Remote Medical Bill Auditor & Appeals Specialist
Sedgwick
- Remote job
Sedgwick is hiring a Medical Bill Coordinator to review hospital and professional medical bills, including complex cases, ensuring accurate coding and billing. The role involves applying PPO discounts, reviewing operative reports, and handling provider appeals to align charges with contracts. Two years of workers' compensation or bill review experience is preferred, along with knowledge of CPT/ICD9 and medical terminology. #J-18808-Ljbffr Sedgwick
$29.7 - $31.8 per hour
...experience Job Description The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in... ...principles to determine potential billing/coding issues, and quality concerns.... ...and client experiences. This is a remote position; however, candidates must...Remote workTemporary workWork at officeLocal area- ...Appeals Specialist We are seeking a detail-oriented and experienced Appeals Specialist for... ...is highly organized, knowledgeable in medical billing and payer requirements, and skilled in... ...Friday 8am-5pm 3 months in office then remote Benefits offered Key responsibilities...Remote workWork at officeMonday to Friday
$30.49 - $40.2 per hour
...toggle section visibility Onsite or Remote Flexible Hybrid Work Schedule... .... This role requires expertise in billing guidelines, customer service, and appeals processes, as well as strong interpersonal... ...: Minimum two years of recent medical billing experience in physicians’...Remote workHourly payWork at officeMonday to FridayFlexible hours$22.99 per hour
...professional to join our fully remote team, focusing on managing... ...resolutions. Modify and manage medical authorizations as needed.... ...years of experience handling appeals, claims, and authorizations.... ...Utilization Management, medical billing/coding, or claims processing...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work- ...a mission to increase medical practice success and improve... ...driven Medical Coding Auditor to join our positive,... ...as well as attending remote coding sessions with... ...Support in the review, appeal and follow-up of third-... ...Detailed knowledge of medical billing, preferred...Remote workFixed term contractWork at officeLocal areaFlexible hours
$56.17k - $70.22k
...Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding... ...Team. This opportunity is a remote, full-time, day shift... ...knowledge of UNM Medical group billing systems procedures to provide... ...requests for reconsideration, appeals and rebuttals Minimum Job...Remote workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift$20 per hour
...-driven Technical Denials & Appeals Specialist to join their team. If you have... ...diving deep into physician billing claims, uncovering why they... ...talk to you. This is a remote opportunity. However, candidates... ...Medicaid. Skills Medical Billing - Denials Verbal...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...Reimbursement Specialist – Liability A well-established... ...and specialty medical services. The team is... ...to clearly communicate billing information. The position... ...denials and coordinating appeals with appropriate... ...Hybrid work model with remote flexibility Opportunity...Remote workWork at officeLocal areaWork from homeFlexible hours
$101k
Role Description The Senior Auditor, Appeals position is part of the Clinical Chart Validation (CCV) team and is responsible for defending... ..., MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer...Full timeFlexible hours- ...currently seeking an Revenue Cycle Specialist (Medical Practice, Part B billing and eClinical Works experience). This is a Full-time remote position Monday - Friday, 8:00am - 5... ...corrected claims, reconsiderations, and appeals within payer deadlines. •...Remote workFull timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hours
- ...and coding guidelines, the full-time remote Multispecialty Denials Specialist will research claim denials, submit appeals, and manage claims correspondence to ensure... ...related to various factors, including medical necessity and billing issues Submit detailed, customized...Remote workFull time
$30.5k - $42.5k
...career development. Summary The Medical Claims Auditor is responsible for reviewing and... ...solid understanding of medical billing and coding, and experience with appeals or reimbursement processes in a... ...expect in this role This is a remote position for candidates residing...Remote jobFull timeMonday to FridayFlexible hours- ...Medicaid regulations, the full-time remote Coding Specialist will manage all aspects of medical coding and chart auditing, focusing on accurate coding, billing, and documentation practices in a... ...billing errors, denials, and appeals in partnership with the revenue cycle...Remote workFull time
$79.4k - $142.9k
...around the globe.Corporate EHS Specialist / EHS AuditorBased onsite at... ...locations listed or Remote US with 50%+ travel.As a member... ...also serve as a Corporate EHS Auditor, supporting internal governance... ...resilient self. These include medical, dental, and vision insurance...Remote workFull timeTemporary workWork at officeLocal areaWorldwide- ...States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers. You will collaborate with Case Management and Billing to improve denial workflows and...Remote work
- ...Senior Radiological Control Oversight Specialist/Auditor [DOE0094093] for Program Support on a Exempt... ...Address (Subject to Change or Working Remotely): 2440 Stevens Center Place, H520... ...Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes...Remote workFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeFlexible hours
- ...To support a growing medical billing team, the full-time remote Authorization Specialist - South Carolina will manage the authorization process for buy and bill drugs... ...claim status, follow up on denials, and prepare appeal letters for technical denials Required...Remote workFull timeWork at office
- ...skilled subject matter specialists and operations... ...Summary: The Billing Specialist, known as Revenue... ...reimbursement, including medical necessity, coding discrepancies... ...reconsideration and appeals processes, with... ...video conferencing. Remote work is expected 100%...Remote workWork at officeLocal areaWork from home
- ...Managing member appeal cases remotely, the contract Member Appeals Specialist will ensure accuracy, compliance, and timely resolution while coordinating incoming appeals and collaborating with cross-functional teams in a highly regulated healthcare environment. Key responsibilities...Remote workContract work
- ...Detail-oriented and analytical, the remote Billing & Appeals Specialist will manage provider billing disputes and appeals, ensuring accurate resolutions... ...(IDR) processes preferred Working knowledge of medical terminology, coding systems, and health plan claims processing...Remote workContract workWork at office
- RCM Specialist Scottsdale, Arizona, United States Workit... ...listen, FDA-approved medication, online recovery... ...-W in office and Th-F remote each week Job Summary... ...ideally has experience billing for addiction medicine... ...errors, and generate appeals or reprocess claims as...Remote workFull timeWork at officeLocal areaFlexible hours
- ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members and providers while ensuring compliance with applicable requirements. Key responsibilities Manage and resolve complaints...Remote workFull time
$16 - $26 per hour
...Recovery Specialist Payment Poster Owings Mills, MD PRACTICE DYNAMICS,... ...VA OR WVA POTENTIAL FOR HYBRID REMOTE! JOB SUMMARY: The Medical Billing Collector collects unpaid physician... ...payment variances, completing appeals, with the goal of maximizing collections...Remote workFull timeDay shift- ...services, the full-time Denial Management Specialist will manage denial appeals, analyze claims data, and collaborate with healthcare teams in a remote setting. Key responsibilities... ...experience Professional experience in both medical billing and medical coding required...Remote workFull time
- ...Member Appeals Specialist Primary responsibilities would include triaging incoming appeals/grievances, categorizing them appropriately,... ...Reviewing the appeal request to determine if additional medical records are needed, and whether an Appointment of Rep form is...Remote workTraineeship
$19 - $21 per hour
...levels of denials by submitting appeal letters and required... ...get the denial overturned. Remote: Although this position is listed... ...and/or physician consent and medical records when required by the insurance... ...four years health insurance billing experience Knowledge of managed...Remote workHourly pay$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... ...outcomes. Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates...Remote workHourly payFull timeContract workWork experience placementWork at office$23 - $27 per hour
...Revenue Cycle Specialist MeBe Family is a provider of evidence-based... ...processes follow-up on payer appeals, and will communicate with... ...profitability Performs secondary billing & patient invoicing along... .... When necessary, reviews medical records and resubmits claims...Remote workHourly payPermanent employmentTemporary workLocal area$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location... ...Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National... ..., on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workFull timeLocal areaShift workWeekend work- ...Revenue Cycle Specialist At Infinx, we're a fast-growing company... ...recognition in the U.S. Location: Remote Summary Description... ...responsible for accurately processing medical billing claims, reviewing and... ...handling Filing claim appeals with insurance companies to...Remote workFlexible hours
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