Claims Denials & Appeals Analyst
Tenet Healthcare
Conifer Health, part of the Tenet family, seeks a disputes specialist to validate denial reasons, prepare appeals, and coordinate with payers to optimize reimbursement. You will work with the Clinical Resource Center for consultations and ensure accuracy in coding for EOB resolutions. Typical duties include researching contracts, producing supporting documentation, and escalating trends to leadership. Hospital billing experience and strong MS Office skills are essential. #J-18808-Ljbffr Tenet Healthcare
- ...here to learn more about our locations. Denials Management Analyst (Anesthesia) The Denials Management... ...all payor denials, audit requests and appeals. The Analyst will communicate and coordinate... ...the day-to-day activities related to claims denials and audit reviews. Key...ClaimsContract work
- ## Denials Management AnalystApply: Methodist Corporate Office - Omaha, NE: Full time: Posted... ..., physician / facility and escalation of appeals to the payers as needed to obtain the... ...researching Institutional and Professional claims to determine correct contract...ClaimsFull timeContract workWork at officeWork from home
- Summary The Pharmacy Revenue Cycle Analyst is responsible for ensuring optimal... ...accuracy of inpatient and outpatient claims processing and reviewing denials and write-off assessments. The... ...etc.) when necessary to successfully appeal an account. Ensures appropriate follow...ClaimsRemote jobContract workWork at officeLocal area
$68.56k - $83.58k
...Job Description - Revenue Cycle Analyst (2603240) Revenue Cycle Analyst Position Summary... ...following, but are not limited to: Analyze claims and remittance data and present findings... ...adjustments, expected reimbursement and denials; accelerated and unposted cash. Document...ClaimsFull timeContract workShift workNight shiftDay shiftAfternoon shift$110k - $140k
...leading AI as a service (AIaaS) provider that improves casualty claims outcomes for commercial insurance carriers and self-insured... ...fully leverage CLARA’s product suite. Design and develop visually appealing and user-friendly dashboards, reports, and visualizations on an...ClaimsWork experience placementRemote workFlexible hours- ...and handling bill inquiries for complex issues. The role ensures claims are paid per client contracts and compliance with billing standards. You will follow up on denials, process AR work lists, write appeals, and communicate with insurers to resolve accounts while...Claims
- Kokosing in Fredericktown, OH is seeking a Risk Insurance Claims Specialist to support the claims administrative process within the Risk... ...and related tasks. You will answer calls, prepare releases and denials, assist with certificates of insurance, file documents in...Claims
- ...outstanding results. The Opportunity: The Revenue Integrity Associate Analyst plays a critical role in safeguarding the financial health... ..., and provide analytical insights into billing errors, denials, and claim edits. Educates on best practices, conducts quality...ClaimsLocal areaRemote work
$20.02 - $25.78 per hour
...balance is zero. Responsibilities Submitting medical documentation/billing data to insurance providers Researching and appealing denied and rejected claims Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing...ClaimsHourly payTemporary workWork experience placementLocal areaRemote workFlexible hours$20 per hour
...and able to follow through on outstanding claims and patient accounts. This is a patient-... ...billed. Research and resolve claim denials, corrections, and outstanding insurance issues... ...required attachments, corrections, appeals, and follow-up. Submit insurance claim...ClaimsHourly payFull time- About Amperos Amperos is healthcare's first AI-native denial management and revenue recovery platform. Our agentic AI works claims end-to-end, from portal follow-ups and payor calls to appeals and medical records, so providers can resolve more denials, recover more revenue...ClaimsFlexible hoursShift work
- ...manage workload, review medical records, and submit compelling appeals to health insurers and governmental payers. You will communicate... ...up on submissions and navigate multiple systems to retrieve claims data. The role requires sharp writing, strong organization, and...Claims
- ...Cycle Specialist**POSITION SUMMARY**The AR & Denials Specialist is responsible for the timely... ...insurance accounts receivable and denied claims across assigned practices and payers.This... ...corrected claims, reconsiderations, and appeals as appropriate.- Interpret EOBs, ERAs,...ClaimsRemote work
- ...possible care. Accurately process insurance claims, prompt pay and client billing for... ...from payers Work assigned and unassigned denials in a timely manner. Follow up on all unpaid... ...government and commercial insurance billing, appeals, and prior authorization #J-18808-Ljbffr...ClaimsFull timeWork at office
$19.04 - $23.8 per hour
...Reviews claims for accuracy and completeness, corrects claims timely to receive prompt payment, rebills claims as needed, resolves... ...correspondence or inquires Timely and accurate follow-up on denials and appeals Consistently meet or exceed productivity and quality...Claims$28.72 - $36.92 per hour
...Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote The 61st Street... ...resolving complex coding-related denials and appeals in addition to following up on unpaid... ...professionals to successfully appeal denied claims and ensure compliance with payer...ClaimsRemote jobHourly payFull timeWork at officeLocal area- ...a fundamental understanding of insurance claim processing, knowledge of HCFA claim forms... ...insurance explanation of benefits (EOBs), handle denials, and perform follow‑up with insurers to... ...accounts, including charge import, appeals, diagnostics and procedural coding, and claim...ClaimsWork at office
$19.5 per hour
Revenue Cycle Medical Billing - Commercial Appeal Specialist Location: Remote or On-Site,... ...assisting in the review of denied and underpaid claims for the formal appeal and dispute process... .../Duties Review Explanation of Benefits, denial letters and payor correspondence to...ClaimsHourly payFull timeWork experience placementRemote workRelocation- ...automated software for testing, performs full range of testing methods e. g. , unit testing, volume testing, integration testing, claims parallel testing, device testing, etc. . Testing may occur in a lab environment or in the field. Fully documents test results, issues...Claims
- ...AR by completing analysis of charge validation and denials resolution. The Patient Financial Services Analyst will also perform a variety of patient accounting functions... ...cash posting, accounts receivable management, and claims follow-up.SEARHC is a non-profit health consortium...ClaimsFull timeTemporary workWork at officeRemote work
- ...Business Analyst (Insurance Domain)Location: Jersey City-NJ (Onsite) FulltimeMust Have Technical/Functional Skills:Familiarity with rating... ....As Is / To Be process analysis across policy, underwriting, claims, and servicing.Identify process gaps, inefficiencies, and...Claims
- ...ensure a seamless transition to new workflows upon account renewal on to Arch policies.Partner with neighboring departments such as Claims Data Quality and IT to address data issues that impact our ability to report data to regulators in a timely and accurate manner....ClaimsFull timeTemporary work
$65k - $75k
...Job Summary Procurement: The Contract Analyst will play a critical role within the Procurement Center of Excellence, ensuring operational... ...pursuant to escalation provisions. Analyze vendor pricing claims and assist in negotiating settlements for impact of changes-in-...ClaimsContract work- ...exposed property insurance, is seeking a Senior Catastrophe Risk Analyst. In this role, you’ll play a critical part in advancing the... ...internal risk views. Analyze large datasets (e.g., exposure data, claims data, hazard data) to assess model performance, validate...ClaimsLive in
- ...information click on our E-Verify Website . Working Title: GOVERNMENT ANALYST I - 42000941 FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER... ...waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with...ClaimsWork at officeMonday to FridayNight shift
- Revecore, a company helping hospitals recover revenue, seeks a VA Claims Specialist to investigate health insurance claims and improve resolution for Veterans' Affairs. Training lasts 8-10 business days with instructors and hands-on activities. Remote work is supported...ClaimsRemote job
- ...and product developments in the marketplace.Perform trend analysis to understand changes in the frequency and severity of insurance claims. Analyze rating variables and recommend pricing changes. Participate in various processes such as rate reviews, modeling projects,...ClaimsFull timePart timeWork experience placementWork at officeRemote workWork from home
$100k - $140k
...strong focus on complex and high-value OON claims. The right candidate is proactive, detail... ...navigating insurance carriers, appeals, authorizations, and reimbursement discrepancies... ...strategies to reduce AR daysIdentify trends in denials and proactively implement corrective...ClaimsFull timeContract workWork at officeRemote work1 day per week- ...We are seeking an experienced Business Analyst with strong expertise in enterprise healthcare systems, quality assurance processes, and... ...Experience with healthcare member, benefits, and claims-related systems. Familiarity with enterprise data platforms and...Claims
- ...compliance with coding guidelines, and processing insurance claims. This role analyzes medical records to identify chargeable services... ..., responds to insurance audit requests, and assists with appeals and denials related to eye care claims. The specialist also contributes...ClaimsWork at officeShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Denials & Appeals Analyst. Be the first to apply!
- claim examiner Brooklyn, NY
- senior claims specialist Brooklyn, NY
- medical insurance claims specialist Brooklyn, NY
- claim representative (remote) Brooklyn, NY
- claims consultant Brooklyn, NY
- claim specialist Brooklyn, NY
- claims specialist remote Brooklyn, NY
- remote medical claims processor Brooklyn, NY
- claims resolution specialist Brooklyn, NY
- medical claims analyst Brooklyn, NY



