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...

Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000...

Emory Healthcare System Denials Analyst Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership...

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...

Job Description JOB SUMMARY Responsible for providing direct support to internal and subcontracted external legal resources engaged in the collection and recovery of managed care and/or Worker's...

Location: Remote - TX Department: CBO/PT Financial Services Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The...

Seeking an onsite Documentation Specialist to join a Fortune 500 Financial Services Corporation. The department is a high volume and fast paced line of business. As a Document Specialist, you will be assigned various documentation and...

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...

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...

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...

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

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...

To process drawback claims for existing clients, assessing the profitability of drawback for prospective clients and devising strategies to enhance the profitability of the client's drawback program. Advises prospective clients and existing...

Argo Group International Holdings, Incand American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company.

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

Job Title: Appliance Delivery Specialist – Mover Job Description: We're hiring experienced Appliance Delivery Specialists to complete residential and...

The candidate will need to be able to analyze samples for nannofossil biostratigraphy, identify key marker species, and develop highly-resolved age frameworks. Additional responsibilities include working with micropaleontologists, palynologists, and...

Responsible for aligning with state laws, policies and company procedures. Other duties as assigned or required. Knowledge/ Skills/ Abilities:Knowledge of claims processing required. Knowledge of Collateral Protection Insurance helpful. Insurtrak...

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...

Job Number: 474 Location: Alpine Supervises: N FLSA: Non-Exempt Division: MH Salary: $42,946 per...

As the direct partner at the regional operations level, responsible for coordinating safety, health, and environmental programs. The Safety Specialist will work closely with the corporate safety team and offices within the region. Provide proactive...

Job Title Respond to incoming referrals, verify demographic and insurance information, and assess the organization's ability to meet patient needs. Retrieve and secure insurance authorizations and document all interactions per...

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...

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...

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...

OverviewThe US Oncology Network is looking for a Patient Services Representative to join our team at Texas Oncology. This full-time position will support the Austin Midtown location (901 W 38th St #200 Austin, Texas 78705).This is a full-time...

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...

Your Next Mission Starts Here! At CenCore Group, we believe that great people drive great missions. We're more than a defense contractor — we're a team that cares deeply about our employees, their growth, and their impact. We're seeking an Access...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture...