Remote Medical Claims Denials & Appeals Specialist
Cumedicine
CU Medicine in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance claim denials, enhancing revenue for CU Medicine providers, and requires 3-5 years of relevant experience in medical billing. The ideal candidate will demonstrate expertise through detailed appeals and an analytical approach to denials. Certification in coding is preferred. The position is fully remote, offering flexibility and valuable benefits. #J-18808-Ljbffr
- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI... ...leverage their denials and appeals expertise to evaluate... ...: Review denied claims and evaluate AI-generated... ...various denial types (medical necessity, authorization...Remote workMedicalClaimsContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$28.85 - $35 per hour
...conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing... .... This is a fully remote role (U.S.-based, any... ...supporting specialty medical practices nationwide... ...underpaid insurance claims through disciplined,... ...queues, submit appeals, and follow claims through...Remote workMedicalClaimsHourly payTemporary workInterim roleFlexible hours- ...Denials Specialist/Medical Biller (Hybrid) Digestive Health Specialists, P.A., a... ...which includes a focus on claims that have been denied, need... ...including but not limited to, appeals, insurance website... ...approval. Employees approved for remote work are expected to maintain...Remote workMedicalClaimsWork from homeNight shift
- ...analytical Revenue Cycle Coding Denial Specialist to support workflow in our... ...office. This full-time remote position requires a strong... ...a minimum of 3 years in medical billing. Responsibilities include reviewing denied claims, preparing appeal letters, and collaborating...Remote jobMedicalClaimsFull timeWork at office
$26 - $28 per hour
...than Billing Applied Medical Systems is a... ...submitting clean claims that get reimbursed... ...Revenue Cycle Support Specialist who thrives in... ...This full-time remote position is responsible... ...correcting coding-related denials for billing in... ...including writing appeal letters when...Remote workMedicalClaimsHourly payFull timeFlexible hours$14.9 - $29.06 per hour
...Provides entry level support for claims activities including reviewing and resolving... ...(CMS). Responsibilities Enters denials and requests for appeals into information system and prepares... ...guidelines. Requests and obtains medical records, notes, and/or detailed bills...Remote workMedicalClaimsHourly payWork experience placementWork at officeWeekend work- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist for our client specializing in orthopedic... ...denied and underpaid orthopedic medical claims by executing payer-specific... ...denials and unpaid claims, managing appeals from initial denial through...Remote workMedicalClaims
- UofL Health, Inc. is seeking an AR Denials Management and Appeals Specialist in Louisville, Kentucky. The role involves... ...the appeal process for insurance claims, reviewing unpaid claims, and... ...Proficient communication and knowledge of medical terminology are essential to...MedicalClaims
- ...System is seeking an Account Specialist for Insurance Follow-Up & Denials Management. This role is... ...regarding outstanding claims for providers. Duties include... ...websites, and handling appeals for Cook Children's... ...understanding of coding and medical terminology, alongside knowledge...MedicalClaimsWork at office
- ...Denial Prevention Specialist Software Guidance & Assistance, Inc., (SGA), is... ...TX. This is primarily a remote position, however there are... ..., research, resolve claim denials and appeals for various insurance companies... ...~2 years experience in medical claims recovery and/or collections...Remote workMedicalClaimsContract workWork at office
- ...Hospital is searching for a Senior Denials Specialist for the comprehensive review, analysis... ..., and resolution of denied hospital claims through the appeals process. You'll work to ensure... ...hybrid work model to balance on-site and remote work. #J-18808-Ljbffr Tampa General...Remote workClaims
$18 - $20 per hour
...Remote (must be located in DFW) 6-month contract + extension $18-$20/hr This is primarily... ...will review, research, and resolve claim denials and appeals for various insurance companies while... ...QUALIFICATIONS 2 years experience in medical claims recovery and/or collections...Remote workMedicalClaimsContract workWork at officeWork from home$21.16 - $38.37 per hour
...apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at... .... This position is remote and will be working... ...met. Researches claims appeals and grievances... ...Requests and reviews medical records, notes, and/... ...and Medicare claims denials and appeals...Remote workMedicalClaimsHourly payFull timeContract workWork experience placementWork at office- ...Partners International is seeking an Appeals Denial Management Specialist for their North Oklahoma City... ...The role involves the resolution of claim denials, underpayments, and appeals,... ...benefits package is offered, including medical, dental, vision, and retirement planning...MedicalClaimsWork at office
- Page Mechanical Group, Inc. is seeking an experienced RCM Specialist III in Riverside, CA. The role requires expertise in medical billing, denial management, and insurance appeals. You will manage complex claims, act as a subject matter expert for staff training, and ensure...MedicalClaims
$28.72 - $36.92 per hour
...position is primarily remote, candidates must... ...The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for... ...related denials and appeals in addition to following... ...appeal denied claims and ensure compliance... ...including Letters of Medical Necessity and other...Remote jobMedicalClaimsHourly payFull timeWork at officeLocal area$28.83 - $46.14 per hour
...$46.14 per hour. Location: Remote in Washington State only. Posted... ...Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for... ...and appeal actions in electronic medical record (EMR) system and supporting...Remote workMedicalClaimsHourly payContract workFlexible hoursShift work- Denials Specialist Senior - Medical Bill Audit Under the direction of the Asst Director Denials & Medical... ...resolution of denied hospital claims through the appeals process to ensure optimal reimbursement... ...W Kennedy Blvd, Tampa, FL 33606 Remote Work: Hybrid Remote Schedule...Remote workMedicalClaimsFull timeContract workWork at officeMonday to Friday
- ...Healthcare is looking for a Clinical Denial Specialist to manage claim denials related to services and authorizations from a remote location. The role includes writing appeals, monitoring denial outcomes,... ...skills. Benefits include medical, vision, dental, and 401K. #J...Remote jobMedicalClaims
- Atlantic Health System in Morristown, NJ, is seeking a Hospital Appeals Specialist (RN) to join their Revenue Cycle Integrity department. The role involves reviewing and appealing medical claims denials, collaborating with physicians, and ensuring compliance with regulations...MedicalClaims
- ...Revenue Cycle Coding Denial Specialist (Remote) At Proliance Surgeons our patients... ..., coding review, and appeal preparation. The ideal candidate... ...Review and analyze denied claims to determine root cause and... ...Minimum 3 years of coding/medical billing experience...Remote workMedicalClaimsFull timeWork experience placementLive inWork at officeRelocationMonday to FridayFlexible hours
- ...experience. Prior experience with appeals, denials, and audits preferred. This is NOT a Remote position. Must be located... ...Appeals & Revenue Specialist Responsible for managing denied claims and payer audits,... ...submitting appeal letters and medical records, reviewing clinical...MedicalClaimsWork at officeLocal area
- ...Revenue Cycle Specialist II Senior PsychCare has an... ...follow-up actions on claims denied for eligibility... ...denied claims and submit appeals. Call payers to... ...determine the true reason for denial and inquire about what... ...) Knowledge of Medical Terminology, CPT Codes...MedicalClaimsFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
- ...RML-PH is seeking a Billing Denials Management Specialist to enhance our revenue cycle by handling insurance claim denials. The role involves investigating... ...3 years of experience in medical billing, knowledge of... ...care. This position is remote, providing flexibility while...Remote workMedicalClaims
$45.29 - $84.11 per hour
...for the better. Hybrid/Remote Summary: The purpose of the Denial Prevention Nurse is to ensure... ...criteria to support the medical necessity of patient... ...prevent obstacles and deny claims and escalating any egregious... ...and trending all appeals and communicating on a daily...Remote workMedicalClaimsHourly payDaily paidPart timeShift workNight shiftRotating shift$29 - $46.5 per hour
...America's heartland. Facility: Remote SD (Central Time) Location:... ...Job Summary The Lead UM Specialist serves as the subject matter expert for appeals and denials, provides leadership, case... ...clinical-based denials (i.e. Medical Necessity, Level of Care) within...Remote workMedicalFull timePart timeWork from homeShift workDay shift- A healthcare company is seeking a skilled Appeals Processor III to work remotely in the United States. This role involves reviewing and processing... ...least 2 years of experience in healthcare appeals or medical claims and a strong understanding of CMS guidelines. Responsibilities...Remote jobMedicalClaims
$36 - $40 per hour
...forging our own path. We’re a remote-first staffing and... ...coding career. If you are an Appeals and Denials Nurse looking for a new opportunity... ...behavioral health patients with medical needs) Analyzes work queues... ...representatives to resolve claim issues. Identifies, reviews,...Remote workMedicalClaimsPermanent employmentFull timeWork visa- ABA Spectrum Therapy is looking for a Claims & Revenue Cycle Specialist in Austin, TX. This role is vital in... ...postings, and addressing any denials. You will work closely with the Revenue... ...reimbursement processes. Ideal candidates have medical billing experience, are detail-...Remote jobMedicalClaims
$93 per hour
...systems. We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools designed... ...identification, categorisation, and resolution of claim denials. Evaluate AI-generated appeal... ...complex clinical appeals including medical necessity, experimental/...Remote jobMedicalClaimsHourly pay
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