Revenue Cycle Specialist II Appeals and Denials Expert

Prevention and Recovery Center is seeking a Revenue Cycle Specialist to join our team. In this role, you will be responsible for managing the revenue cycle process, ensuring accurate and timely reimbursement for patient care services. The ideal candidate will have strong analytical and problem-solving skills, with the ability to work effectively in a...

About the RoleWe are seeking an experienced Clinical Appeals and Denial Management Nurse II to join our team at Christus Health. This is a full-time position that offers a competitive salary of $83,000 - $95,000 per year.Job SummaryThe Clinical Appeals and Denial Management Nurse II will be responsible for managing appeals of medical necessity denials from...

About the JobWe are seeking a highly skilled Revenue Cycle Specialist II to join our team at Senior PsychCare. In this role, you will be responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence.As a Revenue Cycle Specialist II, you will identify billing issues affecting...

We are seeking a skilled Clinical Denial Specialist to join our team at Christus Health.About the RoleThe successful candidate will be responsible for managing denials and appeals from various third-party entities concerning medical necessity and level of care. This role involves reviewing cases, communicating with stakeholders, and orchestrating educational...

Job DescriptionSenior PsychCare provides fully integrative behavioral health services to long-term care patients. As a Revenue Cycle Specialist II, you will support our Billing Team in Houston by resolving billing issues and ensuring accurate reimbursement.Your responsibilities will include managing a high-volume workload, leveraging knowledge of government...

Job SummaryWe are seeking a highly skilled Clinical Appeals Specialist RN to join our team at Christus Health. This is a full-time position responsible for managing denial and appeal processes, providing case analysis, and coordinating with healthcare teams to resolve issues related to medical necessity.About the RoleThe successful candidate will be...

We are seeking a skilled Clinical Denial Specialist RN to join our team at Christus Health.Job SummaryThe Clinical Denial Specialist RN manages the process of denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care. This role serves as a liaison for clinical denials inquiries, reviews cases against...

Christus Health seeks a skilled Clinical Necessity Denials Specialist to manage and communicate denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This position involves reviewing cases based on clinical guidelines, facilitating the appeal process,...

Key ResponsibilitiesAs a Revenue Cycle Specialist II, you will be responsible for calling payers to determine the true reason for denial and inquiring about what corrections need to be made.You will also follow up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals, as well as update insurance...

We are seeking a Revenue Cycle Expert to join our team at Privia Medical Group - Gulf Coast. As a Revenue Cycle Expert, you will be responsible for analyzing and improving our revenue cycle processes to ensure timely and accurate payments from patients.Key Responsibilities:Analyze and identify areas for improvement in the revenue cycle processDevelop and...

Job Description: Clayton Services seeks a Revenue Cycle Expert to manage financial operations for a temporary period of 2-3 months in Northwest Houston, with an hourly pay rate of $22-$25. The estimated annual salary for this position is $45,760-$51,200.Key Responsibilities: As a Revenue Cycle Expert, you will oversee accounts payable and receivables,...

Job Title: Healthcare Revenue Cycle ManagerWe are seeking a seasoned professional to manage our revenue cycle operations at St. Joseph Medical Center in Houston, Texas.About the RoleThe successful candidate will be responsible for overseeing the entire revenue cycle process, including claim submission, denial management, and patient billing. The ideal...

Job DescriptionThe Medical Necessity Appeals Specialist at Christus Health is a critical role that requires strong clinical knowledge and analytical skills.About the Job:Manage denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care.Draft appeal letters and ensure timely filing to minimize revenue...

Join Our Team:Millennium Physicians Association is seeking an experienced Healthcare Revenue Cycle Expert to join our team. In this role, you will be responsible for managing the revenue cycle process, including charge capture, coding, and billing.Responsibilities:• Develop and implement effective revenue cycle processes and procedures.• Collaborate with...

Job SummaryWe are seeking a skilled Clinical Appeals Nurse to join our team at Christus Health. As a key member of our healthcare team, you will be responsible for managing and communicating denials/appeals received from third-party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care.About the...

Job Summary: IASIS Healthcare is seeking a highly skilled and detail-oriented Healthcare Revenue Cycle Analyst to join our team.About the Job:This is a full-time opportunity to work in a dynamic and fast-paced environment. As a Healthcare Revenue Cycle Analyst, you will be responsible for analyzing and resolving revenue cycle issues to ensure timely and...

Job Summary:The Clinical Appeals Nurse II is a critical role at Christus Health, responsible for managing denial and appeal processes from third-party payers. This position requires strong case analysis skills and the ability to coordinate with healthcare teams to resolve issues related to medical necessity.

About Christus HealthWe are a leading healthcare provider dedicated to delivering exceptional patient care. Our team of experienced professionals is committed to making a positive impact on the lives of our patients and communities.Salary InformationThe estimated annual salary for this role is $83,500 - $110,000, depending on location and experience.Job...

We are seeking a highly skilled Clinical Revenue Operations Manager to join our team at Plaza OB/GYN.Job Summary:The ideal candidate will have a minimum of 3 years of experience in revenue cycle management, with a focus on billing and coding in an OBGYN setting. They will be responsible for managing the accounts receivable (A/R), submitting claims, posting...

Job Description:Clinical Appeals and Denial Management Role at Christus HealthThe Medical Necessity Specialist II manages the process of denials and appeals from third-party payers and government entities, focusing on medical necessity and level of care. This role serves as a liaison for clinical denials inquiries, reviews cases against established...