Senior Denials & Appeals Specialist Revenue Integrity
Tampa General Hospital
Tampa General Hospital is seeking a Senior Denials Specialist to lead the review, analysis, and resolution of denied claims. This role acts as a subject matter expert in Medicare, Medicaid, and third-party payer regulations while promoting denial-avoidance initiatives. Located in Tampa, the position involves collaboration with nursing, coding, and revenue integrity teams. Candidates should have extensive hospital billing experience and strong communication skills. This role supports a hybrid remote work schedule with full-time hours. #J-18808-Ljbffr
- ...Denials Specialist Senior - Medical Bill Audit Under the direction of the Assistant... ...claims through the appeals process to ensure optimal reimbursement... ..., and ensures the integrity of claim development and... ..., coding, case management, revenue integrity, IT, and other departments...SeniorFull timeContract workWork at officeRemote workMonday to FridayShift work
$89k - $148k
...Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals... ...& Innovation (RCMI) Senior Solution Technical Expert (SSTE)... ...practices (ICD-10, CPT, HCPCS). Integrate coding edits and validation rules to reduce denials and improve first-pass yield. Monitor...SeniorTemporary workWork at officeFlexible hours- ...Revenue Cycle Management Specialist I Revenue Cycle Management Specialist I, can work in all facets of the revenue cycle department. This role... ...Responsible for clean claim billing, claim adjudication, denial management, payment posting, underpayments, patient liability...SuggestedFull timeWork experience placementWork at office
- ...Hard Rock International is seeking a Revenue Verification Representative in Tampa, Florida, to ensure the accuracy of financial figures and business transactions. This full-time role involves conducting financial audits, assisting with operating reports, and maintaining...SuggestedFull time
- Hard Rock Hotel Cancun is looking for a Revenue Verification Representative to ensure the accuracy of financial figures linked to business transactions. This full-time role involves conducting audits, preparing operating reports, and interacting with regulatory agencies...SuggestedFull time
$18 per hour
...including reaching out to the patient when necessary. Analyze payer denials and appropriately respond to secure claim reimbursement. Provide information to the Billing & Appeals Specialists on claims that require written appeals. Track trends in payer underpayments...Hourly payContract workMonday to Friday$68.43k - $82.92k
## Senior Specialist, Benefit OperationsTampa - FL - USFind out how well you match with this job... ...present relevant data for second-level appeals.Review and update employee reference materials... ...”, every BMS employee plays an integral role in work that goes far beyond ordinary...SeniorHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaRemote workFlexible hoursShift work- ...As a Revenue Cycle Management Specialist within our Medical Payment Posting team, you will be expected to adopt a strategic approach to ensure the... ...role is vital in maintaining the financial accuracy and integrity of the medical billing process. You will collaborate closely...Daily paidFull timeWork experience placementWork at office
- ...Job Description Senior Director, Revenue Performance and Strategy serves as a key leader within Tampa... ...analysis to address underpayments, denials, and missed reimbursement opportunities... ...first. Serve as the strategic integrator between RCM operations, analytics, IT...SeniorFull timeRemote workMonday to Friday
- ...JOB SUMMARY: The Sr. Director of Revenue Cycle is responsible for overseeing revenue... ...coding, billing, collections, and denial management. This position must have a thorough... ...fee domains, within a large, integrated health system. • Deep knowledge of professional...SeniorLocal area
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$144.5k - $175.1k
...and collaborative attitude. ~ Holds a high level of integrity and good judgment, in order to navigate the requirements... ...status of your application should be directed to Chat with Ripley. R1602404 : Senior Therapeutic Area Specialist - Oncology/Hematology- Tampa, FLSeniorHourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaRemote workFlexible hoursShift work- Medasource in Tampa, Florida is seeking an experienced Senior Clinical Documentation Specialist (CDI) for a 100% remote, contract-to-hire position. This role focuses on supporting documentation integrity and quality improvement within a complex acute care environment....SeniorRemote jobContract workFlexible hours
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- ...Revenue Cycle Management (RCM) Consultant Senior – CarelonRx Location: This role requires associates to be in-office... ...identify reimbursement risks, denial trends, cash acceleration opportunities... .... Familiarity with revenue integrity, managed care, or reimbursement analytics...SeniorTemporary workWork at officeLocal area2 days per week1 day per week
- ...Utilization Review Specialist Senior At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists... ...including but not limited to processing concurrent denials. Preferred experience includes Critical Care or Emergency...SeniorReliefWeekend work
$95.86k - $208.27k
...Senior Specialist, IAM, SailPoint The KPMG Advisory practice is at the forefront of transformation, offering excellent opportunities for... ...service and addressing their IAM-related needs Act with integrity, professionalism, and personal responsibility to uphold KPMG...SeniorH1bLocal areaNight shiftWeekend work- ...Job Title Senior Specialist, Time & Attendance Administrator (UKG) Division: BEST HR Location: Tampa, FL Reports To: Manager... .... This position is responsible for overseeing the daily integration files between our core HR system and UKG, performing essential...SeniorWork experience placementSummer workWork at officeImmediate startWork from homeFlexible hours
- ...Senior Therapeutic Area Specialist - Oncology/Hematology- Tampa, FL Working with Us Challenging. Meaningful. Life-changing. Those aren't words... ...and collaborative attitude. ~ Holds a high level of integrity and good judgment, in order to navigate the requirements...SeniorPrivate practiceWork at office
$66.3k - $139.7k
C.H. Robinson is seeking a Senior Import Global Trade Specialist to support our Robinson Fresh division and the complex global trade needs of our perishable... ...of a fully remote position, while still being an integral part of our dynamic team. This role is open to...SeniorHourly payContract workTemporary workWork at officeRemote workWorldwideFlexible hours- Senior HUMINT Targeting Specialist - (2190) Job Title Senior HUMINT Targeting Specialist Location Tampa, FL 33621 US (Primary) Category Job Type... ...award. At Prescient Edge, we believe that acting with integrity and serving our employees is the key to everyone's...SeniorFull timeContract work
$68.43k - $82.92k
Senior Specialist, Benefit Operations Essential Functions Utilize ServiceNow to research and resolve Tier 2 benefits operations cases. Oversee... .... Compile and present relevant data for second-level appeals. Review and update employee reference materials/Knowledge Articles...SeniorFull timeTemporary workWork at officeFlexible hours- Job Title: Senior Specialist - HR Data Administration Location: Tampa, Florida Work Arrangement: Hybrid - 3 Days Onsite / 2 Days Remote... ...services function. This role is responsible for ensuring the integrity, accuracy, and compliance of HR data across the employee lifecycle...SeniorContract workWork experience placementSummer workWork at officeLocal areaRemote workWork from home
- ...Sr Geospatial Analyst / LiDAR Calibration Specialist Dewberry is currently seeking a Sr Geospatial Analyst / LiDAR Calibration Specialist... .... Our commitment to excellence stems from our personal integrity and from other defining attributes, which we call "Dewberry at...SeniorLocal areaRemote work
- ...Integration Specialist The Integration Specialist is responsible for designing, implementing, and maintaining integration solutions while ensuring compliance with healthcare data exchange standards such as HL7, CCDA, and FHIR. The ideal candidate will work closely...Shift work
- ...Quiet-Professionals-LLC is seeking a System Integration Specialist in Tampa, FL. The role involves integrating JIRA and GitLab while configuring automated workflows for task tracking and reporting. The ideal candidate will have a Bachelor’s degree in Systems Engineering...
- ...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. System Integration Specialist Full Time Professional TAMPA, FL, US 6 days ago Requisition ID: 1053 Position Summary The System Integration Specialist...Full timeFor contractors
- ...At KPMG, you can become an integral part of a dynamic team at one... ...KPMG's extensive network of specialists & enjoy access to our Ignition... ...KPMG is currently seeking a Tax Senior Associate to join our... ...deduction and credit Internal Revenue Code sections (including, but...SeniorFull timeWork at officeLocal area
- ...TECO Energy in Tampa is seeking an Admin Specialist to provide key administrative and technical support. The role includes responsibilities... ...-time position requires strong Microsoft Office skills and integrity in managing confidential information. Benefits include...SeniorFull timeWork at office
$62.9k - $66.81k
...Position Title: Senior Data Analyst Reports to: Director, Data & Processes Department: Administration Location: Causeway... ...fundraising databases, and program performance metrics. Maintain data integrity and accuracy across all platforms. Data Analysis & Reporting...SeniorWork at office
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