Denial Management Specialist
Virtual Vocations Inc
To manage denial and accounts receivable (AR) processes, the full-time Denial Management Specialist will work remotely from 8 am to 5 pm, focusing on resolving outstanding denials, managing appeals, and identifying trends to prevent future denials. Key responsibilities Research and resolve outstanding denials and complete necessary follow-up in a timely manner Identify denial trends and provide education to prevent future avoidable denials Initiate and manage insurance appeals while communicating trends to management Required qualifications High School Diploma or equivalency 4 years of experience in medical billing with exposure to denials and appeals Knowledge of ICD9 and CPT-4 coding Familiarity with insurance explanation of benefits (EOB) and claims processing requirements Proficiency in Microsoft Office, particularly Excel and Word
- ...About this position Position Summary AdvantixxRCM is seeking an experienced Denial Management Specialist to manage denied, rejected, underpaid, and complex insurance claims. This position is responsible for identifying the root cause of claim denials, correcting billing...Suggested
- ...General Information: Job title: Denial Management Specialist Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm Weekend rotation: No weekends Holiday rotation: Paid Holidays Position Summary: The Denial Management Specialist...SuggestedFull timeWork experience placementMonday to Friday
- ...Memorial Health System is seeking a Denials Management Coordinator to review denials, identify patterns, and collaborate with frontline staff to improve processes. You will articulate appeals to carriers and document outcomes in the hospital information system. The role...Suggested
- ...Endeavor Health in Arlington Heights, IL seeks a Denial Management Specialist to review and resolve denied patient insurance claims, focusing on medical necessity, pre-certification, authorization, and level of care requirements. In this role you will collaborate with...Suggested
$22.14 - $33.21 per hour
...is determined by a candidate's expertise and years of experience, among other factors. Position Highlights Position: Denial Management Specialist Location: Arlington Heights, IL Full Time/Part Time: Full Time Hours: Monday-Friday, standard business hours Brief Overview...SuggestedHourly payFull timePart timeFor contractorsMonday to FridayShift work- Southwoods Health in Oregon is seeking a Denials Management Specialist to actively pursue payments from insurers by following up on aged, unpaid claims and handling strategic appeals. The role emphasizes proactive communication with carriers and timely resolution to improve...
- Health Plus Management in New York is seeking an experienced denial management specialist to oversee the denial workflow across our family of practices. You will review denials, guide appeals within contractual timeframes, and ensure accurate, timely responses to insurers...
- ...Technical Denial Management Specialist Performs work related to technical denial management. Conducts a comprehensive review of the denied account and then will write compelling arguments based on the documentation and the policies of the payor and submit the appeal...
- Position Summary The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while managing their assigned work to ensure payer appeal/filing...Full timeWeekend work
- McLaren Health Care is seeking a Denials Management Specialist to manage timely follow-up and appeals of denials from third-party payers. You will work independently to ensure deadlines are met and maximize pay for services rendered. The role requires 7 years in Patient...
- ...VitalConnect, Inc. is seeking a Denial Management Specialist on a fully remote basis to join the Revenue Cycle team. You will investigate complex third-party insurance denials and optimize reimbursement by researching and acting quickly on denials. The role requires 3...Remote work
- ...Denials Specialist The Denials Specialist will manage hospital UB-04 claims from follow-up through resolution, with a heavy focus on denial management. This position requires advanced knowledge of commercial payors, strong analytical skills, and experience navigating...Casual workWork at officeLocal area
- ...medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health... ...Refer a Friend, and Earn a Referral Bonus! Job Summary The Denials Specialist (Accounts Receivable (“AR”) Specialist) is primarily responsible...Private practiceFlexible hours
- Healthcare Alternative Systems (HAS) is seeking a Revenue Cycle Specialist in Chicago to oversee billing, coding, collections, and denial management, while ensuring accurate financial reporting. This role also manages provider credentialing and serves as the main liaison...
$18.65 - $25 per hour
...Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and... ...position pays between $18.65 to $25.00/hr based on experienceThe Denials Specialist is responsible for clinically related claim denials across...Local areaRemote work- Personalis in Fremont, CA is seeking a Receipts Posting Specialist to strengthen billing and collections for the NeXT Personal DX test... ...cash flow and payer database integrity. You will lead denial management, obtain medical records, manage EFT/ERA postings, and support...
- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
$65k - $95k
...Florida, is seeking a Healthcare Accounts Receivable Senior Associate to join their Revenue Cycle Management team. The role involves handling claims follow-ups, resolving denials, and analyzing accounts receivable reports. The ideal candidate will have 2-3 years of...- OrthoMed Anesthesia in Addison, TX seeks a Healthcare Claims Denial Management Specialist to identify, analyze, and resolve denied or underpaid medical claims. Responsibilities include reviewing claims, communicating with insurance, and ensuring compliance with regulations...
- Coral West Community Hospital in Miami is seeking a Denial Recovery Specialist to resolve denied and underpaid medical claims. You will act as... ...develop corrective action plans, and coordinate with payers and management. The role requires strong knowledge of ICD-10, CPT, HCPCS,...
- The University of Texas Southwestern Medical Center is seeking a Revenue Cycle Specialist II to review, research, and resolve insurance denials and appeals, maximizing collections. Proficiency with EPIC Resolute is preferred, with experience in NCCI edits, LCD/NDC, and...Remote jobWork from home
- UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with no...Remote job
$24.01 - $36.01 per hour
Job ID: 107545 Location: Aurora Position Type: Regular Job Overview The Denials Specialist supports all denials management functions for Patient Financial Services. Maintains and updates denials management data and conducts initial analyses for trending and reporting....Hourly payFull timeContract workImmediate startMonday to FridayShift work- Philips is seeking a Reimbursement Specialist to join our healthcare revenue cycle team in Chicago, IL or Malvern, PA. You will lead denial management, verify eligibility, and drive timely reimbursements by researching payer reasons and collaborating with payers. This in...
- ...Orthopedics is a premier orthopedic care provider based in Marietta, GA, hiring a Back-End Revenue Cycle Specialist. This in-office role focuses on AR follow-up, denial management, payment posting, and collections with a fast-paced, metrics-driven environment. You will join a...Work at office
- ...Corp. is seeking a detail-oriented collections specialist to support Home Infusion and Specialty Pharmacy revenue cycle management. You will contact insurers, patients, and... ...other parties to collect on claims and address denials. You will review CPT/HCPCS/ICD-10 coding,...
- Legent Health seeks an Accounts Receivable Specialist in Plano, TX to manage AR and denial resolution for inpatient and outpatient procedures across spine, orthopedics, ENT, and pain management. You will investigate denials, work with our billing vendor, and perform root...
- ...Medical Claims Appeals Specialist As a Medical Claims Appeals Specialist, you will research, resolve, and prepare appeals for claim denials across various payors including Medicare, Medicaid, Commercial, and Managed Care. You will analyze payment trends to maximize...
- ...healthcare provider in Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement. The ideal... ...With responsibilities including the resolution of insurance denials and inquiries, this position offers a full-time remote work...Full timeRemote work
- ...A leading healthcare provider in San Antonio is seeking a Revenue Cycle Specialist II to oversee the billing process in a hospital setting. This role is crucial for managing denials, ensuring claims are submitted accurately, and collaborating with different departments...
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