Healthcare Appeals & Grievances Specialist
MJHS
MJHS seeks an A&G Specialist in New York, NY to handle department correspondence, log and route mail, and provide back-up support to coordinators and the director. The role emphasizes timely processing of grievances and appeals within regulatory timeframes. Responsibilities include opening and date-stamping mail, maintaining files, and performing related admin duties while ensuring compliance with agency standards. #J-18808-Ljbffr MJHS
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$50k
...bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions... ...Validation, Cost Outlier and Readmission reviews. The Appeals Specialist I is responsible for performing triage, review, analysis,...SuggestedFull timeContract workWork experience placementRemote work- ...operational work that keeps healthcare organizations running — the... ...status tracking, denials and appeals, A/R follow-up, and resolution... ...configuration, appeals & grievances, and member/provider services... ...Office Manager Revenue Cycle Specialist / RCM Analyst Medical...SuggestedWork at office
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$80 per hour
...specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization... ...authorization status tracking, denial outcomes, appeal pathways, escalation processes, and turnaround time expectationsEvaluate...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours- ...the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations... ...for clients receiving behavioral healthcare services from Odyssey House's Part 820... ..., peer reviews, discharge reviews, and appeals. Knowledge of substance use and mental...Temporary workFlexible hours
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...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on experience... ...Schedule peer-to-peer reviews and coordinate urgent/expedited appeals Staff individual cases with medical doctors as required...Remote work- ...St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical necessity reviews, and appeals for insurance payers. You will collaborate with Case Management and Billing to improve...Remote work
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$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- ...Building the financial operating system for healthcare — and bringing the joy back to... ...to meet you. The Role The RCM Workflow Specialist sits at the intersection of revenue cycle... ...Outcomes (paid, denied, written off, appealed, etc.) Ensure every claim worked and every...Private practice
$28.85 - $35 per hour
...engaged to conduct a search for a Denials & Revenue Recovery Specialist for a fast-growing healthcare revenue recovery organization . This is a fully remote... .... You will manage assigned denial queues, submit appeals, and follow claims through to final resolution while maintaining...Remote jobHourly payTemporary workInterim roleFlexible hours$49.92k - $62.4k
A healthcare organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and optimize revenue collection. Ideal candidates will have 3-5 years of experience in healthcare appeals, strong analytical skills, and knowledge of coding...$77.29k - $94.21k
Job Description - Sr Revenue Cycle Specialist (2602625) Sr Revenue Cycle Specialist At Stony... ...a bachelor’s degree and three years’ healthcare revenue cycle experience or in lieu of degree... ...Contracts, CM System and Denials and Appeals process. Assist in maintaining and creating...Full timeContract workShift workDay shift- DescriptionThe Dialysis Equipment Specialist (DES) is responsible for the maintenance, upkeep, and operation of all Hemodialysis and Peritoneal... ..., education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in...Hourly payTraineeshipLocal areaWeekend work
$23 - $31 per hour
Remote Physician Denials Specialist - 248391 Get AI-powered advice on this job and more exclusive features... ...- $31.00/hr Professional Billing Denials & Appeals Analyst Full-Time | Remote (with location restrictions) Healthcare Revenue Cycle | Denials | Appeals | EPIC PB...Remote jobHourly payFull timeWeekday work- ...GroupAbout CMI Media GroupAt CMI Media Group, we are delivering healthcare marketing at the speed of life. Our success is built on... ...voice matters.We are looking for a proactive, detail-oriented Specialist, Audit & Compliance to join our team. In this role, you will be...Flexible hours1 day per week
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...years and has earned a strong reputation for excellence in the healthcare field. Our unique business model, combined with our dedication... ...typical positionsPosition DescriptionThe Regional Colorectal Specialist (RCS) is responsible for providing minimally invasive surgical...Local areaImmediate start$135k - $140k
...that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health,... ...Environmental exposure to infectious disease and radiation Clinical Specialists are required to be within their assigned territory each day...Full timeWork experience placementH1bWork at officeLocal areaImmediate startRemote workWorldwideFlexible hoursNight shift$102.8k - $164.5k
...around the globe.Exciting Opportunity at MSK: Revenue Analytics Specialist MSK is seeking a Revenue Analytics Specialist to support... ...driven reporting and insight generation. This role turns complex healthcare data into clear, actionable intelligence that improves financial...Full timeMonday to Friday$96.3k - $178.8k
The PositionSurgical Device Specialist (SDS), Ophthalmology - NY MetroAn ever-transforming healthcare landscape requires a high level of agility and flexibility to navigate. At Genentech, we pride ourselves in our ability to adapt our business practices to meet the evolving...Full timeLive inLocal areaRelocation packageNight shiftWeekend workAfternoon shift- ...status, or disability status.Job DescriptionJob Description: As a healthcare consultant, you will be working independently on individual... ...of passion. We are awaiting to meet the excellent analytic specialist exactly like you. We would love to listen to your career success...
$125k - $135k
...a positive impact on patients’ lives? Do you have Electronic Healthcare Record (EHR) experience and are looking for a rewarding career... ...currently we are looking for Health Information Technology Specialists to support an IQVIA pharmaceutical client partnershipThis individual...Full timePart timeImmediate startWorldwideNight shift- QUALIFICATIONSBachelor’s or master’s degree with 4+ years of experience in consulting, investment banking, private equity or corporate strategy; healthcare experience is preferredComfortable interacting with senior leadership and working across multiple groups and stakeholdersHighly...ApprenticeshipWork at officeEasy work
- ...affiliated with Catholic Health Services of Long Island. St Francis was named one of the country's "Best Places to Work" by Modern Healthcare Magazine, and ranked among the nation's top cardiac centers by U.S. News & World Report. Along with being the only designated...Full timeTemporary workWork at officeImmediate start
$25.38 per hour
...About Us We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3... ...Downstate College of Medicine. Overview Nursing Float Information Specialist Full Time Permanent BC#81078 Transfer Rate $25.38...Permanent employmentFull timeContract workLocal areaMonday to FridayWeekend work- ...A healthcare service provider seeks a detail-oriented HIM Associate I to maintain the accuracy and confidentiality of patient health records while supporting clinical and administrative teams. This fully remote position requires strong attention to detail and experience...Remote work
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