Clinical Denials Specialist - Remote

Pay range: $ $32.07 per hour, based on experience. · This position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program. · In addition, this role is eligible to work remotely from ...

· 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 care, embracing multi-disciplinary education, and resea ...

· Company Description · Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value ...

SCOTUSblog is launching a daily business-docket newsletter that covers every federal appellate decision in the prior 24 hours and distills the developments that matter for corporate counsel and commercial litigators. · ...

+ As Hey Jane expands to partner with more payers, we are seeking a highly organized and detail-oriented Billing Specialist with specific expertise in Medicaid and Medi-Cal. · +Ensure a smooth, efficient, and timely claim submission process with minimal denials. · Follow up on un ...

The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims. · ...

Flagler Health is a fast-growing healthtech company transforming how healthcare organizations deliver care through AI-powered workflow automation, remote patient engagement, and chronic care programs. Our platform has already served over 1.5 million patients and is trusted by pro ...

· SmarterDx, a Smarter Technologies company, builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, our platform connects clinical context with revenue intelligence, helping health systems recover millions in missed reve ...

POSITION SUMMARY: · The CDI Validation Specialist assists the CDI Manager with oversight, evaluation, and analysis of CDI functions including efficiency, accuracy, continuing education needs, and overall quality. This individual identifies individual education needs of Clinical D ...

· Remote Revenue Cycle AR Specialist (Hospital)  · At JTS, we create the "WOW" factor for each other and our clients. We embrace a culture where employees are empowered to be innovative and grow personally and professionally, and value employees who want their contributions to d ...

· Overview · We have an exciting opportunity for a Certified Coding Specialist with experience in Pediatric Speciality Coding to join our team. Pediatrix Medical Group is a physician lead organization, and we are one of the nation's largest providers of prenatal, neonatal and pe ...

Job Summary: The Benefits Specialist is responsible for verifying patient insurance coverage, submitting pre-authorizations, and financial assistance support  to ensure patients receive coverage for medical and infusion services provided. · Key Responsibilities: · Verify and docu ...

Job Summary: The Benefits Specialist Lead is responsible for verifying patient insurance coverage, submitting pre-authorizations, and financial assistance support  to ensure patients receive coverage for medical and infusion services provided. · Key Responsibilities: · Verify and ...

About Us: · Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keep ...

This is an opportunity to apply DME experience in a new way by reviewing clinical documentation, assessing model-generated qualification outcomes, and identifying when decisions do or do not align with real-world payer standards. · ...

Company Description · Today, when you go to your doctor and get referred to a specialist (e.g., for sleep apnea), your doctor sends out a referral and tells you, "They'll be in touch soon." So you wait. And wait. Sometimes days, weeks, or even months. Why? Because too often speci ...

The Charge Integrity Specialist will play an important role in SmarterDx's next product launch in the Charge Integrity space. · This role will work closely with Product and Data science to refine and collaborate on strategies that will assist our customers in decreasing missed or ...

Full-Time Non-Exempt Direct Hire · Remote in the United States · $22.00-$27.00 per hour · We're a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our lea ...

This revenue integrity specialist role involves conducting reimbursement audits to verify accurate payments per payer contract agreements and government rates. The specialist will also conduct post-implementation care center audits and assist in leading initiatives that drive eff ...

The Revenue Integrity Specialist is responsible for complete, accurate and timely processing of reimbursement/payment audits in compliance with Privia policies, payer contracts and government fee schedules. · ...