Senior Clinical Denials and Appeals Specialist
$66.17k - $123.07kAdventHealth
AdventHealth in New York seeks a Registered Nurse to handle clinical service appeals, requiring expertise in CPT, ICD coding, and critical thinking skills. Candidates must have a Bachelor’s degree and at least one year of relevant nursing experience, preferably in ICU or related fields. This full-time position offers a competitive salary range of $66,170.74 to $123,073.07, alongside comprehensive benefits including health insurance and paid time off. Commitment to ongoing learning in the reimbursement landscape is essential. #J-18808-Ljbffr AdventHealth
- ...professional to coordinate and manage follow-up on unpaid claims. This role includes identifying and resolving billing errors, as well as appealing denied claims. Successful candidates will have 3 to 5 years of experience in health care claims reimbursement, strong computer and...Senior
- A healthcare solutions company seeks a Manager of Clinical Appeals in New York. The role involves overseeing clinical appeals operations with commercial and government payers, leading a team, and ensuring compliance with payer guidelines. Ideal candidates should have significant...SeniorRemote work
- ...FL 33028 Summary The Authorization & Appeals Specialist is responsible for receiving and processing... ..., the position helps reduce claim denials and improves reimbursement efficiency.... ...Essential Duties and Responsibilities Review clinical denials including but not limited to...SuggestedWork at officeRemote workFlexible hours
- ...team. This full-time position involves managing insurance payments and accounts receivable balances, requiring knowledge of filing appeals and collecting medical accounts. The ideal candidate will possess solid experience in orthopaedics, along with strong analytical, problem...SuggestedFull time
- ...North American Partners in Anesthesia is seeking a Claims Reimbursement Specialist in New York. The role includes coordinating unpaid claims, resolving billing errors, and maintaining accurate account records. Ideal candidates will have 3-5 years of experience in healthcare...Senior
- ...who keep saving lives. Job Summary The Senior Specialist, Market Access is responsible for... ...challenges, including denied claims and appeals, and identify recurring access barriers... ...and access considerations. Translate clinical and economic evidence into clear, value...SeniorRemote job
- ...is seeking an Accounts Receivable (AR) Specialist—Behavioral Health in New York. This role... ...managing AR inventory, resolving claims denials, and ensuring maximum reimbursements for... ...and supports the operations of expanding clinics critical for community health services....
- ...monitoring and managing insurance payments, denials and accounts receivable balances. You... ..., you will resubmit claims and file appeals. You will be expected to identify uncollectible... ...to management. Our AR Denials Specialists are allowed to employ a high degree of independence...Full timeWork at officeMonday to Friday
$54.92k - $107.1k
Job Summary Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and... ...and quality efforts (e.g. Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration...SeniorRemote jobWork experience placementWork at office$18.65 - $19.9 per hour
...site at Jupiter - Breast Center in Jupiter, FL\*\*\*\*The **Senior Patient Access Specialist** is responsible for performing admitting duties for all... ...Cycle including admission, billing, payments, and denials.* Comprehensive knowledge of patient insurance process for...SeniorWork at officeRemote work- and statements.**Job Summary**The Senior Athletics Grounds Turf & Clay Specialist is responsible for maintenance and care of the fields and surrounding grounds... ..., and trash/debris removal to ensure safe, visually appealing athletic environments.* Facilitates and executes all...SeniorHourly payFull timeTemporary workPart timeRelocation packageFlexible hoursNight shiftWeekend workAfternoon shift
- Front Desk Specialist - Mental Health Clinic Beacon Health Inc. is dedicated to providing comprehensive physical and mental health services for the... ...meaningful work that supports community mental health Seniority Level : Entry level Employment Type : Part‑time Job Function...Part timeWork at officeFlexible hoursAfternoon shift
- Tri-anim Health Services, Inc. is seeking an Authorization & Appeals Specialist in New York to manage durable medical equipment referrals, verify patient eligibility, and coordinate equipment delivery. This role involves detailed data entry, interaction with insurance...
- A health services organization is seeking a Front Desk Specialist to join their team in New York. This part-time role requires a warm and... ...appointments, and managing front desk operations in a mental health clinic. Candidates must have strong customer service skills,...Part timeAfternoon shift
- ...experienced Medical Billing and Collections Specialist. This person needs to be a positive... ...and working knowledge of the appeals and denials process with health insurance carriers... ...effectively with insurance companies, staff and clinical personnel Assist with special projects...Work at office
- ...healthcare revenue management company is seeking a Revenue Recovery Specialist to optimize revenue recovery by analyzing claim variances.... ...or managed care industries. You'll monitor payments, document appeals, and analyze processes to resolve issues. Join to help...Full time
- The Council of State and Territorial Epidemiologists is seeking a Pharmacy Specialty Clinical Development Sr. Manager in New York. The role involves overseeing the development, maintenance, and execution of Pharmacy Specialty utilization management programs, while partnering...Senior
- Memorial Healthcare System in Hollywood, Florida is seeking a Senior Clinical Nurse Educator to manage orientation and ongoing education for clinical staff. The role requires a Master's degree in Nursing and at least five years of nursing experience. Responsibilities include...Senior
$120k - $160k
...LRP Media Group is seeking an HRIS & Reporting Specialist to serve as the functional owner for the Workday platform. The role requires 7+ years of experience in Workday functional configuration, advanced reporting expertise, and a strong analytical mindset. This position...Senior- ...in New York is seeking a Social Worker to enhance services for seniors. The role involves developing relationships with primary care teams... ...'s in social work, be licensed, and have at least one year of clinical experience. This position offers an opportunity to join a...Senior
$115.88k - $261k
CVS Health in the United States is seeking a Pharmacy Specialty Clinical Development Sr. Manager to oversee the development and execution of Pharmacy Specialty utilization management programs. This role requires an in-depth understanding of utilization management and a...SeniorFull time- A leading healthcare provider in New York seeks a Clinical Research Coordinator II to manage study subjects' enrollment and compliance... ...least two years of clinical research experience, with an RN or LPN being preferred. #J-18808-Ljbffr Florida Digestive Health SpecialistsSenior
- Evestia Clinical is seeking a Clinical Research Associate (II or Senior) to ensure the rights and safety of clinical trial participants. Responsibilities include monitoring site compliance, participating in clinical trial activities, and maintaining standards according...Senior
- Memorial Healthcare System is seeking a Clinical Dietitian II in Florida, responsible for developing and implementing medical nutrition therapy, identifying patients at nutritional risk, and collaborating with the healthcare team. Key qualifications include a Master’s...Senior
- A healthcare facility in Florida seeks a Clinical Nurse Coordinator for the Emergency Department. This role involves ensuring patient-centered care and coordinating nursing functions within the department. The ideal candidate will possess a Florida RN license and relevant...Senior
- CenterWell Home Health in Florida is seeking a Clinical Manager to oversee clinical operations and lead a team of clinicians delivering high-quality care. The role requires a current RN license, CPR certification, and at least two years of nursing experience, including...Senior
- Barrington James is seeking a Senior Manager for Clinical Site Operations in Town of Florida, New York. This role involves overseeing day-to-day site-level operations, ensuring high-quality trial execution, and managing study teams. Candidates should have a minimum of 2...Senior
$70k - $85k
Transformcap is hiring a Clinical Supervisor in the Town of Florida, NY to oversee high-quality addiction treatment services. The role involves managing a team of counselors and ensuring clinical excellence as part of a comprehensive care model. Ideal candidates will have...SeniorMonday to Friday$80.6k - $145k
Syneos Health/ inVentiv Health Commercial LLC in the Town of Florida, NY, is seeking a Clinical Data Reviewer for Internal Medicine, focusing on ensuring data accuracy and readiness for clinical milestones. Candidates should have at least 7 years of clinical research experience...Senior- Whole Family Health Center Inc is seeking a Clinical Office Manager to oversee daily operations at its multi-specialty clinic in Fort Pierce, FL. This role involves managing clinical staff, ensuring compliance with regulations, and driving operational excellence. Candidates...SeniorWork at office
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