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- ...Firstsource Healthcare is seeking a Revenue Cycle Denials Representative to manage and resolve denied claims. Responsibilities include analyzing billing denials and preparing appeals for Medicare, Medicaid, and commercial payers. A strong knowledge of denial codes and...SuggestedRemote work
- Community Health Systems is seeking an Appeal Specialist II - RN to review, analyze, and resolve insurance denials ensuring compliance and accurate... ...a GED and have 2-4 years of experience in healthcare revenue cycles. Strong analytical skills and RN licensure are essential. The...SuggestedFull time
$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... ...healthcare (preferred) Certified Revenue Cycle Representative or other billing certification...SuggestedHourly payRemote work- ...close that gap. As our Senior Revenue Cycle Specialist, you'll own the workflows that directly... ..., submitting corrected claims and appeals, managing aging AR, and keeping payer... ...documentation to verify your identity and work authorization. Cartwheel uses AI‑assisted tools to...SuggestedWork 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...Hourly payPermanent employmentFull timeTemporary workWork at officeRemote work- Revenue Integrity Specialist I Remote position - requires residency... .... Obtain predeterminations, prior authorizations, and retroauthorizations as... ...least two years in a revenue cycle related area such as registration... ...guidelines); payor denial appeal resolution processes; and...Local areaRemote work
$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...Full timeContract workTemporary workLocal areaRemote workFlexible hours- Authorization Specialist Authorization Specialist ensures timely obtaining of authorizations... ...services within the Revenue Cycle Department. Responsibilities... ...for referrals and prior authorizations. Verify... ...Investigate authorization denials and appeals for insurance and patient....Work at officeLocal areaImmediate start
- ...Northeast Georgia Health System is seeking a Rev Cycle Specialist II to manage complex account follow-up and claims resolution. You'll leverage your knowledge of payer rules and billing systems, ensuring timely resolution of accounts while providing excellent customer...
- Summary The Coding Denials Specialist performs advanced... ...documentation, referral, pre-authorization, notifications,... ...obtained, if a written appeal is needed, or if no... ...Collaborate with the prior authorization team to... ...contracting, and Revenue Cycle leadership as appropriate...Contract workWork at officeLocal areaFlexible hours
- ...Shared Services Center - Nashville is seeking an Appeal Specialist II - RN to review and resolve insurance denials, ensuring accurate reimbursement... ...or GED, and 2-4 years of experience in healthcare revenue cycle management. Strong analytical and communication skills are...
- ...Prism Vision Group is looking for a Revenue Cycle Specialist to work on-site in New Providence, NJ. The ideal candidate will have hands-on experience in medical billing and ensure compliance with regulatory requirements. This role involves responding to insurance carrier...
$28 - $30 per hour
...Australia-Employment is looking for a Medical AR Specialist in Roslyn Heights, NY. This position involves managing surgical denials and appeals within a well-known outpatient surgery organization. Ideal candidates will have at least a year of experience in collections...Hourly payPermanent employmentTemporary workWork at office- ...Rula Health is looking for a Revenue Cycle Project Manager based in the United States to support revenue cycle initiatives through project management and data-driven design. You will diagnose issues and optimize workflows in a fast-moving healthcare setting. Qualified...Remote work
$65k - $105k
...getting started. The Opportunity Cala Health is seeking a Revenue Cycle Specialist to join our growing team. This individual will act as a... ...compensation philosophy. Applicants must be currently authorized to work in the United States on a full‑time basis. Cala will...Full timeRemote workVisa sponsorshipWork visa$65k - $105k
...A healthcare technology company is seeking a Revenue Cycle Specialist to join their growing team. This remote role requires responsibilities such as reviewing patient documentation for accuracy, managing shipments, and communicating with clients. Applicants should have...Remote work- ...Veracity Selfcare is looking for a Revenue Cycle Project Manager based in the United States. This role focuses on supporting Rula's Revenue Cycle and payer expansion initiatives through structured project management and data-driven process design. You will work cross-functionally...Remote work
$23.25 - $24.75 per hour
...Overview A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished. The Sr. Specialist, Revenue Cycle position...Hourly payWork at officeImmediate start- ...looking for a Cash Posting Representative to manage the revenue cycle operations remotely. This role involves accurately posting, allocating... ..., and skilled in multitasking. Strong computer skills and prior experience in cash posting are preferred. We offer a competitive...Remote work
- ...A distinguished healthcare institution is seeking a Revenue Cycle Specialist for a remote position focused on remittance and credit resolution. Responsibilities include managing bulk electronic remittance files, reconciling discrepancies, and supporting training for new...Remote work
$54k
...The Morgan Library & Museum in New York is seeking a full-cycle Accounts Payable Specialist to handle all aspects of accounts payable. This role includes coding invoices, managing payments, and reconciling accounts during a critical period of process improvement. The ideal...$70k - $90k
...our full potential. About the Role The Field Reimbursement Specialist (FRS) is a key contributor to the overall patient support... ...investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services. Responsibilities...Full timeWork at officeRemote workWeekend workAfternoon shift- ...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
$29 per hour
...Scion Staffing is seeking a Medicaid Revenue Cycle & Accounts Payable Specialist for a 2-month onsite contract in Secaucus, New Jersey. This position involves processing accounts payable, managing vendor records, and supporting Medicaid billing activities. The ideal candidate...Hourly payContract work$55k - $60k
...The Opportunity Clarity RCM is a dermatology-focused revenue cycle management company on the Inc. 5000 fastest-growing companies list. We manage billing, credentialing, and account management for private dermatology practices nationwide. We're growing fast and we're building...Full timePrivate practiceRemote work$25.42 - $30.97 per hour
...Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for...Hourly payFull timeFixed term contractWork at officeImmediate startRemote work- ...A healthcare company is seeking a skilled Appeals Processor III to work remotely in the United States. This role involves reviewing and processing healthcare appeals related to Medicaid or Medicare coverage decisions. The ideal candidate will have at least 2 years of experience...Remote work
- ...Sunrise ABA is looking for an experienced RCM Float Specialist for a full-time remote position. The role involves supporting various aspects of the healthcare revenue cycle, including authorizations, claims posting, and accounts receivable. Candidates should have at least...Full timeRemote workFlexible hoursShift work
- ...ResMed Inc is seeking candidates to provide quality revenue cycle services focusing on accounts receivable and customer relationships. Responsibilities include managing customer escalations, reporting, and cash collections, while maintaining knowledge of payer rules and...
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