RN Denials & Appeals Specialist | Reimbursement Strategy
ERISA Recovery, Inc.
ERISA Recovery, Inc. in Plano, TX, seeks an experienced Registered Nurse (RN) to move beyond bedside care into utilization management and clinical review. You will analyze denied claims, perform medical necessity reviews for inpatient and outpatient cases, and develop high-quality clinical appeals with peer-to-peer support. Collaborating with physicians, case managers, and UR teams, you'll resolve issues around authorizations and pre-certifications while tracking denial trends to drive process #J-18808-Ljbffr ERISA Recovery, Inc.
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the RN Denials & Appeals Specialist | Reimbursement Strategy in Plano, TX vacancy
- Shape Healthcare Reimbursement With Your RN Expertise ERISA Recovery is seeking an experienced Registered Nurse (RN) with a strong background in utilization management, clinical review, and denial appeals to join our growing team in Plano. This is an ideal opportunity for...ReimbursementRelocation
- ...Position Overview: The AR Follow-up & Denial Management Specialist is responsible for the timely... ...and denied medical claims to maximize reimbursement and reduce accounts receivable (AR)... ...actions including claim resubmissions, appeals, and payer follow-up. The position...ReimbursementContract work
Credence Global Solutions
Richardson, TX28 days ago - Oms Medical Billing in Addison, TX is hiring an Appeals Specialist. This full-time position requires on-site presence during regular business hours at our corporate office. The ideal candidate will review denied claims, prepare and submit appeal letters, and communicate...SuggestedFull timeWork at office
- OrthoMed Anesthesia in Addison, TX seeks a Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical claims. Responsibilities include reviewing claims, communicating with insurance, and ensuring compliance with regulations...Suggested
- ...Responsibilities include batch/submit claims to multiple insurance companies and track reimbursement. Enter EOB correspondence, payments, and denials. Re-work rejections, conduct reconsiderations and appeals, submits medical records, and reconcile issues with insurance companies....Reimbursement
Collin County Mental Health Retardation Center
Mckinney, TX4 days ago - U.S. Renal Care in Plano, Texas, is seeking a Reimbursement Representative to join our billing team. You will reconcile Medicare/Commercial... ...with HIPAA. You will communicate with payors, perform appeals, and support credit balance resolution. #J-18808-Ljbffr U.S....Reimbursement
- ...Coding Specialist The US Oncology Network is looking for a Coding Specialist to join... ...application, and compliance with payer-specific reimbursement requirements. Identifies... ...other approved resources. Assists with denial prevention and revenue integrity efforts...ReimbursementFull timeLive inWork at officeRemote workMonday to Friday
- ...Anesthesia, located in Addison, TX, is seeking a detail-oriented Appeals Specialist. The role is full-time and requires on-site presence during... ...Review denied claims and determine appropriate appeal strategies. Prepare and submit appeal letters with supporting documentation...Full timeWork at office
Oms Medical Billing
Addison, TX3 days ago - ...opportunities are posted here as they become available. Reimbursement Specialist (Home Health exp. Preferred) Position Summary... ...to read and interpret EOBs, remittances, and denial codes Effective payer follow-up and escalation strategies Ability to resolve claim holds, rejections,...ReimbursementRemote workMonday to FridayFlexible hours
$23 per hour
...a hybrid schedule! The Loss Mitigation Specialist will be responsible for educating borrowers... ...documents. Communicate approval or denial of a loss mitigation workout option,and... ...Carrington and Vylla grow. Educational Reimbursement. Carrington Charitable Foundation contributes...ReimbursementHourly payFull timeTemporary work- ...Home Health Registered Nurse (RN) – Princeton, TX Make a Difference Where It Matters... ...and home safety Self-management strategies Medical equipment and device use When to... ...advancement Supportive clinical team Mileage reimbursement, if applicable The opportunity to build...ReimbursementFlexible hours
Business Draft, Inc.
Richardson, TX5 days ago - # AR & Revenue Performance Specialist IIHybrid • Belleview - Plano, TX 75024## DescriptionJob... .... Monitors accounts and performs appeals, coding corrections, payment... ...Advanced Recovery:** Execute advanced denial management strategies and complex appeals to secure payment...Work at officeDay shift
$1,364 - $1,452 per week
...Estimated payments include wages and expense reimbursement, are based on information available to... ...Staffing is seeking a skilled Oncology RN for a 13-week travel assignment in Plano... ..., side effect management, and self-care strategies Participate in oncology quality...ReimbursementTemporary workShift workNight shiftFusion Medical Staffing
Plano, TX2 days ago- Legent Health seeks an Accounts Receivable Specialist in Plano, TX to manage AR and denial resolution for inpatient and outpatient procedures across spine, orthopedics, ENT, and pain management. You will investigate denials, work with our billing vendor, and perform root...
$13 - $18 per hour
...HIRING IMMEDIATELY at Mendocino Farms! NOW HIRING A CATERING SPECIALIST! Make $13.00 - $18.00/hr including tips! We’re not just... ...at Work classes - Learn English at work! ~ Parking & Transit Reimbursement* ~ Discounted tickets through Tickets at Work ~ Pet...ReimbursementBi-weekly payFull timeImmediate startMonday to FridayFlexible hoursShift workJobleads-US
Plano, TX4 days ago- ...Job Title & Specialty Area: Education Specialist Department: Family Research Library School Location: Plano, Texas... ...to 12 weeks) • Caregiver Leave • Adoption and surrogacy reimbursement As an equal opportunity employer, Children's Health...ReimbursementWork experience placementMonday to FridayShift work
Children's Health
Plano, TX5 days ago - ...Selected For This Position, You Will Serve As a Victim Witness Specialist For The United States Attorney's Office For The Eastern... ...English translation. Additional information You may qualify for reimbursement of relocation expenses in accordance with agency policy. The...ReimbursementFull timePart timeWork at officeRemote workRelocation
United States Attorneys' Offices
Plano, TX4 days ago - Full‑Time Home Health RN - Collin County Reliant at Home is seeking a Full‑time RN... ...patients and families on proper home‑health strategies and procedures. Coordinate with... ...Competitive compensation package. Mileage reimbursement for work‑related travel. Company vehicles...ReimbursementFull timeLive outRelocation package
- ...Educate patients and their families on proper home health care strategies and procedures Coordinate with Occupational Therapists,... ...apart Other Benefits Competitive compensation package Mileage reimbursement for work related travel Company vehicles available for select...ReimbursementLive outLocal area
- ...TX is seeking a full-time Payor Relations Specialist to manage prior authorizations and payer communications, ensuring timely reimbursement and compliance. The role collaborates with... ...optimize patient care while controlling costs. RN licensure preferred and Utilization Review...ReimbursementFull time
- Empower Services seeks an OASIS Coding Specialist PRN to ensure accurate CMS-compliant OASIS reviews and coding for home health. You’... ...assessments, support appropriate visit utilization, and optimize reimbursement. The role requires experience in OASIS reviews, familiarity...ReimbursementRelief
- ...Certified Medical Assistant/CMA Heart & Vascular Specialists Clinic Bring your passion to Texas Health so we are Better + Together... ...:00pm Travel: 50 % to surrounding clinics as needed (mileage reimbursement provided) Heart & Vascular Specialists Clinic Highlights: Strong...ReimbursementFull timeMonday to Friday
- ...Institute We are seeking a full-time Payor Relations Specialist to join our team of passionate patient... ...Growth: Continuing education opportunities and reimbursement Qualifications Required Skills: Current state RN license preferred. Two years recent experience...ReimbursementFull timeTemporary workWork experience placementFlexible hours
- ...Solutions Specialist The Solutions Specialist should have strong communication skills and be comfortable making all levels of product... ...~ A general understanding of home health and hospice and reimbursement for such services ~ Ability to travel ~30% of the year to demonstrate...ReimbursementWork at office
- Certified Medical Assistant/CMA - Heart & Vascular Specialists Clinic - Full-Time, Days Bring your passion to Texas Health so we are Better... ...:00pm Travel: 50% to surrounding clinics as needed (mileage reimbursement provided) Heart & Vascular Specialists Clinic Highlights:...ReimbursementFull timeMonday to Friday
$1,416.5 per month
...Travel Offering Nursing Profession RN Specialty Med-Surg Job ID 38385035... ...please check with your recruiter for more information. Posted rates can vary based on various reimbursements, facility fees and other factors.ReimbursementWeekly payShift workNight shiftMEDICAL CITY PLANO (MCP)
Plano, TX5 days ago$84.9k - $113.19k
...offered, including: Medical, Dental, and Vision coverage along with Prescription Drug Benefits. Health Savings Account (HSA), Health Reimbursement Account (HRA), and Flexible Spending Account (FSA). AD&D, Short- and Long-Term Disability Coverage, as well as Basic Life...ReimbursementTemporary workRemote workWorldwideFlexible hoursNight shiftRotating shift$23 per hour
...rises, we all rise. Job Summary As an Inbound Patient Access Specialist, you will advocate for patient members by guiding them through... .... Knowledge of health insurance plans and medication reimbursement processes is preferred. Understanding of drug savings programs...ReimbursementHourly payTemporary workWork from homeFlexible hours- Admissions Specialist PAS - PRN Bring your passion to Texas Health so we are Better + Together Work location: Texas Health Plano, 62... ...for applicable tests and/or procedures. These efforts maximize reimbursement for services rendered a { text-decoration: none; color: #464...ReimbursementReliefWork at officeLocal areaMonday to Friday
$1,553 per week
...Intensive Care Unit (ICU) Travel RN Weekly Pay: $1,553 Shift Details: 3x12 Nights Shifts Per Week: 3 Scheduled Hours... ...please check with your recruiter for more information. Posted rates can vary based on various reimbursements, facility fees and other factors....ReimbursementWeekly payShift workNight shiftMedical City Plano
Plano, TX4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Denials & Appeals Specialist | Reimbursement Strategy. Be the first to apply!
