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
- ...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
$26 - $28 per hour
...Job Description Job Description Job Title: Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26 - $28 / hr Job Type: Direct Hire Benefits: This position is eligible for medical, dental, vision...SuggestedCasual workWork at officeLocal areaMonday to Friday- ...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...SuggestedFull timeRemote work
- ...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...Suggested
- ...Help Plans and directs traffic management activities. Plans and manages the command... ...To qualify for a Traffic Management Specialist, your resume and supporting documentation... ...the tentative job offer and a six-month denial of employment with DLA from the date of...SuggestedPermanent employmentFull timeTemporary workPart timeTerm timeLocal area
- ...Owning the end-to-end life of claims, the full-time Revenue Cycle Management Specialist will manage payer authorizations, claim submissions, and resolution of denials while ensuring data integrity and compliance in a clerical role. Key Responsibilities Obtain and validate...Full timeRemote work
- ...Workers' Compensation & Leave Specialist - Hollywood Feed Corporate Office Hollywood... ...general administration, comprehensive case management and program compliance with workers'... ...disability claims, track approvals and denials, resolve documentation issues, and ensure...Hourly payTemporary workWork experience placementWork at office
- ...experience to review current process set up for billing and claim management primarily for accurate billing and claim processing along with... ...areas for improvement in the RCM process, such as claim denials or slow payment rates. Location: Irving, TX Work: 100% onsite...Work at office
$60k
...achieving excellence, we want you on our team!As the Utilization Management Specialist, you will evaluate the medical necessity, clinical... ...Revenue Cycle Management Director regarding claims payments, denials, and payor-based audits. Analyze utilization data and trends...Work at officeFlexible hours- ...Job Description Job Description Job Title: Revenue Cycle Management Specialist I Reports to: Revenue Cycle Manager Accountable to:... ...revenue cycle functions including claim follow-up, denial resolution, payment review, account research, and payer communication...Part timeRemote workMonday to Friday
$28 - $35 per hour
...OH are strongly preferred. Reports To: Revenue Cycle Manager Lucas James Talent Partners is partnering with Phothera... ...Madison Industries, on a direct hire opportunity for a Denials & Appeals Specialist. This is a remote revenue cycle role focused on ownership...Hourly payWork at officeLocal areaRemote work- ...JOB SUMMARY Processes and monitors follow up on denial accounts including disputes, appeals and grievances with insurance payors,... ...and values of Phoebe. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this...Full time
$29.7 - $31.8 per hour
...provider of technology-enabled revenue cycle management solutions for health systems, including... ...experience The Acute Coding Appeals Specialist integrates medical coding principles and... ...Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and...Temporary workWork at officeLocal areaRemote work$18.65 - $19.9 per hour
...provider of technology-enabled revenue cycle management solutions for health systems, including... ...0pm M-F The Senior Patient Access Specialist is responsible for performing admitting... ...admission, billing, payments, and denials. Comprehensive knowledge of patient insurance...Full timeWork at officeLocal areaRemote workShift work$26 per hour
...GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare... ...that could result in delayed services or lost reimbursement. Denials and Appeals Review authorization-related denials and determine...Hourly payRemote work- ...Supporting the accurate and efficient management of the revenue cycle for behavioral health... ...outpatient practices, the fully remote RCM Specialist will manage full-cycle medical billing,... ...up on outstanding claims, resolve denials, and maintain compliance with HIPAA and...Remote work
- ...Phothera is seeking a Denials & Appeals Specialist to own the appeals process for denied and underpaid claims, focusing on medical necessity and payer policy alignment to maximize reimbursement and patient access. While the role is fully remote, candidates based in or...Remote work
$21 - $23.5 per hour
...RCM AR Specialist Position Title: RCM AR Specialist Supervisor's Title: Director of RCM Program or Dept: Revenue Cycle Management (RCM) Location and Cost Center: 90-1901 HQ- Glenwood Ave.,... ...follow-up on outstanding claims, denials, and unpaid balances. This role researches...Hourly payFull timeWork at office- ...Solutions offers industry-leading revenue cycle management services for healthcare providers. Our... ...to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR... ...treatment services. Manage authorization denials including referral for peer review. Document...Work at officeRemote workFlexible hours
- ...Programs Professional, Administrative, and Management Support Mission and Warfighter... ...Open Position Title: Visitor Management Specialist Location: Washington, DC Security... ...(INTERPOL) and render approval or denial of Campus visit requests based upon potential...Part timeFor contractorsWork at officeLocal areaShift workWeekend workWeekday work
$29.83 - $39.37 per hour
...Time Job Number: 26288 Department: Management Services Division: Support Services... ...is looking for a Building Maintenance Specialist to join our dedicated Building Maintenance... ...or any suspensions, cancellations, denials, revocations, or any other loss of license...Hourly payFull timeTemporary workFor contractorsWork experience placementSeasonal workWork at officeTrial periodFlexible hours$23.63 per hour
In this role, you will be the key to resolving complex claim denials and maximizing collections. You will utilize your deep knowledge... .... Review Explanations of Benefits (EOB) to determine claim management and contact insurance carriers to check status, verify insurance...Hourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workWork from homeShift work- ...Revenue Cycle Specialist Human Services Management Corporation (HSMC) provides shared business and consulting services to both non-profit and proprietary... ...What You'll Do Post payments, adjustments, and denials accurately to patient accounts. Reconcile daily and...Work at office3 days per week
- ...multidisciplinary orthopedic, neuro-spine, and pain management care through a team of 400+... ...Impact The Back-End Revenue Cycle Specialist is responsible for the downstream functions... ...of accounts receivable management, denial resolution, payment reconciliation, and...Hourly payDaily paid
- ...AI-enabled solutions that span practice management to electronic medical records and e-prescribing... ...care to their clients. As an RCM Specialist II, you will serve as a trusted partner... ...ongoing communication. Identify trends, denials, and reimbursement challenges while...Work at officeRemote work
- ...Position Overview Department: Revenue Cycle Management Schedule: Monday through Friday... ...Description The Revenue Integrity Specialist supports revenue optimization, regulatory... ...including CPT, documentation review, and claim denial review. Reviews documentation, abstract...Monday to Friday
- ...Commonwealth Pain & Spine is a pain management network dedicated to improving the lives... ...Job Summary: The Prior Authorization Specialist is responsible for all aspects of the prior... ...recertifications and referrals. • Appeals denials and/or set-up peer to peer reviews •...For contractorsWork experience placementWork at office
- ...Overview Department : Revenue Cycle Management Schedule : Monday through Friday... ...You Will Do The Revenue Integrity Specialist supports revenue optimization, regulatory... ...including CPT, documentation review, and claim denial review. Review's documentation,...Monday to Friday
- ...specializes in proactive revenue cycle management for outpatient physicaltherapy practices... ...Center is seeking an Accounts Receivable Specialist to join our team. This is a full-time remote... ...manages outstanding claims, resolves denials, reduces aged receivables, and supports...Full timeRemote workFlexible hours
- ...Denial Resolution Specialist The Denial Resolution Specialist is responsible for the timely review, resolution, and prevention of denied claims... ...within established SLA (typically =5 days). Appeals Management Prepare and submit first-level and second-level...Work at office
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