Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Nurse Appeals Specialist: Denials & Claims

Knowtion Health

Knowtion Health seeks an Appeals Nurse to review medical records and support denials appeals for Medicare, Medicaid, and other payers. You will craft detailed analyses and letters, aligning criteria with payer policies to secure appropriate payments. The role requires an active RN license and 2+ years in acute care, with 3–5 years in utilization review or related areas. Remote work is supported with a strong benefits package. #J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Nurse Appeals Specialist: Denials & Claims in New York, NY vacancy
  •  ...partner company seeking a Clinical Denials Management Specialist based in the United States. The role is fully remote and focuses on reviewing, appealing, and preventing denied hospital claims across a healthcare system, working with nursing, utilization management,... 
    Remote work
    Claims

    Jobgether

    United States
    2 days ago
  •  ...Atrium Health is seeking a Clinical Appeal Nurse to join our fully remote Revenue Recovery Audit team. This RN role focuses on evaluating denied claims, applying level-of-care criteria, and...  ..., and payer partners to overturn denials and support denial prevention initiatives... 
    Remote work
    Claims
    Trial period

    Atrium Health

    Charlotte, NC
    1 day ago
  •  ...processing of invoices, the full-time Denials and Appeals Coder will review carrier denials, submit...  ...accuracy and production standards in a remote setting. Key responsibilities Review...  ...departments to resolve coding rejections and claim processing issues Required... 
    Remote work
    Claims
    Full time

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...CredSpun LLC is seeking a remote Denial Management Specialist to tackle medical claims denials and write persuasive appeals. You will triage denials by CARC/RARC codes, payers, and deadlines, then correct and resubmit claims for front-end and coding errors. You will craft... 
    Remote work
    Claims

    CredSpun LLC

    New York, NY
    4 days ago
  •  ...Independence Physician Management (IPM) offers a remote Accounts Receivable Specialist role with a required 3-month in-office training...  ...AR specialist will manage unpaid and underpaid claims, research denials, file appeals, and ensure timely collections across multiple markets... 
    Remote work
    Claims
    Work at office

    UHS

    Wayne, PA
    4 days ago
  • UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role... 
    Remote job
    Claims
    Work at office
    Work from home

    UT Southwestern Medical Center

    Dallas, TX
    2 days ago
  •  ...experienced Infusion Accounts Receivable (AR) Specialist to join a growing Revenue Cycle team...  .... The role focuses on complex AR follow-up, denial resolution, appeals, and effective payer communication for infusion claims. The ideal candidate has healthcare AR and appeals... 
    Remote job
    Claims

    Insight Global

    Miami, FL
    14 hours ago
  • $41.6k - $54.08k

     ...reimbursement. From challenging denials and zero balance reviews to...  ..., motor vehicle accident claims, workers’ compensation, Veterans...  ...will make The Denials Appeals Specialist is responsible for analyzing...  ...-driven environment Remote work experience in a structured... 
    Remote work
    Claims
    Permanent employment
    Contract work
    For contractors
    Work experience placement

    Aspirion

    Remote
    11 days ago
  •  ...Supporting revenue cycle operations, the remote Florida Licensed Clinical Appeals Nurse will review denied claims for clinical accuracy and medical necessity, develop...  ...Responsibilities Review medical records and payer denial rationale to determine appeal opportunities... 
    Remote work
    Claims

    Virtual Vocations Inc

    United States
    4 days ago
  • Aspirion is hiring a Denials Appeals Specialist to analyze denial reasons, draft and submit high-quality appeal letters, and correct claim errors in accordance with payer guidelines and organizational standards. You will help improve cash flow, reduce aging of accounts... 
    Remote job
    Claims

    Aspirion

    Delray Beach, FL
    1 day ago
  •  ...Elevate Patient Financial Solutions is seeking a Nurse Auditor for a fully remote role. The position supports the billing and...  ...audits to justify level of care. You will prepare appeal letters when records do not support denials and assist with various denial reviews. Ideal... 
    Remote work

    Elevate Patient Financial Solutions®

    New York, NY
    1 day ago
  • Aspirion is seeking a Denials Appeals Specialist to analyze denial reasons, draft persuasive appeal letters, and submit appeals that align with payer...  ...receivable aging. In this role, you will review denied claims, research root causes, and collaborate with cross-functional... 
    Remote job
    Claims

    Aspirion

    Delray Beach, FL
    4 days ago
  •  ...third-party accounts receivable in a National Remote capacity within the U.S. You will research complex claims, file appeals, and ensure timely follow-up with payers. Under...  ...provide guidance on payer requirements and denial trends. Expect full-time schedules with occasional... 
    Remote job
    Claims
    Full time
    Work at office

    UnitedHealth Group

    Phoenix, AZ
    4 days ago
  •  ...WPS—A health solutions company is seeking an Appeals RN to review medical records and claims for first-level appeal cases, ensuring services were medically necessary and compliant with Medicare guidelines. The role collaborates with Appeals Examiners to support timely... 
    Remote work
    Claims

    WPS—A health solutions company

    Nebraska
    1 day ago
  • $36 - $40 per hour

     ...Norwood we’re forging our own path. We’re a remote-first staffing and consulting company...  ...in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to...  ...party payor representatives to resolve claim issues. Identifies, reviews, and interprets... 
    Remote work
    Claims
    Permanent employment
    Full time
    Work visa

    Norwood

    New York, NY
    3 days ago
  •  ...and dedication. Job Summary The Denials & Appeals Coordinator is responsible for managing...  ...help identify trends that can improve claim outcomes. Essential Functions...  ...Certifications ~ Certified Revenue Cycle Specialist (CRCS) - AAHAM preferred The Payment... 
    Remote work
    Claims
    Contract work
    Work at office

    Shared Services Center - Nashville

    Franklin, TN
    1 day ago
  •  ...WPS, a health solutions company, is seeking an Appeals Nurse to review medical records and claims for first-level Medicare appeal cases to determine medical necessity and adherence to CMS guidelines. The role supports timely redeterminations and collaborates with Appeals... 
    Remote work
    Claims

    WPS—A health solutions company

    Madison, WI
    1 day ago
  •  ...WPS, a health solutions company, is hiring an Appeals Nurse to review medical records and claims for first-level appeal cases, ensuring medical necessity and...  ...redeterminations and compliance with CMS requirements. Remote work is available from select states including... 
    Remote work
    Claims

    WPS—A health solutions company

    Saint Paul, MN
    5 days ago
  •  ...personally owned grievance and appeals cases from intake to final...  ...and QIO reviews. Work with Claims, Utilization Management, the TPA...  ...services. Inpatient-only or hospital denials experience is not a match for...  ...cases at once in a fully remote setting. Nice to haves... 
    Remote job
    Claims

    Phaxis LLC

    New York, NY
    14 days ago
  •  ...seeks a Manager to coordinate the daily work of Clinical Appeals Specialists who handle denied claims, ensuring timely follow-up and balanced workload. The...  ...in payer relations, and supervise RNs. This remote role is based out of Greenville, NC with day shifts and... 
    Remote work
    Claims
    Day shift

    ECU Health

    United States
    2 days ago
  • A leading healthcare services provider is seeking a remote Billing Coordinator III. The role involves ensuring accurate claims processing, generating appeals to insurance carriers, and collaborating with cross-functional teams. Minimum qualifications include a High School... 
    Remote work
    Claims

    Labcorp

    North Carolina
    1 day ago
  • $60.32k - $72.8k

     ...the University of Colorado. We are seeking a highly motivated Medical Claims Denial & Appeals Specialist to join our Accounts Receivable Resolution team. This job can be performed 100% remotely and out of state candidates will be considered. The Specialist is... 
    Remote work
    Claims
    Full time
    Contract work
    Local area

    CU Medicine

    Remote
    8 days ago
  •  ...company in recruiting an Accounts Receivable Resolution Specialist based in the United States for a fully remote, full-time role. You will manage complex AR cases, investigate claim denials, and coordinate appeals to accelerate payments from insurers and third-party payers... 
    Remote work
    Claims
    Full time

    Jobgether

    Accident, MD
    2 days ago
  •  ...patient care across UVA Health, the fully remote CBO Insurance Appeals Specialist will investigate and resolve complex coding and global insurance denials through payer follow-up,...  ...responsibilities Review assigned charges, claims, and previously worked accounts across... 
    Remote work
    Claims

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Systems is seeking an Insurance Collection Specialist to ensure accurate review and resolution of insurance denials and returned claims. The role involves communicating with...  ...verifying eligibility, and managing denials appeals. Strong communication and detail orientation... 
    Claims

    Bournewood Health Systems

    Boynton Beach, FL
    2 days ago
  •  ...Jobgether is seeking an Accounts Receivable Resolution Specialist to operate remotely in the United States, focusing on insurance claims follow-up, denials, and appeals to accelerate payments. You will work with billing teams, providers, patients, and insurers to resolve... 
    Remote work

    Jobgether

    Springfield, IL
    2 days ago
  •  ...enhance revenues for providers, the full-time Medical Claims Appeals Specialist will resolve insurance claim denials by generating effective written appeals and managing complicated denied claims in a 100% remote environment. Key responsibilities Appeal denials through... 
    Remote work
    Claims
    Full time
    Contract work

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...seeking a California-licensed registered nurse to provide clinical review of medical claims and post-service appeals. You will ensure medical necessity and...  ...with the Medical Director on denials and appeals. This is a remote position with competitive pay and benefits... 
    Remote work
    Claims

    SCAN

    United States
    2 days ago
  •  ...an Accounts Receivable Resolution Specialist for a fully remote, full-time role in the United States...  ...handle complex AR cases, pursue appeals, and coordinate with insurers and...  ...candidate has hands-on insurance claims follow-up and denial management experience, bachelor’s-... 
    Remote work
    Full time

    Jobgether

    Tallahassee, FL
    2 days ago
  • Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial...  ..., denial management, corrected claims, and appeals. Washington Medicaid experience is a plus. #J... 
    Claims
    Work at office

    Mindful Therapy Group

    Seattle, WA
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Nurse Appeals Specialist: Denials & Claims. Be the first to apply!