Remote Medical Appeals & Coding Specialist
Utah
- Remote job
University Medical Billing (UMB) is a fully remote department that serves the University of Utah School of Medicine. We seek an experienced Medical Appeals & Coding Specialist to analyze diagnoses, translate into codes, and support denial resolution. Requires 3+ years of related experience and AHIMA or AAPC certification. Telecommuting is allowed with HIPAA-compliant setup. Joining UMB offers a path to advance in a premier billing office with competitive pay and a strong benefits package. #J-18808-Ljbffr Utah
$29.7 - $31.8 per hour
...$31.80 based on experience Job Description The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the performance of... ...and improve patient and client experiences. This is a remote position; however, candidates must be willing and able...Remote workTemporary workWork at officeLocal area- ...Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider... ...hospitals. As a Denials & Appeals Specialist , you will investigate denied... ...to work independently in a remote environment ~ HIPAA-compliant...Remote workFull time
$22.99 per hour
...professional to join our fully remote team, focusing on managing... ...resolutions. Modify and manage medical authorizations as needed. Partner... ...years of experience handling appeals, claims, and authorizations. Industry... ...Management, medical billing/coding, or claims processing are...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work- ...Medica is seeking an Appeals and Grievance Specialist to manage member complaints, grievances, and regulatory inquiries, ensuring timely, accurate... ...Operations, Health Services, Legal, and Markets. This is a remote position with a competitive total rewards package. #J-1...Remote work
$56.27k - $69.9k
...Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina. Make an Impact Trillium Health Resources is a Tailored Plan and Managed...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members and providers while ensuring compliance with applicable requirements. Key responsibilities Manage and resolve complaints...Remote workFull time
- ...TEKsystems is seeking a Denials Specialist for a fully remote 3-month contract supporting a healthcare organization's Revenue Cycle team. Focus is... ...resolving commercial payer claim denials, AR follow-up, and appeals within Epic. Start date 9/21, pay $26 per hour. Must...Remote workHourly payContract work
- ...assigned levels of denials by submitting appeal letters and required documentation to insurance... ...patient to get the denial overturned. Remote: Although this position is listed as... ...patient and/or physician consent and medical records when required by the insurance plan...Remote work
- ...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately,... ...Reviewing the appeal request to determine if additional medical records are needed, and whether an Appointment of Rep form is...Remote workTraineeship
- ...Prior Authorization Specialist We are seeking a detail... ...authorizations (PAs) for medical services. The ideal... ...requests and subsequent appeals. This role is critical... ...medical terminology, CPT codes, and ICD-10 codes $... ...Outsourcing (BPO) and remote talent solutions, dedicated...Remote workFreelanceWorldwide
- ...probation period until cleared to work remote - employee must reside in Ohio.... ...: Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes... ...charges. Reviews claims denials and appeals to identify coding errors....Remote workTrial periodFlexible hoursDay shift
- ...CODING SPECIALIST Location: REMOTE Employment Type: Full-Time Reports to: CGO Position Summary... ...to oversee all aspects of medical coding and chart auditing, with Medicare... ...address billing errors, denials, and appeals , working closely with the billing...Remote workFull time
- ...Carolina Oncology Specialists has been providing compassionate... ...Oncology Specialists-Remote Reports To:... ...treatments, procedures, medications, and diagnostic services... ...denials ~ Submit appeals and provide supporting... ...Certification in medical billing/coding (e.g., CPC, CPAR, or...Remote workWork at office
$45.9k - $78.6k
...every member feels valued. Medica’s Appeals and Grievance Specialist plays a vital role in ensuring our... ...Excel, and Outlook This position is a Remote role.To be eligible for consideration... ...package that includes competitive medical, dental, vision, PTO, Holidays, paid...Remote workWork experience placement- ...Appeal Resolution Specialist The Appeal Resolution Specialist is responsible for managing complex payer deferrals, denials, and appeals to support... ..., denial reasons, authorization requirements, medical documentation, and account history to identify the underlying...Remote workWork at office
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...Remote jobHourly payWork at office$20.08 - $30.06 per hour
CERIS is hiring an Appeals Representative in Fort Worth, Texas. The role involves reviewing and addressing provider inquiries and appeals while ensuring compliance with relevant regulations. The successful candidate will have strong attention to detail, excellent communication...Remote jobHourly pay$26 - $30 per hour
...Revenue Cycle AR Specialist MeBe Family is a provider... .... This is a fully remote position and candidates... ..., reconsiderations, appeals, and supporting documentation... ...as needed, including medical records, while... ...billing, authorization, coding, and reimbursement guidelines...Remote workHourly payPermanent employmentTemporary workLocal area$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances... ...Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National... ..., on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workFull timeLocal areaShift workWeekend work- ...medicine diagnostics, is seeking an Insurance Reimbursement Specialist to maximize collections by pursuing unpaid claims and managing multi-level appeals. This full-time role is based in Brisbane, CA, with some remote collaboration for eligible candidates. You will work...Remote jobFull time
$58.9k - $80.07k
...The Appeals & Grievances (A&G) unit processes member and non-contracted... ...and complete care. Appeals Specialist is the subject matter expert... ..., industry regulations and coding updates to ensure compliance... ...full range of benefits such as, medical, dental and vision coverage,...Remote workTemporary workWork experience placement- ...University Health at Rhode Island Hospital in Providence seeks a Denials Management Specialist to maximize reimbursement by analyzing denials, tracking trends, and coordinating appeals with contracted payers. Under general direction, you will support strategic initiatives...Remote job
- 24-MAG LLC is seeking experienced healthcare revenue cycle professionals for a remote, part-time consulting role focused on denials management and appeals evaluation. You will assess AI-generated denial content, review payer denial patterns, and contribute to structured...Remote jobPart time
- ...THE POSITION: The Program Specialist II will provide dedicated... ...reimbursements, payment denials, and appeals. Make outbound calls to... ...with prior authorization and medical necessity processes, benefit... ...experience Medical billing and coding experience Additional...Remote workLocal areaMonday to FridayFlexible hoursShift workWeekend work
- ...seeking an Accounts Receivable Associate Specialist for a remote role. You will follow up with... ...reimbursement. The role includes drafting appeals and supporting denial and audit activities... ...candidates have 2-4 years of medical collections experience, strong Excel skills...Remote job
- Senior Specialist, Talent Acquisition at nTech Workforce... ...Location: 100 % Remote, but Candidates must be... ...responsible for reviewing medical correspondences, analyzing... ...in claims, medical coding, or payment integrity... ...Payment Integrity or Appeals unit. Familiarity with...Remote workContract work
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
$21.16 - $38.37 per hour
Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly... ...grievance outcomes. Requests and reviews medical records, notes, and/or detailed bills as...Remote workHourly payFull timeContract workWork experience placementWork at office- ...including and not limited to coding/edit charge review,... ...education, research, denial appeals, resolving unpaid medical claims, cash posting, processing... ...and revenue reporting. Remote = Individuals in this... ...Certifications: Certified Coding Specialist (CCS) through governing...Remote jobWork experience placementWork at office
- Zotec Partners is looking for an AR Specialist to manage claims follow-up in a remote working environment. The position entails identifying billing issues, processing appeals, and resolving correspondence issues. Candidates should have AR follow-up experience, a high school...Remote jobWork at office
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