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
$21.38 - $44.4 per hour
...(Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and collecting... ...accounts and prepare charge corrections. Appeal carrier denials through review of coding... ...Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical...Suggested- ...automation and intelligence, overcoming revenue cycle challenges and improving reimbursements... ...Summary Description The Revenue Cycle Specialist will be responsible for accurately... ...necessary Claim rejection handling Filing claim appeals with insurance companies to ensure...SuggestedRemote workFlexible hours
- ...The Revenue Cycle Management Department is seeking an experienced Remote Revenue Cycle Specialist (RCS) to join our team. The successful candidate will be a motivated, resourceful... ...submit reconsiderations, payment disputes, appeals, and other required documentation....SuggestedRemote work
$50k
...healthcare. As such, we are a leading authority in payment integrity solutions including... ...Outlier and Readmission reviews. The Appeals Specialist I is responsible for performing triage,... ...claims, appeals, billing or revenue cycle ~ Experience in handling administrative...SuggestedContract workWork experience placementRemote 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$77.29k - $94.21k
Job Description - Sr Revenue Cycle Specialist (2602625) Sr Revenue Cycle Specialist At Stony Brook Medicine, the Senior Revenue Cycle Specialist... ...regarding Managed Care Contracts, CM System and Denials and Appeals process. Assist in maintaining and creating payer report...Full timeContract workShift workDay shift- ...cultivates achievement and success. Job Summary As a Revenue Cycle Specialist, you'll take charge of multiple facets of the pharmacy/... ...professional with a track record of filing claims, billing, appeals, reviews, customer service, problem resolution and overall revenue...Work experience placementWork at office
$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... ...(preferred) Certified Revenue Cycle Representative or other billing certification...Hourly payRemote work- Northeast Georgia Health System is seeking a Rev Cycle Specialist II to handle complex account follow-up, denials, and claims resolution with increasing independence and advanced payer knowledge. The role emphasizes accurate research, effective communication, and adherence...
- Weill Cornell Medicine - Qatar seeks a Revenue Cycle Specialist in Revenue Integrity Pathology for a remote position. Apply CPC/CCS expertise... ..., review medical records for accuracy, and prepare robust appeals defending medical necessity. The role supports the Central Business...Remote jobWork at office
- 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...
$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...requirementsAssess authorization status tracking, denial outcomes, appeal pathways, escalation processes, and turnaround time...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours- ...AtlantiCare is seeking a Professional Revenue Cycle Specialist to support professional revenue cycle processes across departments. The role focuses on accurate revenue cycle tasks, reporting, and data analysis using multiple systems including EMR and payer portals. Ideal...
$55k - $60k
...Revenue Cycle Specialist Grow your career with the industry leader in behavioral health Proud... ...of claims, maintaining billing and authorization data, auditing reports, identifying billing... ...experience and competencies: Prior experience in medical billing or...Local areaRemote work$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...- ...Proud Moments ABA is hiring a Revenue Cycle Specialist to support timely, accurate submission of medical claims across multiple payors. The role involves reviewing, processing, and auditing billing data to ensure smooth revenue cycle operations, with emphasis on attention...Remote work
- ...The Revenue Cycle Billing Support Specialist is responsible for accurately entering, reviewing, and maintaining patient demographic, encounter, and... ...Review data for accuracy, completeness, and consistency prior to submission, upload, or processing. Cross-reference information...Permanent employmentTemporary workWork at officeLocal area
- ...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
- A healthcare provider is seeking a Billing & Revenue Cycle Specialist based in Georgia for part-time remote work. This role involves ensuring accurate billing, managing service authorizations, and conducting daily eligibility checks. The successful candidate will need...Part timeRemote work
$61.29k - $68.86k
...team as an Offshore Operational Specialist. In this role, the successful... ...and Hospital Revenue Cycle leaders. Support identification... ...Responsibilities Financial Clearance, Authorization, Eligibility Verification &... ...activities, including prior authorization, eligibility verification...Work at officeRemote work$30 - $35 per hour
...Now Hiring: Grievance & Appeals Specialists Are you an experienced Grievance & Appeals professional with a background in Medicare or Medicaid Managed Care? We're partnering with a leading healthcare organization that's looking to add multiple specialists to their growing...Work at officeImmediate start- ...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
- MJHS seeks an A&G Specialist in New York, NY to handle department correspondence, log and route mail, and provide back-up support to coordinators... .... The role emphasizes timely processing of grievances and appeals within regulatory timeframes. Responsibilities include opening...
- ...in the United States. The role focuses on the healthcare revenue cycle, including payments, postings, and reconciliations to ensure... ...solving, attention to detail, and collaboration across departments. Prior AR or healthcare experience is helpful but not required. Fully...Remote job
- DaMar Staffing is seeking a full-time remote Revenue Cycle Insurance Specialist to support the revenue cycle team. The role focuses on managing the reimbursement process for professional services, ensuring timely claims submissions and resolving balances through effective...Remote jobFull time
- ...Systems Inc. is seeking a detail-oriented and motivated Insurance Specialist to join our insurance support and billing team. The ideal... ...including claim submission, claim status inquiries, and filing appeals for denied claims Process a high volume of detailed account information...Full timeWork at office
- Trillium Health Resources is seeking an Appeals Specialist II to manage appeals and grievances from intake to resolution. You will investigate concerns, evaluate findings, and prepare communications to ensure accurate, timely resolutions in compliance with regulatory standards...Remote job
- Sprinter Health is seeking a Revenue Cycle Specialist to own the front and back ends of our billing cycle from pre-submission QA to AR reconciliation. You will ensure accurate posting, resolve rejections, and maintain payer relationships across multiple queues. This is...Remote job
- Brami Inc. is seeking an Accounting Associate to own the full accounts payable cycle in a fully remote role reporting to the VP of Finance. The position requires handling vendors, co-manufacturers, and brokers to ensure timely, accurate payments and proper book reflection...Remote job
- A leading educational institution is looking for a Revenue Cycle Optimization Analyst. The role involves providing analytical and operational support for revenue cycle initiatives, focusing on data collection and performance analysis. You will assist in documenting workflows...Work at officeRemote work
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