Denial Management Specialist - Healthcare Claims
Legacy Health
Legacy Health is seeking a Patient Business Services Specialist in Denial Management to resolve delinquent payment issues and negotiate financial arrangements. You will analyze accounts, review medical records and bills, and coordinate appeals with payors to optimize reimbursement. This role requires strong negotiation, understanding of multi-payor systems, and the ability to work with minimal supervision while communicating clearly with internal teams and external payers. #J-18808-Ljbffr Legacy Health
- ...University Health System is seeking a Patient Financial Services representative to manage patient account balances, submit accurate claims, follow up with payers, and assist with denial management. The role emphasizes HIPAA compliance, customer service, and timely reporting...Claims
- Shriners Children’s in Oregon seeks a Denials Management Follow Up Representative to coordinate payor denial and appeal follow up, ensuring timely... ...reports. Strong knowledge of hospital revenue cycle and EDI/claims processing is essential. #J-18808-Ljbffr Shriners Hospitals...Claims
- ...and meaningful: to help healthcare providers get paid... ...reimbursement. From challenging denials and zero balance... ...vehicle accident claims, workers' compensation... ...make The Denials Appeals Specialist is responsible for analyzing... ...to multi-task and manage competing priorities...ClaimsRemote jobPermanent employmentContract workFor contractorsWork experience placement
- Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote, US-based position. You will manage complex insurance claims, investigate denials, and coordinate appeals to accelerate payments while collaborating with billing teams, providers, patients...ClaimsRemote jobWork experience placement
- Ni2 Health, an Infinx Company, is seeking an AR Specialist to manage hospital billing and insurance follow-up for CAH services. This role focuses on timely claims submission, denial resolution, and collecting outstanding balances while complying with Medicare, Medicaid,...ClaimsRemote job
- Omega Healthcare Management Services is seeking a skilled professional for a remote, full-time Denials Management/AR follow-up role. You will work with hospitals and physician practices to resolve outstanding issues, analyze denials, and drive payments across payer systems...Remote jobFull timeWork at office
$27.12 - $38.77 per hour
...do. As a Patient Business Services Specialist in Denial Management, you will help ensure that mission is... ...the integrity and efficiency of our claims process, allowing us to continue delivering... ...to make a difference in the healthcare industry while growing your career in...ClaimsWork at office- ...SUMMARY Job Summary: CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges.... ...offers the following products and services: Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle...ClaimsHourly payImmediate startRemote workMonday to Friday
- ...seeking an Accounts Receivable Resolution Specialist for a fully remote, full‑time role in... ...s revenue health by ensuring insurance claims are processed, reimbursed, and resolved... ...-on experience in claims follow‑up and denial management, strong analytical and communication...ClaimsRemote jobFull time
- Savista, LLC in the United States seeks a Coding Specialist III to manage up to two client assignments. You will review documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs, and validate MS-DRG and APC calculations. The role...ClaimsHourly pay
- Aspirion is seeking a Denials Appeals Specialist to analyze, draft, and submit high-quality appeal letters for denied claims. You will identify root causes, correct errors, and file appeals per payer guidelines to support cash flow and reduce accounts receivable aging....ClaimsRemote job
- Ventra Health, Inc. seeks an Accounts Receivables Escalation Specialist to analyze collections, resolve non-payables, and handle bill inquiries... ...are required. Primary duties include following up on denials, writing appeals, and coordinating with payers to ensure timely...ClaimsDay shift
- Jobgether is seeking an Appeals Specialist based in the United States to manage and resolve healthcare appeals. You will oversee the full appeals process, coordinating with Clinical, UM, and Claims teams and communicating with members and providers throughout the review...ClaimsRemote job
- Foodsmart is seeking a Revenue Cycle Specialist to join the Revenue Cycle Operations team. You will submit and track claims, resolve denials, and collaborate with finance, product, and engineering to improve billing processes. This role focuses on timely reimbursements...ClaimsRemote job
$41.6k - $57.6k
...that really matters, not only changing lives but saving them. Together. The Resolutions Specialist provides member issue resolution managing and resolving healthcare insurance claims in a timely and accurate manner. This role requires solid analytical skills, knowledge...ClaimsRemote jobFull timeWork at office- ...specializes in proactive revenue cycle management for outpatient physicaltherapy... ...Center is seeking an Accounts Receivable Specialist to join our team. This is afull-time... .... The specialist manages outstanding claims, resolves denials, reduces agedreceivables, and supports...ClaimsRemote workFlexible hours
$35 per hour
Junior Revenue Cycle Management (RCM) Specialist Location: Remote - United States... ...Outsourcing (CPO). We partner with healthcare organizations to build and... ...and credentialing through claims processing, payment posting... ...balances Support denial management by identifying issues...ClaimsRemote jobHourly payWork at officeWork from homeHome officeMonday to Friday- ...consumers, patients, healthcare professionals, employers... ...The Integrated ADM Specialist serves as the primary... ...addition to overseeing, managing, processing, and adjudicating... ...and complex STD claims; to determine benefits... ...(e.g. STD approvals, denials, and consults), or any...ClaimsTemporary workRemote work
- ...clients. Summary: The AR Management Specialist will provide support across... ...attorneys as needed to research claims or obtain additional... ...of 1 year of experience in healthcare claims processing, billing,... ...remittance advices, payer denial codes, and payer timely filing...ClaimsRemote jobWork at office
$50k - $65k
...deliver nutrition-driven healthcare at scale. Powered by a... ...and national Medicaid managed care organizations,... ...looking for a Revenue Cycle Specialist to be a hands-on part... ..., track, and resolve claims so we can secure... ...into the "why" behind denials and rejections, take on...ClaimsLocal areaRemote workFlexible hours- ...individuals with the knowledge to manage their health - it begins with... ...Summary The Revenue Cycle Specialist is responsible for working... ...obstetrics, dental, and vision claims to ensure current and... ...Reviews remittance advice and denials from third-party payers to ensure...ClaimsFull timeTemporary workLocal areaRemote workMonday to Friday
- ...provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging... ...from 10M+ processed claims, and expert human-in-the-loop... ...claims as well as denials for all payer classes. By... ...Position Summary The Revenue Specialist acts as the liaison between...ClaimsRemote jobContract workFlexible hours
$46.9k - $89.85k
...technology-enabled revenue cycle management solutions for health... .... We recognize that healthcare requires a human touch, and... ...the Accounts Receivable Specialists with problematic claims and questions regarding processes... ...to improve revenue and denial trends. This includes...ClaimsTemporary workWork experience placementWork at officeLocal areaRemote work- CU Medicine is seeking a Medical Claims Denial & Appeals Specialist to join the Accounts Receivable Resolution team. This role can be performed 100% remotely; out-of-state candidates will be considered. You will resolve insurance claim denials, craft effective appeals,...ClaimsRemote jobContract work
- Mount Sinai Medical Center is seeking a Collector for Physician Billing to manage physician accounts receivable, resolve denied and pending claims, and maximize reimbursement. The role requires EPIC experience, strong organization, and teamwork to resolve complex billing...Claims
- ...$8,717Position Type:EmployeePosition Title:Safety Program Manager (Safety Specialist 2)Job Description:Are you looking for a position where you... ...Experience with Workers' Compensation rules, procedures, and claims managementExperience with Federal and/or State Occupational...ClaimsPermanent employmentFull timeTemporary workWork experience placementSummer workSecond jobWork at officeLocal areaImmediate startRemote workRelocationRelocation packageFlexible hoursNight shift
- ...a partner company, who manages all applications and next... ...- Utilization Review Specialist based in the United States. Join a healthcare team dedicated to improving... ...reimbursement denials, and coordinate appeals... ...clinical documentation and claim histories to determine...ClaimsFull timeLive inRemote work
- ...coordinate activities across the AR department and support the management team. This role trains new users, tracks productivity and... ...candidate will oversee billing processes, assist in researching denials and appeals, and maintain HIPAA compliance while working with...ClaimsRemote job
- Piedmont Healthcare Corporate is seeking an experienced senior specialist to resolve the most complex claim issues, denials and payer escalations. This role requires advanced knowledge of payer rules, regulatory requirements, and audit-ready documentation. The Senior Specialist...Claims
- ...Summary Reports to Revenue Cycle Manager and/or Administrator of... ...Services, the Revenue Cycle Specialist is primarily responsible for... ...refiling unpaid or incorrectly paid claims, and accurately updating or... ...and are interested in Healthcare, you will take pride in the level...ClaimsWork at office
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