Remote Appeals Nurse: Denials & Payer Appeals Expert
Knowtion Health
- Remote job
Knowtion Health is seeking an Appeals Nurse to oversee the review and appeal of claims related to clinical denials from Medicare, Medicaid, and other payers. The ideal candidate will have a valid RN license, experience in an acute care setting, and familiarity with utilization review. This remote position offers a variety of benefits, including medical, dental, vision, and a competitive PTO policy. Join our growing firm and contribute to our commitment to providing quality healthcare solutions. #J-18808-Ljbffr Knowtion Health
$36 - $40 per hour
...forging our own path. We’re a remote-first staffing and... ...healthcare industry. Our team of experts have placed thousands of professionals... ...career. If you are an Appeals and Denials Nurse looking for a new... ...claims and appeals according to payer guidelines. Keeps abreast...Remote workPermanent employmentFull timeWork visa- Shriners Children's is seeking a Denials Management Appeals Nurse (Anesthesia) to manage medical denials by reviewing clinical documentation and filing compliant appeals. The role requires a strong clinical background and the ability to write compelling arguments for appeals...Suggested
- 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
- A healthcare consulting firm is expanding its team by hiring a Clinical Appeals Review Nurse. This role involves completing clinical denial reviews, performing various audit services, and educating client personnel on charge documentation. Required qualifications include...Suggested
$45.29 - $84.11 per hour
...Denial Prevention Nurse Position at Nuvance Health PART TIME- 20 hours per week... ...for the better. Hybrid/Remote Summary: The purpose of the... ...and telephonic) with payers ensures timely approval of all... ...# Tracking and trending all appeals and communicating on a daily...Remote workHourly payDaily paidPart timeShift workNight shiftRotating shift- ...Systems, Inc. (UASI) in Cincinnati, Ohio is looking for an experienced Clinical Appeals Review Nurse to join their healthcare consulting team. This role involves conducting clinical denial reviews to help determine appropriate appeals for patient accounts. Ideal candidates...
- ...seeking an experienced clinical professional to manage appeals and grievances in a remote setting. The role involves investigating requests from members... .... This position requires a Bachelor's degree, a valid nursing license, and a minimum of two years of related...Remote job
- Remote Jobs is seeking an experienced clinical appeals specialist to join their team. The role requires a Registered Nurse (RN) with at least one year in ICU or demonstrated proficiency in appeals... ...services. You will review denials, conduct research, and collaborate...Remote work
- IMCS Group is seeking an experienced nurse for a 10-month contract role primarily focused on reviewing clinical data and managing member appeal requests in accordance with company policies. The position allows for remote work, preferably from Iowa, with possible on-site...Remote jobContract work
- ...ability to analyze claims data and regulations effectively. The candidate will be responsible for documentation and reporting within the appeals process, contributing to continuous improvement initiatives in a dynamic healthcare environment. #J-18808-Ljbffr Performant CorpRemote job
- Brighton Health Plan Solutions is seeking a Clinical Appeal and Grievance Nurse to conduct clinical and benefit reviews in a production-driven environment... ...compliance with regulatory requirements. This position is remote and emphasizes independence and accountability in a fast-...Remote job
- The Hispanic Alliance for Career Enhancement is seeking an Appeals Nurse Consultant to join our remote team. This critical role involves ensuring fair and accurate resolution of clinical appeals through sound clinical judgment and compliance with regulatory requirements...Remote job
- ...accounts receivable balances, ensuring timely payments from Medicare and commercial payers. The ideal candidate will have experience with medical accounts receivables, filing appeals, and using EMR/PM systems like NextGen. Join a supportive team in a modern work environment...Work at office
$90k - $112.76k
R1 RCM is looking for a Complex Denials Consultant in Detroit, Michigan. In this role, you will represent healthcare providers in disputes with insurance carriers, handling appeals and contract reviews. A law degree and bar eligibility are required. The position offers...Contract work- Academy of Managed Care Pharmacy is seeking a Denial Resource Center Appeal Support Specialist based in Dallas, Texas. This role involves ensuring the timely submission of accurate claims appeals, processing reconsiderations, redeterminations, and handling various legal...
$15.5 - $19.63 per hour
Franciscan Health is looking for a Denial Collections Specialist to work from home in Indiana. The specialist will review denied medical insurance claims, identifying the basis for appeal and ensuring timely and compliant resubmissions. Applicants must have a high school...Remote jobHourly payWork from home- Job Summary The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial cases effectively...Remote jobWork at office
- ...communication of clinically-based appeals between Providence Health and... ...Region (PH&S) outside payers. Activities will be patient-focused... ...: ~ Associate's Degree Nursing. ~ California Registered Nurse... ...Experience working with denials and appeals in/for an acute care...Remote jobDaily paid
- A healthcare solutions firm is looking for a Clinical Appeals Nurse (RN) to support revenue cycle operations by reviewing denied claims. This remote position requires an active RN license and 3-5 years of clinical nursing experience. Responsibilities include assessing...Remote job
- ...Possibility to extend) Location: Remote, preferred Iowa. Possible to... ...denied claims, upholding the denials and submitting cases to the Medical... ...received Generate appropriate appeal resolution communication to... ...by the team lead; the appeals nurse is responsible for working the...Remote workContract workShift work
$57.28 - $88.92 per hour
...communication of clinically-based appeals between Providence... ...Region (PH&S) outside payers. Activities will be... ...~ Associate's Degree Nursing. ~ California Registered... ...working with denials and appeals in/for an acute... ...Torrance Workplace Type: Remote Pay Range: $57.28 -...Remote workDaily paidMinimum wageShift work$27.74 - $39.16 per hour
...Job Summary The Coding Denial and Appeals Specialist is responsible for ensuring that workflows... ..., and data align with regulatory and payer requirements. This role focuses on... ...period Monday-Friday Business Hours Remote work setting, but must live in the state...Remote workHourly payFull timeLive inMonday to FridayFlexible hoursShift work- ...Appeal Specialist II - RN The Appeal Specialist II - RN reviews... ...analyzes, and resolves insurance denials to ensure accurate... ...facilities, and communicates payer updates to relevant stakeholders... ...required ~ Bachelor's Degree in Nursing preferred ~2-4 years of experience...Remote jobWork at office
- ...Denials Appeals Specialist At Aspirion, our mission is simple and meaningful: to help healthcare... ...Conduct follow-up with third-party payers to obtain claim status and support resolution... ...quality metrics-driven environment Remote work experience in a structured...Remote workPermanent employmentWork experience placement
$75k - $89k
...POSITION SUMMARY: The Supervisor, Denials and Appeals supervises a team of Revenue Cycle Analysts and Denials and Appeals Specialists, dedicated... ...reimbursement environment (government and private payers) including coverage, coding and payment and understanding of...Remote workWork experience placementWork at officeImmediate startWorldwide- Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To: Director of Clinical... ...appeal strategies, and drafting payer-ready appeal documentation. This role... ...a critical part in overturning denials, improving reimbursement outcomes,...Remote work
- ...role involves conducting independent medical service appeal reviews for TennCare and providing expert testimony. Candidates must have 5+ years of clinical... ...and board certification. The position primarily offers remote work but requires occasional on-site presence in...Remote job
- ...Medical Center is looking for a Technical Denials Management Specialist II within its... ...researching, and resolving claim denials and appeals across various insurance companies. A successful... .... The position offers flexibility with remote work opportunities but requires...Remote job
- Professional Credit Service is seeking a Multispecialty Denials Coding Specialist for a full-time remote position. Responsibilities include reviewing... ...professional coding, researching claim denials, and submitting appeals. Candidates must have proficiency in MS Office and...Remote jobFull timeFlexible hours
- Aspirion in Delray Beach, Florida, is looking for a Denials Appeals Specialist to analyze and submit appeals for denied claims. The role supports... ...a bachelor’s degree preferred. The position involves working remotely and understanding healthcare operations. #J-18808-Ljbffr...Remote job
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