Remote RN: Clinical Finance & Denial Prevention Specialist
Ohio State University
- Remote job
Ohio State University is seeking a Clinical Finance Case Management - RN Specialist 3 for Revenue Cycle Clinical Support. This remote role requires a Bachelor's in nursing and at least 2 years of clinical care experience. Responsibilities include improving cash collection through managed care processes, analyzing clinical data, and collaborating with multidisciplinary teams. The ideal candidate will have strong analytical skills, proficiency in technology and Microsoft Office, and the ability to navigate complex healthcare scenarios. #J-18808-Ljbffr Ohio State University
$836 - $1,028 per week
...Job Title Job Details Profession: Non-Clinical - Finance/Accounting Pay: $836.00 to $1028.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 07:30 - 16:00 Openings: 3 Start Date: 06-15-2026 Experience: 1 Year Facility Info: Log in to view details Want a job...Suggested- ...Claims Recovery Specialist This is primarily a remote position, however there are times the employee might... ...review, research, and resolve claim denials and appeals for various insurance companies... ...Functions as a liaison between clinical departments and MSRDP management...Remote workWork at officeWork from home
- ...Overview Work remotely with a collaborative enterprise denials team focused on reimbursement... ...(1.0 FTE) The Clinical Denial Management... ...departments, finance, accounting, compliance... ...and denial prevention • Maintain compliance... ...Registered Nurse (RN) or Licensed Practical...Remote workFull timeWork at office
$18 - $20 per hour
...Remote (must be located in DFW) 6-month contract + extension $18-$20/hr This is primarily... ...will review, research, and resolve claim denials and appeals for various insurance... ...reimbursement. • Functions as a liaison between clinical departments and MSRDP management team....Remote workContract workWork at officeWork from home$21.99 per hour
...healthcare professional with experience in the below. • Analyze payer denials by denial groupers and submit appeals. • Contact patients and/... ...by plan reimbursement. • Functions as a liaison between clinical departments and MSRDP management team. • Completes special projects...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work- Ohio State University is hiring a Clinical Finance Case Management - RN Specialist 3 to work remotely within the Revenue Cycle Clinical Support team... ...on securing complex pre-authorizations, preventing and appealing clinical denials, and collaborating with multidisciplinary...Remote job
- Clinical Finance Case Management - RN Specialist 3 - Revenue Cycle Clinical Support page is loaded##... ...type: Remotelocations: Remote Locationtime type: Full... ...), clinical appeals and denial management. RCCS is... ...cash collection through preventing and appealing denials.**...Remote workFlexible hoursShift workDay shift
- ...Insight Global is seeking a fully remote Denials Specialist for our client specializing in orthopedic... ...progression of claims and avoid preventable delays in follow-up Documentation... ...Upload, organize, and maintain required clinical and billing documentation Maintain...Remote workWork from home
- Southwest Healthcare System is offering a fully remote position for a Clinical Documentation Specialist in Temecula, California. The role involves reviewing inpatient medical records to enhance clinical documentation and ensure appropriate reimbursement. Candidates must...Remote job
$29.51 - $43.89 per hour
...Clinic Immunization Specialist RN Partnering for a stronger, healthier world. At CommonSpirit Health, we believe in the healing power of humanity... ...Hours/Pay Period: 72 Requisition ID: 2025-405405 Remote: No Weekly Schedule: 0.9 FTE Monday - Friday (8:00 am-...Remote workFull timeFor contractorsLocal areaMonday to FridayShift work- ...Job Category: Finance and Accounting Requisition Number: RCMSP... ...25, 2026 Full-Time Remote Locations Showing 1 location... ...Revenue Cycle Management Specialist I can work in all facets of the... ...billing, claim adjudication, denial management, payment posting,...Remote workFull timeWork experience placementWork at office
$28.83 - $46.14 per hour
...- $46.14 per hour. Location: Remote in Washington State only. Posted... ...and reporting of payer claim denials to recover reimbursement for... ..., collaborates with clinical and operational departments,... ...representatives, contributes to denial prevention efforts, and adapts to...Remote workHourly payContract workFlexible hoursShift work$64k
...and development goals.This is a non-clinical role (Note: Clinical opportunities are... ...).BAYADA PerksThis role is fully remote; candidates may be based anywhere in... ...quarterly target set by the Director of MCM.Prevent or decrease Medicare denials by assuring proper coding on the...Remote workFull timeWork at officeLocal areaMonday to Friday$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to... ...leadership for real-time intervention, preventing an accumulation of improper... ...to work independently in remote setting with minimum supervision... ...*** Active unrestricted RN license #J-18808-Ljbffr Performant...Remote workFlexible hours- ...Comprehensive Cancer Centers of Nevada is seeking a Clinical Insurance Reviewer to work remotely in the Southern Nevada area only. The Clinical... ...resources for non‑covered chemotherapy services to prevent payment denials. Provides a contact list for patients community resources...Remote jobWork at office
- ...appealing claims when appropriate to overturn clinical denials from Medicare, Medicaid, and other third... ...and staff. What you bring Licensed RN. At least 2 years’ experience in an... ...duties and requirements. This position is remote and requires a dedicated, distraction‑free...Remote workTemporary workWork from home
$33.05 - $49.6 per hour
...Operations: Facility Coding Denials Status: Full time... ...required: Coding Specialist (CCS) certification issued... ...Management Association (AHIMA) Remote opportunity: Advocate... ...Assistant, AHA Coding Clinic and national and local... ...patient accounts, to prevent any delay in claim...Remote workDaily paidFull timeTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hoursShift workDay shift- ...DRG Nurse Auditor in Richmond, Virginia. This role involves analyzing clinical claim denials, drafting detailed appeal letters, and performing DRG validation reviews. Candidates should possess an RN or LPN license, ideally with a BSN degree. Preferred skills include knowledge...
- ...Patient Safety Infection Control Specialist RN - Dental The Location:... ...Care and Occupational Health Clinics, and 248 Dental Clinics. The... ...of the Dental IPC Program to prevent and control healthcare associated... ...). Location is Falls Church, VA with a possibility of remote....Remote workContract work
- ...regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience... ...appeal strategies, collaborating with clinical departments, and ensuring accurate documentation...Remote work
- ...Ensures completion of appropriate clinical review of all applicable... .... Oversees Clinical Review Specialist as indicated. Maintains... ...as well. This role will be remote but regular meetings/trainings... ...utilization review process, aids in denial prevention, and serves as resource to...Remote workReliefWeekend work3 days per week
- NACBA is seeking a Clinical DRG RN auditor who will utilize expertise in MS-DRG and APR-DRG coding to audits inpatient claims. The role requires strong knowledge of ICD-10 guidelines and excellent analytical skills. Enjoy flexibility to telecommute within the U.S. and a...Remote job
$34.23 - $61.15 per hour
Stryker Corporation is hiring a Clinical DRG RN auditor to work remotely within the U.S. This role requires expert knowledge in MS-DRG/APR-DRG coding and responsibilities include auditing inpatient claims and validating ICD-10 codes. Ideal candidates will possess a valid...Remote jobHourly pay$34.23 - $61.15 per hour
UnitedHealth Group is seeking a Clinical DRG RN auditor to enhance health outcomes by utilizing expert coding knowledge. The role offers the flexibility to telecommute and involves conducting MS-DRG and APR-DRG coding reviews in a high-volume production environment. The...Remote jobHourly pay- ...Denial Specialist - Epic PB Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing... ..., identifying root causes, and implementing strategies to prevent future denials. Your dual expertise in denial management and...Remote workPermanent employment
$31 - $49.5 per hour
...ROLE which will be Primarily FT Infection Prevention and PRN (Secondary) in the MDS role. 40... ...Infection Prevention $31.00 - $49.50 MDS RN $34.00 - $51.00 Join us at the Good... ...Bachelor’s degree in nursing, related clinical field, or graduate from an approved Masters...Full timePart timeReliefWork from homeRelocation packageShift workDay shift- The University of Minnesota School of Nursing is offering a Clinical DRG RN auditor position that allows for telecommuting from anywhere in the U.S. The role requires an expert understanding of MS-DRG and APR-DRG coding systems. This position involves auditing inpatient...Remote jobRelocation package
- ...company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring... .... This position offers competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobFlexible hours
- ...and recommendations in accordance with the Clinical Documentation Program. Provides clinical... ...- working both in-facility as well as remotely and has multi-facility/entity responsibility... ...concepts acquired through completion of RN program. Strong computer skills required....Remote work
$24.22 - $37.43 per hour
...Scheduling Specialist II The Scheduling Specialist II assists in... ...Quality Control requirements, and preventative maintenance. Maintains... ...~1206d Oncology Specialty Clinic BLS required within 6 months... ...Range $24.22 - $37.43/ hourly Remote or Onsite Onsite Job Schedule...Remote workHourly payDaily paidWork at officeLocal areaShift work
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