Denial Prevention Specialist
Randstad
Medicare, Medicaid, And Commercial Payor Claims Specialist
In this role, you will be the key to resolving complex claim denials and maximizing collections. You will utilize your deep knowledge of Medicare, Medicaid, and commercial payors to research, review, and successfully appeal unpaid claims. You will enjoy the comfort and flexibility of a work-from-home setup while staying connected with your team through occasional in-office meetings, training, and events in the DFW area. If you possess a "one-call resolution" mindset, this position is for you.
$23.63 per hour
In this role, you will be the key to resolving complex claim denials and maximizing collections. You will utilize your deep knowledge of Medicare, Medicaid, and commercial payors to research, review, and successfully appeal unpaid claims. You will enjoy the comfort and...SuggestedHourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workWork from homeShift work- ScionHealth is seeking a Denials & Appeals Coordinator to drive denial prevention and coordination across facilities and payors. You will partner with utilization management, case management, and the Centralized Business Office to ensure timely reviews, accurate documentation...SuggestedWork at office
- ...Responsible for denial and accounts receivable management, the full-time Denial Management Specialist will work remotely from 8 am to 5 pm, focusing on resolving outstanding... ...Identify denial trends and provide education to prevent future avoidable denials Initiate and...SuggestedFull timeWork at officeRemote work
- ...Denial Resolution Specialist The Denial Resolution Specialist is responsible for the timely review, resolution, and prevention of denied claims to maximize reimbursement and reduce revenue leakage. This role works within MEDITECH denial work queues (DEN-*) and serves...SuggestedWork at office
$28.83 - $46.14 per hour
...EvergreenHealth Denial Management Specialist Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization... ...Communicates with payer representatives, contributes to denial prevention efforts, and adapts to evolving payer policies and system...SuggestedHourly payContract workRemote workFlexible hoursShift work- Review denied claims in MEDITECH denial work queues: DEN-ELIG-*, DEN-AUTH-*, DEN-CODING-*, DEN-MEDNEC-*, and DEN-TIMELY-* Analyze Explanation... ...assigned denial accounts daily Meet productivity targets and prevent backlog accumulation Prioritize high-dollar claims, timely...Work at office
- ...position Position Summary AdvantixxRCM is seeking an experienced Denial Management Specialist to manage denied, rejected, underpaid, and complex... ...to the Operations Manager. Recommend process changes to prevent future denials. Assist with A/R follow-up when necessary....
- ...Job Description Job Description This Specialist will join the claims follow-up team and... ...processing insurance company remittances, denial follow-up, and other tasks related to... ...empathy Strong problem-solving, problem-prevention, and decision-making skills Ability...
- Job Summary: The Denials Specialist is responsible for providing analysis and reporting for all Denial Management functions at Westchester... ...eliminate unnecessary recurring denials and establishes appropriate prevention measures Ensures that all activities related to Denials...Contract workWork experience placementLocal areaFlexible hours
- ...claims, payments, and account reconciliations Ensure accuracy and compliance across the revenue cycle Identify trends in underpayments, denials, and revenue leakage Evaluate root causes and recommend corrective actions Review and validate claim and payment data Interpret...Contract workTemporary workWork at office
- ...Baptistfirst in Alabama is seeking a Denials Management Specialist to handle disputes, validate payment issues, and generate appeals for denied claims. This role involves resolving complex accounts and requires in-depth knowledge of billing rules and payer contracts. The...Remote work
- ...VitalConnect, Inc. is seeking a Denial Management Specialist on a fully remote basis to join the Revenue Cycle team. You will investigate complex third-party insurance denials and optimize reimbursement by researching and acting quickly on denials. The role requires 3...Remote work
$60.2k - $90.2k
...proactively manage the health and wellbeing of our workforce. To support these goals, Amazon is seeking an experienced Injury Prevention Specialist (IPS) to join our team. In this role, you will be a part of the local WHS team and will lead both onsite injury prevention...Work at officeLocal areaRelocation packageFlexible hoursShift work$25.41 - $39.06 per hour
...Salt Lake City Corporation is seeking a Fire Prevention Specialist to support the Salt Lake City Fire Department. Under the guidance of the Fire Marshal or Deputy Fire Marshal, this role protects the community through fire prevention and life safety efforts, including...Full time- ...Job Description If you're looking for a career in environmental health, join the Army National Guard as a Preventive Medicine Specialist. Your primary responsibility will be to inspect and recommend proper corrective action on environmental and sanitation conditions...Part timeWeekend work
- ...scheduled patients Increase net revenues by reducing bad debt from potential write-offs due to lack of patient collections and denials Leverage the interpretation of payor contracts as well as state and federal regulatory guidelines to maximize revenue realization...Work at office
$55 - $60 per hour
...Part-Time Industrial Injury Prevention Specialist (Part-Time, 1099 Contractor) Position: Part-Time Industrial Injury Prevention Specialist (Part-Time, 1099 Contractor) Location: Elk River, MN Compensation: $55 - $60 per hour, depending on experience and credentials...Hourly payPart timeFor contractorsWork at officeImmediate startRemote workFlexible hours- 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 jobWork at officeWork from home
- Aspirion is hiring a Denials Appeals Specialist to join our revenue cycle team in the United States. You will analyze denials, craft high-quality appeal letters, and submit appeals to insurers to maximize reimbursement and reduce aging accounts receivable. In this role...Remote job
- UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with no...Remote job
- ...Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements...Full timeRemote workMonday to Friday
- ...The Home Depot is seeking an Asset Protection Specialist in Rochester, MN to prevent financial loss from theft and fraud while upholding safety and environmental compliance. You will monitor security tools, review reports, and preserve evidence as part of protecting store...
- ...Job Title Job Description Performs developmental assignments to assist with implementation of all aspects of integrated prevention program planning of prevention activities for the installation. Performs developmental work assignments to implement, maintain,...
$45 per hour
...family working to change the world of workplace safety and injury prevention. Join us today so we can craft a career path that is flexible,... ...running. We are seeking an Athletic Trainer/Injury Prevention Specialist to join our team! This position is open to anyone with one of...Part timeRelief10 hours per weekFlexible hours- ...healthcare provider in Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement.... .... With responsibilities including the resolution of insurance denials and inquiries, this position offers a full-time remote work...Full timeRemote work
- ...Program in the city of Detroit ~ The largest HIV treatment and prevention program in Detroit ~ After school youth services and... ...JOB SUMMARY/ACCOUNTABILITY: The duties of the Prevention Specialist will be to work, plan, coordinate, and provide individual and...Full timeTemporary workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
$46.8k
...for dedicated individuals to join our team and help deliver on our mission of hope and recovery. Position Summary The Prevention Specialist designs, develops, and gives presentations on subjects related to substance use, it's prevention, and its treatment....Daily paidLocal areaMonday to Friday- ...titles listed below: Air Force Special Operations Command (AFSOC) Prevention Program Manager (PREV WF)/9GP32 Chief, Integrated Prevention (... ...Analyst (PREV WF)/9LAR9732 ISDV Prevention Program Evaluation Specialist (PREV WF)/9LAR9952 ISDV Prevention Program Evaluation...
- ...Amazon in Woodburn, OR, is seeking a Security and Loss Prevention Specialist to protect people, products, and data across fulfillment and logistics operations. This hourly role reports to the regional SLP Manager and supports field teams with investigations, audits, and...Hourly pay
$80k - $105k
...Bachelor's Degree in applied clinical science (Nursing, Medical Technology, Microbiology, Public Health). Infection Control/Prevention specialist with 2+ years' experience. CDC certification in CIC is preferred but not mandatory. Hospital experience is highly advantageous...Full time
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