End-to-End RCM Specialist: Claims, Denials & Appeals
100Plus
100Plus is seeking an RCM Specialist to manage the full lifecycle of medical claims, from pre-service authorizations to post-submission follow-up. The role requires sharp analytical skills, meticulous data integrity, and the ability to navigate payer portals, clearinghouses, and billing systems efficiently. The candidate should be experienced in handling 835 remittances, payer denials, and A/R through to resolution, while maintaining compliance with HIPAA and industry standards. #J-18808-Ljbffr 100Plus
- ...states. Nourish is looking for a Billing Specialist to manage patient-facing and internal billing questions, resolve denials, and handle end-to-end claims with our clearinghouse. You will... ...offer automation ideas to streamline RCM processes, and maintain consistent execution...Claims
- ...will be responsible for managing end-to-end Revenue Cycle Management (RCM) tasks, with a heavy emphasis on patient... ...timely approvals and prevent claim denials. Payer Correspondence & LOIs: Draft... ...clinical documentation to support appeals, gap-in-network exceptions, or...ClaimsRemote jobHome office
- ...alternative application process. Specialist, RCM US 15 days ago Requisition... ...(RCM) Specialist owns the end-to-end life of a claim — from obtaining and... ...rejections, payer denials, and unpaid balances. This... ...back end (billing, denials, appeals, and A/R follow-up) rather...ClaimsWork at officeRemote work
- Aspirion is seeking a Denials Appeals Specialist to analyze denial reasons, draft and submit appeals, and support improved cash flow. You will work with carriers and internal teams to resolve claims and minimize revenue leakage. Ideal candidates bring strong analytical...ClaimsRemote job
$18 - $24 per hour
RCM Intake Specialist (Behavioral Health) - Remote GeBBS Healthcare Solutions... ...Support Support clean front-end revenue cycle processes by ensuring... ...they result in avoidable denials or delayed payment.... ...documentation accuracy, and clean claim performance. Documentation...ClaimsRemote jobHourly pay- ...Provider Network Strategy, the Senior RCM Associate will support all... ...billing tickets, managing claim workflows, and building and optimizing... ...but not limited to, resolving denials, investigating patient... ...verifications. Work claims end-to-end via our clearinghouse and...ClaimsFull timeWork at officeRemote work
- ## RCM Specialist IIApply: Remote: Remote - Iowa: Remote - Idaho: Remote... ...unpaid insurance and healthcare claims with a focus on accuracy and... ....* Identify trends, denials, and reimbursement challenges... ...posting, denial management, appeals, and accounts receivable follow...ClaimsFull timeWork at officeRemote work
- ...service provider is seeking a Medical Billing Specialist to manage the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This... ...experience in medical billing, knowledge of claims denial management, and proficiency with virtual...ClaimsRemote jobWork at office
- ## RCM Specialist IIApply: Remote: Remote - Iowa: Remote - Idaho: Remote... ...unpaid insurance and healthcare claims with a focus on accuracy and... ....* Identify trends, denials, and reimbursement challenges... ...posting, denial management, appeals, and accounts receivable follow...ClaimsFull timeWork at officeRemote work
- ...and internal billing questions, including resolving denials and investigating patient responsibility. Work claims end-to-end via our clearinghouse and partner with cross-functional stakeholders. Support streamlining RCM processes with automation suggestions and maintain...ClaimsRemote job
$51k - $74.88k
...The Appeals & Grievances (A&G) unit processes member and non-contracted... ...and complete care. Appeals Specialist is the subject matter expert... ...such as: certain types of claim denials member complaints and member and provider appeals. The end-to-end process requires the Specialist...ClaimsFull timeTemporary workWork experience placementRemote work- United Health Services (UHS) is seeking a Denials Recovery Specialist I to help keep the revenue cycle moving by resolving denied claims, managing accounts receivable, and preparing clear appeals for payors. This role supports timely reimbursement and patient access. You...Claims
$150k - $160k
Front-End & AdTech Site Reliability Engineer (SRE)Haymarket Media, Inc. is seeking a Front... ...and the unpredictability is part of the appeal. Haymarket aims to be the perfect company... ...individuals are contacting job seekers claiming to represent Haymarket Media. Please note...ClaimsWork at officeLocal area- Owning the end-to-end life of claims, the full-time Revenue Cycle Management Specialist will manage payer authorizations, claim submissions, and resolution of denials while ensuring data integrity and compliance... ...actions and work on appeals and A/R follow-up Required...ClaimsFull time
- ...DESCRIPTION Job Summary Provides support for claims activities including reviewing and... ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints... ...Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of...ClaimsRemote jobContract workWork at office
- ...certified Change Management Specialist to support a... ...benefits/eligibility, front-end workqueues, financial assistance... ...payments, follow-up/denials, and prior... ...engagement, Penny for denials/appeals/AR automation). While there... ..., billing, or claims — strongly preferred Comfortable...ClaimsRemote workFlexible hours
$28.72 - $36.92 per hour
...they become available. AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote The 61st Street... ...complex coding-related denials and appeals in addition to following up on unpaid... ...to successfully appeal denied claims and ensure compliance with payer guidelines...ClaimsRemote jobHourly payFull timeWork at officeLocal area$17 - $23 per hour
...systems - Research/ Status unpaid or denied claims Monitor claims for missing information,... ...payment of claims; reconsideration and appeal submission. Adhere to state and federal claim... ...2-3 years of medical collections, denials and appeals experience Experience with all...ClaimsLocal area- ...40 St. Elizabeth is hiring a Technical Denials Specialist! This position is remote after an initial... ...extensive follow‑up, completes appeals and referrals to other stakeholders, when... ...Medicaid regulations Knowledge of third Party claim filing, contract reimbursement and...ClaimsFull timeContract workWork at officeLocal areaRemote workFlexible hoursDay shift
$33.05 - $49.6 per hour
...Based INPATIENT Coding Experience Required. Denials related experience preferred May work... ...to correct, resubmit, and prevent denied claims. Conduct chart reviews to validate documentation... ...billed services. Prepare and support appeals by researching payer guidelines, coding...ClaimsHourly payDaily paidFull timeTemporary workPart timeWork at officeLocal areaRemote workFlexible hoursShift workDay shift- Amperos Health, Inc. is seeking a detail-oriented Payment Posting Specialist with 2+ years in RCM to join our team. You will work at the intersection of traditional claim submission or payment posting workflows and cutting-edge AI, helping customers submit claims accurately...Claims
$16.17 - $17.17 per hour
...~20% Associate discount on all Ollie’s purchases; ~ Vast array of voluntary benefits. Position Overview: The Front End Specialist assists customers and helps to maintain the store appearance. They are responsible for all aspects of customer service, merchandising...Hourly payMinimum wageFull timePart timeShift workWeekend workAfternoon shift$63k - $84.42k
...Company succeeds. The incumbent manages end‑to‑end complaint and appeal cases, conducting thorough... ...as needed, ensuring exhibits include claim records, authorizations, research summary... ...clear, comprehensive explanations of denial decisions, benefit coverage, and case...ClaimsContract workLive inWork at officeLocal area- Knowtion Health seeks an Appeals Nurse to review medical records and support denials appeals for Medicare, Medicaid, and other payers. You will craft detailed analyses and letters, aligning criteria with payer policies to secure appropriate payments. The role requires an...ClaimsRemote job
- Innovaccer Inc. is seeking a Coding Specialist I to independently review and resolve front-end claims, ensuring accurate submission and adherence to CPT/ICD-10-CM guidelines. The role focuses on identifying coding issues before claims are transmitted and supporting clean...Claims
- Ventra Health, Inc. is seeking a Coding Denial Specialist to investigate and resolve health plan denials, manage denial work queues, and ensure accurate coding. You will generate appeals and follow payer guidelines for timely resolution of issues. Requirements include...
$36 - $40 per hour
...find long term fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to sharpen your skills,... ...with third party payor representatives to resolve claim issues. Identifies, reviews, and interprets third party denials...ClaimsPermanent employmentFull timeRemote workWork visa- ...professionals to manage end-to-end revenue cycle management (RCM) for our growing... ...practices, managing insurance claims, patient billing,... ...(EOBs). Process claim denials and initiate appeals with insurance companies... ...: Dedicated training specialist and ongoing mentorship...ClaimsRemote workWork from homeFlexible hours
- Amperos is seeking a detail-oriented medical billing specialist to join our AI-native denial management platform. You will help bridge traditional claim workflows with AI automation, posting charges and payments in customer PM systems and ensuring coding and medical necessity...Claims
- Molina Healthcare is seeking a claims appeals specialist to support member and provider disputes, appeals, and grievances in accordance with CMS standards. The role emphasizes research, documentation, and timely responses. Required experience includes managed care claims...Claims
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