Top 24856 Medical claims Jobs

Medical Claims Denial & Appeals Specialist
University of Colorado Medicine —Remote
- $29 - $35 an hour
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
Medical Stop Loss Claims Auditor
Evolution Risk Partners, LLC —Remote
- $75,000 - $85,000 a year
- Remote
- Customer service
- Writing skills
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Medical Billing Specialist
Adelfi Medical Billing Solutions —Remote
- 8 hour shift
- Remote
- Mid-level
- Analysis skills
- Communication skills
- Health insurance
- Dental insurance
Copay Claims Processor
TailorMed —Remote
- Mid-level
- High school diploma or GED
- US work authorization
- Paid parental leave
- Paid holidays
Quick Apply
Licensed Clinical Supervisor (LPCC, LICSW, LMFT)
Mindful Therapy Group —Minneapolis, MN
- $69 - $124 an hour
- Contract
- Private practice
- LMFT
- Mid-level
- Flexible schedule
Quick Apply
Specialty Pharmacy Technician - Albany, NY
Shields Health Solutions —Albany, NY
- $22 - $24 an hour
- 8 hour shift
- Microsoft Outlook
- Mid-level
- Analysis skills
- Paid holidays
- Paid time off
Quick Apply
Psychologist - Tyler
Clay Consulting —Tyler, TX
- $120,000 - $150,000 a year
- Full-time
- Doctor of Philosophy
- Psychology
- Senior level
Quick Apply
Dental Hygienist
Family Dental of Teravista —Georgetown, TX
- $50 - $55 an hour
- Part-time
- Private practice
- Dental office
- Vital signs
- Dental insurance
- 401(k) matching
Quick Apply
Optician (exp req )
White River Family Eyecare —White River Junction, VT
- $18 - $23 an hour
- Full-time
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Technician
GRX Holdings, LLC dba Medicap Pharmacy —Grimes, IA
- Full-time
- Organizational skills
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Medical Malpractice Associate Attorney
Mayer LLP —Dallas, TX
- $100,000 - $120,000 a year
- 8 hour shift
- Hybrid work
- Writing skills
- Mid-level
- 3 years
- Health savings account
- Health insurance
Quick Apply
Medical Billing Supervisor
Western Surgical Group —Reno, NV
- $62,000 - $67,000 a year
- Full-time
- Management
- Customer service
- 5 years
Quick Apply
Dental Hygienist
Washington Square Dental —White Bear Lake, MN
- $58 - $65 an hour
- Full-time
- CPR Certification
- Dental office
- BLS Certification
- Health insurance
- Dental insurance
Optician (Bilingual Chinese)
Garfield Health Center —Rosemead, CA
- From $22 an hour
- 8 hour shift
- Inventory management
- Merchandising
- English
- Paid holidays
- Health insurance
Quick Apply
8d
Psychologist (Pediatric Psychological/Neuropsychological Testing) — Independent Contractor
Fusion Family Consulting —Plano, TX
- $130,000 - $250,000 a year
- Weekends as needed
- Experience working with individuals with developmental disabilities
- Outpatient experience
- Clinic
Quick Apply
Clinical Psychologist
Frontera Search Partners —Lake Havasu City, AZ
- $500 - $600 a day
- Full-time
- Doctoral degree
- Mid-level
- Clinic
Quick Apply
Dental Hygienist- $10,000 Sign On Bonus
Preferred Dental Partners - Horicon —Horicon, WI
- From $50 an hour
- Full-time
- CPR Certification
- Dental office
- OSHA
- Health insurance
- Vision insurance
Medical Professional Liability Claims Representative
Texas Medical Liability Trust —Austin, TX
- $70,000 - $110,000 a year
- Full-time
- Hybrid work
- Clean driving record
- Microsoft Excel
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
1d
Clinical Psychologist
Frontera Search Partners —Camden, AR
- $500 - $600 a day
- Full-time
- Doctoral degree
- Mid-level
- Clinic
Quick Apply
Dental Hygienist- $15,000 SIGN ON BONUS
Kurt R Kwiatkowski DDS SC —Grafton, WI
- From $50 an hour
- Full-time
- Private practice
- CPR Certification
- Dental office
- 401(k) matching
- Pet insurance

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Medical Claims Denial & Appeals Specialist

University of Colorado Medicine -
Remote

Apply Now

Job Details

Full-time
$29 - $35 an hour

Benefits

Health insurance

Qualifications

Appeals
Contract documentation review
Contract review
Insurance dispute resolution
Contract interpretation
Medical coding experience in physician offices
Medical insurance appeals management
Insurance claims appeal handling

Full Job Description

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.

We are seeking a highly motivated Medical Claims Denial & Appeals Specialist to join our Accounts Receivable Resolution team.

This job can be performed 100% remotely and out of state candidates will be considered.

The Specialist is primarily responsible for resolving all insurance claim denials for assigned departments to enhance revenues for CU Medicine providers. The individual in this position will generate effective written appeals to carriers using well-researched logic. Denial Specialists are independently accountable for the denial resolution for their assigned divisions.

Duties and responsibilities include but are not limited to the following:

Appeal denials through coding review, contract review, medical record review and carrier interaction.
Demonstrate a high level of expertise in the management of complicated denied claims.
Deploy analytical approach to resolve denials and recognize trends/patterns in order to proactively resolve recurring issues.
Utilize a multitude of resources to ensure correct appeal processes are followed.
Communicate identified denial patterns to management.
Prioritize and process large volume of denials and maintain high quality of work.
Serve as an escalation point for unresolved denial issues.
Inform team members of payer policy changes.
Assist in training new employees as assigned.
Collaborate on special projects as needed.

Requires 3-5 years experience in medical practice billing with exposure to working with denials, appeals, insurance collections and related follow-up; bachelor’s degree in a related field is strongly preferred. Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred. Intermediate PC software experience required. Advanced verbal and written communication skills are essential. Must demonstrate a solid understanding and ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic.

All applications MUST be submitted via our website. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment.
The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.
A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.
CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here.

CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first).

CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.

Apply Now

Refine Your Search

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Medical Professional Liability Claims Representative

Clinical Psychologist

Dental Hygienist- $15,000 SIGN ON BONUS

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