Remote Clinical Appeals Analyst
Beth-Israel-Lahey-Health
- Remote job
Beth Israel Lahey Health is seeking a Clinical Analyst in Boston, MA to join their Patient Financial Services team. The role involves handling clinical appeals and ensuring compliance with billing and coding regulations. Ideal candidates will have at least two years of relevant experience and strong knowledge in ICD-10 and CPT coding systems. Responsibilities include maintaining audit reports, preparing appeals for claims denials, and conducting regular compliance audits. A background in healthcare revenue cycles is preferred. #J-18808-Ljbffr Beth-Israel-Lahey-Health
- 260 CGS Administrators, LLC is looking for a remote position involving comprehensive clinical review and benefit analysis of medical service appeals. The role requires strong attention to detail and adherence to timeframes while ensuring all decisions comply with applicable...Remote job
$70k - $80k
Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider appeals. Candidates must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience...Remote jobFull timeContract workMonday to Friday- CGS Administrators LLC is hiring an Appeals Analyst to join BlueCross BlueShield of South Carolina... ...complex appeal requests, conducting clinical reviews, and ensuring compliance with... ...position is full-time with the option to work remotely or on-site, offering comprehensive...Remote workFull time
- ...Overview Work remotely with a collaborative enterprise denials team focused on reimbursement... ...FTE: Full-Time (1.0 FTE) The Clinical Denial Management Nurse is responsible for... ...perspective and developing effective appeal strategies. Ensures appropriate documentation...Remote workFull timeWork at office
$82 - $86 per hour
A leading technology services company is seeking a Remote Clinical Imaging Radiology/PACS Analyst to join its team. This position focuses on implementing and supporting PACS systems and requires significant experience with Change Healthcare or Merge PACS. Candidates should...Remote workHourly pay- ...Job Description Job Description Fully remote- Must have state of MI unrestricted RN... ...of service and level of care, including appeal requests initiated by providers, facilities... ...average computer skills (Microsoft office) Clinical experience in ICU, ER, or medical...Remote workWork at officeFlexible hours
- ...Position: Business Analyst III - Appeals & Grievances Location: Los Angeles, CA, US (Remote) Duration: Permanent Job Description: The Business Analyst III facilitates business process improvement via the methodical investigation, analysis, review...Remote workPermanent employmentWork at office
- Southcarolinablues is hiring an Appeals Analyst to join their team in Nashville, Tennessee. This... ...appeal requests and performing clinical reviews to ensure compliance with medical... ...full-time schedule and the option to work remotely or on-site. Ideal candidates should have...Remote jobFull time
- Managed Resources, Inc. is seeking a CDI Manager to lead the Clinical Appeals Department. The role entails managing appeal reviews, conducting audits, and ensuring compliance with regulations. The ideal candidate will have extensive experience in clinical documentation...Remote jobWork from home
- ...Administrators, LLC, part of BlueCross BlueShield, is hiring an Appeals Analyst. This role involves researching complex appeal requests and performing clinical reviews. The job is full-time, Monday through Friday, and can be remote or on-site in Nashville, TN. Qualified candidates...Remote workFull timeMonday to Friday
$50 per hour
A healthcare technology company in New Hampshire seeks a Clinical Appeals Nurse to enhance AI models in healthcare. This role involves providing complex problems for AI chatbots, evaluating outputs for accuracy, and ensuring overall quality of responses. Candidates should...Remote workHourly payFlexible hours$50 per hour
A healthcare technology company is seeking a Clinical Appeals Nurse to train AI models and improve the quality of healthcare chatbots. Responsibilities... ...in model answers. This role offers flexibility with a remote work option and a pay rate starting at $50+ per hour. The...Remote workHourly payFlexible hours- A healthcare innovation company is seeking a Clinical Appeals Nurse to train AI models and improve chatbot quality. The ideal candidate should... ...and ensuring the accuracy of model outputs. This position is remote with a flexible schedule, offering hourly pay starting at $50...Remote workHourly payFlexible hours
$50 per hour
...A healthcare technology company is seeking a Clinical Appeals Nurse to help train AI models. This role involves measuring the progress of AI chatbots, evaluating their logic, and enhancing their quality. Candidates should possess a strong healthcare background, with relevant...Remote workFor contractorsFlexible hours- A healthcare technology company is seeking a Clinical Appeals Nurse to train AI models and enhance chatbot performance. The role involves providing healthcare-related problems to AI, ensuring the accuracy of its responses, and evaluating its outputs. Ideal candidates should...Remote workFor contractorsFlexible hours
- Solventum is seeking a Clinical Analyst to work remotely in Connecticut, focusing on methodologies for outpatient care. This role involves designing, developing, and maintaining healthcare payment systems, ensuring high-quality patient outcomes. Ideal candidates should...Remote job
$50 per hour
A leading AI healthcare firm is seeking a Clinical Appeals Nurse to enhance AI chatbot performance by providing healthcare-related challenges... ...fluency in English. This position offers the flexibility of remote work with hourly pay beginning at $50+, plus bonuses for high...Remote workHourly payFlexible hours$50 per hour
A healthcare solutions company is seeking a Clinical Appeals Nurse to join their team. This remote position involves training AI models by providing complex healthcare-related problems and evaluating responses for logic and accuracy. The ideal candidate has a current or...Remote workHourly payFlexible hours$50 per hour
A healthcare technology firm is seeking a Clinical Appeals Nurse to evaluate AI chatbot outputs and solve healthcare-related problems. This role offers the flexibility of full-time or part-time remote work with an hourly pay starting at $50+. Ideal candidates must have...Remote workHourly payFull timePart timeFlexible hours- Elevance Health is seeking a Grievance/Appeals Analyst I to review and process non-complex grievances and appeals in the Enterprise Grievance & Appeals Department. This entry-level position allows for virtual work but requires in-person training sessions. The ideal candidate...Remote job
- ## RN Appeals AnalystApplyremote type: Remotelocations: Nashville, Tennesseetime type: Full... ...appeal requests. Provides thorough clinical review or benefit analysis to determine if... ...**8:00am - 5:00pm** and will be **fully remote.****What You’ll Do:*** Documents the basis...Remote workFull timeFor contractorsWork experience placementWork at officeLocal areaMonday to Friday
- ...Serving as a Project Leader on major initiatives, the full-time Clinical Analyst II will manage clinical system analysis and development,... ...requirements into system specifications while working in a hybrid remote environment. Key responsibilities Plan and control clinical...Remote workFull time
- The Emmes Company, LLC is seeking Clinical Systems Business Analysts at Jr and Mid levels to work remotely from anywhere in the US. The role requires engagement with stakeholders to transcribe business needs into actionable requirements. Ideal candidates will have experience...Remote jobFlexible hours
- Clinical Systems Business Analyst (Jr & Mid) - Multiple Openings - Essex Management (Contingent Role) Overview Location: US Remote Notice to Candidates: Employment in this position is expressly contingent upon Essex Management’s receipt of a contract award from the Federal...Remote workContract workCasual workCurrently hiringWork from homeFlexible hours
- ...Position: Business Analyst (Clinical Data Analysis Healthcare Payor) Location: Remote Contract About the Role Seeking a Business Analyst to bridge clinical operations, regulatory requirements, and technical delivery on a production...Remote workContract work
$50 per hour
A healthcare technology company is seeking a Clinical Appeals Nurse to enhance AI models by providing complex healthcare problems and evaluating AI outputs. The role is remote, offering flexible scheduling, with hourly pay starting at $50+. Candidates should have fluency...Remote jobHourly payFlexible hours- ...Overview Maintains expert knowledge of clinical performance data and advanced statistical... ...between databases, data warehouses, data analysts and system wide customers to perform in... ...performance decisions in the organization. Remote work allowed in NC, FL, GA, SC, SD, TN,...Remote work
- A nonprofit addiction recovery organization in New York is seeking a Clinical Outcomes and Data Analyst to manage data for Family & Children’s services and support research efforts. The ideal candidate will have a bachelor's degree in a relevant field and 3+ years of experience...Remote work
- ...Business Analyst – Clinical Platform BigRio is a remote-first technology consulting firm headquartered in Boston, MA. We specialize in delivering impactful digital solutions, from custom software development and platform integration to data analytics and AI/ML innovation...Remote work
- ...Overview The Analyst, Performance Data Operations serves as the core data analyst behind... ...- helping practices, health centers and clinics deliver better care to their patients and... ..., including: Flexible work schedules and remote work options Health, dental and vision insurance...Remote workFlexible hours
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