Denials Management & Appeals Manager
$70 - $93 per hourTemporary
Gridnaut Recruiting
Gridnaut Recruiting is hiring a remote Denials Management & Appeals Manager contractor (pay $70–$93/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role; Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers; Strong understanding of clinical and technical appeal processes including peer-to-peer and external reviews; Experience with denial analytics platforms and revenue cycle reporting tools; Proficiency with EHR systems and billing platforms; Exceptional written and verbal English communication skills.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Denials Management & Appeals Manager in Remote vacancy
$70 - $93 per hour
...Help advance healthcare AI by evaluating tools that support denial prevention, appeal writing, and root-cause analysis. Your expertise in payer... ...patterns, clinical and technical appeals, and denial management analytics will inform AI workflows designed to lower denial...SuggestedHourly payRemote workSaidGig
United Statesmore than 2 months ago$70 - $93 per hour
Gridnaut Recruiting is hiring a remote Denials Management & Appeals Manager contractor (pay $70-$93/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: 5+ years of experience in denials management, appeals, or revenue cycle operations, with at...SuggestedTemporary workFor contractorsRemote workGridnaut Recruiting
Remote2 days ago$70 - $93 per hour
...Role Overview Lead the evaluation and improvement of AI tools that automate denial prevention, appeal writing, and root cause analysis. Use your denials management and appeals expertise to validate AI outputs, shape appeal strategies, and reduce denial rates while maximising...SuggestedHourly payRemote workSaidGig
United States21 hours ago- ...Job Description Description: Healthrise is seeking a Manager of Coding Denials to lead the day-to-day performance of a coding team with a... ...coding-driven denials, and partnering with revenue cycle and appeals teams to reduce denial volume and recover revenue. The Manager...SuggestedRemote workHome office
Healthrise
Farmington, MI22 days ago - MANAGER APPEALS & REBUTTALS - REMOTE ARC Group has an immediate opportunity for Manager Appeals & Rebuttals! This position 100% remote working... .... * Review and process appealable determinations (such as denial of billing privileges, revocation of existing billing...SuggestedPermanent employmentPart timeWork experience placementWork at officeImmediate startRemote work
ARC Group
Jacksonville, FL7 days ago $89.76k - $127.98k
...Utilization Review and Appeals Case Manager Position Summary This position is responsible for performing utilization management and concurrent... ...planning needs. Communicate authorization decisions, denials, and appeals information to providers, patients, and...Full timeWork at officeFlexible hoursShift workWeekend workDay shiftWeekday workStony Brook University
Stony Brook, NY1 day ago- ...acute and primary care, wellness, disease management and population health services. Ben Taub... .... Job Summary The Care Manager Clinical Denials (CM-CD) is responsible for the... ...determine why cases are denied and whether an appeal is required. For all inappropriate denials...Work experience placementWork at officeRemote workFlexible hours
$140k - $160k
Position Summary Epic Denials Manager Position Summary Join Deloitte’s AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Denials Manager, you will...Local areaRemote work- Centene is seeking a clinical professional to join our Medical Management/Health Services team to ensure proper processing of member grievances, provider appeals, and state fair hearings. You will serve as the primary contact with the State and oversee the daily activities...Remote job
- Virtua Health in New Jersey seeks a part-time Per Diem RN for Utilization Management and denial management. You will apply medical necessity tools, document reviews, and coordinate with physicians and payers to support compliant patient care and cost effectiveness. Requirements...Remote jobHourly payDaily paidPart time
$2,150 per week
...is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing... ...concurrent and post-discharge third party payer denials of outpatient and inpatient cases alleged... ...to; Peer-to-Peer as appropriate, written appeal letters when indicated, documentation of...Permanent employmentFull timeTemporary workFor contractorsWork at officeImmediate startRemote workShift work$162k - $211k
...Position Summary: The Access & Reimbursement Manager (ARM) will be a subject matter expert on... ...for prior authorization approvals, appeal approvals, and specific medical policy steps... ...access issues (prior authorization, appeals, denials, letters of medical necessity, REMS), and...Full timeTemporary workLive inWork at officeLocal areaImmediate startRemote workShift work$73.4k - $183.6k
...delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you’ll be part of a... ...performance, identifying reimbursement opportunities, managing denials and appeals, and improving operational workflows that drive quality outcomes...Full timeContract workPart timeWork at officeImmediate startRemote workWorldwide- The Wilshire Group is seeking an experienced Revenue Cycle Denials Consultant with strong project management expertise for a remote 6-month engagement. You will lead denial prevention initiatives and coordinate cross-functional teams to drive improvements across the revenue...Remote job
$207k - $300k
...of Site Reliability Engineerings (SREs) and security engineers. Manage career development, performance evaluations, and technical mentorship... ...communities to establish Google as an industry leader in Denial of Service (DoS) defense.Minimum qualifications:Bachelor’s degree...Shift work- ...Job Description The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable... ...credentialing functions, including activity related to approvals, denials and / or appeals. Other responsibilities may include Monitor renewals of...Work at office
Chen Medical
Miami Gardens, FL1 day ago - ...Job Description Job Description Director of Managed Care Remote Position RN/LPN Preferred Job Summary: We are seeking... ..., admissions, and regional leadership Track, resolve, and appeal denials , ensuring complete and accurate documentation Provide...Remote work
Nightingale
Little Rock, AR22 days ago $75k - $80k
...Director, Director, or AVP of Revenue Cycle Management, the Senior Manager, Revenue Cycle... ...Utilize data to identify patterns in claim denials or delays and develop actionable... ...regarding claim adjustments, resubmission, appeals, and other claim resolution techniques Makes...Full timeWork at officeLocal areaRemote workWork from homeHome officePrivia Health
Brooklyn, NY1 day ago$150k - $240k
...Manager, Patient Services Analytics Beghou brings over three decades of experience helping... ...hub services, prior authorizations, appeals, and copay assistance Partner with hub... ...payer restrictions, prior authorization denials, and access challenges impacting the patient...Permanent employmentRemote workFlexible hoursBeghou Consulting
Princeton, NJ3 days ago$105 per hour
...authorization workflows, using your clinical and utilization-management expertise to improve administrative efficiency and patient... ...to secure timely approvals. Track authorization status, denials, and appeal outcomes to identify workflow improvements. Create and...Hourly payWork at officeRemote workSaidGig
United Statesmore than 2 months ago$122.25k - $176.58k
Job title: Field Reimbursement Manager - Rare Blood Disorders, Florida Location: US (Remote)About You: Sanofi, an innovative global... ...Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and Peer to Peer reviews. Educating...Full timeWork at officeLocal areaRemote work$139k - $229k
...foundation. As the Senior Product Marketing Manager for ClaimCenter, you will own the... ...Disability Accommodations and Guidewire’s Appeals Process. Guidewire provides accommodations... ...five business days of receiving a notice of denial of an accommodation, or receiving a notice...Full timePart timeRemote workWorldwide- ...Exempt (Salaried) Division: Utilization Management Physical Strength: Light (L) Reports... ...in conducting medical necessity review/appeals to ensure appropriateness of care.... ...Medical Administrative Contractors), and Denial Management. Demonstrate positive and...Contract workFor contractorsCasual workWork at officeLocal areaRemote workFlexible hours
Yamhill Community Care
Mcminnville, ORa month ago $50k
...closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance programs... ...skills to the test! Key Responsibilities Relationship Management Builds trusted relationships with patients, prescribers, client...Temporary workWork at officeImmediate startRemote workWork from homeMonday to FridayShift workValeris
Louisville, KY1 day ago$50k
...closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance programs... ...Case ManagementProvides personalized case management to patients and HCPs including outbound communication to HCPs...Full timeTemporary workWork at officeImmediate startRemote workWork from homeMonday to FridayShift workValeris, Inc.
Frankfort, KY1 day ago$110k - $116k
...reimbursement barriers and train staff on prior authorizations, appeals, denials, and payer policies. What You’ll Do Support providers with... ...Educate offices on reimbursement & patient support programs Manage escalations & ensure smooth access to therapy What We’re Looking...Full timeRemote workRelocation packageRemX | The Workforce Experts
Detroit, MI3 days ago- ...Managing patient cases through the insurance authorization and appeal process, the remote Patient Access Case Manager will work closely with the Interventional Spine... ...requests Experience in interpreting procedure denials and drafting appeals Understanding of payer coverage...Remote work
Virtual Vocations Inc
United States2 days ago $81.85k - $110.74k
...this. Let’s change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient... ...troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems) Liaise with...Remote workWorldwideFlexible hoursAmgen
United States21 hours ago$110k - $115k
...Overview We’re seeking an experienced Field Reimbursement Manager (FRM) to support a specialty pharmaceutical product. This high-... ...Retail and Specialty Pharmacy, including prior authorizations, appeals, denials, and provider education. Base pay range $110,000.00/yr - $115...Full timeWork at officeLocal areaRemote workRelocation packageRemX | The Workforce Experts
Springfield, MA3 days ago$143k - $236k
...Summary The Engagement Manager (EM) has a division of labor within the full portfolio... ...Disability Accommodations and Guidewire's Appeals Process. Guidewire provides... ...five business days of receiving a notice of denial of an accommodation, or receiving a notice...Full timePart timeRemote workGuidewire
United States1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Denials Management & Appeals Manager. Be the first to apply!
