Denial Management Specialist
Virtual Vocations Inc
The full-time Denial Management Specialist will manage denial and accounts receivable (AR) processes remotely, focusing on resolving outstanding denials, initiating insurance appeals, and identifying denial trends to improve future claims processing. Key responsibilities Research and resolve outstanding denials while completing necessary follow-up in a timely manner Identify denial trends and provide education to prevent future avoidable denials Initiate and manage all insurance appeals promptly Required qualifications High School Diploma or equivalent 4 years of experience in medical billing with exposure to denials, appeals, and insurance collections Knowledge of ICD9 and CPT-4 coding Familiarity with insurance explanation of benefits (EOB) and remittance codes Solid skills in Microsoft Office, particularly Excel and Word
- ...General Information Job title: Denial Management Specialist Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm Weekend rotation: No weekends Holiday rotation: Paid Holidays Position Summary The Denial Management Specialist position gathers, interprets...SuggestedFull timeWork experience placementMonday to Friday
- ...Endeavor Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims, focusing on medical necessity, pre-certification, authorization, and level of care requirements. In this role you will collaborate with...Suggested
$28.83 - $46.14 per hour
...review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for EvergreenHealth. Maintains... ...payer criteria. Collaborates with departments including Case Management, Coding, and Health Information Management (HIM) to gather supporting...SuggestedHourly payContract workRemote workFlexible hoursShift work- UCLA Health in Los Angeles is seeking a Clinical Documentation Integrity and Denial Management professional to lead daily reviews of high-acuity patient records, identify payer denials, assess clinical validity, and support denial prevention, analysis, and appeals across...Suggested
- ## Denials Management SpecialistApplylocations: NCO 3040 Salt Creek Ln Arlington Heightstime type: Full timeposted on: Posted Todayjob requisition... ....**Position Highlights:*** Position: Denial Management Specialist* Location: Arlington Heights, IL* Full Time/Part Time: Full...SuggestedHourly payFull timePart timeMonday to FridayShift work
- ...St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers. You will collaborate with Case Management and Billing to improve...Remote work
- Revenue Cycle Management Specialist I A Revenue Cycle Management Specialist I can work in all facets of the revenue cycle department. This role... ...Responsible for clean claim billing, claim adjudication, denial management, payment posting, underpayments, patient liability...Full timeWork experience placementWork at office
- ...holding company operating home health, hospice, and senior living communities across the United States. We are seeking a Denials Management Review Specialist to perform comprehensive clinical and regulatory reviews, ensuring medical necessity and payer compliance for audit...Remote job
$17 per hour
...Revenue Cycle Management Wizard Flexible hours & work from home remote option Starting salary: $17 and up (depending on specific experience... ...crew making magic happen in the billing follow-up and denial management world. You'll play a crucial part in ensuring comprehensive...Work at officeRemote workWork from homeFlexible hours- Mile Bluff Medical Center in Mauston, Wisconsin is seeking a Denial Management Specialist who will assess and improve processes to reduce denials and optimize accounts receivable. This full-time role involves analyzing denial trends, creating reports, and collaborating...Full time
- Edward-Elmhurst Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims within standard business hours. The role collaborates across departments to determine denial causes and streamline the appeal process...
- Rush University Medical Center in Chicago, IL, seeks a Denial Management Assistant in the HB Govt Billing-Collections unit. You will support the Denial Management team by reviewing denials, preparing appeal letters, and coordinating with Rush departments to gather missing...
- Riverside San Bernardino County Indian Health in Grand Terrace, CA is seeking a Denials and Appeals Management Clerk to maximize reimbursement and ensure compliance. The role interacts with third-party payers, billing, coding, credentialing, and providers to resolve denials...
$65k - $95k
...Florida, is seeking a Healthcare Accounts Receivable Senior Associate to join their Revenue Cycle Management team. The role involves handling claims follow-ups, resolving denials, and analyzing accounts receivable reports. The ideal candidate will have 2-3 years of...- OrthoMed Anesthesia in Addison, TX seeks a Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical claims. Responsibilities include reviewing claims, communicating with insurance, and ensuring compliance with regulations...
- Independence Physician Management (IPM) is seeking an Accounts Receivable Specialist for a remote role with a 3‑month in‑office training period if you live within... ...follow up on unpaid and underpaid claims, research denials, perform appeals, and work with payers to maximize...Remote jobWork at office
- A regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience in denial management within a healthcare setting, along with an associate degree. Key responsibilities...Remote job
$24 - $28 per hour
USA Vein Clinics, Vascular, Fibroid and Oncology Centers seeks a detail-oriented Senior Revenue Cycle Specialist to oversee payment posting and denial management. The role requires strong expertise in accounts receivable processes and an analytical mindset focused on process...Hourly payFull timeRemote 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 job
- Accra Management Group LLC seeks a Billing & Denials Specialist to manage the middle-to-end revenue cycle, including claims billing, review, denials, and adjustments. Ideal candidates will know MA, PMAP, MSHO programs and have experience with MNITS, Availity, and clearinghouses...Remote job
- Omega Healthcare Management Services is seeking an Insurance Follow-up Specialist to review and manage hospital and physician billing, coordinate with insurance payers... ..., and optimize reimbursements. The role supports denial management, secondary claims, and patient...Remote jobHome office
$21 - $24 per hour
Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management and Physical Medicine... ...letters to insurance carriers when not in agreement with claim denial Identify and report payer issues relating to denial trends or...Full timeLocal areaMonday to Friday- ...Foundation (SCF) in Anchorage, AK, is hiring a Revenue Cycle Specialist I/II to manage complex day-to-day revenue cycle issues, including revenue... ..., QA, and appeals, acting as a subject matter expert in denial management and payer coordination. Progression between Level...
- ...healthcare provider in Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement. The ideal... ...With responsibilities including the resolution of insurance denials and inquiries, this position offers a full-time remote work...Full timeRemote work
- ...A leading healthcare provider in San Antonio is seeking a Revenue Cycle Specialist II to oversee the billing process in a hospital setting. This role is crucial for managing denials, ensuring claims are submitted accurately, and collaborating with different departments...
- Floridaortho in Tampa is seeking a Billing Specialist to manage accounts receivable and ensure proper physician billing. You will work closely... ...’s Comp Manager and be responsible for resolving claims denials and optimizing reimbursement processes. The ideal candidate...Work at office
- CompuGroup Medical is seeking an Authorization and Denials Coordinator to manage the full authorization cycle, verify insurance eligibility, gather documentation, submit prior authorizations, and track approvals daily. The role also focuses on denials management with development...
$18.5 - $20 per hour
A healthcare provider is seeking an Accounts Receivable Specialist II to join their Revenue Cycle Management team. This remote position involves handling complex accounts receivable issues, ensuring timely resolution of insurance claims. Candidates should have at least...Remote job- ...seeking a Medical Billing Workers' Compensation AR Specialist for a fully remote role across the United States. You will manage accounts receivable, billing, claim... ...satisfaction. Responsibilities include WC AR cleanup, denial reviews, appeals with carriers, eligibility...Remote job
$21 - $31.95 per hour
...organization in the United States is seeking a Revenue Cycle AR and Follow-Up Specialist to manage the accounts receivable process. The role involves ensuring timely payments, resolving claim denials, and maintaining precise financial records. Ideal candidates will have a...Hourly pay
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