Remote Medical Claims Denials & Appeals Specialist
Cumedicine
- Remote job
CU Medicine in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance claim denials, enhancing revenue for CU Medicine providers, and requires 3-5 years of relevant experience in medical billing. The ideal candidate will demonstrate expertise through detailed appeals and an analytical approach to denials. Certification in coding is preferred. The position is fully remote, offering flexibility and valuable benefits. #J-18808-Ljbffr Cumedicine
$20 per hour
...and results-driven Technical Denials & Appeals Specialist to join their team. If you... ...into physician billing claims, uncovering why they were rejected... ...talk to you. This is a remote opportunity. However,... ...Medicaid. Skills Medical Billing - Denials Verbal...Remote workMedicalClaimsHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and... ...coding changes based on medical documentation for both... ...and/or completes appeals as applicable with payors...Remote workMedicalClaimsFull timeMonday to Friday
$28.85 - $35 per hour
...conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing... .... This is a fully remote role (U.S.-based, any... ...supporting specialty medical practices nationwide... ...underpaid insurance claims through disciplined,... ...queues, submit appeals, and follow claims through...Remote workMedicalClaimsHourly payTemporary workInterim roleFlexible hours$21.16 - $38.37 per hour
...apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at... ...This position is remote and will be working... ...met. Researches claims appeals and grievances... ...Requests and reviews medical records, notes, and/... ...and Medicare claims denials and appeals...Remote workMedicalClaimsHourly payFull timeContract workWork experience placementWork at office- ...Appeals Specialist We are seeking a detail-oriented and experienced Appeals... ...for managing insurance claim denials and leading the appeals... ...organized, knowledgeable in medical billing and payer requirements... ...pm 3 months in office then remote Benefits offered Key...Remote workMedicalClaimsWork at officeMonday to Friday
$28.83 - $46.14 per hour
...Job Title Denial Management Specialist Job Description Wage Range... ...healthcare system. Healthcare medical billing and reimbursement Remote in Washington State... ...for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement...Remote workMedicalClaimsHourly payContract workFlexible hoursShift work$23.63 per hour
...for solving complex claims and overturning denied... ...seeking a dedicated Denial Prevention Specialist to join our dynamic team... ...claim denials and appeals for major insurance carriers... ...role is primarily remote, with occasional on-... ...recent experience in medical claims recovery,...Remote workMedicalClaimsHourly payTemporary workWork experience placementWork at officeFlexible hoursShift work$29.7 - $31.8 per hour
...Description The Acute Coding Appeals Specialist integrates medical coding principles and... ...Diagnosis Related Group, (DRG) denials in order to support the... ...spreadsheets, account, and claim examples of root cause... ...client experiences. This is a remote position; however,...Remote workMedicalClaimsTemporary workWork at officeLocal area$28.72 - $36.92 per hour
...position is primarily remote, candidates must... ...The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for... ...related denials and appeals in addition to following... ...appeal denied claims and ensure compliance... ...including Letters of Medical Necessity and other...Remote jobMedicalClaimsHourly payFull timeWork at officeLocal area$70 - $93 per hour
...of AI tools that automate denial prevention, appeal writing, and root cause analysis... ..., and resolution of claim denials. Evaluate AI-generated... ...clinical appeals such as medical necessity, experimental or... ...Work Terms Location: Remote. Employment type: hourly...Remote workMedicalClaimsHourly pay- ...for a Revenue Cycle Specialist II to support our Billing... ...follow-up actions on claims denied for eligibility... ...claims and submit appeals. Call payers to determine... ...the true reason for denial and inquire on what... ...Required) Knowledge of Medical Terminology, CPT Codes...MedicalClaimsFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
$36 - $40 per hour
...forging our own path. We’re a remote-first staffing and... ...coding career. If you are an Appeals and Denials Nurse looking for a new opportunity... ...behavioral health patients with medical needs) Analyzes work queues... ...representatives to resolve claim issues. Identifies, reviews,...Remote workMedicalClaimsPermanent employmentFull timeWork visa$17 per hour
...Flexible hours & work from home remote option Starting salary: $17... ...in the billing follow-up and denial management world. You'll play... ...Needed: Proficient in the art of medical billing Basic Microsoft Office... ...insurance eligibility, correcting claim denials with superhero finesse...Remote workMedicalClaimsWork at officeWork from homeFlexible hours$48.6k - $83.16k
...Responsible for processing expedited appeals: those that are complex in... ...Expedited Appeal unit, the Specialists are required to work weekends... ...activity related to the claims, payment, or service in question... ...inquiries; prepare cases for medical and administrative review...Remote workMedicalClaimsHourly payContract workWeekend work$45.9k - $78.6k
...every member feels valued. The Appeals & Grievances Specialist plays a vital role in... ...providers, or clients regarding claims, coverage, benefits, and... ...concurrent and retrospective medical necessity reviews, and... ...Outlook This position is a Remote role.To be eligible for consideration...Remote workMedicalClaimsWork experience placement$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles... ...Care (DMHC), Managed Risk Medical Insurance Board (MBMIB)... ...reconsiderations, and complex provider claim disputes. The position is... ..., holidays, a hybrid remote schedule, occasional...Remote workMedicalClaimsFull timeLocal areaShift workWeekend work- ...reviewing all post-billed denials (inclusive of... ...accuracy and appealing them based upon coding... ...Hospital and/or Medical Group partner revenue... ...resolution specialists responsible for identifying... ...or inpatient claims; also responsible... ...position operates in a remote environment that...Remote workMedicalClaimsLocal area
$23.63 per hour
...are seeking a dedicated and detail-oriented Medical Claims & Appeals Specialist to review, research, and resolve claim denials and appeals for various insurance companies.... ...Must reside in the Greater DFW area (open to remote candidates within this specific Texas region)...Remote workMedicalClaimsHourly payPermanent employmentTemporary workWork experience placementShift work$23.63 per hour
...are seeking a dedicated and detail-oriented Medical Claims & Appeals Specialist to review, research, and resolve claim denials and appeals for various insurance companies.... ...Must reside in the Greater DFW area (open to remote candidates within this specific Texas region)...Remote workMedicalClaimsHourly payPermanent employmentTemporary workWork experience placementShift work$22.99 per hour
...looking for a high-impact, fully remote opportunity? We are seeking a dedicated Denial Specialist to join a dynamic... ...balance technical expertise, medical terminology, and sharp communication... ...denial management systems (claims, correspondence, appeals tracking). Typing...Remote workMedicalClaimsHourly payPermanent employmentFull timeTemporary workWork experience placementWork from homeShift work- ...are currently hiring for an Appeals Specialist to join BlueCross BlueShield... ...be required to perform non-medical reviews and process redetermination... .... This role is fully remote or can sit onsite at 26 Century... ...Experience in medical claims processing, appeals, or coding...Remote workMedicalClaimsFull timeContract workFor contractorsWork experience placementSecond jobCurrently hiringWork at officeLocal areaShift work
$56k - $68k
...Denials and Appeals Specialist Accounts Receivable | Claims Follow-Up | Denial Management GlyCare is seeking an experienced Denials and Appeals Specialist... .... This position supports a hospital-based medical group operating across multiple states. The role...MedicalClaimsFull timeWork at officeMonday to Friday$23.63 per hour
...We are seeking a dedicated and detail-oriented Medical Claims & Appeals Specialist to join our revenue cycle team. In this primarily remote role, the successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while...Remote workMedicalClaimsHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeShift work- ...Summary Description: The Medical Coder assigns accurate... ...targets.The Coding Specialist also resolves coding-related claim rejections and denials, supports... ...in New Orleans, LA or Remote Responsibilities:... ...coding audits, formal appeals authoring, or external...Remote workMedicalClaimsHourly payFull timeFlexible hoursShift work
- ...To support a growing medical billing team, the full-time remote Authorization Specialist - South Carolina will manage the... ...and bill drugs and submit claims to insurance companies Analyze... ...claim status, follow up on denials, and prepare appeal letters for technical...Remote workMedicalClaimsFull timeWork at office
- ...Optometry Ar Follow-Up Specialist Evenflow Solutions... ...is looking to add a remote Ophthalmology or... ...online resources to check claim status, resubmit... ...electronically, file appeals, track denial trending, resolve denials... ...years of professional medical billing and...Remote workMedicalClaimsWork at office
- ...authorization requests for medical and ancillary procedures, within... ...authorization and referral claim denials, while coordinating with... ...and insurance payers to file appeals or facilitate a P2P. ~ Reviews... ...as a Prior Authorization Specialist, with expertise in medical billing...Remote workMedicalClaimsWork at office
- ...CODING SPECIALIST Location: REMOTE Employment Type: Full-Time Reports... ...to oversee all aspects of medical coding and chart auditing... ...coding accuracy for medical claims and work with the... ...address billing errors, denials, and appeals , working closely with the...Remote workMedicalClaimsFull time
- ...The Certified Coding Specialist is responsible for accurate... ...10 coding, minimizing denials, and supporting... ...diagnoses supporting medical necessity Validate... ...documentation gaps prior to claim submission... ...provider and vendor Appeals Support appeals...Remote workMedicalClaimsLocal area
- ...probation period until cleared to work remote – employee must reside within Central... ...area. Job Summary Analyzes and reviews medical records and assigns appropriate codes... ...medical services or charges. Reviews claims denials and appeals to identify coding errors. Performs coding...Remote workMedicalClaimsTrial periodFlexible hoursDay shift
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