Appeals Specialist
Noctrix-Health
NoctrixHealth is seeking a Patient Access Appeals Case Manager in the United States to support patients and providers through denial and appeal processes for our DME device. You will collaborate with payers and health plans to secure coverage and drive streamlined access, while developing reimbursement strategies. A strong background in healthcare and appeals is required. You will help identify denial trends, develop best practices, and produce regular appeal metrics reports. #J-18808-Ljbffr
- ...Judi Health in New York, NY seeks a subject-matter expert in prior authorization and appeals to oversee operations across multiple lines of business. This role manages a team of appeals pharmacists and staff, ensuring compliance and high quality of care. The position requires...SuggestedFlexible hours
- ...Systems Inc. is seeking a detail-oriented and motivated Insurance Specialist to join our insurance support and billing team. The ideal... ...including claim submission, claim status inquiries, and filing appeals for denied claims Process a high volume of detailed account information...SuggestedFull timeWork at office
$50k
...are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. The Appeals Specialist I is responsible for performing triage, review, analysis, and resolution of facility-submitted appeals, involving non-...SuggestedContract workWork experience placementRemote work$30 - $35 per hour
...Now Hiring: Grievance & Appeals Specialists Are you an experienced Grievance & Appeals professional with a background in Medicare or Medicaid Managed Care? We're partnering with a leading healthcare organization that's looking to add multiple specialists to their growing...SuggestedWork at officeImmediate start- MJHS seeks an A&G Specialist in New York, NY to handle department correspondence, log and route mail, and provide back-up support to coordinators... .... The role emphasizes timely processing of grievances and appeals within regulatory timeframes. Responsibilities include opening...Suggested
- 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
$22 per hour
Broadway Ventures, a United States-based firm, is seeking candidates for a temporary 6-month role that is 100% remote. Compensation is $22 per hour with training provided. Responsibilities include prioritizing workload, using OnBase and MAS to record and upload documents...Remote jobHourly payTemporary work- ...claims end-to-end, from portal follow-ups and payor calls to appeals and medical records, so providers can resolve more denials, recover... ...the Role We're looking for a Senior Accounts Receivable Specialist to join our client onboarding team — a small group of...Permanent employmentFull timeWork at officeImmediate startFlexible hours
- Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess...
$140k - $160k
...professional looking for a long-term fit where you can grow in a role, and will be valued and empowered, then we invite you to apply to our Appeals and Complex Motions Associate Attorney position in our New York, New York Office.This position offers a flexible, hybrid working...Full timeWork at officeFlexible hours$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...Contract workWork at officeLocal areaImmediate startRemote work- ...Management Department is seeking an experienced Remote Revenue Cycle Specialist (RCS) to join our team. The successful candidate will be a... .... Prepare and submit reconsiderations, payment disputes, appeals, and other required documentation. Identify the root cause...Remote work
$34 - $38 per hour
...client data for completeness and accuracy of coding, using clinical knowledge to ensure proper reimbursement and respond to provider appeals. This is a remote, shift-based role across MT and ET time zones with after-training rotating weekends and holidays; training lasts...Remote jobHourly payShift work$28.85 - $35 per hour
...engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery organization .... ...specific workflows. You will manage assigned denial queues, submit appeals, and follow claims through to final resolution while...Hourly payTemporary workInterim roleRemote workFlexible hours- ...for career advancement.Job DescriptionBudget and Reimbursement Specialist OverviewThe Budget and Reimbursement Specialist will oversee... ...state officials on Medicaid/Medicare audits, rate reviews, and appeals processes.Manage the Certificate of Need process for capital projects...
$26 - $27.5 per hour
...ABOUT THE ROLE The Senior Revenue Cycle Specialist heavily interfaces directly with IVX Health administrative and clinical staff, payer... ...all IVX markets. Facilitate review and submission of escalated appeals from Billing Manager or Follow-Up Team as needed. Support...Hourly payFull timePart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours$28 - $31 per hour
...great place to live, work, and be. The Role: The Leasing Specialist is responsible for leasing, marketing, and maintaining positive... ...Maintenance Supervisor. Contribute to the cleanliness and curb appeal of the community on a continuing basis. Assist in planning...Immediate startFlexible hoursAfternoon shift$52.26k
...Service Title: Community Associate Position Title: Engagement Specialist Salary Range: $52,264 - $52,264 Job Description:... ...Special Victims Division, Pathways to Public Safety Division, and Appeals Division, which handles all the Office's matters in state and...Work at officeMonday to FridayFlexible hoursShift workNight shiftAfternoon shift- CrewBloom seeks a detail-oriented medical billing assistant to help prepare and submit appeals, review EOBs, and ensure accurate CPT/ICD coding under guidance. The role supports workers’ compensation claim processing and a broad range of billing tasks. This position favors...Remote jobHome office
$22 per hour
...in the medical alarm industry, seeking a seasoned Revenue Cycle Specialist with health insurance claims experience to fill a role in the... ...reimbursement within established payer timelines. Review, analyze, and appeal denied or underpaid claims in accordance with payer policies...Hourly payPermanent employmentFull timeTemporary workWork at officeRemote work- ...and processing of employee grievances and hospital discipline. Conducts hearings at the Corporate level, participates in arbitration appeals and maintains liaison with employee union representatives and personnel labor relations administrators of local hospitals. Performs...Contract workWork at officeLocal area
- ...(MTA) New York City Transit is seeking a Staff Analyst I/II or Associate Staff Analyst to administer ADA Access-A-Ride eligibility appeals. The role involves processing appeals, scheduling hearings, communicating with appellants, and generating periodic reports on suspension...Remote job
$80 per hour
...commercial, Medicare Advantage, Medicaid, and other payer authorization requirementsAssess authorization status tracking, denial outcomes, appeal pathways, escalation processes, and turnaround time expectationsEvaluate prior authorization workflows across multiple specialties,...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours$10k
...mission of the agency. Position Summary: The Labor Relations Specialist will play a critical role in developing and implementing a... ...: Coordinate agency grievance review and disciplinary appeals proceedings and assist in the case preparation for Step 2 and...Permanent employmentFull timeWork at officeWork from home2 days per week$77.29k - $94.21k
Job Description - Sr Revenue Cycle Specialist (2602625) Sr Revenue Cycle Specialist At Stony Brook Medicine, the Senior Revenue Cycle Specialist... ...regarding Managed Care Contracts, CM System and Denials and Appeals process. Assist in maintaining and creating payer report cards...Full timeContract workShift workDay shift$75k - $105k
...exciting opportunity to join our team as a Senior Operational Specialist. In this role, the successful candidate reporting to the Manager... ...resolution Validate final outcomes (payment, adjustment, correction, or appeal resolution) prior to closure Advanced Issue Investigation &...- Jackson Lewis P.C. is seeking a Billing Appeals Manager to lead a 10-12 person team responsible for maximizing revenue recovery through billing appeals, audits, and reductions. The role requires deep expertise in legal billing, carrier guidelines, and audit strategies,...
- Healthfirst seeks a Manager of Clinical Appeals & Grievances to lead a fast-paced team and coordinate with organizational leaders to optimize processes and drive performance. The role oversees internal and external production and ensures high quality and compliance across...
- ...how often (in days) to receive an alert: Certified Coding Specialist Date: Aug 18, 2026 Location: Remote, Remote, US Requisition... ...accounts. Experience reviewing coding-related denials and appeals. Experience resolving front-end claim edits and payer...Work at officeLocal areaRemote work
$45k
...0/Yr. Position Overview ~ SCOPE OF ROLE : The Housing Specialist supports SSVF program participants with their search for appropriate... ...rents and lease terms (when possible) with landlords. Appeal tenant selection decisions. Conduct and document housing...Permanent employmentTemporary workLocal areaRemote workWork from home
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