Remote Clinical Denials & Appeals Specialist
Firstsource Healthcare
- Remote job
Firstsource Healthcare is looking for a Clinical Denial Specialist to manage claim denials related to services and authorizations from a remote location. The role includes writing appeals, monitoring denial outcomes, and ensuring compliance with regulations. Ideal candidates will have an Associate's Degree and RN certification, experience with electronic health records, and strong communication skills. Benefits include medical, vision, dental, and 401K. #J-18808-Ljbffr Firstsource Healthcare
$29 - $46.5 per hour
...America's heartland. Facility: Remote SD (Central Time) Location:... ...Job Summary The Lead UM Specialist serves as the subject matter expert for appeals and denials, provides leadership, case... ...requirements. Conduct review of clinical-based denials (i.e. Medical Necessity...Remote workFull timePart timeWork from homeShift workDay shift- ...TeamHEALTH is looking for a Denials and Appeals Representative to handle denials and appeals for patient accounts in a cooperative team environment. The ideal candidate has at least two years of experience with insurance denial processes. Responsibilities include processing...Remote work
- ...General Hospital is searching for a Senior Denials Specialist for the comprehensive review, analysis,... ...of denied hospital claims through the appeals process. You'll work to ensure optimal... ...work model to balance on-site and remote work. #J-18808-Ljbffr Tampa General HospitalRemote work
- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately... ...where candidates will leverage their denials and appeals expertise to evaluate and improve AI-driven...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$35 - $63 per hour
...seeking an experienced healthcare coder to analyze DRG Appeals, prepare written appeals, and collaborate with the... ...extensive knowledge of ICD-10 coding as well as clinical judgment. Enjoy the flexibility to work remotely from anywhere in the U.S., with specific office requirements...Remote jobHourly payWork at officeLocal area- ...Denials Specialist/Medical Biller (Hybrid) Digestive Health Specialists, P... ...including but not limited to, appeals, insurance website inquiries... .... Employees approved for remote work are expected to maintain... ...relationships with team members, clinic staff and patients Have a...Remote workWork from homeNight shift
$45.29 - $84.11 per hour
...health care for the better. Hybrid/Remote Summary: The purpose of the Denial Prevention Nurse is to ensure that... ...by providing timely and accurate clinical information to all payers, while... ...etc. # Tracking and trending all appeals and communicating on a daily/regular...Remote workHourly payDaily paidPart timeShift workNight shiftRotating shift$18 - $20 per hour
...Remote (must be located in DFW) 6-month contract + extension $18-$20/hr This is primarily... ...review, research, and resolve claim denials and appeals for various insurance companies while... ...reimbursement. • Functions as a liaison between clinical departments and MSRDP management team....Remote workContract workWork at officeWork from home- ...regional healthcare provider is looking for a Denial Management Specialist to manage payer claim denials and appeal strategies. This remote position requires 5 years of experience... ...appeal strategies, collaborating with clinical departments, and ensuring accurate documentation...Remote job
$28.83 - $46.14 per hour
...$46.14 per hour. Location: Remote in Washington State only. Posted... ...Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for... ...strategies, collaborates with clinical and operational departments, and...Remote workHourly payContract workFlexible hoursShift work- ...Denials Specialist Insight Global is seeking a fully remote Denials Specialist for our client specializing in orthopedic... ...denials and unpaid claims, managing appeals from initial denial through... ...organize, and maintain required clinical and billing documentation Maintain...Remote work
$28.72 - $36.92 per hour
...provides administrative and clinical support staff for... ...This position is primarily remote, candidates must reside in... ...Summary: The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for... ...coding-related denials and appeals in addition to following...Remote jobHourly payFull timeWork at officeLocal area- ...Revenue Cycle Coding Denial Specialist (Remote) At Proliance Surgeons our patients come from all walks... ...through research, coding review, and appeal preparation. The ideal candidate... ...may be performed in a remote office and clinical environment. Requires corrected vision...Remote workFull timeWork experience placementLive inWork at officeRelocationMonday to FridayFlexible hours
$18 - $32 per hour
...Coding And Reimbursement Specialist Explore... ...opportunities with Kelsey-Seybold Clinic, part of the Optum... ...senior staff to understand denial reasons and assist in... ...simple, low dollar appeals. Gains exposure to payer... ...flexibility to work remotely as you take on some tough...Remote jobHourly payMinimum wageFull timeApprenticeshipWork experience placementInternshipWork at officeLocal area- ...Denial Prevention Specialist Software Guidance & Assistance, Inc., (SGA), is searching... ..., TX. This is primarily a remote position, however there are... ...resolve claim denials and appeals for various insurance... ...Functions as a liaison between clinical departments and MSRDP...Remote workContract workWork at office
- Zotec Partners is looking for an AR Specialist to manage claims follow-up in a remote working environment. The position entails identifying billing issues, processing appeals, and resolving correspondence issues. Candidates should have AR follow-up experience, a high school...Remote jobWork at office
- ...Overview We are seeking an experienced Appeals Specialist to join our growing healthcare... ...is responsible for managing insurance denials and payer disputes from identification... ...Draft detailed appeal letters supported by clinical documentation and payer guidelines Collaborate...
$23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice on this job and more exclusive features.... .../hr Professional Billing Denials & Appeals Analyst Full-Time | Remote (with location... ...clear, accurate, and persuasive non-clinical appeal letters. Submit payer...Remote jobHourly payFull timeWeekday work- ...prior MDS experience. Prior experience with appeals, denials, and audits preferred. This is NOT a Remote position. Must be located in the Dallas/Ft... ...based out of our Carrollton office. Clinical Appeals & Revenue Specialist Responsible for managing denied claims and...Work at officeLocal area
- ...MVP Health Care is seeking a Clinical Appeals RN to ensure fair and timely review of healthcare service denials. This role involves analyzing medical records and clinical documentation and collaborating with medical directors to decide on appeals. The ideal candidate...Remote work
$14.9 - $29.06 per hour
...standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities Enters denials and requests for appeals into information system and prepares documentation for further review. Researches claims issues utilizing systems...Remote workHourly payWork experience placementWork at officeWeekend work- ...support a high-profile team, the full-time Clinical Analyst Appeals will manage clinical appeals and audit... ...and government services in a remote setting, ensuring compliance with federal... ...defend appeal requests against claims denials and adverse audit results while tracking...Remote workFull time
$28.85 - $35 per hour
...been engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare... ...recovery organization . This is a fully remote role (U.S.-based, any time zone) supporting... ...assigned denial queues, submit appeals, and follow claims through to final...Remote workHourly payTemporary workInterim roleFlexible hours$26 - $28 per hour
...looking for a Revenue Cycle Support Specialist who thrives in complexity, works... ...Who You Are This full-time remote position is responsible for accurately correcting coding-related denials for billing in Epic, including writing appeal letters when appropriate. The...Remote workHourly payFull timeFlexible 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... ...collaboration with payers and ensures the clinical appropriateness of patient care levels. The ideal...Full time
- ...oriented and analytical Revenue Cycle Coding Denial Specialist to support workflow in our Seattle office. This full-time remote position requires a strong background in coding... ...include reviewing denied claims, preparing appeal letters, and collaborating with AR teams to enhance...Remote jobFull timeWork at office
$10 per hour
A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should...Remote jobFull time- Direct Jobs is seeking a qualified Denial Review & Analysis professional in Morristown, NJ... ...payer denials, writing evidence-based appeal letters, and collaborating with physician... ...an active NJ RN license and substantial clinical experience. The position offers competitive...
$50k - $55k
...Appeals Coordinator Level II At MedReview, our mission is to bring... ..., accountability, and clinical excellence to healthcare. As... ...the department. The Appeals Specialist level II performs research, investigation... ...frequent interruptions Remote Work Requirements: High...Remote work- ...Managing accounts receivable related to denied claims, the full-time Clinical Denials Specialist will investigate denials, follow up with insurance companies, and write non-clinical appeals while working remotely to ensure compliance with billing regulations. Key...Remote workFull time
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