Remote Clinical Appeals Nurse - Transform Denied Claims
$65k - $116.75kR1 RCM
Brooklyn, NY
- Remote job
R1 RCM is seeking a Clinical Coding Appeals Nurse for a remote, US-based role. You will review medical records, draft appeals, and provide coding recommendations using ICD-9/10 CM/PCS, CPT, HCPCS, and NCCI guidance. Strong nursing background and coding certifications are required. The position offers a base salary range of $65,000 to $116,747 per year, with eligibility for a 10% annual bonus. Remote work option available across multiple states. #J-18808-Ljbffr R1 RCM
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Clinical Appeals Nurse - Transform Denied Claims in Brooklyn, NY vacancy
$65k - $116.75k
Remote, USA Remote, GA Remote, OH Remote, NC Remote... ...technology-driven solutions that transform the patient experience... ...orchestration. As our Clinical Coding Appeals Nurse , you will help review... ...to draft appeals of denied and underpaid claims. Every day you will review...Remote workClaimsFull timeLocal area- R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied and underpaid claims. The role focuses on accurate coding using ICD-9/10,... ...experience and coding certifications. This remote, independent position offers a target...Remote jobClaims
- R1 RCM is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied or underpaid claims. You will apply clinical judgment across ICD-9/10-CM & PCS... ...MS Office skills are essential for this remote role. The position requires a Nursing...Remote jobClaims
- ...Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis... ..., contractual, medical policy and claims information along with corporate and appellant... ...and prioritize appeal requests using nursing expert knowledge and all available...Remote workClaimsWork at office
Ageatia Global Solutions
United States5 days ago - ...Description Description: Job Title: Appeals Nurse Manager Company: Physician... ...Consultants (PC3) Location: Remote Job Type: Full-time Job... ...and oversight of the clinical appeals function, ensuring that denied medical claims and services are thoroughly evaluated...Remote workClaimsFull timeWork at office
Physician Care Coordination Consultants
Louisville, KY2 days ago $94.2k - $129.5k
...Founded in 2012, Guardant is transforming patient care and... ...Supervisor, Revenue Cycle - Appeals and Claims Follow-Up is responsible for... ...employees responsible for resolving denied, underpaid, and outstanding... ...business need. Primary Location: Remote - Open Position (USA)...Remote workClaimsFull timeWork at officeWork from home- ...Insurance Appeals Specialist Medical Data Systems Inc. is seeking a detail-oriented and motivated... ...Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims. Process a high volume of detailed...Remote workClaimsFull timeWork at office
Medical Data Systems
United States1 day ago $75k - $85k
...Job Purpose The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Licensed Appeal Writer creates appeal letters in support Duties...Remote workClaimsFull timeWork at officeLocal area$65k - $116.75k
R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records, draft appeals of denied and underpaid claims, and ensure accurate coding of DRG revisions using ICD-... ...CPT, HCPCS, and NCCI guidance. This is a remote, independent, production-driven role...Remote jobClaims- ...an experienced Registered Nurse to review and appeal denials across the system.... ...payer policies and craft clinical justification while coordinating... ...include defending denied claims in writing and verbally, analyzing... ...training and reporting. #J-18808-Ljbffr Remote JobsRemote workClaims
- ...service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by... ...constructed appeal cases. # Engage in the appeals process for denied claims, ensuring that all appeals are submitted in a timely...Claims
Health Business Solutions LLC
Cooper, FLmore than 2 months ago - Ready to Move Beyond Bedside Nursing? Join Our Clinical Appeals Team! ERISA Recovery is seeking an experienced Registered Nurse (RN) with a strong... ...healthcare reimbursement. What You’ll Do Analyze denied claims and clinical documentation to identify appeal opportunities...ClaimsRelocation
- ...Description Description: REMOTE - this position will be fully... ...only*** Job purpose ~ The Appeals Specialist is responsible... ...insurance denials by reviewing claims and clinical documentation, posting... ...Reviews and appeal unpaid and denied claims Attaches appropriate...Remote workClaimsWork experience placementWork at officeLocal area
Advanced Pain Care
Austin, TX12 days ago - ...Specialist Insight Global is seeking a fully remote Denials Specialist to support a... ...candidates will leverage their denials and appeals expertise to evaluate and improve AI-driven... ...to extend) Responsibilities: Review denied claims and evaluate AI-generated denial analysis...Remote workClaimsContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
Insight Global
Palo Alto, CA4 days ago - ...Description: Job Title: Appeals Nurse Company: Physician Care... ...Consultants (PC3) Location: Remote Job Type: Full-time... ...responsible for reviewing denied medical claims and services to determine if... ...should be overturned based on clinical documentation and medical necessity...Remote workClaimsFull time
Physician Care Coordination Consultants
Louisville, KY2 days ago - ...highly organized Manager of Clinical Appeals to lead our clinical... ...and effective resolution of denied claims, supporting revenue recovery... ...Lead and support a team of nurses, clinical reviewers, and appeal... ...plans. ~ Experience managing remote and/or offshore teams (Philippines...Remote workClaims
Health Business Solutions
Cooper, FL5 days ago - ...Role Snapshot The Appeals Nurse examines medical records and claims information for first-level... ...Location We are open to remote work in the following... ...-level appeal cases for denied services, ensuring all relevant... ..., coding, and clinical information are provided...Remote workClaimsContract workFor contractorsLocal areaImmediate start
WPS Health Solutions
Columbus, OH4 days ago - ...Grievance & Appeals Coordinator Are you a detail-oriented managed care professional looking for an exciting work-from-home opportunity... ...incoming complaints, investigate complex authorization and claims concerns, and provide clear written resolutions to ensure high...Remote workClaimsWork from home
Randstad
United States5 days ago - Tampa General Hospital is seeking a Claims Resolution Specialist I to ensure timely submission... ...role requires analyzing trends, handling appeals, and adhering to payer guidelines and... .... The position is part-time with hybrid remote eligibility in the Tampa area. Qualified...Remote jobClaimsPart time
- NTT DATA North America seeks a Business Analyst - Claims to support a claims transformation initiative in McKinney, TX. You will document current-state processes, assist with future-state design, and coordinate configuration with the vendor. Responsibilities include workshops...Remote jobClaims
- ...Clinical Review Nurse - Remote ARC Group has multiple positions open for Clinical Review Nurses! These... ...determinations as to the validity of health claims and levels of payment in meeting... ...corrective action, consent, etc.) or appeal. This may involve discussion with...Remote workClaimsPermanent employmentWork at officeLocal area
American Recruiting & Consulting Group
United States3 days ago - ...seeks a detail-oriented medical billing assistant to help prepare and submit appeals, review EOBs, and ensure accurate CPT/ICD coding under guidance. The role supports workers’ compensation claim processing and a broad range of billing tasks. This position favors a...Remote workClaimsHome office
CrewBloom
United States3 days ago - ...providing outsourced billing, coding, and claims processing solutions for provider... ...and hospitals. As a Denials & Appeals Specialist , you will investigate denied healthcare claims, determine the... ...to work independently in a remote environment ~ HIPAA-compliant private...Remote workClaimsFull time
CareerSwift
Remote17 days ago - ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members... ...1+ year of Medicare Appeals and Grievance or Medicare Claims experience required Experience with Medicare Part C or...Remote workClaimsFull time
Virtual Vocations Inc
United States2 days ago - Walker Healthforce, LLC seeks a Medical Claim Review Nurse for a fully remote contract based in Washington. The role focuses on retrospective medical necessity reviews, appeals, and payment integrity within Molina Healthcare of Washington. The ideal candidate holds an...Remote jobClaimsContract work
- Apolis is seeking a Grievance and Appeals RN in Phoenix, AZ (or remote within AZ time zone) to review and investigate member and provider... ...and appeals for Medicare Part C and Part D. The nurse reviews medical records, claims, authorizations, and plan benefits to make...Remote jobClaims
- A healthcare solutions provider is seeking a Registered Nurse for Claims & Appeals Review. This remote role supports compliance and quality assurance in appeal reviews. Candidates should have a Bachelor's degree in healthcare and valid RN license in Florida. Key responsibilities...Remote jobClaims
- Allied Benefit Systems is seeking an Appeals Specialist responsible for organizing and completing all claim appeals in the Appeal Department. The role emphasizes accurate documentation and timely processing from a remote-friendly environment. You will review appeals, validate...Remote jobClaims
- WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical... ...Examiners to prepare timely redeterminations, document clinical rationales, and ensure compliance with CMS...Remote jobClaims
$110 per hour
...Psychiatric Mental Health Nurse Practitioners (PMHNPs)... ...to worry about unpaid claims No-show protection:... ...late, or the claim is denied As an independent contractor... ...You will: Provide clinical assessments for... ...rapport building, and remote crisis management)....Remote workClaimsBi-weekly payFor contractorsPrivate practiceRula Health
Las Vegas, NV3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Appeals Nurse - Transform Denied Claims. Be the first to apply!
Related searches
- holistic nurse practitioner Brooklyn, NY
- trainee nurse practitioner Brooklyn, NY
- nursing home nurse practitioner Brooklyn, NY
- nurse practitioner - women's health Brooklyn, NY
- nurse practitioner-internal medicine Brooklyn, NY
- oncology nurse practitioner Brooklyn, NY
- neonatal nurse practitioner locum tenens Brooklyn, NY
- pediatric nurse practitioner Brooklyn, NY
- clinical nurse Brooklyn, NY
- nurse practitioner - house calls Brooklyn, NY