Remote Care Manager RN: Appeals & Denials Specialist
Providence Health Plan Group
- Remote job
Providence California Regional Services is seeking a Care Manager RN for a remote, full-time role. The position involves day shifts and focuses on coordinating clinically-based appeals and reimbursement processes for patients across PH&S California regions. Candidate must have an Associate's Degree in Nursing, CA RN license, and at least four years of direct patient care and case management experience in an acute hospital setting. #J-18808-Ljbffr Providence Health Plan Group
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- ...provider groups and hospitals. As a Denials & Appeals Specialist , you will investigate denied healthcare... ...attention to detail and ability to manage multiple claims and deadlines ~... ...and ability to work independently in a remote environment ~ HIPAA-compliant private...Remote workFull time
- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque... ...hospitalized. They provide provider support, appeals and denials and work directly with insurance... ...interaction. · Primarily a remote work from home position once applicant...Remote workFull timePart timeReliefWork from homeRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
$57.28 - $88.92 per hour
...Description Care Manager RN- REMOTE position. This position is Per Diem and will work 8- hour,... ...and communication of clinically-based appeals between Providence Health and Services... ...certification Experience working with denials and appeals in/for an acute care...Remote workDaily paidMinimum wageLocal areaShift workDay shift- ...The full-time Denial Management Specialist will manage denial and accounts receivable (AR) processes remotely, focusing on resolving outstanding denials, initiating insurance appeals, and identifying denial trends to improve future claims processing. Key responsibilities...Remote workFull timeWork at office
$36 - $40 per hour
...our own path. We’re a remote-first staffing and consulting... ...in mid-Revenue Cycle management within the healthcare... ...career. If you are an Appeals and Denials Nurse looking for a... ...Our requirements: RN or FMG: CDIP, CCDS, CCS... ...will be from post-acute care facilities. (mostly...Remote workPermanent employmentFull timeWork visa- ...to all assigned levels of denials by submitting appeal letters and required documentation... ...the denial overturned. Remote: Although this position is... ...manner and/or reporting to management when assistance is needed... ...Knowledge of managed care industry including payer structures...Remote work
- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is... ...will leverage their denials and appeals expertise to evaluate and improve... ...effective real-world denial management practices Analyze and explain successful...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
- ...Insurance Specialist Medical Data Systems Inc. is seeking a detail... ...status inquiries, and filing appeals for denied claims. Process... ...directed. Assist colleagues and management by providing information or... ...claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics...Remote workFull timeWork at office
- ...Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team... ...EPIC work queues daily for Denial management and makes necessary and appropriate... ...# Coordinates and/or completes appeals as applicable with payors. #...Remote workFull timeMonday to Friday
$21.16 - $38.37 per hour
...to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at... ...Healthcare . This position is remote and will be working... ...Qualifications At least 2 years of managed care experience in a call... ...and Medicare claims denials and appeals processing, and...Remote workHourly payFull timeContract workWork experience placementWork at office$28.85 - $35 per hour
...engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare... .... This is a fully remote role (U.S.-based, any time zone... ...specific workflows. You will manage assigned denial queues, submit appeals, and follow claims through to...Remote workHourly payTemporary workInterim roleFlexible hours- ...are seeking a Registered Nurse (RN) Case Manager to support inpatient and outpatient care management, utilization review,... ...medical necessity, handling appeals, denials, and working with insurance payors... ...workers in both clinical and remote settings. Qualifications Include...Remote workWork at officeLocal areaRelocation packageFlexible hoursWeekend work
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- ...an Insurance Reimbursement Specialist to maximize collections by pursuing unpaid claims and managing multi-level appeals. This full-time role is based... ...in Brisbane, CA, with some remote collaboration for eligible... ...Cycle team, and support denial management while maintaining...Remote jobFull time
- ...Medical Billing Workers' Compensation AR Specialist for a fully remote role across the United States. You will manage accounts receivable, billing, claim corrections... .... Responsibilities include WC AR cleanup, denial reviews, appeals with carriers, eligibility verification,...Remote job
- ...Care Manager Clinical DenialsThe Care Manager Clinical Denials (CM-CD) is responsible for the management of clinical... ...denied and whether an appeal is required. For all inappropriate... ...Clinical Documentation Specialist (CCDS) OR Accredited Case Manager-RN (ACR) specialty...Remote workWork experience placementWork at office
$24.36 per hour
...At Emplify Health, we care for our teams, while... ...changes everything. Denials And Coding Specialist DRG Hospital... ...Inpatient primarily manages payor DRG denials across... ...coding accuracy, supports appeal processes, and ensures... ...), Full-time ~ Remote eligible after first...Remote workFull timeMonday to FridayShift workDay shift- ...Recovery in Plano, TX is seeking an experienced Registered Nurse (RN) to move beyond bedside care into a strategic, analytical role focused on utilization management, clinical review, and denial appeals. You will analyze denied claims, perform medical necessity reviews...
- ...through acute and primary care, wellness, disease management and population health... ...Manager Clinical Denials (CM-CD) is... ...denied and whether an appeal is required. For all... ...Clinical Documentation Specialist (CCDS) OR Accredited Case Manager-RN (ACR) specialty certification...Remote workWork experience placementWork at officeFlexible hours
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