Insurance Claims Denial and Appeals Specialist
VARIETY CARE INC
VARIETY CARE INC in Oklahoma City is seeking a Claims Resolution Specialist responsible for managing denied, unpaid, and aging insurance claims. This role involves collaboration with insurance companies and internal teams to resolve issues and ensure reimbursement accuracy. The ideal candidate will have a high school diploma, experience in medical billing, and familiarity with EHR systems. Strong organizational skills and attention to documentation accuracy are essential for success in this role. #J-18808-Ljbffr VARIETY CARE INC
- United Surgical Partners International is seeking an Appeals Denial Management Specialist for their North Oklahoma City billing office. The role involves the resolution of claim denials, underpayments, and appeals, requiring strong communication skills and proficiency...SuggestedWork at office
- ...results oriented individual to fill an Appeals Denial Management Specialist position Position Summary The... ...is responsible for the resolution of claims that could not be collected or resolved... ...Accountabilities Performs insurance and third party payor collections for...SuggestedContract workTemporary workWork at officeFlexible hours
- Boston Medical Center is seeking a full-time RN Appeal Administrator responsible for managing the pre-denial and denial processes in healthcare services. This role requires collaboration with payers and ensures the clinical appropriateness of patient care levels. The ideal...SuggestedFull time
$43.03 - $62.5 per hour
Boston Medical Center (BMC) is seeking a Denials & Appeals Administrator (RN) to oversee the appeal process and manage utilization reviews. This role combines clinical, business, and regulatory skills while collaborating with physicians and payers to maximize reimbursements...SuggestedHourly pay$11 - $13 per hour
...A medical billing company in Oklahoma City is seeking an Appeals Specialist to manage insurance claim discrepancies. The role requires great work ethic, attention to detail, and the ability to multitask. While prior medical billing experience is beneficial, it's not mandatory...Insurance claimsHourly pay- ...Surgical Partners International Inc (USPI) is seeking an Appeals/Denial Management Specialist for our North Oklahoma City billing office. The role... ...collection and resolution of accounts receivable, focusing on claim denials and underpayments. Responsibilities include...Work at office
$11 - $13 per hour
...window Linkedin page opens in new window The Appeals department is the backend for when an insurance hasn’t paid a medical claim correctly, or hasn’t been processed... ...medical billing company looking for an appeals specialist. We offer a relaxed atmosphere in a fast paced...Contract workWork at office$50k - $86k
...sustainable healthcare for all. Coding Denials Management Associate We are looking for a... ...their coding skills to diagnose and resolve claim denials, rejections, and edits across our... ...: claim corrections, resubmissions, appeals, or configuration updates; partner multiple...$24 - $24.5 per hour
...provider of government-sponsored health insurance programs—including Medicare, Medicaid,... ...summary of purpose: Fallon Health (FH) Appeals and Grievance process is an essential function... ...appeals related to filing limit, claim denials, claim payment, retrospective referrals...Work at officeLocal areaFlexible hours$41.5k
...Reimbursement Specialist About the Position : The individual selected for this position... ...This includes researching and reviewing claims and other information identifying... ...included the processing and/or payment of insurance claims; Or an equivalent combination...Insurance claimsFull timeWork at officeFlexible hours- Variety Care Inc in Oklahoma City is seeking a Claims Resolution Specialist responsible for resolving denied and unpaid insurance claims. This role requires collaborating with insurance companies and internal teams to improve reimbursement outcomes while maintaining compliance...Insurance claimsWork at office
$24 - $24.5 per hour
Fallon Health in Worcester, Massachusetts, seeks a Member Appeals & Grievances Intake Administrator responsible for administering the appeals and grievance process, ensuring compliance with various regulations. The role includes clerical support, handling member grievances...Hourly pay$24 - $24.5 per hour
Fallon Health in Worcester, MA is hiring a Healthcare Triage Administrator. This position supports the Appeals and Grievances process, handling member and provider interactions while ensuring compliance with regulatory standards. The ideal candidate will have a high school...Hourly pay- ...Revenue Cycle Management Specialist- Collections responsibility... ...process for outstanding claims, including contacting insurance companies, patients, and... ...further action. Submit appeals/claim corrections as... ...and report trends in claim denials and payment challenges....Work at office
- ...Position: Claims Resolution SpecialistExemption Status: Non-... ...SummaryThe Claims Resolution Specialist is responsible for the... ...denied, unpaid, and aging insurance claims to support accurate... ...Resolution Specialist researches denials, manages appeals and claim resubmissions, gathers...Insurance claimsWork at office
$20 - $25 per hour
...Medical Collections Specialist - Facility Location: Oklahoma... ..., dental, vision, life insurance and 401k. About Our Client... ...receivable recovery, denial management, and complex claims resolution. This is an excellent... ...claims, submitting appeals, and ensuring timely...Insurance claimsContract workLocal areaRemote workFlexible hours- Addison Group is seeking a Medical Collections Specialist in Oklahoma City. This role involves managing hospital accounts receivable, investigating denied claims, and performing insurance follow-up tasks. Applicants must have strong hospital billing knowledge and 2+ years...Remote jobContract workFlexible hours
- Full Time Charge Correction Specialist/Floater Needed for North OKC... ...correcting all charge errors and claim submission errors related to... ...to add new physicians and insurance companies. As needed, they... ...the professional biller and appeals/denial team. Essential Functions...Full timeTemporary workWork at officeFlexible hours
- ...Receipt Posting Specialist Busy North OKC billing office... ..., adjustments, denials and zero payments that... ...be able to understand insurance explanation of benefits... ...adjustments are due and if the claim was processed in... ...a review and possible appeal. Maintains and...Full timeContract workTemporary workWork at officeFlexible hours
- ...are a leading law firm specializing in first‑party property insurance claims, dedicated to fighting for the rights of policyholders. With... ...property insurance matters such as coverage disputes, claim denials, and bad faith claims. Legal Expertise: Conduct comprehensive...Insurance claimsTemporary workWork at officeLocal area
$20 - $28 per hour
Position Insurance Follow Up Representative Compensation $20 - $28 /hour, depending on experience... ...in managing and resolving insurance claims, contributing to the financial health of... ...48 hours to maximize reimbursement Work denials from assigned Remittance Advices weekly...Insurance claimsWeekly pay- ...Insurance Billing Specialist Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer... ...: Reviews billing data of unpaid claims. Responsible for calling insurance... ...Research and correct all insurance denials. Identify delinquent accounts, aging...Insurance claimsWork at officeMonday to ThursdayShift work
- ...team! Responsibilities The Hospital Insurance Follow-up Specialist will be responsible for collections and... ...insurance companies to confirm claim receipt, obtain payment and estimated... ...maximize reimbursement timely. Works denials from assigned Remittance Advices weekly...Insurance claimsTemporary workReliefFlexible hours
- ...Responsibilities The OHH Payment Variance Specialist I is responsible for triaging... ..., to include patient & insurance refunds, in accordance with... ...companies, drafting appeals as needed to obtain payment in... ...Balances, or Insurance Follow-Up/Denials. Epic experience strongly...Contract workTemporary workReliefWork at officeFlexible hours
- ...Responsibilities The Professional Denials Coordinator will work on targeted insurance denials to improve collections... ...assist with first and second level appeals under the Denials Manager’s guidance... ...on denials. Defend and appeal claims, including researching root cause...Full timeTemporary workReliefMonday to FridayFlexible hoursShift work
- ...A leading claims adjustment agency in Oklahoma City is seeking Independent Insurance Claims Adjusters to join their team. This role involves assisting clients affected by natural disasters, while offering flexibility and autonomy in work. The company provides comprehensive...Insurance claimsFlexible hours
- ...Position Summary : The Certified Coding Specialist is responsible for the abstraction or... ...charge review and coding-related claim edit work queues to ensure timely and accurate... ...review edits, claim edits, and follow-up denials. Works to improve billing based on...Full timeFor contractorsLocal areaRemote work
- ...A leading claims adjusting firm in Oklahoma seeks Independent Insurance Claims Adjusters to address the urgent demand due to recent storm events. This career offers flexibility and the chance to make a real difference. Comprehensive training programs are available for...Insurance claimsFlexible hours
- ...qualified Physician Reviewer/Advisor in Oklahoma City. In this role, you will utilize your clinical expertise to review insurance appeals and claims, providing interpretations based on nationally recognized guidelines. This position offers flexible hours and the opportunity...Insurance claimsFlexible hours
$40.95k - $45.42k
...Unemployment Insurance Claims Specialist Agency: 290 EMPLOYMENT SECURITY COMMISSION Supervisory Organization: Tulsa Call Center Job Type... ...to monetary eligibility, payments, and the filing of appeals. Evaluate evidence and testimony for the purpose of adjudicating...Insurance claimsFull timeWork experience placementWork at office
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