Top 5821 Appeals Manager Jobs

AR Manager | Medicare
Infinx —Remote
- $42 - $48 an hour
- Full-time
- Remote
- 3 years
- Finance
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Appeals Manager
BronxCare Health System —Bronx, NY
- $91,529.80 - $93,529.80 a year
- Full-time
- Nursing
- RN License
- Hospital
CHS Utilization and Appeals Manager
Catholic Health —Melville, NY
- $110,000 - $150,000 a year
- Nursing
- RN License
- Word processing
- Health insurance
- Tuition reimbursement
Clinical Appeals & CDI Manager
Managed Resources, Inc (MRI) —Remote
- $95,000 - $142,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
- Paid holidays
- Health insurance
Appeals Supervisor
TeamHealth —Remote
- Overtime
- Remote
- Mid-level
- Travel
- Recruiting
13d
Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)
TMF Health Quality Institute —Remote
- Full-time
- Nursing
- Supervising experience
- Team management
- AD&D insurance
- Disability insurance
Clinical Quality Manager - Remote in PA
UnitedHealthcare —Fort Washington, PA
- $91,700 - $163,700 a year
- Full-time
- Remote
- RN License
- Writing skills
- Pass drug screening
Payment Policy Manager (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $114,080 - $211,761 a year
- Full-time
- Microsoft Excel
- Management
- Research
- 401(k)
Quick Apply
Denials and Appeals Case Manager
Stony Brook University Hospital —East Setauket, NY
- $89,760 - $127,975 a year
- Online Application
- Acute care
- Bilingual
- Microsoft Word
8d
Manager, L&D - Plant
Ferrara Candy Company, Inc. —Chicago, IL
- $102,075 - $142,905 a year
- Senior level
- Health insurance
- Paid time off
Tax Manager
All States Materials Group —West Springfield, MA
- $120,000 - $150,000 a year
- Full-time
- Management
- CPA
- 5 years
- Health savings account
- Health insurance
Quick Apply
RN Manager of Health Services - Assisted Living
Luther Park Community —Des Moines, IA
- Full-time
- Nursing
- RN License
- BLS Certification
- Free parking
- Continuing education credits
Quick Apply
UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
Medical Billing and Appeals Team Lead - Prosthetics
Optimus Prosthetics —Dayton, OH
- Full-time
- Mid-level
- Office
- In-person
- Health savings account
- Health insurance
Quick Apply
12d
Registered Nurse (RN) Case Manager | Days | Alaska | Up to $3,511 Weekly
Kiwi Healthcare —Sitka, AK
- Up to $3,511 a week
- Full-time
- Anatomy knowledge
- Hospital
- 8 years
- Health insurance
- 401(k)
Quick Apply
2d
Nurse Program Case Manager
Adult Community Educational Services, Inc (ACES) —Wauchula, FL
- $60,000 - $80,000 a year
- Full-time
- Background check
- Nursing
- Medication administration
- Health insurance
- Dental insurance
Quick Apply
Multi-Family HVAC Maintenance Supervisor
Concordia Properties —Magnolia, NJ
- From $30 an hour
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
6d
Property Manager
Titan Development —Rochester, MN
- $62,000 - $72,000 a year
- Full-time
- Mid-level
- Residential
- Driver's License
Quick Apply
Community Manager - Bellingham, WA
Desimone Enterprises —Ferndale, WA
- $1,500 a month
- Part-time
- Hybrid work
- Background check
- Customer service
- Computer literacy
Quick Apply
Certified Dietary Manager, Certified Food Protection Professional
Confidential —Flathead County, MT
- $50,000 - $60,000 a year
- Full-time
- Mid-level
- Supervising experience
- Patient care
- Paid training
- Health savings account
Quick Apply

I want to receive the latest job alert for Appeals Manager

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

AR Manager | Medicare

Infinx -
Remote

Quick Apply

Job Details

Full-time
$42 - $48 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Flexible schedule

Qualifications

Appeals
Medicare
Accounts receivable management
Team leadership
Operational management
Overseeing healthcare denial management
CMS
CMS regulatory compliance
Medicare regulations
Medical insurance appeals management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Managing insurance claims teams
Medical claims submission
Epic
Managing medical billing & coding team teams
Insurance claims appeal handling
Medical debt collection accounts
Collections account management

Full Job Description

About Our Company:
At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.
We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great Place to Work®

In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

ABOUT THE ROLE
The Billing Operations & Medicare AR Manager is responsible for overseeing Hospital Billing (HB) and Professional Billing (PB) billing operations, ensuring the timely and accurate submission of claims, resolution of claim edits and rejections, management of Direct Data Entry (DDE) activities, and optimization of billing workflows. This role also provides leadership for Medicare Accounts Receivable (AR) management, focusing on reducing aging, resolving reimbursement issues, recovering underpayments, and improving overall collection performance.
The manager leads billing and Medicare AR teams, drives operational excellence, ensures compliance with Medicare regulations, and partners with internal stakeholders to maximize reimbursement and minimize revenue leakage across both facility and professional billing operations.

Location: Remote

Responsibilities:

Billing Operations Management (HB & PB)
- Manage day-to-day Hospital Billing (HB) and Professional Billing (PB) billing operations
- Oversee claim generation, claim validation, and claim submission processes.
- Monitor and resolve billing edits, front-end claim rejections, and payer submission issues
- Manage Medicare Direct Data Entry (DDE) activities, including claim corrections, status reviews, RTP (Return to Provider) claims, and billing issue resolution
- Ensure claims are submitted accurately and within established filing deadline
- Develop and implement processes to improve clean claim rates and reduce avoidable rework
- Monitor billing work queues and productivity standards
- Coordinate with Coding, Revenue Integrity, Patient Financial Services, and Clinical departments to resolve billing-related issues
- Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements
Medicare Accounts Receivable Management
- Oversee Medicare AR follow-up activities for both HB and PB accounts.
- Monitor Medicare aging inventories and prioritize collection efforts.
- Manage resolution of unpaid, partially paid, and denied Medicare claims.
- Review and resolve RTP claims, denials, underpayments, medical necessity issues, coverage-related denials, and billing-related reimbursement delays
- Ensure timely and effective appeal submission when appropriate.
- Identify denial and AR trends and implement corrective action plans.
- Work closely with billing teams to address root causes impacting Medicare reimbursement

Required Qualifications:

Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field
- Equivalent combination of education and experience may be considered
5+ years of experience in healthcare billing operations
3+ years of leadership experience managing billing and/or accounts receivable teams
Extensive experience with both Hospital Billing (HB) and Professional Billing (PB) operations
Strong Medicare billing and AR management experience
Experience working with Medicare DDE
Comprehensive understanding of Medicare billing regulations, DDE processes, claim edits and rejections, hospital billing (HB), professional billing (PB), Medicare AR follow-up and collections, as well as denial management and appeals
Knowledge of UB-04 and CMS-1500 claim processing
Strong analytical and problem-solving skills
Experience with Epic Resolute HB/PB
Excellent communication and leadership abilities

Company Benefits and Perks:
Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

Access to a 401(k) Retirement Savings Plan.
Comprehensive Medical, Dental, and Vision Coverage.
Paid Time Off.
Paid Holidays.
Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.

If you are a dedicated and experienced AR Manager ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.

rAUdb5vzjO

Quick Apply

Refine Your Search

Appeals Manager jobs

AR Manager | Medicare

Appeals Manager

CHS Utilization and Appeals Manager

Clinical Appeals & CDI Manager

Appeals Supervisor

Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

Clinical Quality Manager - Remote in PA

Payment Policy Manager (Hybrid)

Denials and Appeals Case Manager

Manager, L&D - Plant

Tax Manager

RN Manager of Health Services - Assisted Living

UM Case Manager/Appeals Coordinator

Medical Billing and Appeals Team Lead - Prosthetics

Registered Nurse (RN) Case Manager | Days | Alaska | Up to $3,511 Weekly

Nurse Program Case Manager

Multi-Family HVAC Maintenance Supervisor

Property Manager

Community Manager - Bellingham, WA

Certified Dietary Manager, Certified Food Protection Professional

I want to receive the latest job alert for Appeals Manager

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected