Overview FTE: 1.0 Schedule: Monday – Friday, 8:00 AM – 5:00 PM Position Summary The Denial Management Coding Analyst plays a key role in maintaining low denial rates and high reimbursement rates at an enterprise level, while ensuring adherence to high coding standards across the organization. This p
Revenue Cycle Associate - Denials Specialist (Remote) Join Our Team at Ternium RCM – A Leading Advocate in Healthcare Revenue Cycle Solutions! Are you ready to make a real impact on the healthcare industry? Ternium RCM is seeking a Denials Specialist to help us empower hospitals and health systems a
This Denials Specialist is responsible for the follow-up and collections of accounts within accounts receivable. This includes general payer collections and denial follow-up. In addition, this role may oversee the intake of patient calls. This position performs various accounting, customer service,
*Revenue Cycle Associate - Denials Specialist (Remote)** *Join Our Team at Ternium RCM – A Leading Advocate in Healthcare Revenue Cycle Solutions!** Are you ready to make a real impact on the healthcare industry? Ternium RCM is seeking a Denials Specialist to help us empower hospitals and health sys
Come lead with us at Corporate At Houston Methodist, the Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management and appeals process in a collaborative environment with Central Business Office (CBO) management and clinica
Come lead with us at Corporate At Houston Methodist, the Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management and appeals process in a collaborative environment with Central Business Office (CBO) management and clinica
Come lead with us at Corporate At Houston Methodist, the Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management and appeals process in a collaborative environment with Central Business Office (CBO) management and clinica
As a Denials Management Coordinator in our Hospital Billing & Collections department is to utilize one’s clinical expertise, insurance knowledge, business know-how, and high level communication to analyze patient accounts and invoices to assist in the resolution for retrospective approval for de
*\*\*\*Denials Prevention Lead – TriHealth Norwood\*\*\*** As a **Denials Prevention Lead** at **TriHealth**, you’ll step into a role where your expertise truly shapes outcomes. You’ll guide a dedicated team, influence daily workflows, and drive improvements that reduce denials, strengthen complianc
This Specialist will join the claims follow up team and be responsible for processing insurance company remittances denial follow up and other tasks related to insurance claim accounts receivable The Revenue Cycle Management RCM team is looking for someone with insurance claims denials follow up exp
Overview: Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager/Supervisor of Denials Management. Responsibilities: Completing the res
*Position:** Denials Specialist *Shift:** Monday–Friday, 9–5 *Hybrid** : M/F remote, T/W/Th In-person *Interview Process:** 1 & done, Microsoft Teams *Must-have:** High School Diploma Minimum 2 years of experience performing hospital accounts receivable or relevant experience Hospital billing ex
Appeals & Denials Nurse 📍 Remote (U.S.) Medix is seeking a detail-oriented Appeals & Denials Nurse to perform primarily remote coding audits for professional services. This role is ideal for an experienced auditor who enjoys research, report writing, and supporting clients with accurate, co
*Why work for Nebraska Methodist Health System?** At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making
Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making eac
**This Specialist will join the claims follow-up team and be responsible for processing insurance company remittances, denial follow-up, and other tasks related to insurance claim accounts receivable. The Revenue Cycle Management (RCM) team is looking for someone with insurance claims denials follow
UM Denials Coordinator - LPN BRIGHTON HEALTH PLAN SOLUTIONS Remote – 100% Full Time About The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations and preparing d
*Job Summary** *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. *Essential Duties And Responsibilities** Include the followi
Position Summary The Denial Specialist will be responsible for coordinating appeals and collection efforts for denied/underpaid services performed at St. Joseph’s/Candler and its affiliates where applicable. The scope of work will encompass all Government, Commercial and Managed Care payers, and inc
*Job Summary** *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. *Essential Duties And Responsibilities** Include the followi