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...

Ophthalmology or Optometry AR Follow-up specialist Evenflow Solutions has a client that is looking to add a remote Ophthalmology or Optometry AR Follow-up specialists to their team This is a Direct Hire position with our client that offers a...

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...

This requisition expires on January 27, 2026, but may close earlier if the position is filled prior to the expiration date. Responsible for the full-cycle claims adjusting and handling processes for the City of Denton. Oversee subrogation claims...

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...

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...

Contracts Specialist: Interconnection Negotiation and Copper Facility Decommissioning Location: Dallas, Texas - onsite 5 days per week Duration: Contract Job ID:...

About Us Inform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology,...

It's a great time to join AAA The Auto Club Group! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time Exempt/Non Exempt: Salary Job Description:...

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Job Title: Quality Control Manager (QCM) Location: Lackland AFB, San Antonio, TX Start Date: ASAP Employment Type: 1099...

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...

Earth, Texas, 79031, United States of America Are you looking for an exciting job where you can put your skills and talents to work at a company you can feel proud to be a part of? Do you want a workplace that will challenge you and offer you...

The Facility Condition Assessments (FCA) Team at CBRE | Turner & Townsend Inc. is currently seeking a detail-oriented individual who will ensure that the deliverables are accurate, consistent, and conform to the standards and guidelines for the...

Provides clerical and administrative support to departmental Managers, and assists in coordinating all aspects of daily operations, including recording and reporting data. II. Essential Duties and Responsibilities To perform this job successfully, an...

About Us We are a dynamic Industrial Project Management firm specializing in industrial building projects- structures on solar and wind farms, data centers, warehouses, operations & maintenance buildings. We operate in...

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging...

None ESSENTIAL FUNCTIONS: RESPONSIBILITIES: - Oversee the entire supply chain process, from the initial movement of raw materials to the final delivery of products to customers. - Coordinate and manage the timely delivery of shipments; prepare...

Overview Digitech is seeking Claims Resolution Specialists (Insurance Biller) to work claims after they've been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong...

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...

) Pick products accurately, minimizing damage, and placing them correctly in totes. Maintain a clean and safe working environment, including immediate spill cleanup. Ensure temperature-controlled areas remain closed to maintain product quality.

Purpose and Impact: Are you interested in using your skills to help shape the Cyber, Security, & Intel space? If so, look no further. Amentum is seeking a Risk Mitigation Specialist - MID to join our team of passionate...

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...

Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar, you're joining a global team who cares not just about the work we do but also about each other. We are the makers, problem solvers, and future world builders who are creating...

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,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their...

LOD, a Consilio company, seeks attorneys with 5+ years of experience to join the LOD Attorney Team supporting a prominent national healthcare client. The ideal candidate will have some experience in contracts and/or healthcare contract language,...

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,...