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Medical Billing Specialist- Clinical Denials

TEKsystems c/o Allegis Group

San Bernardino, California, USA

Full-time

Description The ideal candidate will be responsible for managing clinical denials related to medical necessity, level of care, and delays in service. This role involves reviewing medical records, preparing clinical documentation to support appeals, and following up on submitted appeals. Skills clinical data analysis, appeals, medical reimbursement, clinical review, Additional Skills & Qualifications 1+ Years of experience in reviewing medical records 1+ years of experience in appeals and deni

Medical Billing Specialist /Medical Coder

CMCI

Remote or Glendora, California, USA

Full-time

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practic

Claims Examiner

DTG Consulting Solutions Inc.

Englewood, New Jersey, USA

Full-time

Spanish is Must Responsibilities: Review and process health care claims promptly and accuratelyVerify claim details using CPT and ICD codesAddress inquiries from providers, members, and insurers regarding claim statusEnsure compliance with internal policies and regulatory requirementsMaintain detailed and accurate documentation of claim processingCollaborate with team members to resolve any discrepanciesQualifications: Proven experience in processing health care claimsKnowledge of CPT, ICD codes

Care Educator - Registered Nurse

Talent Groups

Nashville, Tennessee, USA

Contract

Care Educator RN | Contract | Field-Based (IN, OH, KY, TN) Duration: June 1 Dec 31, 2025 (7+ months, possible extension) Location: Onsite in assigned territory | Travel up to 85% We re seeking a Registered Nurse (RN) with experience in home infusions and a background in biotech/pharma (rare diseases preferred) to join our team as a Care Educator. In this role, you ll train patients on subcutaneous injections, support healthcare providers, and collaborate with cross-functional teams to ensure a

Medicare Billing Specialist

Prosum

Edmond, Oklahoma, USA

Full-time

Job Summary: Reviews billing data of unpaid claims. Responsible for calling insurance companies and or checking insurance websites to check status of claims. Submit documentation if required and also make any corrections need to get claim processed and paid. Essential Functions: Answers patient questions regarding their accounts and insurance coverage.Contacts insurance companies to verify medical insurance coverage for patient and to obtain information concerning extent of benefits. Determine p

Home Infusion Revenue Cycle Manager

TEKsystems c/o Allegis Group

Houston, Texas, USA

Full-time

As the AR Follow Up Representative - Manager If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth opportunities for your career Standard Hours - 100% remote in approved state below. Monday-Friday (7:00 am - 5:00 pm - flexible between these hours) Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South

Home Infusion Revenue Cycle Manager

TEKsystems c/o Allegis Group

Chesapeake, Virginia, USA

Full-time

As the AR Follow Up Representative - Manager If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth opportunities for your career Standard Hours - 100% remote in approved state below. Monday-Friday (7:00 am - 5:00 pm - flexible between these hours) Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South

Facets Coding Analyst consultant

Voto Consulting LLC

Remote

Contract, Third Party

Position- Facets Coding Analyst consultant Type- 100% Remote Visa- No H1 Rate- $50/hr on C2C Please answer the following screening questions: How many years of direct medical coding and medical billing experience do you have? Is it in a Managed Care environment?Do you have a current certification- Certified Medical Coder (CPC, RHIT or RHIA) ?Describe your knowledge of CPT, HCPCS and ICD-CM Codes. This consultant should have a minimum of five (5) years of medical coding and medical billing exp

Machine Learning Engineer

Jobot

Chicago, Illinois, USA

Full-time

Early stage startup hiring Machine Learning Engineer / 100% remote This Jobot Job is hosted by: Christine McNamara Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $150,000 - $250,000 per year A bit about us: Join our dynamic team as a Machine Learning Engineer in the medical technology industry. This is a unique opportunity to leverage your skills in machine learning to contribute to the development of state-of-the-art solutions that will r

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Newark, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

Remote or Jersey City, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Health Information Systems Analyst

Document Storage Systems Inc

North Palm Beach, Florida, USA

Full-time

Job Details Level: Experienced Job Location: DSS N Palm Beach - North Palm Beach, FL Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Job Shift: Day Description DSS, Inc. is a leading health information software development and systems integration company, offering services and solutions utilized daily by thousands of clinicians and administrative staff across both public and private sectors nationwide. We seek a Health Information Systems Analyst to provide e

Allscripts Billing Specialist

Prosum

Norman, Oklahoma, USA

Full-time

Veradigm EMR Systems used to be Allscripts not a hard requirementCandidates should have a solid understanding of medical billing and coding but does not need to be a medical coder Understanding of Medicare/Medicaid claims processing and third party payer proceduresCandidates with prior experience in handling insurance denials and posting charges/payments would be ideal Job Summary: Reviews billing data from medical office records to ensure amounts and account numbers are accurate, responsible

Customer 1 Billing

Vigna Solutions Inc.

Remote

Contract

There are total 6 open positions, CSS Billing SME -2 , CSS Billing Sr. Developer 2, CSS Business Analyst 2. CSS Billing & Finance SME Expert Knowledge: Provide specialized insights in customer service and service order management.Application Development: Design, code, test, and debug mainframe applications using COBOL, JCL, DB2, and CICS.Project Collaboration: Work closely with business analysts and project managers to understand requirements and implement solutions.Data Security & Compliance: E