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
- ...TELCOR Inc is seeking a detail-oriented Remote Billing Specialist. This full-time position manages operational revenue cycle tasks, focusing on payer denials, unpaid balances, and trend identification to enhance customer outcomes. The ideal candidate will have at least...SuggestedFull timeRemote work
- ...A healthcare service provider in the United States seeks a Denials & Appeals Coordinator responsible for managing and resolving denials and appeals to ensure timely reimbursement. The ideal candidate should have a high school diploma or GED, along with 1-3 years of relevant...Suggested
$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$29.7 - $31.8 per hour
...Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals... ...$31.80 based on experience Position Summary The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the performance...SuggestedTemporary workWork at officeLocal areaRemote 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- ...Acute Coding Appeals Specialist 100% Remote | 6-Month Contract-to-Hire Medasource is partnering with a leading healthcare revenue cycle organization to hire multiple Acute Coding Appeals Specialists for a fully remote opportunity. This role is ideal for experienced inpatient...Contract workRemote workMonday to FridayFlexible hours
$18.92 - $23.46 per hour
...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. Communicate...Full timeContract workTemporary workLocal areaRemote workFlexible hours$13.41 - $29.06 per hour
...provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and... ...Services (CMS). Essential Job Duties Enters denials and requests for appeals into information system and prepares documentation for further...Hourly payWork experience placementWork at office- ...Prism Vision Group is looking for a Revenue Cycle Specialist to work on-site in New Providence, NJ. The ideal candidate will have hands-on experience in medical billing and ensure compliance with regulatory requirements. This role involves responding to insurance carrier...
- ...A healthcare provider in Georgia is seeking a Denial Specialist responsible for coordinating appeals and collection efforts for denied services. Candidates should have 2-3 years of medical background and 1-2 years of experience in insurance and denial management. The role...
- ...A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and...Remote work
- ...providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our... ...Description Reporting to the Office Manager, the Revenue Cycle Specialist will be responsible for processing, reviewing, and filing...Work at officeRemote work
- ..., detail-oriented and knowledgeable Medical Records and Prior Authorization Specialist to join our Internal Medicine practice. In this role, you... ...resolve any issues that may arise during the process including Appeals.Stay updated on changes in managed care policies and...Work at office
- ...Responsibilities The Revenue Cycle Specialist is responsible for providing accurate and timely processing of claims and patient accounts to ensure maximum reimbursement for the organization. This position works closely with all teams within revenue cycle as well as admissions...Full timeLocal areaRemote work
- ...Brown University Health is seeking a full-time Denials Specialist to analyze and track denials while collaborating with various departments... ...hospital departments and payers, and ensuring compliance with appeal timelines. The ideal candidate will have an Associate's degree...Full timeRemote work
$23.69 - $32 per hour
...posted here as they become available. Authorization Specialist II #Full Time #Remote The 61st... ...authorizations for professional services prior to the patient’s visit, scheduled... ...authorizations status or denials. Submits appeals in the event of denial of prior...Hourly payFull timeWork at officeLocal areaImmediate startRemote 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- ...Shriners Children's is seeking an Authorization Denials Representative who will manage follow-ups on payor responses and ensure timely payment... .... This role requires 1-3 years of healthcare revenue cycle experience and knowledge of insurance processes. The position...Remote work
$65k - $105k
...getting started. The Opportunity Cala Health is seeking a Revenue Cycle Specialist to join our growing team. This individual will act as a... ...compensation philosophy. Applicants must be currently authorized to work in the United States on a full‑time basis. Cala will...Full timeRemote workVisa sponsorshipWork visa- ...Remote Jobs is looking for a Revenue Cycle Denials Analyst to track and mitigate denials affecting revenue. The analyst will provide training across business units and analyze data to identify trends and optimize revenue cycle operations. With responsibilities including...Remote work
- ...to healthcare. As such, we are a leading authority in payment integrity solutions including... ...reviews. Under the direction of the Appeals Department leaders, the Appeals Coordinator... ...work within the department. The Appeals Specialist level II performs research, investigation...
$26 - $30 per hour
...Job Title: Prior Authorization Specialist Location: Remote, can sit anywhere in the US but must be able to work EST hours Schedule... ...(CFCA). * As a job position within our Revenue Cycle division, a successful completion of a background check...Local areaRemote workMonday to FridayShift work- ...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
- ...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...
- ...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 work
$55k - $65k
...work to matter? Join us in building a future of accessible, innovative, and compassionate care. About the role The Revenue Cycle Management Specialist will be responsible for the day-to-day monitoring of billing operations, including coding, charge entry, claims filing,...Temporary work$65k - $105k
...A healthcare technology company is seeking a Revenue Cycle Specialist to join their growing team. This remote role requires responsibilities such as reviewing patient documentation for accuracy, managing shipments, and communicating with clients. Applicants should have...Remote work- ...that values sincerity, ownership, advocacy and resilience — We'd love to hear from you.Work OverviewWe are looking for a Revenue Cycle Specialist will be responsible for overseeing and maintaining the payment posting process. The Revenue Cycle Specialist is also...Hourly payFull time
$25.42 - $30.97 per hour
...Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for...Hourly payFull timeFixed term contractWork at officeImmediate startRemote work- ...Grievance And Appeals Specialist (Hybrid) VillageCare is looking for a self-motivated individual for a Full Time role as the Grievance & Appeals Specialist. This position ensures that grievances and appeals are resolved accurately and appropriately while advocating...Full timeWork experience placementWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Rev Cycle Specialist: Prior Authorizations & Appeals. Be the first to apply!
- senior program specialist New York, NY
- order processing specialist New York, NY
- correspondence specialist New York, NY
- instructional systems specialist New York, NY
- student specialist New York, NY
- associate specialist New York, NY
- youth engagement specialist New York, NY
- leave specialist New York, NY
- promotions specialist New York, NY
- enterprise solutions specialist New York, NY

