Clinical Denials & Appeals Specialist
Ellenco Estágios e Treinamentos
Ellenco Estágios e Treinamentos is looking for a Clinical Denial Specialist in the United States to manage claim denials effectively. This role involves reviewing claims, preparing formal appeals based on payer policies, and monitoring outcomes. The ideal candidate should possess an Associate's Degree in a relevant field and RN certification. We offer benefits including medical, dental, vision, a 401K plan, and paid time off. #J-18808-Ljbffr Ellenco Estágios e Treinamentos
$58.9k - $80.07k
...The Appeals & Grievances (A&G) unit processes member and non-contracted... ...and complete care. Appeals Specialist is the subject matter expert responsible for non-clinical case development and case resolution... ...as: certain types of claim denials, member complaints, and member...SuggestedTemporary workWork experience placement- Ventra Health Inc. is seeking a Certified Coding Denials Specialist to work remotely in a full-time role. The specialist will manage claim edits and rejection work queues, ensuring timely investigation and resolution of health plan denials while adhering to departmental...SuggestedRemote jobFull time
$28.85 - $35 per hour
...Scion Staffing has been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery... ...workflows. You will manage assigned denial queues, submit appeals, and follow claims through to final resolution while maintaining...SuggestedHourly payTemporary workInterim roleRemote workFlexible hours- ...Responsible for processing expedited appeals: those that are complex in nature, require... ...times of the Expedited Appeal unit, the Specialists are required to work weekends and holidays... ...for authorized representative or needed clinical information. Conduct thorough...SuggestedHourly payContract workRemote workWeekend work
$23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice on this job and more exclusive... ....00/hr Professional Billing Denials & Appeals Analyst Full-Time | Remote (with location... ...clear, accurate, and persuasive non-clinical appeal letters. Submit payer disputes...SuggestedRemote jobHourly payFull timeWeekday work$10 per hour
...healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC...Remote jobFull time$50k - $55k
...to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are... ...Readmission reviews. Under the direction of the Appeals Department leaders, the Appeals... ...work within the department. The Appeals Specialist level II performs research, investigation...Remote work- Intero is seeking an experienced 2nd Level Clinical Documentation Reviewer to support a long-... ...case reviews, documentation quality, denial prevention, and physician education. We'... ...experience with Medicare Advantage denials, appeals, and payer documentation requirements...
$21 - $31.95 per hour
...seeking a Revenue Cycle AR and Follow-Up Specialist to manage the accounts receivable... ...ensuring timely payments, resolving claim denials, and maintaining precise financial records... ...along with comprehensive benefits. #J-18808-Ljbffr Clinical Health Network For TransformationHourly pay- ...message the job poster from CADUCEUSHEALTH Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned Coding Specialist to... ...States . HIM Coder (Part Time, 17 hours/week, Remote) Clinical Coding and Documentation Specialist (Remote) HIM Outpatient...Full timeContract workPart timeWork at officeLocal areaRemote workRelocation package
$49.92k - $62.4k
A healthcare organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and optimize revenue collection... ...will have 3-5 years of experience in healthcare appeals, strong analytical skills, and knowledge of coding standards...- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations: 3131 Princeton Piketime type: Full timeposted... ...timely corrections with Central Scheduling, clinical departments, physician offices, and revenue cycle teams...Full timeTemporary workPart timeWork at officeFlexible hours
$58.5k - $69.97k
Position Summary We have an exciting opportunity to join our team as a Data Analyst, Financial Data Governance and Quality. The successful candidate reports to the Assistant Manager, Financial Data Governance and Quality and will maintain and analyze data within PeopleSoft...Work experience placement$58.8k - $105k
...Payfuture Technologies is hiring a Clinical Documentation Integrity Specialist for a national remote position. This full-time role involves improving health outcomes by enhancing clinical documentation quality. Responsibilities include chart analysis, process improvement...Full timeRemote work$90.1k - $100k
NYU Langone Hospitals is seeking a Specialist in Clinical Flow Cytometry to assist Pathologists with drafting and finalizing reports. This position requires a Bachelor's degree in biology or chemistry and a New York State Clinical Laboratory Technologist license. Ideal...- Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal candidate will possess a relevant...Remote job
$60k - $70k
Revenue Cycle Denials Analyst page is loaded## Revenue Cycle Denials Analystlocations: Richmond... ...or audit review.* Does **not** perform appeals but provides analytical support to... ...Ability to communicate effectively across clinical and administrative departments.* High...Shift workDay shift$28 - $37 per hour
...Remote Coding Specialists, Clinics - single path (Fac and Profee) We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental...Hourly payExtra incomeFull timeTemporary workLocal areaRemote workWork from homeHome office$21.38 - $44.4 per hour
...role is located at Spokane Eye Clinic, Spokane, WA, which is part... ...Experience) The Revenue Cycle Specialist is responsible for billing... ...Identify and respond to patterns of denials or trends and perform complex... ...prepare charge corrections. Appeal carrier denials through...$40.3 - $46.35 per hour
...Location New York, New York Shift: Day (United States of America) Description: Child Life Specialist: Pediatric Subspecialty Clinics-Days At NewYork-Presbyterian Komansky Children's Hospital, our Certified Child Life Specialists work from a trauma...Hourly payInternshipMonday to FridayShift workWeekend work- Geisinger is looking for a professional to provide support in the administration of the Appeals and Grievance process. This role involves liaising between members and the plan to address denied claims and benefit issues. Applicants should have a minimum of 5 years of relevant...Remote job
- Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing...Remote job
- ...agreements, payer policies, guidelines and appeals process. Sharp analytical abilities are... ...the Manager and/or Supervisor. Identifies denial trends and notifies Supervisor and/or... ...United States of America) JOB CATEGORY Non-clinical Houston Methodist is an Equal Opportunity...Shift work
- ...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...
- ...Clinical Documentation Specialist (Full-time) We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with...Full timeTemporary workImmediate start
- 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 job
$24.76 - $33.17 per hour
...they become available. Authorization Specialist II #Full Time #Remote The 61st... ...Corporation, provides administrative and clinical support staff for ColumbiaDoctors .... ...regarding authorizations status or denials. Submits appeals in the event of denial of prior...Hourly payFull timeWork at officeLocal areaImmediate startRemote work- 340B Health is looking for a motivated individual to manage the Appeals and Grievance process. This role requires communication with members, vendors, and providers to ensure the appeal process is completed accurately and timely. The ideal candidate should have a high school...Full timePart time
- A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and...Remote work
$65k
...Monthly Bonus Potential The Veterinary Outreach & Partnership Specialist serves as a key ambassador for Heartstrings Pet Hospice. This... .... Responsibilities Travel extensively to veterinary clinics, hospitals, and conferences across assigned markets (approximately...Temporary workRemote workAfternoon shift
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