Denials specialist near me

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. ESSENTIAL DUTIES AND RESPONSIBILITIES -...

Analyze payer denials by denial groupers and submit appeals. Contact patients and/or third-party payers to resolve outstanding insurance balances and underpaid claims. Make necessary adjustments as required by plan reimbursement. Functions as a...

Coordinate training schedules, manage calendars, and ensure timely communication with internal teams and external partners. Support recruitment efforts for training participants and facilitators through outreach and coordination with regional...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global...

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient...

Schedule: Full-Time Salary Range: USD $83000.00 - $176000.00 Job Category: Claims Description Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist, and seek an experienced claims professional with Commercial Casualty...

At ACCIONA Energía, we're committed to building a safer, more sustainable planet. We're looking for a Regional Safety Specialist to champion our safety culture across wind, solar, and battery energy storage sites in North America. In this...

Position Purpose: Generates, processes and maintains provider and member correspondence for preservice and concurrent review. Education/Experience: Requires a High School diploma or GED Requires 1 - 2 years of related...

Who We Are Since 1955, we have been on a mission To Passionately Feed Millions Daily with High Quality Food People Enjoy! We are a third-generation family-owned and professionally managed organization with...

Job Number: 278 LocationOdessa SupervisesN FLSANon-Exempt DivisionECI Salary: $21.41...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global...

Riley Power group, LLC is a full-service maintenance and capital construction services company headquartered in Pinehurst, NC. We work nationwide on some of the most challenging, exciting construction and maintenance projects in the...

The International Rescue Committee (IRC) responds to the world's worst humanitarian crises, helping to restore health, safety, education, economic wellbeing, and power to people devastated by conflict and disaster. Founded in 1933 at the call of...

Overview Do you love solving problems and keeping projects moving? As a Installation and Planning Specialist, you'll be the link between designers, manufacturing, and field teams, making sure our prefabrication process...

Your new company Hays is partnered with a well-known Real Estate firm, who are looking to add a Compliance Specialist to their team the greater Houston area. This is a great opportunity to join a rapidly growing...

Industrial Adhesives and Tapes Sales Specialist 3M Industrial Adhesives and Tapes Division Collaborate with Innovative 3Mers Around the World Choosing where to start and grow your career has a major impact on your professional...

Job Description - Senior Assistant Director, Employer Relations (HR Title: Employer Relations Specialist III) (COX00000270) Salary commensurate with experience and qualifications About SMU SMU's more than 12,000...

Payroll Specialist II Do you envision a workplace where every team member works together to create an amazing workplace experience? Do you want to be part of a dedicated team of professionals who consistently deliver excellence to reach our common...

Anticipated End Date: 2026-01-28 Position Title: Wellness and Recovery Specialist - Texas Job Description: Wellness and Recovery Specialist Location: Virtual: This role...

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,...

Are you ready to start a new career with a LEADER in the industry and WORLD CLASS team! What we offer: Competitive hourly pay with OT opportunities Annual Pay Increases...

About Soleno Therapeutics Inc Soleno is a biopharmaceutical company focused on the development and commercialization of novel therapeutics for the treatment of rare diseases based in Redwood City, CA. At...

Job Description National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health...

Provide SMART customer service by seeking out customers to understand their needs, answer questions, and communicate the advantages of Lowe's products and services. Serve as a point of contact for customers and vendors within your department,...

Description Summary The Child Life Specialist II demonstrates progressive skill and knowledge of the therapeutic process of working with children and families; evaluating their development skills and psychosocial needs and providing...

Overview This role supports daily operational activities across warehouse functions and basic system-related tasks. The position focuses on the accurate handling, preparation, and tracking of physical products, along with...

Georgetown University comprises two unique campuses in the nation's capital. With the Hilltop Campus located in the heart of the historic Georgetown neighborhood, and the Capitol Campus, just minutes from the U.S. Capitol and U.S. Supreme Court,...

About Ace Retail Group Ace Retail Group (ARG), is a division of Ace Hardware Corporation that owns and operates several Ace brands, including Westlake Ace, Great Lakes Ace, Buikemas Ace, Outer Banks Ace, Dennis...

Would You Like a Life-Changing Career with LifeGift Where You Can Grow as a Family Engagement Specialist I? Kick-start the career of a lifetime where you can be a part of our mission of hope,...

Since 1959, Johnson Equipment Company has provided the safest, most reliable dock and door products available on the market. These products combined with the most professional sales representatives and service technicians have led us to the...