Denial Management Specialist
Virtual Vocations Inc
Responsible for denial and accounts receivable management, the full-time Denial Management Specialist will work remotely from 8 am to 5 pm, focusing on resolving outstanding denials, managing insurance appeals, and identifying denial trends. Key responsibilities Research and resolve outstanding denials and complete necessary follow-up in a timely manner Identify denial trends and provide education to prevent future avoidable denials Initiate and manage all insurance appeals promptly and manage outstanding accounts receivable related to denials Required qualifications High School Diploma or equivalency 4 years of experience in medical billing with exposure to denials, appeals, and insurance collections Knowledge of ICD9 and CPT-4 coding Familiarity with insurance explanation of benefits (EOB) and remittance codes Proficiency in Microsoft Office, particularly Excel and Word
$28.83 - $46.14 per hour
...EvergreenHealth Denial Management Specialist Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement...SuggestedHourly payContract workRemote workFlexible hoursShift work$17 per hour
...depending on specific experience) Description: We're the wizards behind the scenes, a revenue cycle management crew making magic happen in the billing follow-up and denial management world. You'll play a crucial part in ensuring comprehensive insurance coverage for...SuggestedWork at officeRemote workWork from homeFlexible hours- ...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...SuggestedRemote work
- ...Baptistfirst in Alabama is seeking a Denials Management Specialist to handle disputes, validate payment issues, and generate appeals for denied claims. This role involves resolving complex accounts and requires in-depth knowledge of billing rules and payer contracts. The...SuggestedRemote work
- Southwoods Health in Oregon is seeking a Denials Management Specialist to actively pursue payments from insurers by following up on aged, unpaid claims and handling strategic appeals. The role emphasizes proactive communication with carriers and timely resolution to improve...Suggested
- About this position Position Summary AdvantixxRCM is seeking an experienced Denial Management Specialist to manage denied, rejected, underpaid, and complex insurance claims. This position is responsible for identifying the root cause of claim denials, correcting billing...
- Memorial Health System is seeking a Denials Management Coordinator to review denials, identify patterns, and collaborate with frontline staff to improve processes. You will articulate appeals to carriers and document outcomes in the hospital information system. The role...
$22.14 - $33.21 per hour
...is determined by a candidate's expertise and years of experience, among other factors. Position Highlights Position: Denial Management Specialist Location: Arlington Heights, IL Full Time/Part Time: Full Time Hours: Monday-Friday, standard business hours Brief Overview...Hourly payFull timePart timeFor contractorsMonday to FridayShift work- Denials Management Specialist The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while managing their assigned work to ensure payer...
- Socket.dev in the United States is hiring a Denials Management Specialist to ensure timely follow-up and appeals of denials and rejections from third-party payers. The role emphasizes independent work and meeting payer filing deadlines to maximize reimbursement. You will...
- McLaren Health Care is seeking a Denials Management Specialist to manage timely follow-up and appeals of denials from third-party payers. You will work independently to ensure deadlines are met and maximize pay for services rendered. The role requires 7 years in Patient...
- Endeavor Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims, focusing on medical necessity, pre-certification, authorization, and level of care requirements. In this role you will collaborate with...
- Personalis in Fremont, CA is seeking a Receipts Posting Specialist to strengthen billing and collections for the NeXT Personal DX test... ...cash flow and payer database integrity. You will lead denial management, obtain medical records, manage EFT/ERA postings, and support...
- ...Denials Specialist The Denials Specialist will manage hospital UB-04 claims from follow-up through resolution, with a heavy focus on denial management. This position requires advanced knowledge of commercial payors, strong analytical skills, and experience navigating...Casual workWork at officeLocal area
- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
- ...Technical Denial Management Specialist Performs work related to technical denial management. Conducts a comprehensive review of the denied account, and then will write compelling arguments based on the documentation and the policies of the payor and submit the appeal...
- ...medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health... ...Refer a Friend, and Earn a Referral Bonus! Job Summary The Denials Specialist (Accounts Receivable (“AR”) Specialist) is primarily responsible...Private practiceFlexible hours
$24.01 - $36.01 per hour
Job ID: 107545 Location: Aurora Position Type: Regular Job Overview The Denials Specialist supports all denials management functions for Patient Financial Services. Maintains and updates denials management data and conducts initial analyses for trending and reporting....Hourly payFull timeContract workImmediate startMonday to FridayShift work- UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with no...Remote job
- ...Orthopedics is a premier orthopedic care provider based in Marietta, GA, hiring a Back-End Revenue Cycle Specialist. This in-office role focuses on AR follow-up, denial management, payment posting, and collections with a fast-paced, metrics-driven environment. You will join a...Work at office
- ...Corp. is seeking a detail-oriented collections specialist to support Home Infusion and Specialty Pharmacy revenue cycle management. You will contact insurers, patients, and... ...other parties to collect on claims and address denials. You will review CPT/HCPCS/ICD-10 coding,...
- ...Orthopedics in Marietta, GA is seeking a Back-End Revenue Cycle Specialist to drive downstream functions that convert billed services into collected revenue. You will oversee AR follow-up, denial management, and payment posting within a fast-paced, data-driven...
- Legent Health seeks an Accounts Receivable Specialist in Plano, TX to manage AR and denial resolution for inpatient and outpatient procedures across spine, orthopedics, ENT, and pain management. You will investigate denials, work with our billing vendor, and perform root...
- ...healthcare provider in Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement. The ideal... ...With responsibilities including the resolution of insurance denials and inquiries, this position offers a full-time remote work...Full timeRemote work
- ...Job Description Job Description General Information: Job title: Denial Management Specialist Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm Weekend rotation: No weekends Holiday rotation: Paid Holidays Position Summary:...Full timeWork experience placementMonday to Friday
- A leading healthcare provider in San Antonio is seeking a Revenue Cycle Specialist II to oversee the billing process in a hospital setting. This role is crucial for managing denials, ensuring claims are submitted accurately, and collaborating with different departments...
- Stance Health Solutions, Inc is seeking a Revenue Cycle Coordinator to manage the end-to-end revenue cycle, including claims submission, denial follow-up, and payer communications. The role requires collaboration with internal teams and external payers to optimize cash...
$60k - $70k
...Job Description Job Description Denials and Appeals Specialist Accounts Receivable | Claims Follow-Up | Denial Management GlyCare is seeking an experienced Denials and Appeals Specialist to join our growing billing team in Jacksonville, Florida. This...Full timeWork at officeMonday to Friday$18.65 - $19.9 per hour
...provider of technology-enabled revenue cycle management solutions for health systems, including... ...** The Senior Patient Access Specialist is responsible for performing admitting... ...admission, billing, payments, and denials. Comprehensive knowledge of patient...Work at officeLocal areaRemote workShift work2 days per week$18.65 - $19.9 per hour
...Senior Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated... ...admission, billing, payments, and denials. Comprehensive knowledge of patient insurance...Work at officeLocal areaRemote workShift work2 days per week
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