Remote RN Denial Management Specialist
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Banner Health is hiring a fully remote RN Denial Management Specialist to support the Recovery Audit Contractor program by reviewing clinical information and auditing billings for CMS compliance. The role requires a minimum of five years of clinical nursing experience and an active RN license in the practicing state. The incumbent will lead retrospective denial management, analyze DRG coding, payor requirements, and regulatory coordination to maximize reimbursements, while meeting productivity #J-18808-Ljbffr Remote Jobs
$17 per hour
...Revenue Cycle Management Wizard Flexible hours & work from home remote option Starting salary: $17 and up (depending on specific experience) We're the... ...making magic happen in the billing follow-up and denial management world. You'll play a crucial part in ensuring...Remote workWork at officeWork from homeFlexible hours- ...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
- 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
- ...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...Remote workFull timeWork at office
- ...intersection of utilization management, revenue cycle, and... ...healthcare! This is a remote position ESSENTIAL DUTIES... ...: The DRG Appeals Specialist performs reviews of inpatient DRG payer denials on behalf of our hospital... ...Required Education/Experience RN/RHIA/RHIT required. CCS...Remote workTemporary workWork at officeLocal areaImmediate startShift work
$24 - $28 per hour
...Centers seeks a detail-oriented Senior Revenue Cycle Specialist to oversee payment posting and denial management. The role requires strong expertise in accounts... ...the position offers a full-time schedule without remote work options. Benefits include health insurance and...Remote workHourly payFull time- ...Denial Management Specialist The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. * Only applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia...Remote jobWork at office
- Omega Healthcare Management Services is seeking an Insurance Follow-up Specialist to review and manage hospital and physician billing... .... The role supports denial management, secondary claims, and patient communications in a remote home office environment. The ideal...Remote jobHome office
$5,000 per month
...Collection Specialist Amerita, Inc. is a leading provider in home Infusion therapy. We... ...Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the... ...Amerita. The Collection Specialist-Denials team is responsible for a broad range of...Remote jobWork at officeMonday to FridayFlexible hoursShift work- UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals within the Revenue Cycle Department. The role emphasizes follow-up and resolution of denied claims and does not involve...Remote job
- Quorum Health Corporation is seeking a Revenue Cycle Specialist to perform hospital revenue cycle functions including AR, denial management, and appeals. The role supports remote work with responsibilities spanning insurer communications, patient interactions, and adherence...Remote job
$22 - $24 per hour
...Denial Management Specialist The Denial Management Specialist role belongs to the Revenue Cycle team and is responsible for investigating and... ...services provided to managed care patients. **This is a fully remote role** Responsibilities Comprehensive research...Remote workContract workWork experience placementImmediate start- BJC HealthCare seeks a Clinical Appeals RN to advocate for patients by appealing denials with insurers. This remote role supports Outpatient Infusion Centers and requires 1+ year in Utilization Review, Case Management, or Clinical Appeals. Candidates should have RN licensure...Remote job
- Call 4 Health is seeking a Registered Nurse (RN) to support a remote, multi-state nurse triage service as a physician extender. The RN will manage EHRs, respond to patient inquiries, and provide timely clinical guidance. Triage calls, document interactions, coordinate follow...Remote job
- ...Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement... ...including the resolution of insurance denials and inquiries, this position offers a full-time remote work option for residents of specific states....Remote workFull time
- CVS Health is seeking a Utilization Management Nurse Consultant to coordinate, document and communicate all aspects of the utilization/benefit... ...times and reviewing clinical records. This full-time, remote role requires Monday-Friday 8:00am-4:30pm EST and offers comprehensive...Remote jobFull timeMonday to Friday
- ...Pacemaker/Device Clinic. You will perform in-clinic and remote device checks and support device management for pacemakers, ICDs, and CRT devices. You will... ...documentation and timely follow-ups. A BSN/ADN and IL RN license are required, with 1-2 years of clinical experience...Remote work
- CareTalk Health is hiring a Junior Revenue Cycle Management (RCM) Specialist to support the revenue cycle from billing to collections. This remote position is ideal for candidates early in their healthcare administration careers. Applicants are expected to have a high school...Remote work
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
$68 per hour
...Job Title: Utilization Management Specialist (RN) Location: Baltimore, MD Type: Contract To Hire Compensation: Max BR $68 /hr, Mid-Range Pay (MRP) $100,500/yr Work Model: Remote – offsite Responsibilities Perform prospective, concurrent, and retrospective...Remote workContract workTemporary workLocal area$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
- CorVel Corporation is looking for a Telephonic Case Manager to coordinate resources and develop personalized care plans for ill or injured individuals. This remote position requires a California RN Nursing License and involves communicating with physicians and assessing...Remote jobFull time
- CleanSlate Centers, Inc. is hiring a Reimbursement Specialist to manage the full revenue cycle, focusing on resolving denials and questions from patients and payers. You will support accurate reimbursements for medical and behavioral health services while maintaining financial...Remote job
- Genex Service LLC in Riverside, CA is seeking a Field Case Manager to join our team. This full-time, work-from-home role requires regular... ..., and injured workers to support safe return-to-work. An active RN license and 2+ years of clinical experience are required; URAC-...Remote jobFull timeLocal areaWork from home
- Genex Service LLC is hiring a Field Case Manager in Riverside, CA. This full-time, work-from-home role requires regular local travel for in-person patient appointments and collaboration with physicians, employers, and other stakeholders. You will manage comprehensive case...Remote jobFull timeLocal areaWork from home
$86.4k
...Transplant Case Manager This job is responsible for providing comprehensive transplant case management services to members, ensuring... ...and Working Conditions Position Type: Office-Based or Remote Position Physical work site required Occasionally Disclaimer...Remote jobContract workWork at office- QualDerm Partners LLC is hiring an Accounts Receivable Specialist to manage day-to-day billing, claims follow-up, denials resolution, and AR in a multi-state dermatology... ...to detail, and communicates professionally in a remote work setting. #J-18808-Ljbffr QualDerm Partners...Remote work
- ...calling at Mercy! The Cardiac Device Specialist (CDS) assists physicians, advanced... ...in CIED programming, the CDS manages patient diagnostics via remote monitoring websites, analyzes transmissions... ...candidate will be an experienced RN with strong clinical judgment, exceptional...Remote workFull time
- Enlyte in Raleigh, NC is seeking a Field Case Manager (RN) for a full-time role. The position is remote when not traveling locally, with regular in-person patient appointments in the Raleigh area. You will collaborate with treating physicians, employers, and patients to...Remote jobFull time
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