Remote Clinical Appeal Specialist—Denials & Reimbursement
Jobgether
- Remote job
Jobgether is seeking a Clinical Appeal Specialist based in the United States to manage healthcare denials, appeals, and reimbursement recovery in a fully remote role. You will review medical claims, build persuasive appeals, align with payer requirements, and collaborate with clinical and finance teams to strengthen revenue cycle performance. The role emphasizes analytical thinking, attention to detail, and knowledge of coding, payer policies, and regulatory guidelines. #J-18808-Ljbffr Jobgether
- Moffitt Cancer Center is hiring a Clinical Appeal Specialist to coordinate denials review and appeals in a remote-eligible role. You will manage reimbursement processes, analyze denials, and collaborate with payers to recover claims. Qualified candidates have RN licensure...Remote jobReimbursementFull time
- Jobgether seeks a Clinical Appeal Specialist based in the United States. This role manages healthcare denials, appeals, and reimbursement recovery within a clinical environment. You will review claims, analyze payer requirements, and develop effective appeal strategies...Remote jobReimbursement
- ...steps. Our partner is looking for a Clinical Appeal Specialist based in the United States. As a... ...key role in managing healthcare denials, appeals, and reimbursement recovery processes within a... ...and attention to detail in a fully remote-eligible position. We appreciate...Remote workReimbursement
$31.99 - $48.8 per hour
Clinical Appeal Specialist - Moffitt Cancer Center### Clinical Appeal SpecialistApply: Virtual (Remote Eligible Position ): Magnolia Hospital: Full time... ...and coordination of the denials review and appeals... ...regulations, third party reimbursement,and charging and coding...Remote workReimbursementDaily paidFull time- ...policies and procedures; The Clinical Appeals Specialist is responsible for the... ...works independently in a remote settingQuality - Demonstrates... ...of regulatory and payer reimbursement requirements and reasons for... ..., or Medicaid claim denials.Completion of continuing education...Remote workReimbursement
$31.99 - $48.8 per hour
...steps. Our partner is looking for a Clinical Appeal Specialist based in the United States.As a... ...key role in managing healthcare denials, appeals, and reimbursement recovery processes within a complex... ...attention to detail in a fully remote-eligible position. Accountabilities...Remote workReimbursementHourly payDaily paidWork at office- ...seeks a Patient Financial Services Appeals Specialist to review patient records and clinical documentation to determine medical necessity and support denials. You will prepare thorough appeal... ...submit documentation to maximize reimbursement while complying with payer...Reimbursement
- ...experience writing inpatient appeal letters Experience... ...understanding of: (1) Clinical documentation standards, (2) Coding and reimbursement guidelines, and (3) Medical... ...Experience with denials related to post-acute or... ...relationships nationwide Remote opportunities that allow...Remote workReimbursementPermanent employmentFull timeWork visa
- Brown University Health is seeking a Denials Management Specialist in Rhode Island. The role focuses on maximizing reimbursement by analyzing denials, tracking trends, and supporting... ...to denials reduction. You will handle appeals with third-party payers, coordinate with...Remote jobReimbursement
- ...Nurse Auditor for a fully remote role. The position supports the billing and reimbursement services team and runs... ...care. You will prepare appeal letters when records do not support denials and assist with various... ...licensure with inpatient clinical experience and familiarity...Remote jobReimbursement
- UF Health is seeking a Clinical Denial Management Nurse to support enterprise denial processes... ...a BSN preferred, and clinical denial/appeals experience. You will collaborate with... ...compliance, and clinical teams to optimize reimbursement and reduce write-offs. You will review...Remote jobReimbursement
- ...Corporation is seeking an experienced Denial Mitigation-Appeal Specialist II RN to support revenue cycle by reviewing clinical cases, preparing appeals, and... ...departments to optimize reimbursement and ensure timely appeal submissions. Remote work may be possible after...Remote workReimbursementTrial period
- ...Inc. is seeking a billing specialist to support Revenue Cycle... ...focuses on differentiating clinical and technical denials, reviewing UB04/HCFA forms, and handling appeals with payer communications to optimize reimbursements. The position is remote within the United States,...Remote jobReimbursementMonday to Friday
- ...Accounts Receivable Resolution Specialist in the United States for a fully remote, full-time role to ensure... ...insurance claims processing, reimbursement, and resolution. You will... ...complex AR cases, investigate denials, and coordinate appeals to accelerate payments from...Remote jobReimbursementFull time
- ...Accounts Receivable Resolution Specialist for a fully remote, full-time role focused on insurance claims follow-up and denial management. You will work with... ...insurers to resolve payments, process appeals in WAYSTAR, and accelerate reimbursements while maintaining accurate...Remote jobReimbursementFull time
- ...Accounts Receivable Resolution Specialist based in the United States. This fully remote, full-time role focuses on... ...claims processing, reimbursements, and escalation of denials to accelerate payments. You... ...resolve discrepancies, submit appeals via WAYSTAR, and maintain accurate...Remote jobReimbursementFull time
- ...Eye is seeking an Accounts Receivable Appeals Specialist to manage denied insurance claims, prepare... ...and appeals, and ensure accurate reimbursement for healthcare services. The role requires... .... Key duties include analyzing denials, preparing appeals, reviewing contracts...Remote jobReimbursement
- ...Authorization Management Clinical Reviewer – Appeals and Denials This job is responsible for reviewing acute... ...preventable denials and improve reimbursement outcomes. Collaborate with physician... ...periods of time. #LI-PG1 #LI-Remote WellSky is where independent...Remote workReimbursementFull timeWork experience placementWork at office
$68.81k - $100.29k
...Clinical Appeals Coordinator Coordinates and directs the... ...the Clinical Appeals Specialists responsible for appeals... ...for Managed Care reimbursement resolution. Responsible... ...claim reimbursement & denials. Performs other... ...Other Information Remote role (based out of Greenville...Remote workReimbursementFull timeTemporary workLocal areaMonday to FridayDay shift$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... ...coding, billing and reimbursement rules, regulations, and guidelines... ....00-$95,000.00 1 month ago Clinical Review Nurse - Prior...Remote workReimbursementPermanent employmentFull timeWork visa$120k - $140k
...looking for a Senior Appeals & Denials Resolution Manager based... ...ownership of complex reimbursement challenges,... ...payer representatives, clinical reviewers, and decision... ...teams, medical policy specialists, utilization management... ...healthcare solutions. Remote Flexibility: Fully...Remote workReimbursementFull time$120k - $140k
...product innovation, robust clinical evaluation, and a commitment... .... Big Health is a remote-first company, and this role... ...experienced, results-driven Senior Appeals & Denials Resolution Manager to... ...noncovered service, coding, and reimbursement-related denials. Build...Remote workReimbursementFull timeWorldwide- ...Denials Appeals Specialist At Aspirion, our mission is simple and meaningful... ...and high impact areas of reimbursement. From challenging denials... ...payer portals to retrieve clinical documentation, verify claim... ...metrics-driven environment Remote work experience in a...Remote jobReimbursementFor contractorsWork experience placement
- Xsolis is seeking an Appeals Analyst to investigate denied claims, document findings, and pursue reimbursement for services denied. The role supports healthcare payers and providers... ...and policy-based research. You will work remotely with training at home offices in Tennessee...Remote jobReimbursementWork at officeWork from homeHome office
- Providence California Regional Services is seeking a Care Manager Appeals RN (remote, per diem) to oversee clinically-based appeals and advocate for reimbursement of services. The CMRA will coordinate with Providence and external payers, ensuring patient-focused, compliant...Remote jobReimbursementDaily paid
- ...Clinical Denials Specialist Role: Clinical Denial Specialist Schedule: M - F 8 AM - 4:30 PM EST GENERAL SUMMARY: The goal of the Clinical Denial... ...for claim resubmission, retro authorization, written appeal or if no action is needed. The Clinical Denial Specialist...Remote workContract workLocal area
- ...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 improvement, collaborates with internal teams...Remote jobReimbursement
$40 per hour
...Description Job Description The Denial and Appeals Management Nurse works remotely Monday through Friday, generally... ...:00 a.m. This role supports the clinical claims denial and appeals... ...documentation skills to recover appropriate reimbursement. The position is initially a 60-...Remote workReimbursementContract workTemporary workWork at officeMonday to FridayShift work- ...the team as a Senior Clinical Specialist, you will support nurse... ..., and advanced reimbursement support. Additionally... ...support related to PA denials to improve patient care... ...Guidelines and review of PA/Appeal Denials preferred... ...(50% in office, 50% remote). To qualify for a...Remote workReimbursementTemporary workWork at officeImmediate startHome officeMonday to FridayFlexible hoursShift work
- Baxter International Inc. is seeking a Clinical Appeals Advocate to support patients denied insurance coverage for Respiratory Health products... ...work with patients, healthcare teams, and payers to overturn denials and secure access to therapies, contributing to Baxter's...Remote job
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