Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Clinical Denials & Appeals Specialist in New York, NY vacancy
  • 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... 
    Suggested
    Remote job

    TeamHEALTH

    New York, NY
    5 days ago
  • 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... 
    Suggested
    Full time

    Community Health Systems

    New York, NY
    5 days ago
  •  ...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... 
    Suggested
    Full time
    Contract work
    Part time
    For contractors
    Work at office
    Local area
    Remote work
    Night shift

    St. George Tanaq Corporation

    New York, NY
    5 days ago
  • $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... 
    Suggested
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    4 days ago
  • 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

    Boston Medical Center

    New York, NY
    4 days ago
  • $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 job
    Hourly pay
    Full time
    Weekday work

    Medix™

    New York, NY
    5 days ago
  •  ...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

    Shriners Children's

    New York, NY
    4 days ago
  • $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 job
    Full time

    Remote Raven

    New York, NY
    5 days ago
  • $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 job
    Hourly pay
    Temporary work
    Interim role
    Flexible hours

    Scion Staffing

    New York, NY
    5 days ago
  • $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

    Med Review Inc

    New York, NY
    2 days ago
  • 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... 

    BronxCare Health System

    New York, NY
    5 days ago
  •  ...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

    RML-PH

    New York, NY
    2 days ago
  •  ...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 time
    Contract work
    Part time
    Work at office
    Local area
    Remote work
    Relocation package

    CADUCEUSHEALTH®

    New York, NY
    5 days ago
  • 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

    Remote Jobs

    New York, NY
    4 days ago
  • $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 Transformation
    Hourly pay

    Clinical Health Network For Transformation

    New York, NY
    5 days ago
  • $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

    United Surgical Partners International Inc (USPI)

    New York, NY
    2 days ago
  • ## 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 time
    Temporary work
    Part time
    Work at office
    Flexible hours

    Capital Health

    New York, NY
    2 days ago
  •  ...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 time
    Traineeship
    Local area
    Shift work

    Mount Sinai Hospital

    Brooklyn, NY
    4 days ago
  • $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

    LE0010 Stanford Health Care

    New York, NY
    1 day ago
  • $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 work
    Day shift

    Rumcsi

    New York, NY
    3 days ago
  • $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 time
    Temporary work
    Remote work
    Afternoon shift

    Heartstringspethospice

    New York, NY
    4 days ago
  •  .... 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

    Cartwheel

    New York, NY
    1 day ago
  • $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 pay
    Extra income
    Full time
    Temporary work
    Local area
    Remote work
    Work from home
    Home office

    LexiCode

    New York, NY
    4 days ago
  • $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

    University of California San Diego

    New York, NY
    5 days ago
  • 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

    Healthfirst

    New York, NY
    5 days ago
  • $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 job
    Full time

    Payfuture Technologies

    New York, NY
    1 day ago
  •  ...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.... 
    Apprenticeship
    Flexible hours
    Shift work
    Day shift

    St. Elizabeth Healthcare

    Brooklyn, NY
    1 day ago
  • 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

    Med Review Inc

    New York, NY
    2 days ago
  •  ...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

    Ghost RX

    New York, NY
    4 days ago
  • $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 pay
    Temporary work
    Remote work

    Character Biosciences

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Denials & Appeals Specialist. Be the first to apply!