Clinical Denials & Appeals Specialist
SYSTEM West Virginia University Health System
SYSTEM West Virginia University Health System is seeking a DRG Clinical Denial Specialist responsible for managing hospital-based denial appeals and ensuring billing accuracy. This role involves collaborating with clinical and administrative teams to improve processes while maintaining compliance with regulatory standards. The ideal candidate will have extensive experience in hospital billing, coding, and denial management, along with relevant certifications in nursing or health information management. #J-18808-Ljbffr SYSTEM West Virginia University Health System
- TeamHEALTH is looking for a Denials and Appeals Representative to handle denials and appeals for patient accounts in a cooperative team environment. The ideal candidate has at least two years of experience with insurance denial processes. Responsibilities include processing...SuggestedRemote job
- Community Health Systems is seeking an Appeal Specialist II - RN to review, analyze, and resolve insurance denials ensuring compliance and accurate reimbursement. This full-time role involves collaborating with various teams to provide trend reports and feedback to improve...SuggestedFull time
- ...All Jobs Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed Healthcare Professional) • Fully Remote • United States Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical...SuggestedFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...SuggestedRemote work- Boston Medical Center is seeking an RN Appeal Administrator responsible for managing the pre-denial, denial, and appeal processes while ensuring compliance with... ...criteria. This role involves close collaboration with clinical teams and payers to secure necessary...Suggested
$23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice on this job and more exclusive... ....00/hr Professional Billing Denials & Appeals Analyst Full-Time | Remote (with location... ...clear, accurate, and persuasive non-clinical appeal letters. Submit payer disputes...Remote jobHourly payFull timeWeekday work- ...Shriners Children's is seeking a Denials Management Follow Up Representative in the United States. The role focuses on following up on payor responses to appeals, coordinating denial activities, and maintaining tracking applications. Candidates should have 5-7 years in...Remote work
$10 per hour
...healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC...Remote jobFull time$28.85 - $35 per hour
Scion Staffing has been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery... ...workflows. You will manage assigned denial queues, submit appeals, and follow claims through to final resolution while maintaining...Remote jobHourly payTemporary workInterim roleFlexible hours$50k - $55k
...to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are... ...Readmission reviews. Under the direction of the Appeals Department leaders, the Appeals... ...work within the department. The Appeals Specialist level II performs research, investigation...Remote work- BronxCare Health System is seeking qualified candidates to assist in analyzing payor denials and develop strong appeals to secure reimbursement for acute care services. Responsibilities include conducting departmental performance audits and educating staff on best practices...
- ...RML-PH is seeking a Billing Denials Management Specialist to enhance our revenue cycle by handling insurance claim denials. The role involves investigating claims, analyzing trends, and collaborating with teams to maximize reimbursement. The ideal candidate should have...Remote work
- ...message the job poster from CADUCEUSHEALTH Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned Coding Specialist to... ...States . HIM Coder (Part Time, 17 hours/week, Remote) Clinical Coding and Documentation Specialist (Remote) HIM Outpatient...Full timeContract workPart timeWork at officeLocal areaRemote workRelocation package
- Remote Jobs is seeking an Acute Coding Appeals Specialist skilled in medical coding principles. This role integrates coding expertise in the appeals process, ensuring compliance with clinical documentation and coding guidelines. The ideal candidate will have at least 5...Remote job
$21 - $31.95 per hour
...seeking a Revenue Cycle AR and Follow-Up Specialist to manage the accounts receivable... ...ensuring timely payments, resolving claim denials, and maintaining precise financial records... ...along with comprehensive benefits. #J-18808-Ljbffr Clinical Health Network For TransformationHourly pay$58.5k - $69.97k
Position Summary We have an exciting opportunity to join our team as a Data Analyst, Financial Data Governance and Quality. The successful candidate reports to the Assistant Manager, Financial Data Governance and Quality and will maintain and analyze data within PeopleSoft...Work experience placement- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations: 3131 Princeton Piketime type: Full timeposted... ...timely corrections with Central Scheduling, clinical departments, physician offices, and revenue cycle teams...Full timeTemporary workPart timeWork at officeFlexible hours
- ...Denials Coordinator Hospital Billing Patient Financial Services A hospital denial coordinator... ...with owner areas, coordinating the appeals process, collaborating with departments... ...departments (e.g., coding, billing, clinical) to develop and implement solutions to prevent...Full timeTraineeshipLocal areaShift work
$45.94 per hour
LE0010 Stanford Health Care seeks a Government Audit Analyst and Appeal Specialist to manage clinical appeals related to audits and revenue cycle denials. You will analyze denials, ensure accurate coding, draft appeal letters, and collaborate with clinical teams. Qualifications...Hourly pay$60k - $70k
Revenue Cycle Denials Analyst page is loaded## Revenue Cycle Denials Analystlocations: Richmond... ...or audit review.* Does **not** perform appeals but provides analytical support to... ...Ability to communicate effectively across clinical and administrative departments.* High...Shift workDay shift$65k
...Monthly Bonus Potential The Veterinary Outreach & Partnership Specialist serves as a key ambassador for Heartstrings Pet Hospice. This... ...States. You will represent a practice that leads with empathy, clinical excellence, and integrity and you will help veterinary professionals...Full timeTemporary workRemote workAfternoon shift- .... Without dedicated support, denial and rejection recovery opportunities... ...As our Senior Revenue Cycle Specialist, you'll own the workflows... ...corrected claims and appeals, managing aging AR, and keeping... ...— fielding escalations from clinical and operations teams Respond...Work at office
$28 - $37 per hour
...Remote Coding Specialists, Clinics - single path (Fac and Profee) We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental...Hourly payExtra incomeFull timeTemporary workLocal areaRemote workWork from homeHome office$78.01k
The University of California San Diego is seeking a Denials Management Specialist to support revenue cycle operations with a focus on resolving denials and improving reimbursement processes. This remote role requires at least 4 years of experience in healthcare revenue...Remote job- 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 job
$58.8k - $105k
Payfuture Technologies is hiring a Clinical Documentation Integrity Specialist for a national remote position. This full-time role involves improving health outcomes by enhancing clinical documentation quality. Responsibilities include chart analysis, process improvement...Remote jobFull time- ...Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional... .... Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). Performs other duties as assigned....ApprenticeshipFlexible hoursShift workDay shift
- A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and...Remote work
- ...A healthcare company is seeking a skilled Appeals Processor III to work remotely in the United States. This role involves reviewing and processing healthcare appeals related to Medicaid or Medicare coverage decisions. The ideal candidate will have at least 2 years of experience...Remote work
$26 - $30 per hour
...Character Biosciences is looking for a Temporary Patient Engagement Coordinator to enhance patient experience in clinical studies. You will be responsible for engaging patients, explaining study opportunities, and ensuring informed consent processes are followed. Strong...Hourly payTemporary workRemote work
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