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
$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$65k
....00/Yr. Max USD $68,000.00/Yr. Position Overview The Revenue Cycle Specialist reports to the Revenue Cycle Manager and will interface with... ...basis Reconcile claim denial reports on weekly basis, prepare appeals and implementation of programs to prevent future billing issues...SuggestedLocal area$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$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- ...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...Remote work
$19 - $22 per hour
## Revenue Cycle Management SpecialistApplylocations: NY - Remotetime type: Full timeposted on: Posted 2 Days Agojob requisition id:... ...opportunity to join our dedicated team as a Revenue Cycle Management Specialist.**Essential Responsibilities*** RCM Specialists care for the...$55k - $60k
...Revenue Cycle Specialist Grow your career with the industry leader in behavioral health –... ...volume of claims, maintaining billing and authorization data, auditing reports, identifying... ...following experience and competencies: Prior experience in medical billing or...Local areaRemote work- ...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...
$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 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
- ...Conifer is seeking a Patient Account Representative to manage and resolve patient accounts across the revenue cycle, from creation to payment. You will follow up on claim submissions, review remittances, and pursue disputed balances with both government and commercial...
- ...Organization in New York is seeking an experienced AR Specialist responsible for managing accounts receivable and... ...and regional leadership to enhance revenue cycle performance. The ideal candidate must possess prior experience with claims and insurance denials. This...Full timeWork at office
$48.6k - $83.16k
...Responsible for processing expedited appeals: those that are complex in... ...Expedited Appeal unit, the Specialists are required to work weekends... ...eligibility, benefits, and prior activity related to the... ...correspondence as needed for authorized representative or needed clinical...Hourly payContract workRemote workWeekend work- ...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
- sus.com is seeking a Revenue Cycle Specialist in New York to join the Finance team. The role reports to the Revenue Cycle Manager and collaborates with Finance, Operations, and payers to maximize revenues. You will manage Medicaid/Medicare/MCO claims, submit vouchers,...
- 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
- 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 job
- ...Strive for Excellence. Join Our Prior Authorization Team at Logan Health!... ...oriented Prior Authorization Specialist to ensure a smooth and efficient... ...resolve denials, and manage appeals as needed. Track all actions... ...impact on the revenue cycle required. Possess and maintain...Full timeWork at officeRemote workShift workDay shift
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
- ...About the Role We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically...
- ...A-Line Staffing Solutions is hiring a Pharmacy Tech I - Prior Authorization for a fully remote position in the United States. The role involves handling inbound calls related to prior authorizations and requires candidates to maintain accurate documentation while providing...Remote work
$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- ...Overview Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: Benefits Competitive salary Health insurance Opportunity for advancement Paid time off Profit sharing Health benefits...
- ...To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption...Local areaRemote work
- ...orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and...Contract work
$18.67 - $21.96 per hour
...Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty...TraineeshipRemote workFlexible hoursShift work- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in...Remote jobWork from home
- A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
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