Remote Denials & Appeals Specialist
VitalConnect
VitalConnect, Inc. is seeking a Denial Management Specialist on a fully remote basis to join the Revenue Cycle team. You will investigate complex third-party insurance denials and optimize reimbursement by researching and acting quickly on denials. The role requires 3+ years in medical collections, knowledge of CPT/ICD10, payer guidelines, and experience with payer portals. Collaboration with insurance companies, patients, physicians, and staff is essential. #J-18808-Ljbffr
- ...Baptistfirst in Alabama is seeking a Denials Management Specialist to handle disputes, validate payment issues, and generate appeals for denied claims. This role involves resolving complex accounts and requires in-depth knowledge of billing rules and payer contracts. The...Remote work
- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
- UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with no...Remote job
$31.25 - $33.65 per hour
...Appeals Specialist Remote GeneDx delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug... ...and government payors, healthcare regulations, and denial resolution. The Appeals Specialist will analyze denial trends...Remote workWork at officeWork from homeHome office$23.63 per hour
In this role, you will be the key to resolving complex claim denials and maximizing collections. You will utilize your deep knowledge... ...Medicaid, and commercial payors to research, review, and successfully appeal unpaid claims. You will enjoy the comfort and flexibility of a...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeShift work- ...Responsible for denial and accounts receivable management, the full-time Denial Management Specialist will work remotely from 8 am to 5 pm, focusing on resolving outstanding denials, managing insurance appeals, and identifying denial trends. Key responsibilities Research...Remote workFull timeWork at office
- ...Job Title Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies... ...and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training...Remote work
- ...time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims... ...information # Coordinates and/or completes appeals as applicable with payors. # Develops suggestions...Remote workFull timeMonday to Friday
$28.85 - $35 per hour
...engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue... ...organization . This is a fully remote role (U.S.-based, any time zone) supporting... ...assigned denial queues, submit appeals, and follow claims through to final...Remote workHourly payTemporary workInterim roleFlexible hours- ...Memorial Health System is seeking a Denials Management Coordinator to review denials, identify patterns, and collaborate with frontline staff to improve processes. You will articulate appeals to carriers and document outcomes in the hospital information system. The role...
- ...Endeavor Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims, focusing on... ...Physician Practices, Providers and Payers, submit timely appeals, gather medical records, and write appeal letters. Strong...
$21.16 - $38.37 per hour
Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly... ...Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of...Remote workHourly payFull timeContract workWork experience placementWork at office$28.72 - $36.92 per hour
...posted here as they become available. AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote The 61st Street Service Corporation, provides... ...and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with...Remote jobHourly payFull timeWork at officeLocal area- Southwoods Health in Oregon is seeking a Denials Management Specialist to actively pursue payments from insurers by following up on aged, unpaid claims and handling strategic appeals. The role emphasizes proactive communication with carriers and timely resolution to improve...
$1,000 per month
Denials and Appeals Specialist (Level 3) Department: Revenue Cycle Employment Type: Permanent - Full Time Location: HQ Reporting To: Revenue Cycle Manager Description Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 3) to serve...Permanent employmentFull timeWork at office- ...has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing Team in Houston.... ...documentation to resolve denied claims and submit appeals. Call payers to determine the true reason for denial and inquire on what corrections need to be made....Full timeContract workTemporary workLocal areaImmediate startMonday to Friday
- ...Description Description: Position Overview We are seeking an experienced Appeals Specialist to join our growing healthcare organization. This role is responsible for managing insurance denials and payer disputes from identification through resolution, ensuring...
$21.16 - $38.37 per hour
...A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention...Remote workHourly payWork at office$23 per hour
...Appeals Specialists We are hiring for Appeals Specialists with our Healthcare client! These positions are 100% remote TX based. Temp roles to start with opportunity for perm conversion. Pay Rate: $23/hr Hours: M-F, 8AM-5PM CST Start Date: typically 2-3 weeks from offer...Remote workPermanent employmentTemporary work- ...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately, assigning them to the team, making outbound calls when necessary. Also checking voicemails, responding to emails/voicemails. The...Remote workTraineeship
- ...Working remotely in a full-time capacity, the Denial Resolution Specialist will be responsible for reviewing and analyzing complex denial resolutions, communicating with payers, hospital departments, and patients to ensure effective resolution and minimize future denials...Remote workFull time
- ...Working remotely in a full-time capacity, the Appeals Specialist will perform moderately complex appeals work, including researching inquiries and responding to providers and beneficiaries while managing phone discussions and documentation processes. Key responsibilities...Remote workFull timeFor contractorsWork at office
$50k
...DRG Validation, Cost Outlier and Readmission reviews. The Appeals Specialist I is responsible for performing triage, review, analysis, and... ...under pressure in an atmosphere of frequent interruptions Remote Work Requirements ~ High speed internet (100 Mbps per...Remote workContract workWork experience placement$22.99 per hour
Support the team to ensure appeals, disputes and reconsiderations are reviewed and processed timely. Education/Experience: Requires a High School diploma or GED. Requires 1 – 2 years of related experience Knowledge of appeals, disputes and reconsiderations process preferred...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work- Elevance Health in California is seeking an entry-level Analyst in the Enterprise Grievance & Appeals Department to review, analyze and process non-complex grievances and appeals across multiple product types, including HMO, PPO, POS, and others. You will work under guidance...Remote job
$23 per hour
TEKsystems is seeking a Contract Grievances and Appeals Specialist for a fully remote role based out of Columbus, OH. The position analyzes and resolves verbal and written claims and appeals from providers and members, and prepares response letters. This is a contract position...Remote jobHourly payContract work- Centene Corporation is seeking a claims grievance specialist to analyze and resolve verbal and written appeals from providers and member grievances. The role requires attention to detail and timely responses. Responsibilities include gathering complaints, preparing response...Remote job
- ...Job Description Job Description Appeals Specialist (LPN, RN, or Therapist) Location: Massachusetts... ...(RegalCare Facility network / Hybrid-Remote options available) Position Type:... ...vital role, you will review clinical denials, construct compelling clinical arguments...Remote workFull time
$22 - $23 per hour
...learn more. Base Pay Range $22.00/hr - $23.00/hr Immediate need for a talented Denial Specialist II . This is a 12 Months Contract opportunity with long-term potential and is US Remote . Please review the job description below and contact me ASAP if you are interested...Remote workContract workLocal areaImmediate start- 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 work
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