Senior Claims Team Lead — Denials & Training (Remote)
BrightSpring Health Services Corporation
- Remote job
PharMerica, part of BrightSpring Health Services, seeks a 3rd Party Claims Specialist Team Lead to act as SME on denial research, assist with payer rules, and mentor staff. The role supports evening/weekend shifts in a remote setting across the United States, focusing on improving billing accuracy and compliance. Responsibilities include staff training, performance feedback, and process improvements, with emphasis on Medicare Part D, Medicaid, and commercial billing. #J-18808-Ljbffr BrightSpring Health Services Corporation
- ...Health Services, seeks a 3rd Party Claims Specialist Team Lead to drive denial research, mentor staff, and ensure... ...Medicaid, and commercial plans. This remote, evening/weekend role supports the... ...Claims Specialist I and II, guiding training and performance. The role...Remote jobTrainingClaimsWeekend workAfternoon shift
- PharMerica is seeking a 3rd Party Claims Specialist Team Lead to oversee denial research, billing accuracy and payer interactions from a remote Louisville-area setting. The role trains staff, mentors teammates, and ensures compliant, timely claims processing across Medicare...Remote jobTrainingClaims
$120k - $140k
...is looking for a Senior Appeals & Denials Resolution Manager... ..., you will lead the development and... ...investigating difficult claims and developing... ...relations teams, medical policy specialists... ..., support training, oversee additional... ...solutions. Remote Flexibility: Fully...Remote workSeniorTrainingClaimsFull time$120k - $140k
...organizations, including leading Fortune 500... ...Big Health is a remote-first company,... ..., results-driven Senior Appeals & Denials Resolution Manager... ...directly with payer claims, provider... ...clinical review teams as appropriate.... ...performance standards, training, and oversight of...Remote workSeniorTrainingClaimsFull timeWorldwide$70k - $72k
...Management, the Senior Manager,... ...oversight and training of staff, management... ...accountable for the team hitting... ...to resolve all claim issues or questions... ...and on time • Lead and manage large... ...patterns in claim denials or delays and... ...Requirements (for remote workers only,...Remote workSeniorTrainingClaimsFull timeWork at officeLocal areaWork from homeHome office$1,000 per month
Senior Epic Professional Billing Analyst... ...Location : Remote Duration : through... ...Experience leading implementations... ...billing workflows Claims management... ...reimbursement Denials management Payment... ...and training materials Influence... ...our consultant team - so you never...Remote jobSeniorTrainingClaimsContract workTemporary work- ...Lead Insurance Denials Specialist RAYUS Radiology is looking for... ...Specialist to join our team. We are challenging... ...provides direction and training to account representative team. This is a remote Full-Time position working... ...department or payer claim processing department...Remote workTrainingClaimsFull time
- The Hartford in New Jersey is seeking a Senior Staff Attorney to litigate complex workers' compensation... .... The attorney will work with the staff legal team, provide training to junior associates, and collaborate with Claims Partners to secure the best outcomes for...Remote jobSeniorTrainingClaims
$121k - $185k
...transform how revenue teams win. The Gong Revenue... ...story. As our Senior GRC Security Lead, you will be the architect... ...clear communication, training support, and cross-functional... ...you succeed in a remote environment.... ...domain. Any outreach claiming to be from Gong via other...Remote workSeniorTrainingClaimsFull timeWork from homeFlexible hours- ...Position Title: Authorization/Eligibility Team Lead Location: Remote Who we are:... ...care. This role provides leadership, training, and support to team members while... ...resolve authorization issues, reduce claim denials, improve workflows, and ensure efficient...Remote workTrainingClaimsFull timeLocal area
- ...Job Purpose The Team Lead, Accounts Receivable Services supports... ...success Provide initial training on the client host system... ...resolution of all outstanding claims, via phone, emails, fax or websites... ...issues to proactively reduce denials Act cooperatively and...Remote workTrainingClaimsFull timeWork at officeLocal area
$70k - $90k
Overview As a Senior Investigator, you will investigate... ...Fraud Waste & Abuse team. Responsibilities Identify... ...data analytics, claims review, and industry intelligence... ...investigation-related training. Supports legal... ...Full-Time Location: US-Remote Base compensation ranges...Remote workSeniorTrainingClaimsFull timeWork experience placementWork at officeImmediate startWork from home- ...As a member of our team, you’ll have the power... ...Zone. This is a remote position with occasional... ...The Billing Team Lead is responsible for... ..., guidance, training, and support to billing... ...ensuring accurate claim submission, timely... ...claim rejections, denials, and payer edits....Remote workTrainingClaimsFull timeWork at officeMonday to Friday
- ...classified as hybrid, onsite or remote. While the majority of our... ...to: Customer Service, Claims Processors, and Correspondence... ...to staff meetings, one-ones, training, and team building Please note that onsite... ...to Internal Audit and senior management. Perform all other...Remote workSeniorTrainingClaimsFull timeWork experience placement1 day per week
- UnitedHealth Group is seeking a Senior Biller to support AHN physician... ...receivable in a National Remote capacity within the U.S. You will research complex claims, file appeals, and ensure timely... ...guidance on payer requirements and denial trends. Expect full-time schedules...Remote jobSeniorClaimsFull timeWork at office
- ...Health Information Management seeks a Remote Senior Professional Coder to lead the service line for professional coding, charging and denials follow-up. This role requires advanced... ...CMS/state rules, provide education and training, support LEAN process improvements, and...Remote jobSeniorTraining
- ...believe in the power of a team to get the job done right... ...safety resources, leading to powerful results. Our... ...expanding team in this Senior Risk Management Consultant... ...complex accounts and claims analysis as well as mentor and train new consultants. The success...Remote workSeniorTrainingClaimsLive outWork from homeHome officeNight shift3 days per week
- ...Billing Representative III to join our team in Boynton Beach. The role involves advanced billing tasks, claims management, and complex denial resolution, with responsibilities in precertifications... ...on escalated issues and contribute to training and process improvements. The position...SeniorTrainingClaims
- ...role involves advanced billing, complex denial resolution, insurance authorizations, and... ...with escalated issues and contributing to training and process improvements. The position emphasizes... ...patients to ensure timely and correct claim processing within payer systems and...SeniorTrainingClaims
- RevSURE GLOBAL is seeking a Senior Operations Analyst - AR to own accounts receivable... ...and follow up with payers to resolve claims. You will identify denial trends, document outcomes, and ensure... ..., collaborates with internal teams to address gaps, and provides guidance...Remote jobSeniorClaims
- ...Representative III (HB A/R) to join our Las Vegas team. You will perform advanced billing and financial clearance, manage claims, resolve complex denials, obtain authorizations, and provide... ...with escalated issues, participates in training and process improvements, and...SeniorTrainingClaims
- ...Healthcare Corporate is seeking an experienced senior specialist to resolve the most complex claim issues, denials and payer escalations. This role requires advanced... ...will act as a subject matter expert, support training and quality initiatives, and collaborate with leadership...SeniorTrainingClaims
- Full-time Remote Monday - Friday, 08:... ...the Role As a Senior Operations Analyst... ...withinternal teams to address billing... ...Manage complex denials and initiate... ...phone/portals for claim resolution... ...issues to team leads Support junior... ...with guidance and training Ensure compliance...Remote workSeniorTrainingClaimsFull timeMonday to Friday
$77k - $144k
...underwriting, risk services, claim, marketing and audit services... ...reserved greater than $500,000. Remote work may be considered for... ...mediations and trials.• Write denial letters, Reservation of Rights... ...role; the skills, education, training, credentials and experience of...Remote workSeniorTrainingClaimsFull timeContract workWork experience placementWork at officeLocal area- ...Senior Revenue Cycle Director The Revenue... ..., reduce denials, and support excellent... ...Coding and clinical teams to ensure... ...downstream billing. Lead billing, claims submission,... ...auditors. Recruit, train, and evaluate staff... ...with limited remote flexibility. Evening...Remote workSeniorTrainingClaimsFull timeWork at officeAfternoon shift
$65k - $120k
...underwriting, risk services, claim, marketing and audit... ...The Senior Claims Specialist is responsible... ...of Rights and Coverage Denial letters and other complex... ...duties as assigned. Remote work may be considered... ...the skills, education, training, credentials and experience...Remote workSeniorTrainingClaimsFull timeContract workWork experience placementWork at officeLocal areaVisa sponsorship$40.89k - $57.03k
...medication requests, and drug claim edits/prior authorizations. Clearly... ...for drug authorizations or denials. Review of prior... ...environment Position Type: Remote/Work from Home SCOPE OF RESPONSIBILITY... ...well as company policies and training requirements. Pay Range...Remote workSeniorTrainingClaimsFull timeFor contractorsLocal areaWork from homeMonday to Friday$94.62k - $127.25k
...Time - Permanent Remote Employment: Flexible... ...IT Data Management Senior Specialist (Analytics Team Supervisor) Location... ...: This position leads DCYF's Analytics... ...disability or the use of a trained service animal by a... ...and wish to claim Veteran's Preference...Remote workSeniorTrainingClaimsPermanent employmentFull timePart timeWork experience placementWork at officeFlexible hoursShift work$35.9k - $51.3k
...companies need great teams to propel their... ...Conlan Team Lead to support... ...reimbursement claims. You will serve... ...approvals, and denials, for completeness... ...Supervisor and senior leadership with... ...providing guidance, training, workflow... ...that is primarily remote with occasional...Remote workTrainingClaimsFull timeWork at officeFlexible hours$20 - $60 per hour
Review air cargo and parcel claims using shipment records, photographs... ...and delivery evidence. This remote, part-time contract role pays... .... Provide expert input for training and refining AI-powered... ...decisions, claim approvals or denials, liability apportionment, claims...Remote workSeniorTrainingClaimsHourly payContract workPart timeFor contractors
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