Rev Cycle Specialist: Prior Authorizations & Appeals
Prism Vision Group
Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess a High School Diploma with 3 years of experience in a medical billing environment and familiarity with CPT and ICD-10 coding. Strong communication, problem-solving, and organization skills are essential. #J-18808-Ljbffr Prism Vision Group
$23 - $25 per hour
...standard of care. As a Cash Application Specialist, you will be an essential part of the corporate... ...to ensure prompt payment Research, appeal and resolve claim rejections/denials with... ...healthcare (preferred) Certified Revenue Cycle Representative or other billing certification...SuggestedHourly payRemote work$22 per hour
...industry, seeking a seasoned Revenue Cycle Specialist with health insurance claims experience... ...payer timelines. Review, analyze, and appeal denied or underpaid claims in accordance... ...-specific timely filing limits and authorization processes to ensure compliance. Prepare...SuggestedHourly payPermanent employmentFull timeTemporary workWork at officeRemote work$17.31 per hour
## Appeals Specialist: Print & Ship (Entry Level-ONSITE REQUIREDApplylocations: Newtown Squaretime type: Full timeposted on: Posted Todayjob... ...exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic...SuggestedHourly payImmediate startMonday to Friday- Northeast Georgia Health System is seeking a Rev Cycle Specialist II to manage complex account follow-ups and claims resolutions. Candidates should have a minimum of 3 years of hospital billing experience and a High School Diploma or GED. The role demands understanding...Suggested
- ...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...SuggestedRemote work
$19 - $22 per hour
...current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as a Revenue Cycle Management Specialist. Essential Responsibilities RCM Specialists care for the people who care for our patients by performing insurance adjudication...Hourly payRemote work$55k - $60k
...The Opportunity Clarity RCM is a dermatology-focused revenue cycle management company on the Inc. 5000 fastest-growing companies list. We manage billing, credentialing, and account management for private dermatology practices nationwide. We're growing fast and we're building...Full timePrivate practiceRemote work$23.25 - $24.75 per hour
...Overview A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished. The Sr. Specialist, Revenue Cycle position...Hourly payWork at officeImmediate start$120k - $130k
...a P/E-backed Healthcare company based in Monmouth County, NJ. Due to recent growth, they are looking to add a dynamic Revenue Cycle Specialist to their organization. This company offers a competitive salary w/ benefits including a hybrid schedule and executive visibility...- ...A healthcare technology company is seeking a seasoned Revenue Cycle Specialist to manage Medicaid payer accounts and ensure timely reimbursement for healthcare services. This fully remote role involves critical tasks such as claim follow-up and denial resolution, making...Remote work
$50k - $55k
...Appeals Coordinator Level II At MedReview, our mission is to bring accuracy, accountability... ...healthcare. As such, we are a leading authority in payment integrity solutions including... ...work within the department. The Appeals Specialist level II performs research,...Remote work- ...Cycling Specialist - Specialized Upper West Side - NY Innovation has guided our every decision since 1974. As more riders of all ages get on the roads, trails, and streets than ever before, we're here to do the best work of our lives to push the greatest human powered...Temporary workWork experience placementRemote work
$28.72 - $36.92 per hour
...Authorization-Referrals Specialist III The 61st Street Service Corporation, provides administrative and... ...required referrals and authorization prior to the patient's visit, scheduled admission... ...status or denials. Submits appeals in the event of denial of prior...Hourly payFull timeWork at officeLocal areaImmediate start- Geisinger is looking for a professional to provide support in the administration of the Appeals and Grievance process. This role involves liaising between members and the plan to address denied claims and benefit issues. Applicants should have a minimum of 5 years of relevant...Remote job
$70k - $90k
...our full potential. About the Role The Field Reimbursement Specialist (FRS) is a key contributor to the overall patient support... ...investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services. Responsibilities...Full timeWork at officeRemote workWeekend workAfternoon shift$29 per hour
Scion Staffing is seeking a Medicaid Revenue Cycle & Accounts Payable Specialist for a 2-month onsite contract in Secaucus, New Jersey. This position involves processing accounts payable, managing vendor records, and supporting Medicaid billing activities. The ideal candidate...Hourly payContract work- Maximus is seeking a Senior Appeals Administrator for their California Independent Medical Review team. This role is vital in ensuring timely resolutions for medical review cases while enhancing the appeals process. The ideal candidate will have an associate degree with...Remote jobWork from homeFlexible hours
- Indicle is seeking a seasoned Senior Revenue Cycle Specialist to join their SWAT support team, managing complex billing issues across internal and outsourced teams. This role demands a highly organized, problem-solving professional who excels under pressure and communicates...
- ResMed Inc is seeking candidates to provide quality revenue cycle services focusing on accounts receivable and customer relationships. Responsibilities include managing customer escalations, reporting, and cash collections, while maintaining knowledge of payer rules and...
- ...seeking a full-time hourly Remote Customer Service Representative in the United States. The role involves reviewing grievance and appeals documents, classifying disputes, and managing member information in line with HIPAA regulations. The ideal candidate will possess a...Remote jobHourly payFull time
$29 per hour
Scion Staffing has been engaged to conduct a search for a Medicaid Revenue Cycle & Accounts Payable Specialist on behalf of a mission-driven organization that provides essential services and support to communities throughout the region. This is an onsite, 2-month contract...Hourly payContract workPart timeImmediate start- A healthcare company is seeking a skilled Appeals Processor III to work remotely in the United States. This role involves reviewing and processing healthcare appeals related to Medicaid or Medicare coverage decisions. The ideal candidate will have at least 2 years of experience...Remote job
- A leading medical institution is seeking a Revenue Cycle Specialist for a remote position. Responsible for managing remittance and credit resolution, candidates must have around 3 years of medical billing experience and a high school diploma. The role requires excellent...Remote job
- Southeast Alabama Medical Center is looking for a Medicare Specialist I to handle claims reimbursement, ensuring timely processes and accuracy... ...will have a high school diploma and experience in revenue cycle management. Working knowledge of CPT and ICD 10 coding systems...
- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations... ...protect claim readiness and revenue prior to billing. Performs both pre-service... ..., physician offices, and revenue cycle teams. This role is part of Revenue Integrity...Full timeTemporary workPart timeWork at officeFlexible hours
$54k
The Morgan Library & Museum in New York is seeking a full-cycle Accounts Payable Specialist to handle all aspects of accounts payable. This role includes coding invoices, managing payments, and reconciling accounts during a critical period of process improvement. The ideal...- ...looking for a Cash Posting Representative to manage the revenue cycle operations remotely. This role involves accurately posting, allocating... ..., and skilled in multitasking. Strong computer skills and prior experience in cash posting are preferred. We offer a competitive...Remote job
$35 - $40 per hour
Inpatient Coding Specialist Are you a passionate and experienced Inpatient Coding Specialist? We're seeking top talent to join our healthcare... ...coding of discharged-not-billed accounts to support revenue cycle operations. Collaborate with Clinical Documentation Specialists...Hourly payTemporary workWork at officeRemote workMonday to FridayFlexible hoursShift workDay shift- Boston Medical Center is seeking an RN Appeal Administrator responsible for managing the pre-denial, denial, and appeal processes while... ...with clinical teams and payers to secure necessary authorizations and optimize reimbursement. The ideal candidate must have a Bachelor...
$101.18k - $120.46k
...Business Title(s): Senior Shared Services Specialist Employment Type: Full-Time FLSA... ...and within broad limits and authority,partner with adjuster, auto/property owner... ...for this or any other position without prior authorization from Human Resources will...Full timeWork experience placementLocal area
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