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
- ...Health Inc. is seeking a Certified Coding Denials Specialist to work remotely in a full-time role. The specialist will manage claim edits and rejection work queues, ensuring timely... ..., at least 1-3 years of experience in medical billing, and must hold current AAPC or AHIMA...Remote workMedicalClaimsFull time
- ...Medical Claims & Appeals Specialist We are seeking a dedicated and detail-oriented Medical Claims & Appeals... ...revenue cycle team. In this primarily remote role, the successful candidate will review, research, and resolve claim denials and appeals for various insurance...Remote workMedicalClaimsWork from home
$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- ...orthopedic services, the full-time Denial Management Specialist will manage denial appeals, analyze claims data, and collaborate with healthcare teams in a remote setting. Key responsibilities... ...Professional experience in both medical billing and medical coding required...Remote workMedicalClaimsFull time
- ...oriented Reimbursement Specialist – Appeals to join our team and... ...This role focuses on denials management and... ...department with a focus on claims denials, underpayments... .... ~Fully remote role (U.S.-based) with... ...Strong understanding of medical benefit structures, including...Remote workMedicalClaimsFull time
$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- ...Appeals Specialist We are seeking a detail-oriented and experienced Appeals... ...for managing insurance claim denials and leading the appeals... ...organized, knowledgeable in medical billing and payer requirements... ...pm 3 months in office then remote Benefits offered Key...Remote workMedicalClaimsWork at officeMonday to Friday
- ...University of Colorado Medicine is looking for a motivated Medical Claims Denial & Appeals Specialist to join the Accounts Receivable Resolution team. This role can be performed remotely, supporting CU Medicine providers in enhancing revenues by resolving insurance claim...Remote workMedicalClaims
$23.63 per hour
...We are seeking a dedicated and detail-oriented Medical Claims & Appeals Specialist to join our revenue cycle team. In this primarily remote role, the successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while...Remote workMedicalClaimsHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeShift work$28.83 - $46.14 per hour
...Job Title Denial Management Specialist Job Description Wage Range... ...healthcare system. Healthcare medical billing and reimbursement Remote in Washington State... ...for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement...Remote workMedicalClaimsHourly payContract workFlexible hoursShift work$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$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- ...Working remotely in a full-time capacity, the Appeals Specialist will leverage expertise in claims adjudication and risk management to guide clients through the appeals process... ...as needed Renders appeal decisions using medical, vocational, and legal resources, serving...Remote workMedicalClaimsFull timeContract work
$17 per hour
...Flexible hours & Work from home remote option Starting Salary: $17... ...in the billing follow-up and denial management world. You'll play... ...• Proficient in the art of medical billing • Basic Microsoft Office... ...eligibility, correcting claim denials with superhero finesse...Remote workMedicalClaimsWork at officeWork from homeFlexible hours$18 - $24 per hour
...Summary: ~ Work Mode: Remote Responsibilities: Triage incoming appeals and grievances, categorize them... ...requests to determine if additional medical records or an Appointment of Rep... ...appeals (experience in provider claim appeals is also beneficial)....Remote workMedicalClaimsHourly pay$50k - $55k
...the direction of the Appeals Department leaders, the... ...department. The Appeals Specialist level II performs... ...Experience in inpatient claims, DRG and High-Cost... ...interruptions Remote Work Requirements High... ...- We offer excellent medical, dental, and vision plan...Remote workMedicalClaims- ...Responsible for processing expedited appeals: those that are complex in... ...Expedited Appeal unit, the Specialists are required to work weekends... ...activity related to the claims, payment, or service in question... ...inquiries; prepare cases for medical and administrative review...Remote workMedicalClaimsHourly payContract workWeekend work
- ...reviewing all post-billed denials (inclusive of... ...accuracy and appealing them based upon coding... ...Hospital and/or Medical Group partner revenue... ...resolution specialists responsible for identifying... ...or inpatient claims; also responsible... ...position operates in a remote environment that...Remote workMedicalClaimsLocal area
$22.99 per hour
...Generates correspondence from Medical Director review... ...Prioritize Tasks: Review pending denial letters, escalations,... ...letters per hour Remote specialists manage time and productivity... ...denial management systems (claims, correspondence platform, appeals tracking). Additional...Remote workMedicalClaimsHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...classified as hybrid, onsite or remote. While the majority of our... ...limited to: Customer Service, Claims Processors, and Correspondence... ...requests for member and provider appeals, grievances, reconsiderations... ...Claims, Case Management and/or Medical Appeals and Grievance (MAG)...Remote workMedicalClaimsFull timeContract workWork experience placementWork at officeLocal area1 day per week
$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles... ...Care (DMHC), Managed Risk Medical Insurance Board (MBMIB)... ..., and complex provider claim disputes. The position is... ...weekends, holidays, a hybrid remote schedule, occasional flexibility...Remote workMedicalClaimsFull timeLocal areaShift workWeekend work- ...are currently hiring for an Appeals Specialist to join BlueCross BlueShield... ...be required to perform non-medical reviews and process redetermination... .... This role is fully remote or can sit onsite at 26 Century... ...Experience in medical claims processing, appeals, or coding...Remote workMedicalClaimsFull timeContract workFor contractorsWork experience placementSecond jobCurrently hiringWork at officeLocal areaShift work
- ...for a Revenue Cycle Specialist II to support our Billing... ...follow-up actions on claims denied for eligibility... ...claims and submit appeals. Call payers to determine... ...the true reason for denial and inquire on what... ...Required) Knowledge of Medical Terminology, CPT Codes...MedicalClaimsFull timeContract workTemporary workLocal areaImmediate startMonday to Friday
- ...Accounts Receivable (A/R) Specialist WellStreet Urgent... ...resolving insurance claim issues, managing denied... ...A/R work queues, appealing denials, researching payer requirements... ...of experience in medical billing, insurance accounts... ...the flexibility of a remote work environment....Remote workMedicalClaims
- ...probation period until cleared to work remote - employee must reside within Central... ...Description Summary:Analyzes and reviews medical records and assigns appropriate codes... ...medical services or charges.Reviews claims denials and appeals to identify coding errors. Performs coding...Remote workMedicalClaimsTrial periodFlexible hoursDay shift
- ...Revenue Cycle Specialist Changing Lives at Home... ...operations. This remote position is responsible... ...ensuring accurate claims processing,... ...and follow up on denials, rejections, payment... ...regarding claims, appeals, and reimbursement... ...cycle management, medical billing, payment reconciliation...Remote workMedicalClaimsHome office
$22 per hour
...MedScope , a division of Medical Guardian, is a... ...seasoned Revenue Cycle Specialist with health insurance claims experience to fill a... ...on claim follow-up, denial resolution, payer... ...This is a full-time, remote position requiring a... ...Review, analyze, and appeal denied or underpaid...Remote workMedicalClaimsHourly payPermanent employmentFull timeTemporary workWork at office$16 - $26 per hour
...Recovery Specialist Payment Poster Owings Mills, MD... ...POTENTIAL FOR HYBRID REMOTE! JOB SUMMARY: The Medical Billing Collector collects unpaid physician claims. Researches and resolves denials and payment variances, completing appeals, with the goal of maximizing...Remote workMedicalClaimsFull timeDay shift- ...Optometry Ar Follow-Up Specialist Evenflow Solutions... ...is looking to add a remote Ophthalmology or... ...online resources to check claim status, resubmit... ...electronically, file appeals, track denial trending, resolve denials... ...years of professional medical billing and...Remote workMedicalClaimsWork at office
- ...Revenue Cycle Management Specialist- Collections The... ...process for outstanding claims, including contacting... ...action. Submit appeals/claim corrections as needed... ...trends in claim denials and payment challenges... ...to read and interpret medical records for billing purposes...Remote workMedicalClaimsWork at office
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