Denials specialist near me

JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims.

Job Type Full-time Description First year potential $60k - $90k based on performance Pay: Commission plus bonuses Schedule: M - F, able to share on-call and...

*Description* Remote - candidates can reside in PST, MST, CST BUT MUST WORK HOURS LISTED IN DAILY SCHEDULE Hours: -*1-10pm Monday-Friday CST/ 8-5pm Monday-Friday CST/ 8-5pm Sunday-Thursday CST/ 1-10pm Sunday-Thursday CST/ 1-10pm...

WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to...

POSITION SUMMARY/RESPONSIBILITIES The Resolution Coordinator will conduct operational role-based training for all new hires within PBS. This position will assist the Executive Director and Assistant Directors to provide...

Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers. Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits. Monitors pending...

Job Type Full-time Description Be the driving force behind our new Garage Door service - launch, lead, and help grow the team! A minimum of 3 years of garage door repair and installation...

The Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient and outpatient behavioral health services. This role ensures medical necessity, timely authorizations, regulatory compliance,...

Handle authorization process and obtain pre-certification approvals prior to service. Submit pre-authorization requests and follow up with payer to ensure timely approvals. Update resident providers and supervising faculty of delays related to...

Secures and obtains accurate and complete patient data for registration, scheduling, and support of the outpatient areas of Ambulatory Rehabilitation. Secures and obtains accurate patient data to help with financial clearance. Understands and...

Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers. Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits. Monitors pending...

Responsibilities The Appeals Specialist will manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third party claims within timely filing timelines. This...

Remote Inpatient Coding Team Lead – VA Federal Contract Location: 100% Remote (Work from Home) Schedule: Monday – Friday | 8:00 AM – 4:30 PM CT Employment Type: Full-Time Federal...

Koya is always looking for curious and passionate individuals who want to join a fast- paced team for a career in transforming venous and lymphatic care through innovative people-centric technologies that improve lives and empower self-care. Koya...

A company is looking for an Authorization Specialist II to support the prior authorization request process in healthcare services. Key ResponsibilitiesAids the utilization management team with tracking and documentation of...

JOB DESCRIPTION Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state...

Looking for a chance to join a close-knit, compassionate team of dedicated legal professionals? Our law firm is expanding and needs the help of an intake specialist to take client relations to the next level and manage our growing caseload. Our...

Job Title This is a remote US based position. It requires day time, weekday hours (8 hour shifts Monday-Friday between 5am-11pm MST). Responsibilities Verifies patient insurance coverage timely utilizing phone or online...

A healthcare consulting company is seeking a Claims & Benefits Resolution Specialist to manage claims lifecycle activities including audits, accurate billing, and timely reimbursement. The ideal candidate should have 2-3 years of revenue cycle...

Full-Time | Onsite (Pasadena, TX) Schedule: Monday–Friday | 8:00 AM – 5:00 PM Pay: $20–$25/hour (based on experience) We are partnering with a leading manufacturer in the...

Job Posting Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

Document Control Specialist At Repsol, we are committed to equality and do not request personal information. We believe that diversity contributes to innovative ideas and provides added value that enables us to benefit from mutual...

About the job Data Entry Specialist/Clerk Full Time (Remote) The Data Entry Specialist/Clerk will work closely with all of the Manufacturing teams to understand and streamline Manufacturing production processes. This position will be...

Project Controls Specialist- Entry Level Recent Engineering graduates interested in a career in Petrochemical industry. Client: Chemical Plant Location: Alvin, TX Benefits: Health, Vision,...

Job Posting Title: Benefits and Authorization Specialist ---- Hiring Department: Dell Medical School ---- Position Open To: All Applicants ---- Weekly Scheduled...

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay - As a Data Entry Specialist at Provider Partners Health Plans, you will: Enter accurate and timely data into various databases; Verify and update existing data; Conduct...

Under the direction of the Outpatient Audit, Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical...

A leading legal recruitment agency seeks an Interim Document Specialist for a biotech company in the San Anselmo area. This role involves physical document handling, contract execution, and local travel for signatures. Candidates must have legal...

SNI Companies has partnered with San Antonio area Logistics firm adding a strong Data Entry Specialist to the team. Monday to Friday 8am to 5pm on-site $18-19.00 per...

Data Entry Specialist Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health...