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...

Overview Serves as the dynamic denial management coding analyst to maintain a low denial rate and high reimbursement rate at an enterprise level. To maintain a high coding standard within the enterprise. Organizes and plans...

Work From Home Work From Home Work From Home, Indiana 46544 Some people love getting to the bottom of things -- chasing down denied claims, resolving accounts, digging through the details to identify discrepancies and needs. Yes,...

Purpose The Denial Management Specialist role belongs to the Revenue Cycle team and is responsible for investigating and resolving complex third-party insurance denials and outstanding claims. The role aids in optimizing...

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...

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 The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers,...

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...

Our client is seeking a highly detail-oriented and organized Denials Specialist to join their healthcare administration team. This role is crucial for maintaining compliance with regulatory standards by ensuring accurate and timely processing of...

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...

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to...

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

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our...

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

You won't find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle! Learn more at Castle Biosciences Inc. is growing, and...

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...

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...

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...

The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HF's line of businesses which include commercial, Medicaid, dual enrollments, Medicare and complete care. Appeals Specialist is the subject matter...

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...

Job Description As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills and dedication to build...

AR Collections Specialist - Mental Health & SUD Focused *Must live in the US in EST and reside in the Eastern (ET) or Central Time (CT) Zone Hours: 8:00am to 5:00pm ET...

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.

About ABC Legal Services: ABC Legal Service is proud to be the national leader in service of process. We are a team of 1000 and growing with offices in Los Angeles, Oklahoma City, Phoenix, Brooklyn, Chicago, Washington DC,...

Job Summary: The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. Must live in Indiana. Essential Functions: ...

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,...

Description Disability Claims Specialist (Remote) (Internally: Quality Assurance Specialist) The IMA Group is hiring a Disability Claims Specialist to review and quality-check...

The Texas Department of Family and Protective Services (DFPS) works to build on strengths of families and communities to keep children and vulnerable adults safe, so they thrive. We do this through investigations, services, and referrals. ...

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...