Medical Denials Specialist - Claims Resolution & Appeals
Endeavor Health
Endeavor Health is hiring a Denial Management Specialist for their Warrenville, IL location. The job involves reviewing and resolving denied patient insurance claims while working closely with various departments. Applicants should have 2 years of experience in patient billing or managed care and a high school diploma. Offering a comprehensive benefits package including medical, dental, and tuition reimbursement, this full-time role provides opportunities for professional growth and development. #J-18808-Ljbffr Endeavor Health
- Edward Elmhurst Health is seeking a Denials Management Specialist in Warrenville, IL, to review and resolve denied patient insurance claims. This role requires extensive computer knowledge... ...include collaborating on appeals processes, maintaining relationships with...Suggested
$22.14 - $33.21 per hour
...expertise) Position Highlights Position: Denial Management Specialist Location: Warrenville, IL... ...a.m. – 4:30p.m. Overview Reviews claim denials related to medical necessity, pre‑certification, authorization... ...accurate denial reasons and appeal processes. Contact insurance...ClaimsHourly payFull timeFor contractorsMonday to FridayShift work- ...University HealthSystem is hiring a Denial Management Specialist in Warrenville, IL. This full-time position... ...resolving denied patient insurance claims, working with insurance companies,... ..., tuition reimbursement, and various medical options, promoting professional growth...SuggestedFull time
- ...Mental Health Billing Specialist A New Day... .... We are seeking a Medical Biller/Accounts Receivable/Claims Associate who is highly... ...processing, insurance denial follow-up, and patient... ...restrictions. • Resolution of rejected claims (denials) via appeals, dispute outstanding...Claims
$22 - $26 per hour
...responsible for working Auto-related claims. The EMS Fire Billing... ...sending corrected claims and/or appeals. Responsibilities... ...Resolving insurance carrier denials, appealing claims, contacting... ...hospitals. Employ one-step resolution practices for clients and patients...ClaimsWork at officeLocal area- ...Denial Specialist - Epic PB Westerkamp Group, LLC is an Accounts Receivable Management... ...of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing... ...trend common denial reasons (e.g., medical necessity, lack of authorization,...ClaimsPermanent employmentRemote work
$21 - $25 per hour
...owned, and operated emergency medical services provider in the... ...achieve accounts receivable resolution. This team works through open accounts receivables (denials and delinquent accounts) by actively... ...insurance carrier denials, appealing claims, contacting carriers on open...ClaimsWork at officeMonday to Friday$20.69 - $30 per hour
...for managing insurance claims and resolving billing... ...insurance claims, including appeals and resubmissions, to... ...and minimize claim denials. Verify patient... ...reimbursement rates, and resolution times. Gather and... ...Development Various Medical, Dental, and Vision options...ClaimsHourly payFull timeFor contractorsMonday to FridayFlexible hours- A leading claims adjusting firm is actively seeking Independent Insurance Claims Adjusters in Frankfort, Illinois. This is not just a job—it's a path for making a difference in people's lives while enjoying a flexible schedule and competitive pay. Whether you're an experienced...ClaimsFlexible hours
- Westerkamp Group LLC is looking for a Denials Analyst to lead a team in resolving denied claims. This role requires expertise in Epic Professional Billing systems, strong analytical skills, and effective leadership. The ideal candidate will manage denial trends, implement...Claims
- ...billing vendor when necessary to resubmit insurance claims Responds to inquiries from clients,... ...doctors/hospital billing office. Knowledge of medical billing/collection practices. Proven experience as billing specialist Solid understanding of medical insurance...ClaimsPart timeLocal areaFlexible hours
- Family Eye Physicians is seeking a Bi-Lingual Medical Billing Customer Service Support team member in Oak Brook, IL. This role requires... ...experience in medical billing, and familiarity with insurance claims processing. The position emphasizes providing clear explanations...Claims
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy... ...access life-saving medications. Supportive culture... ...rectifying rejected claims and conducting necessary... ...requests and appeals with insurance carriers... ...NCPDP claim rejection resolution, coordination of benefits...ClaimsFull timeTemporary workLocal areaRemote workRelocation package$19 - $23 per hour
...limited: utilizing payer portals to check claim status, updating patients' insurance... ...facilities, and hospitals. Employ one-step resolution practices for clients and patients... ...Understands the difference between rejections and denials as well as working accounts....ClaimsWork at officeLocal area$15 - $22 per hour
...resolve outstanding and unpaid insurance claims. Job Summary: The Insurance Follow Up Analyst... ...Ability to review account balances and denials and perform steps to overturn the denials... ...and write-offs in cases where an appeal is denied or as required by policy. Ability...ClaimsHourly payFull timeWork at officeLocal area- ...Illinois is looking for a full-time billing specialist to join its innovative clinical team.... ...will have over 3 years of experience in medical billing, strong attention to detail, and... ...handling account payments, managing claims, and maintaining patient confidentiality...ClaimsFull timeFlexible hours
$20.36 - $24.97 per hour
UNITE HERE HEALTH is looking for a Claims Adjudicator II in Oak Brook, IL, to efficiently manage medical claim processing. You will handle various types of claims, ensuring accurate adjudication and customer communication. The ideal candidate should have 3-5 years of experience...ClaimsRemote jobHourly pay- ...Representative to handle insurance claims and ensure timely and... ...accurate records in a fast-paced, medical environment. Key... ...management of shifts. Process appeals for denied or delinquent... ...Navigate and resolve complex denials for reimbursement. Prepare...ClaimsTemporary workLocal areaShift work
$100k - $120k
...high-quality emergency medical care to our community.... ...through final payment resolution. This role ensures... ...charge entry, coding, claims submission, payment posting... .../R, collection rates, denial rates, and cash flow... ...root cause analysis and appeals Reduce aged...ClaimsContract workLocal area- ...Claims Adjuster At Gallagher Bassett, we're there when it matters most because helping... ...to ensure effective communication and resolution. Provide exceptional customer service to... ...your job level these benefits may improve: Medical/dental/vision plans, which start from...ClaimsLive outWork at officeLocal areaFlexible hours
- ...Senior Claims Resolution Specialist At Liberty Mutual, we show up for people in their toughest moments, and we show up for our employees with the same commitment. Our Complex Casualty Claims Team is expanding, and we're seeking a Senior Claims Resolution Specialist...ClaimsCurrently hiringWork at officeLocal areaRemote workHome officeRelocation package
- ...Warranty Standards & Authorization Specialist to their team in Lisle! The... ...warranty policy interpretation, claim adjudication support, appeals review and resolution, and prior approval... ...Provide clear, professional approvals/denials with rationale to promote dealer...ClaimsPermanent employmentH1bWork at officeVisa sponsorship
$20 per hour
...Job Description Submit electronic insurance claims, review electronic reports for errors and correct and resubmit corrected claims, reconsiderations and appeals as necessary. Maintain patient ledgers in Platinum Patient Accounting Software to reflect accurate and...ClaimsWork at officeLocal area- ...Lisle, Illinois, seeks a Senior Warranty Standards & Authorization Specialist. This role will involve interpreting warranty policies,... ...should possess a Bachelor's degree and at least 1 year of warranty claims experience, with a preference for those having over 5 years in...Claims
$72k - $141k
...direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving...ClaimsWork experience placementWork at office- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
$145.57k - $189.24k
...programs, captive operations, claims management, and key financial... ..., ensuring effective resolution and cost control. Manage and... ...Administrative Assistant Claims Specialist Qualifications Education Bachelor... ...eligible Full-time employees: Medical/Dental/Vision insurance (PPO)...ClaimsFull timeTemporary work$135k - $155k
...Company Details At Berkley Program Specialists, we are dedicated exclusively to program business... ...Best. Responsibilities The Senior Claims Specialist is responsible for the handling, investigation, evaluation, and resolution of complex Directors & Officers (D&O) and...ClaimsFull timeWork at office$47k - $78k
...contributor role operates under broad authority to manage commercial claims of low to moderate complexity and exposure within the Auto... ...is responsible for coordinating all aspects of the claim resolution process in accordance with company guidelines, while consistently...ClaimsWork experience placementWork at officeLocal areaFlexible hours$23 - $25 per hour
...the job poster from Sibitalent Corp Sr. Staffing Specialist || Hiring IT professional all over USA || Job Title: Claims Specialist Duration : 6+ Months W2 contract... ...which could affect claims handling procedures and resolution strategies. Participate in Safety Manager...ClaimsContract workWork from homeShift work
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