Claims Denials & Appeals Analyst
Tenet Healthcare
Conifer Health, part of the Tenet family, seeks a disputes specialist to validate denial reasons, prepare appeals, and coordinate with payers to optimize reimbursement. You will work with the Clinical Resource Center for consultations and ensure accuracy in coding for EOB resolutions. Typical duties include researching contracts, producing supporting documentation, and escalating trends to leadership. Hospital billing experience and strong MS Office skills are essential. #J-18808-Ljbffr Tenet Healthcare
$20 per hour
Billing Specialist / Denials Specialist Location: McKinney, TX (In-Person) Job Type: Full... ...role is critical in ensuring accurate claims processing, denial management, and account... ...future errors Submit corrected claims and appeal letters with appropriate documentation...ClaimsHourly payFull timeWorldwideMonday to Friday- ...functions. Responsibilities include batch/submit claims to multiple insurance companies and track reimbursement. Enter EOB correspondence, payments, and denials. Re-work rejections, conduct reconsiderations and appeals, submits medical records, and reconcile issues with...Claims
- ...Job Description We are seeking an experienced MDM Data Quality Analyst to support Master Data Management services for the Health and... ...delivery. · Experience with healthcare, Medicaid, claims, eligibility, provider, or Health and Human Services data. ·...ClaimsRemote work
$102.4k - $153.6k
...continuous improvement within Risk Engineering Collaboration & Growth Enablement Collaborate cross functionally with underwriting, claims, sales, data, and technical experts to deliver integrated risk solutions Identify opportunities to expand Risk Services offerings and...ClaimsFull timeTemporary workRemote work- ...Job Description Job Description We are seeking a Claims Data Analyst to join our growing team. The ideal candidate is highly organized, detail-oriented, enjoys working with data, and thrives in a fast-paced, entrepreneurial environment. This role serves as a critical...ClaimsContract workLocal area
$20 per hour
Kaizen Lab Inc. in McKinney, TX, is looking for a full-time Billing Specialist / Denials Specialist to join its team. This position is crucial for accurate claims processing and denial management in a rapidly growing outpatient clinic. Ideally, candidates should have a...ClaimsHourly payFull time- ...reprisal, intimidation, or retaliation for good faith reports or complaints of discrimination of any kind, pursuing any discrimination claim, or cooperating in related investigations.Requests for full corporate job descriptions may be requested through the interview...ClaimsWork experience placementWork at officeLocal areaRemote workWeekday work
- Carrington Mortgage Services is seeking a Default QA FHA Claims Analyst I to review FHA Part A mortgage insurance claims for accuracy and submit the claim forms. The role is remote, with responsibilities to ensure compliance with company policies and applicable laws, while...ClaimsRemote job
$50 - $55 per hour
...Standards: Deep working knowledge of CMS Interoperability rules.EDI X12 Expertise: Advanced proficiency in processing and translating 837 (Claims), 834 (Enrollment), 835 (Remittance), and 270/271 (Eligibility) files.Soft Skills & Professional ExperienceExperience: Minimum 7...ClaimsRemote work- ...thinking organization. We are currently seeking a Senior Business Analyst to join our team in Plano, Texas (US-TX), United States (US).... ...: Advanced proficiency in processing and translating 837 (Claims), 834 (Enrollment), 835 (Remittance), and 270/271 (Eligibility)...Claims
- ...builds a rapport and working relationship with Wholesalers.Cross-trains across franchises in New Business, Existing Business, and Death Claims in order to load balance inbound calls.Performs other duties as required.Knowledge/Skills/Competencies Required:Series 6...ClaimsMinimum wage
$60k - $120k
...Manage customer accounts and update information in the database.Assist customers with policy changes and inquiries.Process insurance claims and follow up with customers on claim status.Coordinate with underwriters to ensure timely policy issuance.Qualifications:Strong...Claims- WCL Group in Plano, Texas, invites you to join as Sales and Claims Analyst on a 12-month assignment with potential extension to full-time. You will process vendor/retailer chargebacks, validate amounts, and collaborate across Supply, Marketing, Sales, and Credit & Collections...ClaimsPermanent employmentFull timeMonday to Friday
$75k - $95k
...their financial goals. You’ll serve on the front lines of insurance sales, helping new customers navigate our products, processing claims and inquiries, and developing an ever-growing lead list to secure new business. If the thought of coming to work every day and making...ClaimsStart working todayWork at office- ...of prospective clients, market our insurance products, showcase our offerings to new customers, and help policyholders navigate the claims process. We'll provide the support network and resources to help you reach - and exceed - your sales goals. If you have a strong...ClaimsFull timeWork at office
- ...meet you. We are seeking a highly skilled and strategic Financial Analyst Advisor / Finance Business Partner to lead FPA support of our... ...complaints of discrimination of any kind, pursuing any discrimination claim, or cooperating in related investigations.Requests for full...ClaimsFull timeWork at officeLocal areaAfternoon shift
- ...articulate, gracious, and tactful. Knowledge of patient registration procedures and documentation. Knowledge of medical insurance claims procedures and documentation. Needs to have thorough knowledge of the Out of Network process Skilled in the use of personal...ClaimsDaily paidWork at officeImmediate start
$45 - $57 per hour
...a Revenue Cycle Applications Support Analyst (L2/L3) to join our team in Frisco, Texas... ..., Medical Coding, Charge Capture, Claims Management, Denial Management, Payment Posting, and Accounts... ...work queues Underpayment tracking Appeal workflows Payer response processing Assist...ClaimsRemote workFlexible hours- ...is seeking an experienced Revenue Cycle Applications Support Analyst (L2/L3) to provide functional and technical support for RCM applications... ...including patient access, registration, scheduling, coding, claims, denial management, and AR. You will troubleshoot complex issues,...ClaimsRemote job
- ...process. This role oversees a team of specialists to ensure accurate claim submissions, payment collections, compliance with payer and... ...the reimbursement team including claim submission, billing edits, denials, and collections. Ensure timely and accurate submission of...ClaimsFull timeLocal areaFlexible hours
- ...reworking, and resolving denied and rejected claims . The ideal candidate will be capable of... ...claims. Identify the cause of claim denials and take appropriate corrective action.... ...underpayments, and payment discrepancies. Submit appeals and supporting documentation when...ClaimsWork at office
$128k - $192k
...fueling this growth by providing thought leadership and unique insights for driving our overall business.About the RoleAs a Senior Analyst, Commercial Insights & Analytics on the Strategic Analytics team, you will serve as a high-impact thought leader, demonstrating an...Full timeWork at officeImmediate startRemote workHome officeFlexible hoursShift work- ...managing the financial aspects of patient care, including insurance claims, patient billing, payment processing and claims submission. The... ...and billing systems to manage patient information, insurance denials and billing records Be in compliance with HIPAA regulations and...ClaimsFlexible hours
- ...oversee accounts receivable management and denial resolution for inpatient and outpatient... ...responsible for managing aging AR, investigating claim denials, and working closely with our... ...partner with internal teams to support appeals and implement corrective actions. This...ClaimsFull timeWork at office
- ...have been rendered. This role ensures accurate billing and claims processing by confirming insurance information, resolving... ...Work closely with billing and collections teams to resolve denials and support appeals processes.Communicate with patients as needed to obtain...ClaimsLive inRemote work
- The Claims Coordinator is responsible for reviewing, validating, and correcting claims before... ...of claims to minimize rejections, denials, and payment delays. The ideal candidate... ...efforts. Assist with claim re-submissions and appeals as needed. Review all claim rejections,...ClaimsWork at office
$83.71k - $151.03k
...employee stock purchase plan, 401(k), and access to free, year-round money coaches. That’s how we’re UNSTOPPABLE for our employees!As an Analyst within the Credit Risk Management team, you will wear multiple hats. You will use your strong blend of analytical skills, project...Full timeTemporary workPart timeWork at officeLocal areaFlexible hours- ...investigate account issues, verify insurance coverage, refile claims when appropriate, and resolve complex patient billing concerns... ...claims and submit claim reconsiderations as needed. Research claim denials and rejections impacting patient balances. Collaborate with AR...ClaimsWork at office
- ...performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain...ClaimsMonday to FridayShift work
- Revenue Cycle Applications Support Analyst (L2)NTT DATA Services strives to hire exceptional, innovative and passionate individuals... ...Registration, Scheduling, Medical Coding, Charge Capture, Claims Management, Denial Management, Payment Posting, and Accounts Receivable (AR)...Claims
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