Revenue Cycle Specialist: Denials & Appeals Expert
Southcentral Foundation (SCF)
Southcentral Foundation (SCF) in Anchorage, AK, is hiring a Revenue Cycle Specialist I/II to manage complex day-to-day revenue cycle issues, including revenue recovery, QA, and appeals, acting as a subject matter expert in denial management and payer coordination. Progression between Level I and II is based on demonstrated ability to handle more responsibility. This on-site role supports SCF’s mission and requires strong analytic and mentoring capabilities. #J-18808-Ljbffr Southcentral Foundation (SCF)
- Florida Orthopaedic Institute in the United States is seeking a Revenue Cycle Analyst to ensure timely collection of accounts receivable for... ...The role requires strong knowledge of medical claims billing, denial management, and insurance follow-up, with collaboration across...Suggested
- Quorum Health Corporation is seeking a Revenue Cycle Specialist to perform hospital revenue cycle functions including AR, denial management, and appeals. The role supports remote work with responsibilities spanning insurer communications, patient interactions, and adherence...SuggestedRemote job
- ...at Crescent Lake is seeking a Corporate Accounts Receivable (A/R) Specialist with experience in long-term care and healthcare revenue cycle management. You will manage aging, insurance billing, and denial resolution while driving improvements across the A/R process....Suggested
$22.99 - $30.66 per hour
Revenue Cycle Specialist I Hiring Range $22.99 to $30.66 Revenue Cycle Specialist II Hiring Range $26.3... ...revenue recovery, quality assurance, and appeals. The Revenue Cycle Specialist is considered a subject matter expert in denial management and appeals, payment...SuggestedContract workWork experience placement$18 per hour
...Summary Under the direct supervision of the Revenue Cycle Ancillary Supervisor, this position is... ...of medical claims billing, denial management, and insurance follow-up, while... ...collection activities, including status calls, appeals, and account reviews to ensure timely reimbursement...SuggestedWork at officeShift work- Ensemble Health Partners is seeking an Acute Coding Appeals Specialist to review and write appeals for inpatient DRG denials, applying ICD-10-CM/PCS, HCPCS, NCCI, CMS and CMG coding knowledge to support accurate billing decisions. The role requires prior inpatient facility...Remote job
- Inova Health System is seeking a Revenue Integrity PB Specialist to support charge capture and reconciliation across Inova's services. The role focuses... ...with HIM, CDI, and PFS teams, with a focus on reducing denials and improving charge entry processes in a hospital...
- EverHealth is seeking a Backend Claims Management Specialist (Remote, US) to drive timely claim resolution by applying revenue cycle expertise, analyzing denials, and delivering data-driven recommendations to improve client health and reimbursement performance. You will...Remote job
- ...Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: Performs hospital revenue cycle functions related to insurance accounts receivable, denial management, appeals, self-pay collections, correspondence processing, and other assigned revenue cycle...Full timeWork experience placementWork at officeRemote workFlexible hours
- Position Summary The Revenue Cycle Specialist is responsible for supporting the organization's revenue cycle operations through billing, collections... ...with healthcare claims processing, payer workflows, denials management, reimbursement processes, or other healthcare revenue...
- TriHealth in Cincinnati is seeking a Coding Appeals Specialist - Hospital Billing to expedite hospital coding denials, protect revenue, and ensure compliant coding across the organization. You’ll apply ICD-9, ICD-10, DRG, CPT, and CDI expertise to resolve complex denials...
- ...Tennessee Texas Wyoming Job Summary: The Revenue Cycle Associate, Financial Clearance position... ...revenues by reducing front-end related denial write-offs. Interactions will be conducted... ...stakeholders to submit rebills or appeals and obtaining retro authorization when required...Full timeWork at officeRemote workFlexible hours
$29.7 - $31.8 per hour
...leading provider of technology-enabled revenue cycle management solutions for health... ...experience Job Description The Acute Coding Appeals Specialist integrates medical coding principles and... ...Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and...Temporary workWork at officeLocal areaRemote work- ...ensuring timely resolution and accurate records. In this role you will train internal teams, collaborate with practice consultants and physicians, and drive KPI achievement to improve revenue cycle performance while maintaining HIPAA compliance. #J-18808-Ljbffr Privia Health
$20 - $23.5 per hour
...Overview We are looking for a Revenue Cycle Specialist to join our Yield Management team! This role is responsible for the reconciliation and posting of all payments received, identify discrepancies and analyze issues to ensure all payments are posted timely. Other responsibilities...Hourly payWork at officeRemote work- Israelvcforum is seeking a detail-oriented billing specialist located in Oklahoma, USA. The ideal candidate will ensure accurate physician... ...experience and strong Excel skills. Join our dynamic team to enhance revenue integrity! #J-18808-Ljbffr A-1 Freeman Moving Group
- ...looking for a dedicated Revenue Integrity PB Specialist to join the team.... ...as the subject matter expert regarding the accuracy... ...(CCI/LCD), follow-up denials, customer service/... ...recommends to Revenue Cycle administration leadership... ..., or provides appeal support for claims as...Full timeLocal areaMonday to FridayDay shift
- ## Denials Management SpecialistApplylocations: Remote, USAtime... ...The Denials Management Review Specialist is responsible for... ...leadership, clinical operations, revenue cycle, finance, legal, and compliance... ...government contractors.* Supports appeal development by analyzing...For contractorsLive outWork at officeRemote work
- Capital Health in Kentucky seeks an Inpatient Denials Specialist to manage and coordinate inpatient denial cases, ensuring proper triage and preparation for appeals in line with payer requirements. You will work with Clinical Appeals RN, CDI, UR/Case Management, and Physician...
- Jobtailor is seeking a dedicated healthcare revenue cycle professional to expertly manage patient registration and access. You will ensure data integrity and regulatory compliance while delivering a superior patient experience. Responsibilities include MRN assignment,...
- ...in Lubbock, TX is seeking a Billing/Collections specialist to manage direct, third‑party and government patient... ...up on outstanding balances. You will identify denial trends and respond to complex inquiries to protect revenue and filing deadlines. Working with minimal...
- ...oriented Accounts Receivable Clerk to ensure timely posting of patient payments and to research and resolve payment issues within the revenue cycle. This role handles daily financial transactions, Part B billing sequencing, vendor charge reconciliation, and communication with...
- ...train, deploy and support Epic applications across homecare and hospital billing processes. The role partnerships with clinical and revenue cycle teams to optimize workflows and ensure regulatory compliance. Responsibilities include leading build/configuration, testing, and...Remote job
- ...Representative in Rochester, NY. This role focuses on maximizing reimbursement for clinical services by managing receivables, resolving denials, and ensuring timely payer communication. As a senior team member, you will document new processes, analyze denial trends, and...Work at office
$27.5 - $33 per hour
## Revenue Integrity Coding SpecialistApplyremote type: Remotelocations... ...Revenue Integrity Coding Specialist to join our Shared Services team, supporting Revenue Cycle Management (RCM) and driving financial... ...process measures for denial prevention, including claim scrubbing...Hourly payFull timeTemporary workRemote work- ...communities across the United States. We are seeking a Denials Management Review Specialist to perform comprehensive clinical and regulatory... .... This remote role partners with clinical operations, revenue cycle, and legal teams to strengthen audit outcomes. #J-188...Remote job
- Join TriHealth as a Coding Appeals Specialist - Hospital Billing! TriHealth offers Coding Denials Specialists the opportunity to make a meaningful impact by protecting revenue, reducing financial loss, and ensuring accurate, compliant coding practices across the organization...Full timeDay shift
- Capital Health is hiring for an administrative role focused on outpatient clinical denials, including medical policy and payer criteria. You will triage, route, document, and track denial cases while collaborating with clinical teams to support timely resolution and denial...
- A leading healthcare solutions provider is seeking a Revenue Integrity/Accounts Receivable Representative to enhance financial performance... ...will manage billing discrepancies and improve overall revenue cycle efficiency while enjoying comprehensive benefits and a flexible...Remote workFlexible hours
$20 per hour
...The Certified Coding Specialist (CCS) is responsible for... ...while supporting revenue integrity and compliance... ...coding accuracy, reduce denials, and support optimal reimbursement... ...denial management and appeals related to coding... ...) systems and revenue cycle platforms is required....Full timeWork experience placementWork at officeImmediate startMonday to FridayShift workWeekend workDay shift
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