Remote Denials & Appeals Specialist
RAIL-WAY INC
St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers. You will collaborate with Case Management and Billing to improve denial workflows and maximize timely reimbursements. Qualified candidates will have nursing experience, RN license, and 2–5 years in case/un utilization management with exposure to payer appeals. #J-18808-Ljbffr
- ...Medical Claims & Appeals Specialist We are seeking a dedicated and detail-oriented Medical Claims... ...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...Remote workWork from home
$20 per hour
...seeking a sharp, analytical, and results-driven Technical Denials & Appeals Specialist to join their team. If you have a proven track record of diving... ...that overturn them, we want to talk to you. This is a remote opportunity. However, candidates MUST RESIDE WITHIN the...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims... ...information # Coordinates and/or completes appeals as applicable with payors. # Develops suggestions...Remote workFull timeMonday to Friday
$23.63 per hour
...services? We are seeking a dedicated Denial Prevention Specialist to join our dynamic team! In this high... ..., and resolve claim denials and appeals for major insurance carriers while analyzing... ...and 9:00 AM! This role is primarily remote (work from home), with occasional on-...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeFlexible hoursShift work- ...To support 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 Supporting orthopedic revenue cycle and denial management operations...Remote workFull time
$23.63 per hour
...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 identifying...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeShift work$28.83 - $46.14 per hour
...Range: $28.83 - $46.14 per hour. Location: Remote in Washington State only. Posted wage ranges represent... .... Job Summary Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for EvergreenHealth....Remote workHourly payContract workFlexible hoursShift work$29.7 - $31.8 per hour
...experience Job Description The Acute Coding Appeals Specialist integrates medical coding principles... ...Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and... ...patient and client experiences. This is a remote position; however, candidates must be willing...Remote workTemporary workWork at officeLocal area$19 - $21 per hour
...Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within the appeal... ...work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training...Remote workHourly pay$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours.... ...Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of...Remote workHourly payFull timeContract workWork experience placementWork at office$19.5 - $21 per hour
...seeking a detail-oriented and experienced Appeals Specialist for our client in Middleburg Heights,... ...for managing insurance claim denials and leading the appeals process to secure... ...Friday 8am-5pm ~3 months in office then remote ~ Benefits offered Key Responsibilities...Remote workWork at officeImmediate startMonday to Friday$28.85 - $35 per hour
...been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare... ...recovery organization . This is a fully remote role (U.S.-based, any time zone) supporting... ...assigned denial queues, submit appeals, and follow claims through to final...Remote workHourly payTemporary workInterim roleFlexible hours- ...PFS Denials Nurse Auditor Remote opportunity available in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas... ...post-claim denials and preparing clinical discussion and appeal letters. Consulting with clinical and hospital appeal...Remote workWork experience placementLocal area
$28.72 - $36.92 per hour
...subspecialties. This position is primarily remote, candidates must reside in the Tri-... ...Job Summary: The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and... ...complex coding-related denials and appeals in addition to following up on...Remote jobHourly payFull timeWork at officeLocal area- ...Endeavor Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims, focusing on... ...Physician Practices, Providers and Payers, submit timely appeals, gather medical records, and write appeal letters. Strong...
$17 per hour
...Revenue Cycle Management Wizard Flexible hours & work from home remote option Starting salary: $17 and up (depending on specific experience... ...crew making magic happen in the billing follow-up and denial management world. You'll play a crucial part in ensuring comprehensive...Remote workWork at officeWork from homeFlexible hours- ...Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing...Remote work
$20 - $21 per hour
...Appeals Specialist Fully Remote • Allied Benefit Systems Overview Salary Range $20.00 - $21.00 Hourly Position Type Full Time Category Claims Description POSITION SUMMARY: The Appeals Specialist will be responsible for the organization and completion...Remote workHourly payFull timeWork experience placementWork from home- ...in 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. #J-...Remote workFull time
$21.16 - $38.37 per hour
A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...Remote workHourly payWork at office- ...To support a remote team, the full-time Healthcare Appeals Specialist will analyze, triage, and process complaints and appeals related to dental and vision services, while ensuring compliance with regulatory standards and maintaining effective communication with internal...Remote workFull time
- ...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, ensuring compliance and effective communication with stakeholders. Key responsibilities Reviews...Remote workFull timeContract work
$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 900... ...requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in...Remote workFull timeLocal areaShift workWeekend work$45.9k - $78.6k
...quality service is the norm and every member feels valued. The Appeals & Grievances Specialist plays a vital role in ensuring fair, timely, and... ...with Microsoft Word, Excel, and Outlook This position is a Remote role.To be eligible for consideration, candidates must have...Remote workWork experience placement$24.79 per hour
...Trillium Professional is now seeking a Member Appeals Specialist for a 100% remote position! Candidates will work Monday-Friday, 40 hours/week for about 13 weeks. Pay rate is $24.79/hour. Member Appeals Specialist to manage member appeals related to pre...Remote workMonday to Friday- ...Detail-oriented and analytical, the remote Billing & Appeals Specialist will manage provider billing disputes and appeals, ensuring accurate resolutions while maintaining exceptional customer service in a contract role. Key responsibilities Review, investigate, and resolve...Remote workContract workWork at office
- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote workFull time
$48.6k - $83.16k
...Summary of Position Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs,... ...requirements and turn-around times of the Expedited Appeal unit, the Specialists are required to work weekends and holidays as the organization...Remote workHourly payContract workWeekend work- Workit Health is seeking a full-time RCM Specialist in Scottsdale, AZ. The role involves handling rejections and denials, and requires experience with telemedicine services and excellent customer service skills. Candidates should demonstrate empathetic communication while...Remote workFull timeFlexible hours
$22.99 per hour
...healthcare professional looking for a high-impact, fully remote opportunity? We are seeking a dedicated Denial Specialist to join a dynamic healthcare support team! In... ...management systems (claims, correspondence, appeals tracking). Typing speed of 60 WPM at 95% accuracy...Remote workHourly payPermanent employmentFull timeTemporary workWork experience placementWork from homeShift work
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