Lead Insurance Denials Specialist
Virtual Vocations Inc
To enhance billing efficiency and team performance, the full-time Lead Insurance Denials Specialist will coordinate communications regarding billing with patients and stakeholders, oversee accounts receivable collection, and provide training and support to the team in a remote setting. Key responsibilities Manage communications with patients, carriers, and other parties to expedite billing and collections Analyze denial trends and collaborate with stakeholders to implement process improvements that prevent future denials Provide training and support to the Insurance Denials team, fostering a collaborative work environment Required qualifications High School diploma or equivalent 5+ years of experience in a medical billing or payer claim processing department Knowledge of Workers Compensation, HMO's, PPO's, MA, and other third-party payers Intermediate proficiency with Microsoft Excel, PowerPoint, Word, and Outlook Bachelor's degree strongly preferred
- ...Lead Insurance Denials Specialist RAYUS Radiology is looking for a Lead Insurance Denials Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us...SuggestedFull timeRemote work
- ...The role emphasizes leadership, workload coordination, and performance monitoring across Professional Billing workflows. Responsibilities include provider education, denial management support, and collaboration with PB-CDI and stakeholders to improve #J-18808-Ljbffr...SuggestedLocal area
$18.75 - $24.25 per hour
...POSITION SUMMARY/RESPONSIBILITIES The Insurance Specialist is responsible for resolving registration related payer denials which are housed in Epic account workqueues. On a daily basis, the insurance specialist will utilize payer guidelines to correct the account and...SuggestedFull time- ...IVX Health is seeking an Insurance Follow Up Specialist to support our Billing Operations team in a full-time role. The position offers remote work... ...across the U.S. or hybrid in Brentwood, TN, focusing on denials, payer follow-up, and timely reimbursement for Medicare...SuggestedFull timeRemote work
- ...CBS Medical Billing & Consulting LLC in Exeter, NH seeks an Accounts Receivable Specialist to support clients with timely insurance follow-up, denial management, and precise documentation. You’ll investigate unpaid claims and work with billing teams to move accounts toward...Suggested
- ...Mindful Support Services is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers. The role requires 2+ years of hands-on A/R follow-up and denial...Full timeWork at officeMonday to Friday
- ...information about this position. Oversees daily operations of all insurance specialists and registration specialists who work on all appointments... ...and regulations. Assists Patient Financial Services with denial management issues and will appeal denials based on medical...Full timeWork at officeLocal areaShift work
- Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers in our Goodyear, AZ office. The role requires at least two years of...Work at office
- PN Account Specialist II# Careers at Cook Children's## PN Account Specialist IIApply: Fort Worth, TX: Full time: Posted Yesterday... ...Weekly Hours:**40**Summary:**The Account Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up...Full timeWork at officeShift workDay shift
- Mindful Therapy Group in the United States is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and processing issues across commercial, Medicare, and Medicaid payers. This full-time, remote role requires at least two...Remote jobFull time
- ...Womens-Care-P in Chandler, AZ is seeking an Accounts Receivable-Insurance Payment Posting specialist to join the clerical team. You will work with the A/R group to post insurance payments and review denials, ensuring accurate patient balances while handling inquiries...Contract work
- Cook Children's in Fort Worth, TX seeks an Account Specialist II in Insurance Follow-Up & Denials Management to manage follow-up and resolution of outstanding claims. You will analyze reimbursements, prepare data on claims adjudication and payment trends, and support practice...
- Mindful Support Services is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and processing issues across commercial, Medicare, and Medicaid payers. The ideal candidate has 2+ years of hands-on insurance A/R follow-up...Remote jobFull time
- ...is seeking a full-time Follow Up Representative for our in-office accounts receivable team. You will pursue reimbursement, handle denials and delinquent claims, and contact payers as needed to maximize cash collections. The role requires 1-2 years in revenue cycle collections...Full timeMonday to Friday
- Bryn Mawr Medical Specialists Association, Ltd seeks an Insurance Patient Account Representative to manage insurance A/R for assigned physicians. You will follow up on unpaid claims, investigate denials, and assist patients with balance explanations. The role requires...Full timeWork at office
- Banner Health is seeking a PFS Insurance Follow-Up Representative (Ambulatory Denials) to support billing and denial resolution remotely. The role covers denial appeals, eligibility issues, and payer communications, with a focus on physician fee-for-service workflows and...Remote jobWork from home
- ...Rehab Medical, Inc. in Indianapolis, IN is seeking a Medical Insurance Collector to join our revenue cycle team. You will coordinate and... ...ideal candidate has a high school diploma, at least one year of denial experience, and proficiency with Microsoft Office. We offer...Work at office
- ...preparation of bundled packets, ensuring accurate reimbursement and contract compliance. Responsibilities include follow-up on claims, denial resolution, HB/PB reconciliation, and serving as a patient advocate for balance resolutions, with a strong emphasis on accuracy and...Contract work
- ...Marshall Health Network, Inc. seeks an Enterprise Denial Coordinator to analyze denial data and coordinate prevention initiatives across hospitals and provider organizations. You will translate data into actionable insights and support leaders in improving reimbursement...
- ...Bournewood Health Systems is seeking an Insurance Collection Specialist to ensure accurate review and resolution of insurance denials and returned claims. The role involves communicating with insurers and clients to secure payment and following company HIPAA guidelines...
$143.91k
...-to-Exceed 1 Year - may be extended or become permanent without further competition.Relocation: FalsePosition ID: CMS-OC-27-13104817-IMPDocument ID: 890858700Grade: GS 14Job category: Health Insurance Administration (0107)Hiring path: fed-internal-search, fed-transitionPermanent employmentTemporary workWork at officeRelocation- ...Intermountain Centers in Tucson seeks an experienced Lead Accounts Receivable Specialist to serve as the operational lead for claims follow-up, denial management, collections, and appeals. You will coordinate AR work queues, monitor aging, and mentor staff within the Revenue...
- ...TwelveStone Health Partners is seeking a full-time Account Reimbursement Specialist to join its billing team in Mississippi. You will resolve unpaid claims, follow up with insurers on denials, and submit reconsiderations and appeals to achieve timely payment. Collaborating...Full time
- ...gobravvo is hiring a Medical Insurance Follow-Up Representative to manage insurance A/R follow-up, denial resolution, and payment posting for hospital and physician billing, all from a remote home office.You will collaborate with healthcare providers, payers, and internal...Remote workHome office
- ...Baba in New York City seeks a RCM Lead to run revenue cycle end to end, billing Medicare/Medicaid, handle eligibility, claims, denials, cash posting, and reconciliation. You will own payer enrollment and credentialing, build SOPs, and lead a billing team while coordinating...Full timeWork at office
- ...PharMerica, part of BrightSpring Health Services, seeks a 3rd Party Claims Specialist Team Lead to act as SME on denial research, assist with payer rules, and mentor staff. The role supports evening/weekend shifts in a remote setting across the United States, focusing...Remote workWeekend workAfternoon shift
- ...The Iowa Clinic is seeking a Manager, Payments & Denials to lead the revenue-cycle team responsible for customer service, payment posting, and denial management. You will drive performance against revenue-cycle metrics and partner with clinics to ensure timely revenue...Work at office
- .... You will resolve complex discrepancies, support urgent issues, and collaborate with department managers and clinicians to reduce denials. Expect adherence to AHIMA standards and official guidelines, with CPC/CCS and E/M expertise valued. You’ll work within Revenue...Remote work
- ...Gardant is seeking an Accounts Receivable Specialist responsible for managing Medicaid and Managed Care accounts, ensuring timely documentation... ...compliant revenue cycle activities. You will monitor denials, perform AR analysis, and coordinate with state agencies and...
- ManpowerGroup is seeking an AP/AR Clerk to own the end-to-end insurance follow-up and denial resolution process at our Lake Mary, Florida location. You will ensure accurate reimbursements, resolve payment discrepancies, and drive cash collection metrics. The role requires...Weekday work
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