Claims Denials & Appeals Specialist
Baptist Health Arkansas
Baptist Health Arkansas is seeking a Denials Specialist to manage and resolve medical claim denials. The role involves initiating reconsiderations or appeals, documenting actions, and tracking denial status with payors. Collaboration with PFS management focuses on root-cause analysis and denial prevention to improve payment outcomes. The position requires a high school diploma and 5 years in medical billing/insurance, with the ability to work in a fast-paced environment and multitask while #J-18808-Ljbffr Baptist Health Arkansas
- ...Accounts Receivable Resolution Specialist based in the United States... ...role. You will ensure insurance claims are processed, reimbursed,... ...managing complex AR cases and appeals to accelerate payments from payers... ...in claims follow‑up, denials, and healthcare billing, with...ClaimsRemote jobFull time
- ...Denials Specialist Department: Clinic-PB Patient Fin Service Shift: Day Working Hours: 8-5 Summary... ...Specialist is responsible for working claim denials for Baptist Health. This includes initiating the reconsideration or appeal process. They must be able to document,...ClaimsShift work
- ...filling an Accounts Receivable Resolution Specialist role based in the United States. This... ...focuses on ensuring insurance claims are processed, reimbursed, and resolved by handling complex AR cases, denials, and payer appeals using WAYSTAR and Avatar. The ideal candidate...ClaimsRemote jobFull time
- ...Operations Analyst - AR to own accounts receivable performance, manage aging reports, and follow up with payers to resolve claims. You will identify denial trends, document outcomes, and ensure timely reimbursement across billing workflows. This role supports continuous...ClaimsRemote job
- ...Orthodontic Medicaid Specialist It's fun to work in a company where people truly... ...aggressively following up on payment denials, managing complex appeals, and ensuring accurate payment... ...Proactively monitor and resolve Medicaid claim denials by performing root cause analysis...ClaimsFlexible hours
- ...a Case Manager - Utilization Review Specialist based in the United States. Join a... ...reviews, identify potential reimbursement denials, and coordinate appeals to support appropriate patient care... ...Review clinical documentation and claim histories to determine appropriate...ClaimsFull timeLive inRemote work
- ...AR Follow Up Specialist - EngageMED EngageMED Corporate Office - North Little Rock, AR... ...for the proper and timely processing of claims and payments to providers. Supervisory... ...Resubmits corrected claims to payers and files appeals if necessary. Analyzes unpaid claims...ClaimsFull timeWork at office
- ...Summary of Job Duties: The Health Information Specialist performs medical record services and manages... ...information by analyzing patient data, denial remits, and determining what the payer needs to adjudicate the claim. Analyzing the denial and notifies the Manager...ClaimsWork at officeVisa sponsorshipShift work
- ...longevity in previous roles.General Responsibilities:Accurately post charges and insurance payments.Efficiently manage claims denials, including appeals or refiling of claims.Draft letters to insurance companies as needed.Answer patient phone calls and speak to insurance...Claims
- ...Medical Billing Specialist Little Rock Specialty Clinic looking for... ...for managing the billing and claims process to ensure accurate... ...billing discrepancies and claim denials. Post insurance payments,... ...patient payments. Process appeals and corrected claims when necessary...Claims
- Arkansas Blue Cross and Blue Shield is seeking an Appeals Analyst to review and respond to appeals and inquiries from members, providers... ...of HIPAA/legal confidentiality, and experience in healthcare claims/appeals. #J-18808-Ljbffr Arkansas Blue Cross and Blue ShieldClaimsRemote job
$750 per month
Overview Lumicera Health Services is seeking a Reimbursement Specialist I to join our team! Under direction from the Assoc. Manager, Specialty... ...an impact on my team? Responsible for ongoing monitoring of claims activity for accuracy and successful submission Responsible...ClaimsTraineeshipRemote workFlexible hours- ...outstanding patient balances, resolving insurance claim issues, and ensuring timely reimbursement... ...and resolve billing discrepancies, claim denials, and payment issues. Communicate with insurance companies regarding claim status, appeals, and reimbursement. Review Explanation of...ClaimsPermanent employmentWork at office
- ...SAFETY SPECIALIST (Commercial/Industrial Roofing) CentiMark Corporation, the nation’s leading contractor in commercial and industrial roofing... ...in order to conduct: on-site safety inspections, training and claim investigations Qualifications Knowledge and understanding of...ClaimsFull timeFor contractorsWork at officeImmediate startNight shift
- Lumicera is seeking a Reimbursement Specialist I to join our team in the United States. The role focuses on obtaining and processing manufacturer... ..., adherence to billing procedures, and collaboration with internal teams to resolve claim issues. #J-18808-Ljbffr LumiceraClaimsRemote job
- ...incorrectly processed and submits the EOBs to appropriate person for claim review. Balances all batches keyed. Properly processes all... ...benefits (EOBs). Job Overview Job Title: Payment Processing Specialist - Business Office (FTD) #J-18808-Ljbffr Arkansas Heart...ClaimsWork at officeMonday to Friday
- ...organization, seeks an experienced Case Manager - Utilization Review Specialist for a fully remote role in the United States. This position... ..., medical necessity assessment, and coordination of payer appeals to support patient care and financial performance.You will apply...Remote job
- Arkansas Heart Hospital, LLC. is seeking a Payment Processing Specialist - Business Office (FTD) to manage electronic and manual posting... ...posting payments and adjustments, balancing batches, and routing claims for secondary review. #J-18808-Ljbffr Arkansas Heart Hospital,...ClaimsWork at officeMonday to Friday
$1,000 - $2,000 per month
...for an Accounts Receivable Resolution Specialist based in the United States. In this... ...organization by ensuring insurance claims are accurately processed, reimbursed... ...receivable cases, investigate claim denials, and coordinate appeals to accelerate payments from...ClaimsFull timeTemporary workSeasonal workWork at officeRemote work$41.1k - $53.4k
...Blue Shield Hiring Policies, please click here. Job Summary The Appeals Analyst reviews and responds to appeals and inquiries from... ...Knowledge Minimum three (3) years' healthcare grievances, appeals, claims processing, claims research, customer service or related legal...ClaimsContract workWork at officeRemote workWork from home- The State of Arkansas is seeking a Claims Review Analyst to evaluate, analyze, and process insurance claims ensuring compliance with... ...discrepancies, assess claim validity, and decide on approvals or denials. Collaboration with underwriting and legal teams is expected to...Claims
- ...Verify patient coverage, check plan benefits, and secure necessary pre-authorization prior to services Denial Management & Appeals: Review rejected or denied claims, research root causes, correct errors, and submit timely appeals. Patient Communication: Answer billing...ClaimsMonday to Friday
- ...Claims Review Analyst The Claims Review Analyst is responsible for evaluating, analyzing, and processing insurance claims to ensure... ...assessing the validity of claims, and recommending approval or denial based on established criteria. The Claims Review Analyst may specialize...ClaimsLocal area
- ...Medical Billing Specialist We are seeking a detail-oriented and experienced... ..., cost estimation, insurance appeals, and working within... ...Accurately process and submit medical claims to insurance companies,... ...discrepancies or claim denials. Prepare and submit insurance...ClaimsContract work
$145.47k - $196.81k
...entire reimbursement journey through payer prior authorization to appeals/denials requirements and formsReview patient-specific information in... ...benefits investigation, prior authorization, appeal, and/or claims resolutionEducate offices using approved materialsReview...ClaimsFull timeWork at officeRemote workWork from homeRelocationHome officeFlexible hours2 days per week- ...Responsibilities Perform AR follow-ups across aging buckets (0-120+ days) Manage complex denials and initiate appeals when required Coordinate with payers via phone/portals for claim resolution Document outcomes and update billing notes accurately Escalate trends and...ClaimsFull timeRemote workMonday to Friday
$62.1k - $105.3k
...investigative skills to work uncovering the facts behind complex insurance claims. As an SIU Desk Investigator, you’ll conduct detailed... ...Reviews investigations with fraud outcomes to validate whether denial is appropriate Conducts highly complex site inspections, including...ClaimsContract workWork at officeWork from homeVisa sponsorshipWork visa$18 - $22 per hour
...will focus on back-end A/R follow-up , denial resolution , and aged account... ...experience working insurance denials and unpaid claims, we'd love to hear from you. Why Join... ...claims, rebills, secondary billing, and appeals as needed Document account activity and...ClaimsRemote jobPermanent employmentFull timeWork at officeFlexible hours- ...Prior Authorization Specialist CHI Little Rock Diagnostic Clinic Level: Experienced Position Type: Full Time Category: Specialty Clinic... ...of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate,...Full timeWork at office
- ...visit Under the direction of the Community Manager, the Leasing Specialist is responsible for maximizing occupancy by generating qualified... ...in planning of resident functions Walk the property for curb appeal and overall property appearance Assist with the monitoring and...Temporary workFor contractorsWork at officeLocal areaWeekend workDay shift
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