Denial Resolution Specialist

Job DescriptionThe Clinical Denials Specialist plays a critical role in ensuring accurate and timely reimbursement for SNI Companies. This position is responsible for conducting a comprehensive review of insurance denials and working with cross-functional teams to compile necessary documentation and medical records to submit appeals or corrected claims.Key...

Job Title: Denial SpecialistAt SNI Companies, we are seeking a highly skilled Denial Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and accurate reimbursement for our clients.Key Responsibilities:Denial Management: Conduct comprehensive reviews of insurance denials and work with...

Job Description**Job Title:** Clinical Denials Specialist**Job Summary:**We are seeking a highly skilled Clinical Denials Specialist to join our team at SNI Companies. As a Clinical Denials Specialist, you will be responsible for conducting a comprehensive review of insurance denials and working with our Clinical Denials Nurses and Coding Denials Specialists...

{"title": "Claims Resolution Specialist", "content": "Job SummaryWe are seeking a skilled Claims Resolution Specialist to join our team at PMA Companies. As a Claims Resolution Specialist, you will be responsible for investigating, evaluating, and resolving complex Workers Compensation claims in a timely and efficient manner.Key ResponsibilitiesInvestigate...

Job Title: Sr Claims RepresentativeJoin PMA Companies as a Sr Claims Representative and take on a challenging role in our claims team. As a member of our team, you will utilize your knowledge of Workers Compensation to independently investigate, evaluate, and resolve assigned claims of a more complex nature.Key Responsibilities:Promptly investigate all...

About the RoleWe are seeking a highly skilled and experienced Senior Operations Manager to lead our Dispute Resolution team at USAA. As a key member of our operations team, you will be responsible for overseeing the investigation and resolution of member disputes related to financial transactions.Key ResponsibilitiesLead Dispute Resolution Team: Supervise...

Job SummaryParadigm is a leading accountable specialty care management organization dedicated to improving the lives of individuals with complex injuries and diagnoses. We are seeking a highly skilled State Dispute Resolution Specialist to join our team.Key ResponsibilitiesManage day-to-day operations of the Paradigm Specialty Network and EPS State Disputes,...

Job SummaryWe are seeking a highly skilled Financial Operations Specialist to join our team at Tampa General Hospital. This role will play a critical part in driving strategic process improvement, managing complex projects, and solving difficult problems within our Revenue Cycle department.Key ResponsibilitiesDrive strategic process improvement initiatives...

Senior Application Analyst - Epic Resolute HB/PB SpecialistWe are seeking a highly skilled and experienced Senior Application Analyst to join our team at Superlanet. As a Senior Application Analyst - Epic Resolute HB/PB Specialist, you will be responsible for the build, support, testing, and implementation of billing data in Epic, particularly as it relates...

Position OverviewThe Claims Adjustment Specialist plays a vital role within Loggerhead's Claims division, tasked with the reception, investigation, and resolution of straightforward first-party homeowner claims. This position also involves providing support to the claims team through various administrative tasks. The specialist operates under standard...

Job SummaryCitigroup Inc is seeking a highly skilled Strategic Operations Lead Analyst to join our team. As a key member of our operations team, you will be responsible for business administrative and reporting activities associated with Citi's resolution planning data aggregation and reporting platform.Key ResponsibilitiesPerform detailed operations and...

About Avalon Administrative Services, LLC dba Avalon Healthcare SolutionsAvalon Administrative Services, LLC dba Avalon Healthcare Solutions is a leading provider of innovative healthcare solutions, dedicated to improving clinical outcomes and healthcare affordability for millions of lives across the country.Job SummaryWe are seeking a highly skilled...

About Avalon Administrative Services, LLC dba Avalon Healthcare SolutionsAvalon Administrative Services, LLC dba Avalon Healthcare Solutions is a leading provider of innovative healthcare solutions, dedicated to improving clinical outcomes and healthcare affordability for millions of lives. Our cutting-edge Lab Insights Platform captures, digitizes, and...

Position OverviewRole Summary:The Coding Specialist collaborates with medical professionals, fellow coders, and insurance providers. This position involves occasional abstract coding, resolving claim discrepancies, and engaging in denial management processes. Additionally, Coding Specialists:Adhere to Orthopaedic Solutions Management policies and procedures...

Job OverviewPosition Summary: We are seeking a skilled professional in Medical Insurance Billing and Collections to enhance our dedicated team. This role offers a competitive salary along with comprehensive benefits, including a YMCA membership. The position is full-time with some hybrid work flexibility.Key Responsibilities:Evaluate daily denials,...

Position OverviewFlorida Urology Partners LLP is seeking a dedicated professional to join our billing department. This role focuses on medical insurance billing and collections, ensuring accuracy and efficiency in our financial processes.Key Responsibilities:Evaluate daily denials, rejections, and aged accounts to facilitate resolution.Manage and update...

Position OverviewSherloq Revenue Solutions is seeking a dedicated and experienced Coding Supervisor to join our dynamic team. This full-time role is ideal for individuals who thrive in a collaborative and fast-paced environment. Our organization has been a cornerstone in the community for over a century, and we are committed to fostering a workplace where...

Position OverviewIn this position, you will:The Medical Coding Specialist collaborates with healthcare professionals, fellow coders, and insurance providers; engages in occasional abstract coding, addresses claim discrepancies, and participates in denial resolution. Furthermore, Coding Specialists:Adhere to Orthopaedic Solutions Management policies and...

Job SummaryKING'S INSURANCE STAFFING LLC is seeking a highly skilled PIP Claims Examiner to join our team. As a key member of our claims department, you will be responsible for handling moderate to complex personal injury protection (PIP) claims within the state of Florida.Key ResponsibilitiesClaims Investigation and Evaluation: Investigate and evaluate PIP...

Job DescriptionJob Summary:We are seeking a highly skilled Coding Specialist to join our team at Orthopaedic Solutions Management. As a Coding Specialist, you will play a critical role in ensuring accurate and efficient coding of medical records, ensuring maximum reimbursement for our clients.Key Responsibilities:Coding and Compliance: Determine the proper...