healthcare... ...worked in IDR, out-of-network billing, payer disputes, appeals, collections, or revenue cycle operations, we want your expertise, not just your...Remote work
- ...Solutions and currently, I am looking for a EDI Integration Specialist (Not Developer) for our client . Please see the job... ...healthcare processes including claims, eligibility, payments, and prior authorizations. ~ Solid understanding of XML, JSON, SQL, REST, and...Contract workRemote work
- ...A U.S.-based healthcare service is seeking a Pre-Authorization & Referral Coordinator to manage insurance verifications, prior authorizations, and referrals for a fast-paced medical office. The ideal candidate should have over 2 years of experience in a U.S. medical setting...Full timeFor contractorsWork at officeRemote work
- ...Job Description Job Description The Revenue Cycle Specialist plays a critical role in managing and optimizing the financial processes related to patient accounts and healthcare services. This position focuses on resolving denials, reconciling accounts, and providing...
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