Current jobs related to Denial Claims Analyst-RCM Specialist - West Long Branch, New Jersey - Allied Digestive Health

  • Autism Specialist

    4 weeks ago

    West Hempstead, New York, United States Gersh Autism Full time

    Job Title: Autism SpecialistWe are seeking a highly skilled Autism Specialist to join our team at Gersh Autism. As a key member of our team, you will be responsible for providing high-quality ABA services to families and children. Your expertise in behavioral assessments, treatment plans, and staff training will be invaluable in helping us achieve our...

  • Office Manager

    4 weeks ago

    West New York, New Jersey, United States Veda Family Dentistry Full time

    At Veda Family Dentistry, we are seeking a highly skilled and organized Office Manager to oversee the daily operations of our busy and growing office. This role will be responsible for managing administrative staff, handling patient inquiries, maintaining office supplies, and ensuring the smooth running of day-to-day activities.Key Responsibilities:Manage...

  • Office Support Specialist

    4 weeks ago

    West Orange, New Jersey, United States LHC Group Full time

    Job SummaryThe Office Assistant plays a vital role in supporting the Executive Director/Clinical Director and Business Manager with routine clerical and office tasks. This includes filing, shredding, data entry, and processing workflow tasks as assigned.ResponsibilitiesAssists ED, CD, PCM, and Office Manager with routine clerical tasks, answers telephone...

  • Cybersecurity Specialist

    4 weeks ago

    West Nyack, New York, United States The Salvation Army Full time

    Job DescriptionThe Salvation Army is seeking a highly skilled Cybersecurity Specialist to join our team. As a key member of our IT and Security Department, you will be responsible for designing, implementing, and maintaining security measures to protect our computer systems, networks, and data from cyber-attacks and unauthorized access.This is a crucial role...

  • Insurance Solutions Specialist

    3 weeks ago

    West Islip, New York, United States Brewster-Allen-Wichert Inc. Full time

    Job Title: Commercial lines Account ExecutiveJob Description:At Brewster-Allen-Wichert Inc., we're seeking a skilled Insurance Solutions Specialist to join our team. As a Licensed Insurance Representative, you'll be responsible for providing exceptional customer service to our clients in West Islip, New York.Key Responsibilities:* Provide personalized...

  • Senior Immigration Attorney

    4 weeks ago

    West New York, New Jersey, United States DUMÉ Law Group Full time

    At Dumé Law Group, we are seeking a highly skilled and compassionate Attorney to join our team in West New York, NJ. As an Immigration & Family Law Specialist, you will handle a variety of cases, including immigration and family law matters.Key Responsibilities:Represent foreign nationals in deportation or removal proceedings before the Executive Office for...

  • Mid-Market Risk Management Specialist

    4 weeks ago

    West New York, New Jersey, United States Aon Full time

    Mid-Market Production Account ExecutiveAre you looking to be part of a dynamic team that delivers innovative solutions to clients? Do you want to build strong relationships with clients and help them navigate complex business challenges? If so, our Production Account Executive role might be the right fit for you.About the RoleThis role will provide you with...

  • Senior Network Infrastructure Specialist

    3 weeks ago

    West Swanzey, New Hampshire, United States Diverse Lynx Full time

    Job Title: Network AnalystJob Summary:We are seeking a highly skilled Network Analyst to support our business objectives and enhance our technological infrastructure. This role requires analyzing network data, troubleshooting network devices and firewalls, and maintaining and upgrading network infrastructure.Key Responsibilities:Troubleshoot network devices...

  • Data Entry Specialist

    4 weeks ago

    West Islip, New York, United States Workoo Technologies Full time

    About the JobWe are seeking an experienced Data Entry Clerk to join our team at Workoo Technologies in New York. As an Accounts Receivable/Data Entry Clerk, you will be responsible for assisting the payroll departments with administrative tasks.Key Responsibilities:Analyze and process all short shipment/RMA chargebacks from customers.Collect chargebacks and...

  • Behavioral Intervention Specialist

    4 weeks ago

    West Hempstead, New York, United States Gersh Autism Full time

    Certified Behavior TechnicianGersh Autism is seeking a highly motivated and compassionate Certified Behavior Technician to join our team. As a Certified Behavior Technician, you will play a vital role in providing high-quality behavioral intervention services to children with special needs and their families.Key Responsibilities:Implement individualized...

  • Operations Manager

    3 weeks ago

    West Hempstead, New York, United States GardaWorld Full time

    About the Role: We are seeking an experienced Operations Lead to join our team at GardaWorld. As a key member of our operations team, you will be responsible for providing first-line leadership to a team of secured transportation employees within your assigned area of responsibility.Key Responsibilities:Ensure the safe and secure transportation of currency...

  • Behavioral Therapist

    3 weeks ago

    West Hempstead, New York, United States Gersh Autism Full time

    We are seeking a highly skilled and compassionate Behavioral Therapist to join our team at Gersh Autism. As an Autism Specialist, you will play a critical role in providing high-quality ABA services to families and children. Your expertise in behavioral assessments, treatment plans, and staff training will be invaluable in helping our clients achieve their...

  • Pharmacist (Full or Part Time) - Clinical Healthcare Specialist

    3 weeks ago

    West Sand Lake, New York, United States Walgreens Full time

    Job Description:As a Pharmacist (Full or Part Time) at Walgreens, you will play a critical role in providing pharmacy consulting services to patients, ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures.Key Responsibilities:Engage patients by greeting...

  • RCM Denial Claims Analyst Lead

    2 weeks ago

    West Long Branch, United States Allied Digestive Health Full time

    Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our...

  • RCM Denial Claims Analyst Lead

    2 weeks ago

    West Long Branch, United States Allied Digestive Health Full time

    Job DescriptionAllied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering...

  • Medical Claims Specialist

    4 weeks ago

    Farmers Branch, Texas, United States ASPCares Full time

    Medical Biller / Coder Needed - Full-TimeASPCares is seeking a highly skilled Medical Biller / Coder to join our team. The ideal candidate will have a minimum of 5 years of experience in medical billing and coding, with a strong knowledge of coding and payer guidelines.Key Responsibilities:Accurately input charges and code medical claimsPerform follow-ups on...

  • Medicare Claims Appeals Specialist

    4 weeks ago

    Long Beach, California, United States Morgan Stephens Full time

    Job Title: Medicare Claims Appeals ClerkMorgan Stephens is seeking a highly skilled Medicare Claims Appeals Clerk to join our team.Job SummaryThe Medicare Claims Appeals Clerk is responsible for reviewing and resolving member and provider complaints, and communicating resolutions to members and providers (or authorized representatives) in accordance with...

  • Dental Claims Specialist

    3 weeks ago

    West Sacramento, California, United States Image Specialty Partners Full time

    Image Specialty Partners is a leading dental service organization dedicated to delivering exceptional oral health care to our patients. Our team values integrity, efficiency, and collaboration to create a positive experience for both our clients and staff. We are seeking a motivated and detail-oriented Dental Claims Specialist to join our dynamic...

  • Data Analyst

    4 weeks ago

    Long Beach, CA, USA, United States Molina Healthcare Full time

    Job Title: Data Analyst - Medicare Claims Job Summary: We are seeking a highly skilled Data Analyst to join our team at Molina Healthcare. The successful candidate will be responsible for accurate and timely implementation and maintenance of critical information on claims databases. Key Responsibilities: * Loads and maintains contract, benefit, or...

  • Field Adjuster Trainee

    4 weeks ago

    West Chester, Pennsylvania, United States Davies Claims North America Full time

    Job Title: Field Adjuster TraineeAt Davies Claims North America, we are seeking a highly motivated and detail-oriented Field Adjuster Trainee to join our team. As a Field Adjuster Trainee, you will be responsible for handling daily, non-catastrophe, property field claims in the Greater Wilmington, DE and Philadelphia, PA areas.Key...

  • Claims Data Specialist

    4 weeks ago

    Long Beach, CA, USA, United States Molina Healthcare Full time

    Job Title: Sr. Analyst, Config Info MgmtJob Summary:As a Sr. Analyst, Config Info Mgmt, you will be responsible for ensuring the accuracy and timeliness of critical information on claims databases. You will maintain critical information on claims databases, synchronize data among operational and claims systems, and apply business rules as they apply to each...

  • Accounts Receivable Specialist

    4 weeks ago

    West Columbia, South Carolina, United States Doctors CareUCI Medical Affiliates, Inc. Full time

    Accounts Receivable SpecialistDoctors Care/UCI Medical Affiliates, Inc. is seeking a highly skilled Accounts Receivable Specialist to join our team. As a key member of our Patient Accounting department, you will be responsible for resolving outstanding, unpaid, unprocessed, and denied claims submitted to third-party payers on behalf of our providers.Key...

  • Accounts Receivable Specialist FT

    3 weeks ago

    West Columbia, South Carolina, United States Doctors CareUCI Medical Affiliates, Inc. Full time

    Position Title: Accounts Receivable SpecialistSpecialty: Credit Balance (Experienced Professional)Location: Columbia, South CarolinaFull Time/Part Time: Full TimeCompany Overview:UCI Medical Affiliates, Inc. (UCI) provides non-medical management and administrative services to over 50 Doctors Care urgent care centers and 24 Progressive Physical Therapy...

  • Insurance Claims Specialist

    3 weeks ago

    West Monroe, Louisiana, United States Peach Tree Dental Full time

    Job SummaryWe are seeking a highly skilled Insurance Claims Specialist to join our team at Peach Tree Dental. As a key member of our team, you will be responsible for processing and managing insurance claims with professionalism and accuracy.Key ResponsibilitiesProcess and manage insurance claims in a timely and efficient mannerCommunicate with insurance...

  • Property Claim Representative Trainee

    4 weeks ago

    West Bridgewater, Massachusetts, United States THE TRAVELERS INDEMNITY COMPANY Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Property Claim Representative Trainee to join our team. As a Property Claim Representative Trainee, you will be responsible for investigating, evaluating, and resolving property claims in a timely and efficient manner.Key ResponsibilitiesInvestigate and evaluate property claims to determine...

  • Property Claim Representative Trainee

    4 weeks ago

    West Bridgewater, Massachusetts, United States THE TRAVELERS INDEMNITY COMPANY Full time

    Job Title: Property Claim Representative TraineeWe are seeking a highly motivated and detail-oriented Property Claim Representative Trainee to join our team. As a Property Claim Representative Trainee, you will be responsible for investigating, evaluating, and resolving property claims in a timely and efficient manner.Key Responsibilities:Investigate and...

  • Medical Claims Examiner

    4 weeks ago

    Long Beach, California, United States Ultimate Staffing Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims, ensuring accuracy and compliance with industry guidelines.Key ResponsibilitiesReview and process medical claims, including professional and facility...

  • Medical Claims Examiner

    3 weeks ago

    Long Beach, California, United States Ultimate Staffing Full time

    Job Summary:This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area. As a Medical Claims Examiner, you will be responsible for auditing claims processing quality, developing and maintaining standard reports, and assisting the Claims Supervisor/Director in reviewing quality auditing tracking and reporting. You will...

  • Property Claim Representative Trainee

    4 weeks ago

    West Bridgewater, Massachusetts, United States Travelers Insurance Full time

    About the RoleWe are seeking a highly motivated and detail-oriented Property Claim Representative Trainee to join our team at Travelers Insurance. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving property claims in a timely and professional manner.Key ResponsibilitiesInvestigate and evaluate property...

  • Medical Claims Specialist

    4 weeks ago

    West Palm Beach, Florida, United States MorseLife Health Systems Full time

    Job SummaryThe Physician Billing Specialist plays a crucial role in ensuring the smooth operation of our healthcare revenue cycle. This position is responsible for managing, coordinating, and processing all physician billing, ensuring timely and accurate payment responses. Key Responsibilities• Accurately and efficiently enter all charges to ensure proper...

  • Property Claim Representative Trainee

    3 weeks ago

    West Bridgewater, Massachusetts, United States Travelers Insurance Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Property Claim Representative Trainee to join our team at Travelers Insurance. As a Property Claim Representative Trainee, you will be responsible for investigating, evaluating, and resolving claims related to property damage. This is an entry-level position that requires satisfactory...

  • Claims Recovery Specialist

    1 week ago

    West Des Moines, Iowa, United States Sedgwick Full time

    {"h2": "Claims Recovery Specialist Job Description", "p1": "At Sedgwick, we are committed to providing our employees with a career that offers stability, growth opportunities, and a chance to make a positive impact on the world. As a Claims Recovery Specialist, you will be responsible for processing and reviewing subrogation claims, coordinating with...

  • Medical Claims Examiner

    2 months ago

    Long Beach, United States Ultimate Staffing Full time

    This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area! Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and...

Denial Claims Analyst-RCM Specialist

2 months ago

West Long Branch, New Jersey, United States Allied Digestive Health Full time
About the Role

Allied Digestive Health is a leading gastroenterology care network with over 200 providers and 60 locations across New Jersey and New York. As a physician-led organization, we prioritize personalized treatment plans and deliver high-quality care. Our board-certified doctors are recognized for their expertise, and several serve as chief of gastroenterology at nearby hospitals.

We are seeking a Fulltime AR Denials and Escalation Analyst to join our Corporate office in West Long Branch, NJ. This role can be remote or hybrid.

Key Responsibilities
  • Conduct medical coding audits to ensure compliance with regulatory guidelines.
  • Perform coding, billing, and documentation compliance audits within established timeframes.
  • Prepare reports of findings and recommendations for improvement.
  • Serve as a subject matter expert on coding and billing topics.
Requirements
  • 3+ years of experience in a professional audit capacity, with CPC, CRC, CGIC, or CGOC certifications from AAPC.
  • Strong technical knowledge of IIA standards and CMS regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding.
  • Proficiency in MS Office products, with intermediate to advanced knowledge of MS Excel.
  • Knowledge of Denials and Escalation processes.

Job Type: Fulltime