RN Denials & Appeals Specialist
$43.03 - $62.5 per hourBoston Medical Center (BMC)
Boston Medical Center (BMC) is seeking a Denials & Appeals Administrator (RN) to oversee the appeal process and manage utilization reviews. This role combines clinical, business, and regulatory skills while collaborating with physicians and payers to maximize reimbursements and mitigate financial risks. Qualified candidates will have a Bachelor's Degree in Nursing, a strong background in healthcare case management, and extensive knowledge in medical coding and patient billing. Offers a competitive compensation range of $43.03 to $62.50 per hour, accompanied by generous benefits. #J-18808-Ljbffr Boston Medical Center (BMC)
- Boston Medical Center is seeking a full-time RN Appeal Administrator responsible for managing the pre-denial and denial processes in healthcare services. This role requires collaboration with payers and ensures the clinical appropriateness of patient care levels. The ideal...SuggestedFull time
- North Oklahoma City billing office looking for an organized, self-motivated, results oriented individual to fill an Appeals Denial Management Specialist position Position Summary The Appeals/Denial Management Specialist performs daily activities associated with the timely...SuggestedContract workTemporary workWork at officeFlexible hours
- United Surgical Partners International is seeking an Appeals Denial Management Specialist for their North Oklahoma City billing office. The role involves the resolution of claim denials, underpayments, and appeals, requiring strong communication skills and proficiency...SuggestedWork at office
$43.03 - $62.5 per hour
Position Summary The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based on nationally accepted admission criteria...SuggestedFlexible hours$43.03 - $62.5 per hour
Position Summary The RN Appeal Administrator will be responsible for the Pre‑denial / Denial and appeal process in addition to Utilization Review, validating the patient’s placement to the most appropriate level of care based on nationally accepted admission criteria....SuggestedHourly payFlexible hours- Boston Medical Center (BMC) is seeking a Denials & Appeals Administrator (RN) responsible for managing the pre-denial and denial processes to ensure appropriate patient placements and reimbursement compliance. The role requires a Bachelor's Degree in Nursing, with 5+ years...
- Boston Medical Center is looking for an RN Appeal Administrator to oversee the Pre-denial and appeal processes within the Denials Access Department. This role requires validating appropriate patient care levels and securing necessary authorizations through collaboration...Work experience placement
$11 - $13 per hour
...page opens in new window Linkedin page opens in new window The Appeals department is the backend for when an insurance hasn’t paid a... ...an established medical billing company looking for an appeals specialist. We offer a relaxed atmosphere in a fast paced office environment...Contract workWork at office$24 - $24.5 per hour
Fallon Health in Worcester, MA is hiring a Healthcare Triage Administrator. This position supports the Appeals and Grievances process, handling member and provider interactions while ensuring compliance with regulatory standards. The ideal candidate will have a high school...Hourly pay$24 - $24.5 per hour
Fallon Health in Worcester, Massachusetts, seeks a Member Appeals & Grievances Intake Administrator responsible for administering the appeals and grievance process, ensuring compliance with various regulations. The role includes clerical support, handling member grievances...Hourly pay$50k - $86k
...accessible, high-quality, and sustainable healthcare for all. Coding Denials Management Associate We are looking for a Coding Denials... ...accurate workflows and procedures: claim corrections, resubmissions, appeals, or configuration updates; partner multiple stakeholders to...- ...Overview The Revenue Cycle Management Specialist- Collections responsibility is to ensure... ...to management for further action. Submit appeals/claim corrections as needed within timely... ...assigned. Identify and report trends in claim denials and payment challenges. Communicate as...Work at office
- Meda Health is seeking an experienced RN for an Interventional Radiology travel nursing assignment in Oklahoma City, Oklahoma. The position requires providing nursing care in an acute care setting as part of the IR team. Candidates must hold an RN licensure in Oklahoma...
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...local government entity in Massachusetts is looking for a Program Specialist Leisure Program Nurse to oversee health and medical records for... ...standards are met. The ideal candidate must hold a current RN Licensure and have experience working with youth. Compensation is...Hourly paySeasonal workLocal area- ...and ICD follow-up. The role requires 1 year of experience in this area, knowledge of cardiac arrhythmia interpretation, and a valid RN license. Candidates must possess excellent communication skills and be able to work a flexible schedule. Join a team committed to quality...Flexible hours
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$102k - $158.39k
Beth Israel Lahey Health, Inc. is looking for a Clinical Documentation Specialist II- RN to work remotely from Massachusetts. This position involves reviewing inpatient records for completeness and accuracy, improving physician documentation, and collaborating with various...Remote job- HealthTrust Workforce Solutions is hiring a Travel Nurse RN Med Surg to provide care in Oklahoma City, Oklahoma. This travel nursing role requires a minimum of 2 years of experience, certification in Oklahoma, and a valid BLS. Applicants will work 12-hour shifts in a medical...Shift work
- Magnet Medical is seeking a travel RN OR Circulate for a nursing job in Oklahoma City, Oklahoma. The RN will provide professional nursing care to patients throughout surgical procedures, collaborating with the surgical team to ensure patient safety. The ideal candidate...
- ...Responsibilities The OHH Payment Variance Specialist I is responsible for triaging and... ...underpayments by insurance companies, drafting appeals as needed to obtain payment in full.... ...Credit Balances, or Insurance Follow-Up/Denials. Epic experience strongly preferred. Working...Contract workTemporary workReliefWork at officeFlexible hours
- Full Time Charge Correction Specialist/Floater Needed for North OKC medical billing office. The Charge Correction Specialist/Floater... ...needed, they will act as backup for the professional biller and appeals/denial team. Essential Functions Must possess effective and...Full timeTemporary workWork at officeFlexible hours
- ...Receipt Posting Specialist Busy North OKC billing office looking for an organized, self... ...current AR system all payments, adjustments, denials and zero payments that are received into... ...team for a review and possible appeal. Maintains and follows list of payment...Full timeContract workTemporary workWork at officeFlexible hours
- ...graduates of accredited nursing programs and possess at least one year of nursing experience. Additional qualifications include a current RN license and BLS certification. The RN will collaborate with healthcare teams to enhance patient care and outcomes, with...
- A leading healthcare provider in Oklahoma City seeks a full-time RN Patient Safety Consultant. In this role, you will ensure caregiver safety through event investigation, education, and data analysis. The ideal candidate has over 5 years of healthcare experience, current...Full timeWork at office
- ...referral information is accurate and complete at each visit to support timely billing. Collaborates with billing staff to support denial prevention and revenue cycle accuracy. Answers incoming calls, triages inquiries, and responds to patient questions with warmth and...Full timeWork at officeLocal area
- ...Description Position Summary : The Certified Coding Specialist is responsible for the abstraction or accurate coding of procedures... ...that fail charge review edits, claim edits, and follow-up denials. Works to improve billing based on findings/resolution of errors...Full timeFor contractorsLocal areaRemote work
- ...MDS Coordinator RN Tuscany Village Nursing Center Oklahoma City, OK Tuscany Village... ...information from the intermediary and appeals decisions, when necessary, within... ...frames Ensuring preparation of Medicare denial letters for each resident discharged from...
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