Medical Revenue Cycle Specialist: Claims Denials & Appeals
Heritage Medical Associates
Heritage Medical Associates is seeking an Insurance Analyst in Nashville, Tennessee to manage claims revenue cycle and ensure patient inquiries are effectively handled. The role involves reviewing denied insurance claims, submitting appeals, and maintaining insurance queues. Ideal candidates will possess strong customer service skills, excellent communication, and 3-5 years experience in medical billing. This position offers a dynamic office environment where the ability to work collaboratively and independently is essential. #J-18808-Ljbffr Heritage Medical Associates
- Heritage Medical Associates, P.C. is looking for a Healthcare Revenue Cycle Specialist based in Nashville, TN. This full-time position involves managing... ...inquiries, reviewing insurance claims, and ensuring timely processing of denials. You will collaborate across teams...MedicalFull time
- ...demonstrate thorough knowledge of the claims revenue cycle. The Insurance Analyst position is... ...insurance claims, submitting insurance appeals, and maintaining assigned insurance... ...coding guidelines, carrier specific medical policies, denial codes, review of accounts for...MedicalClaimsWork at office
- ...enjoys solving complex claim issues, uncovering revenue opportunities, and turning denials into payments? Do... ...As a Revenue Cycle AR Specialist / Follow-Up Specialist... ...submit corrected claims, appeals, reconsiderations,... ...experience in AR follow-up, medical billing, or revenue...MedicalClaims
- alive in Nashville, TN (Remote) seeks a Revenue Cycle Specialist to manage billing cycles, ensure compliance, and follow up on patient claims. A high school diploma is required, along with relevant experience in medical billing and coding. This full-time position involves...MedicalClaimsRemote jobFull time
$22 - $24 per hour
...health care, maximize program revenue, improve business processes,... ...and Public Safety Services Claims Processing Services and Solutions... .../manager Monitors and works denials from 835 files, analyze data... ...for this role, including medical and dental care benefits, 401...MedicalClaimsHourly payFor contractorsH1bWork at officeLocal area- ...Medical Data Systems Inc. is seeking a detail‑oriented and motivated Insurance Appeals Specialist to join our insurance support and billing team. The... ...‑up activities, including claim submission, claim status inquiries... ...claim submission, claim denials, HCPCS/CPT/ICD‑10 coding...MedicalClaimsFull timeWork at office
- ...EPIC Revenue Cycle Trainer, Downtown Nashville (HW) Position... ...Cycle Training Specialist is responsible for designing... ...cycle performance, denial prevention, and... ...denials and improve clean claim rates Translate operational... ...of payer rules, medical necessity, and authorization...MedicalClaimsFull timeWork at officeLocal area
- ...annual provider encounters 421 medical residents Ardent makes... ...SUMMARY The Vice President, Revenue Cycle Management will have primary... ...Services) and Back-End (Billing/Claims Processing; Collections/AR Management... ...Services/Credit Balances, Denials/Underpayments, Customer...MedicalClaimsContract workRemote work
- Alive Hospice is seeking a Revenue Cycle Specialist in Nashville, TN, responsible for managing billing cycles and ensuring timely payment of claims. The role requires the ability to work up to 40 hours a week, predominantly from Monday to Friday, with the potential for...ClaimsRemote jobMonday to Friday
- ...services provider is seeking a Specialist in Revenue Recovery to optimize... ...client revenues by analyzing claim denials and underpayments. The candidate... ...denials, preparing appeals, and working in a 100% remote... ...experience in healthcare revenue cycles. #J-18808-Ljbffr Ovation...ClaimsRemote job
- ...patients and payers in Tennessee. This role involves processing claims, payments, and adjustments while serving as a key contact with... ...companies. The ideal candidate will possess knowledge of revenue cycles and coding, with strong data entry skills. The position comes...Claims
$20.02 - $25.78 per hour
...or based on business needs) What Revenue Cycle Management (RCM) contributes to Cardinal... ...Responsibilities Submitting medical documentation/billing data to insurance providers Researching and appealing denied and rejected claims Preparing, reviewing, and...MedicalClaimsHourly payTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours- Description Revenue Cycle Specialist (Medicare) - Location: Nashville, TN / Remote - Status: Full Time - Days: Monday - Friday - Hours: 40/week... ...generating billing cycles posting payments and follow-up on claims to ensure timely payment. Essential Duties And...ClaimsFull timeRemote workMonday to Friday
$60.8k - $82.9k
...our caring community As a Revenue Cycle EDI Systems Analyst , you... ...applications utilized for billing and claims management. Identify and... ...improvements to reduce denials and accelerate reimbursements... ...our benefits, Humana provides medical, dental and vision benefits,...MedicalClaimsBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- Overview Join to apply for the Specialist, Revenue Recovery role at Ovation... ..., and resolving technical claim denials and complex contractual underpayments... ...areas of the revenue cycle. Responsibilities Denial... ...to support underpayment appeals and resolution efforts. Collaborate...ClaimsFull timeContract workWork experience placementRemote work
- Vanderbilt University Medical Center seeks a dedicated professional to coordinate billing processes and manage patient account inquiries, ensuring efficient follow-up and corrective actions. Ideal candidates will have a high school diploma, 4 years of experience in healthcare...Medical
- ...Insurance Denials Coordinator This position is responsible for... ...relevant reports and documenting appeal results in MS4 and MIDAS,... ...Competitive compensation ~ Excellent medical, dental, vision and... ...Fortune 500 corporation, annual revenues were $14.3 billion in 2023....MedicalWork experience placementLocal area
$45k - $52.5k
...would need to be diverse in all aspects of the revenue cycle as they will understand the complexities of the life cycle of a claim. Our team is comprised of passionate,... ...clearinghouses and insurance portals. Proficiency with medical record technology. Able to work a hybrid...MedicalClaimsFull timeWork at office$45k - $52.5k
...diverse in all aspects of the revenue cycle as they will understand the... ...of the life cycle of a claim. Responsibilities Communication... ...As a posting reconciliation specialist, you may be required to communicate... ...portals. Proficiency with medical record technology required....MedicalClaimsFull timeTemporary workWork at officeLocal area- ...AR Specialist Tennessee Orthopaedic Alliance is the... ...of benefits, including Medical, Dental, Paid Time Off... ...skills to ensure that TOA claims filed to an insurance... ...accounts. Identify denial trends and provide potential... ...payer websites for appeals/reconsiderations,...MedicalClaimsWork at office
$45k - $52.5k
...Quickly identify and resolve account errors, claim rejections, and system issues that may... ...reimbursement from payers, and increase revenue Reconciling various billing reports and... ...office required ~ Knowledge of medical billing practices, office policies and procedures...MedicalClaimsFull timeTemporary workWork at officeLocal area$17 - $18.65 per hour
...Receivable Associate Specialist to improve... ...denied and non‑paid claims to determine discrepancies... ...and clinical appeals, resolve payment... ...underpayments, denials, and payment... ...of experience in medical collections, physician... ...knowledge of revenue cycle management. Experience...MedicalClaimsHourly payTemporary workWork at officeRemote work$18 - $28 per hour
...software applications related to billing claims. Process claims generated on late... .... Knowledge of hospital billing, revenue cycle, and medical terminology. Thorough understanding... ...receivable, collections, billing, appeals, and denials. Knowledge and understanding of...MedicalClaimsRemote jobHourly payWork at officeLocal areaFlexible hours- ...up stock, completing monthly cycle counts, and working with the... ...Work with Installer Service Specialist to coordinate and route Delivery... ...in the case of a labor claim or PBE warranty. Assist and train... ...with employer contributions. Medical, dental and vision insurance...MedicalClaimsContract workLocal areaFlexible hours
- ...Houston Methodist, the Coding Specialist position is responsible for... ...and corrects charge review and claim edit-related coding errors in... ...Working knowledge of medical terminology, anatomy, and physiology... ...volume of back-end coding related denials. Participates in educational...MedicalClaimsWork at office
- ...Reimbursement Specialist Healthcare Provider Solutions... ...paid and denied claims for the collections team... ...identify payment errors, denials and low reimbursement.... ...areas within the Revenue Cycle department if needed.... ...annually Company paid medical and life insurance policy...ClaimsHourly payFull timeWork at officeLocal areaImmediate startRemote work
- ...Representative II supports the revenue cycle functions of hospital... ...Works complex A/R, claim rejections, edits, and... ...systems. Files appeals, reconsideration... ...departments to resolve billing, denial, or cash application... ...billing regulations, medical terminology, and payer...MedicalClaimsRemote jobWork at office
- ...of Medicine; McGovern Medical School at The University... ...Care Manager Clinical Denials (CM-CD) is responsible... ...denied and whether an appeal is required. For all... ...Documentation Specialist (CCDS) or Accredited Case... ...precertification, filing deadlines, claims processing, coverage...MedicalClaimsWork experience placementWork at officeRemote workFlexible hours
$37.87 - $59.63 per hour
...s policies and procedures. Revenue Integrity Analyst II Service... ...by comparing the charge/claim data to the clinical record. Leverages... ...and guidance to revenue cycle, revenue practice teams and... ...AHIMA or HFMA, or other specialty medical coding group. Experience in...MedicalClaimsHourly payWork at officeRelocationMonday to FridayFlexible hours- ...functions for the agency, ensuring claims are submitted accurately and... .... This role is crucial for revenue cycle success and requires deep... ...patient payments, adjustments, and denials to the correct patient... ...years of dedicated experience in medical billing and claims submission...MedicalClaims
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