Healthcare Claims Denial & Reimbursement Specialist
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Stern Cardiovascular is seeking an experienced Reimbursement Specialist to resolve complex accounts receivable denials and optimize claim adjudication across Medicare, Medicaid, and commercial payers. The role focuses on reviewing payer requirements, correcting claim issues, preparing appeals, and ensuring timely follow-up while maintaining accuracy, productivity, and regulatory compliance. On-site position in Germantown, TN with competitive benefits. #J-18808-Ljbffr Choose901
- ...Care in Memphis, TN is seeking a Billing Specialist to manage daily claims edits, denials, and follow-up to ensure timely reimbursement. You will handle patient and payer inquiries... ...payer guidelines. Ideal candidates have healthcare billing experience, knowledge of Epic, MS...ReimbursementClaims
- ...Cardiovascular is seeking an experienced Reimbursement Specialist to resolve complex accounts receivable denials and unpaid or underpaid insurance claims. The ideal candidate has... ...claim adjudication across all major healthcare carriers, including Medicare, Medicaid...ReimbursementClaims
$18.65 - $19.9 per hour
...healthy. We recognize that healthcare requires a human touch... ...Senior Patient Access Specialist is responsible for... ...assist with a clean claim rate including pre-registration... ..., payments, and denials.Comprehensive... ...and can obtain tuition reimbursement.Recognition – We offer...ClaimsWork at officeLocal areaRemote work$140k - $160k
Position Summary Epic Denials Manager Position Summary Join Deloitte’s... ...billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As... ...technology, business, or healthcare related field; or equivalent experienceLimited...ReimbursementClaimsLocal areaRemote work$133.2k - $172.37k
...worldwide. As a Senior Prevention Specialist within Gilead's - HIV... ...management approach, engaging healthcare practices through in-person... ...functional colleagues (field reimbursement managers, medical scientists... ...Kickback Statute, the False Claims Act, PhRMA, Corporate Code...ReimbursementClaimsFull timeFor contractorsWork at officeLocal areaWorldwide- ...Description Description: Revenue Cycle Specialist E/O/E Position Summary... ...medical records, resolving claim denials, and pursuing reimbursement opportunities. This position serves... ...Associate’s or Bachelor’s degree in Healthcare Administration, Business, Health Information...ReimbursementClaimsWork at office
$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology... ...healthy. We recognize that healthcare requires a human touch, and... ...Certifications Tuition Reimbursement Comprehensive Benefits... ...processes to assist with a clean claim rate. Responsible for...ClaimsWork at officeLocal areaRemote work$76k - $114k
...EHS Specialist, Radiation Safety Careers that change lives start... ...Medtronic is a global leader in healthcare technology with a Mission to... ...a suspicious message claiming to be from Medtronic, do not... ...account, Tuition assistance/reimbursement, and Simple Steps (global well...ClaimsH1bWork at officeLocal areaImmediate startFlexible hours$76k - $114k
...EHS Specialist, Radiation SafetyCareers that change lives start here... ...is a global leader in healthcare technology with a Mission to... ...receive a suspicious message claiming to be from Medtronic, do not... ...account, Tuition assistance/reimbursement, and Simple Steps (global well...ClaimsH1bWork at officeLocal areaImmediate startFlexible hours- ...Behavioral Health Specialist As the only independent and physician-led faculty practice... ...providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is... ...o Assessment findings o Analysis of claims data o Provider input o Patient...Claims
- ...authorizations and pre-certification for inpatient and/or outpatient healthcare services. Some overtime and call back is required. This... ...level of care in order to optimize resource consumption and reimbursement. Precertifies patient care services that require...ReimbursementWork experience placement
- ...for service and value-based reimbursements with hospitals and other providers... ...but not limited to, Claims Operations, Medical Management... ...alternate contract terms.Creates healthcare provider agreements that... ...to less experienced specialists.POSITION REQUIREMENTSShould...ReimbursementClaimsFull timeContract workLive inWork at officeLocal areaWork from home
- ...the daily completion of both cliams edit, denial, and no response billing functions for... .... Understands both paper and electronic claims as well as client invoice billing. Performs... ...Minimum Required ~ Experience in the healthcare setting or educational coursework....Claims
- ...identifying charge capture, coding, and reimbursement problems, then recommending/... ...workflow. Monitors daily productions of claims, denials, and appeals. Analyzes claims, utilization... .... Education: Bachelor's degree in healthcare administration, business, accounting,...ReimbursementClaimsWork at office
$200k
...conditions and serves as a consultant to other healthcare providers. Experienced in... ...Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility... ...obtain a copy of the ECFMG certificate, if claimed by the applicant. ~AND~ Completed, or...ReimbursementClaimsPermanent employmentSeasonal workWork at officeRemote workRelocation packageMonday to Friday- ...for the Surgery Center. You will submit claims to insurers and monitor payments to ensure... ...and medical collections experience with denials, accounts receivable and appeals. Must... ...to work collaboratively in a fast-paced healthcare setting. #J-18808-Ljbffr CAMPBELL CLINIC...ClaimsRelief
- ...action. Reports to the manager of the Denial Mitigation Department. Performs other duties... ...received in order to optimize reimbursement. Evaluates clinical information and supportive... ...and presents reports to other healthcare providers in order to improve performances...Reimbursement
- ...collect and enter demographic, financial and clinical information to create patient records. You will ensure data accuracy and support claims processing with professional, courteous service. The role emphasizes using standard English, basic math and computer skills, with a...Claims
- ...financial and clinical data into the system and ensure data accuracy for claims processing. The role emphasizes clear English communication, accuracy in documentation, and strong customer service in a healthcare environment. Prior experience in patient access is preferred,...Claims
$18 - $20 per hour
...third-party company serving healthcare organizations, along with required... ...billing, collections, and reimbursement services within a healthcare setting, ensuring accurate claim submission and timely... ...correct, and resolve claim errors, denials, and billing discrepancies according...ReimbursementClaimsContract workTemporary workWork at officeRemote work$133.2k - $172.37k
...worldwide. As a Senior Prevention Specialist within Gilead's – HIV... ...management approach, engaging healthcare practices through in-person... ...functional colleagues (field reimbursement managers, medical scientists... ...Kickback Statute, the False Claims Act, PhRMA, Corporate Code...ReimbursementClaimsFull timeFor contractorsWork at officeLocal areaWorldwide- ...will help prepare and review insurance claims, assist with basic billing and coding tasks... ...file management Support billing, reimbursement, coding, and claims workflows as... ...insurance options Long-term career path in healthcare administration Ideal Candidate The...ReimbursementClaimsWork at office
$50k - $70k
...hours Benefits: Health stipend License reimbursement Bonus based on performance Competitive salary... ...benefits, and exclusions to customers. Assist customers with claims and policy changes. Develop and maintain customer relationships...ReimbursementClaimsFor contractorsImmediate start- ...Utilization Management Specialist Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential Functions: Act as liaison... ...state or facility requirements. Additional Regulatory Requirements: Acadia HealthcareReimbursementPart timeWork at office
- ...Germantown is seeking a PRN Biller/Collector SC to manage timely submission of claims and monitor payments from a variety of providers. The role requires medical billing experience, denials handling, AR and appeals, plus solid computer skills. This PRN position works with...ClaimsRelief
- Methodist Le Bonheur Healthcare in Germantown, TN is seeking a Medical Office Assistant to support the ambulatory/clinic site. You will handle front desk duties, register patients in the EMR, schedule appointments, collect payments, and assist patients with the patient...Work at office
- ...Medical, Dental, Vision, Rx + 401(k) with match + PTO + 100% Reimbursement of Tuition & Books | 7475 Winchester Road | Responsibilities:... ...merchandise presentation in the Freezer/Cooler/Deli area by handling claims and returns; zoning the area; receiving and stocking...ReimbursementClaimsImmediate start
$65k - $80k
...Insurance, and Renters Insurance. Benefits License reimbursement Bonus based on performance Competitive salary Flexible... ...with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ReimbursementClaimsWork at officeFlexible hours$45k - $55k
...Replies within 24 hours Benefits: License Reimbursement Bonus based on performance Competitive salary... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ReimbursementClaimsFor contractorsFlexible hours- ...create value and improve people’s lives.Summary:The Production Specialist - WIP(Work-In-Process) will be based in Memphis, TN reporting... ...401(k) ContributionsVacation and Paid Sick TimeTuition Reimbursement Application Deadline:Applications for this job position will...ReimbursementFull timeWork at officeVisa sponsorshipFlexible hours
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