7 Appeals Management Jobs

Healthcare Data Reporting Analyst Snowflake, SQL, Tableau, CPT/ICD-10/RVUs Location (Remote) About the Organization: https://www.olleyahealth.com/ AI-Driven Coding Automation for U.S. Healthcare Providers At OlleyaHealth, we are advancing medical coding with cutting-edge machine learning. Our platform is built to support the unique needs of U.S.-based providers by combining expert knowledge of CPT and ICD coding with advanced AI models. We help healthcare organizations reduce denials, improve compliance, and streamline operationsempowering your team to focus on delivering high-quality care. About the Role We are seeking a skilled Database Analyst to join our healthcare analytics team on a Fu...

Description We are seeking an experienced AR Caller with expertise in handling denials in Revenue Cycle Management (RCM). The ideal candidate will have a strong background in analyzing denied claims, initiating appeals, and ensuring timely payments from insurance companies. Responsibilities Review and analyze denied claims to determine reasons for denial and take appropriate action. Initiate appeals for denied claims by gathering necessary documentation and submitting to insurance companies. Communicate with insurance companies to resolve claim denials and obtain payment. Maintain accurate records of claims processing and follow-up activities. Collaborate with other team members to improve p...

You are seeking an experienced Staff Product Manager with deep expertise in Revenue Cycle Management (RCM), Medical Coding, Clinical Documentation Improvement (CDI), Claims, and Appeals Management. Your role will involve leading strategic product initiatives, defining product vision and roadmap, and driving execution across cross-functional teams. You will play a pivotal role in shaping the future of the AI-powered healthcare automation suite, ensuring that products deliver measurable value, compliance, and scalability. **Key Responsibilities:** - **Product Vision & Strategy:** Define, articulate, and communicate a compelling product vision, strategy, and roadmap aligned with company objecti...

About Nuvae Nuvae is building the future of healthcare revenue management. We are developing an advanced GenAI-powered Revenue Management Agent and Conversational AI Platform for hospitals and healthcare practices. Our platform leverages information retrieval, Retrieval-Augmented Generation (RAG), intelligent process automation , and actionable insights to enhance operational efficiency and maximize revenue performance. We are a team of engineers, clinicians, and product leaders passionate about transforming healthcare operations through applied AI. Position: Staff Product Manager RCM Location: Thiruvananthapuram Department: Product Management Role Overview We are seeking an experienced Staf...

Are you an experienced professional in wound care billing and accounts receivable (AR) management We are seeking a highly competent Wound Care Billing & AR Manager to join our dynamic team! Key Responsibilities: - Manage end-to-end wound care billing and AR processes - Handle denial management and appeals efficiently - Maintain strong communication with clients for issue resolution and updates - Lead and mentor billing/AR team members Requirements: - Proven experience in wound care billing and AR management (minimum 3 years preferred) - Excellent communication skills for effective client interaction - Strong analytical and problem-solving abilities - Ability to work independently and as part...

As an experienced professional in Revenue Cycle Management within the medical billing domain, you will be responsible for performing outbound calls to insurance companies in the US for the purpose of collecting outstanding Accounts Receivables. Your role as a Subject Matter Expert in Denial Management will require you to provide trend analysis of issues along with their appropriate solutions to your supervisor. Responding to customer requests promptly via phone or in writing to ensure the timely resolution of unpaid and denied claims will be a crucial aspect of your daily tasks. It is imperative that you adhere strictly to Standard Operating Procedure guidelines while maintaining productivit...

As a skilled professional in Revenue Cycle Management, your primary responsibility will be to perform outbound calls to insurance companies in the US to collect outstanding Accounts Receivables. You will be a subject matter expert in Denial Management, and your tasks will include identifying and working on AR automation to streamline processes and ensure high-quality results. Additionally, you will provide trend analysis of issues along with their appropriate solutions to your supervisor. You will need to respond to customer requests promptly, either by phone or in writing, to ensure the timely resolution of unpaid and denied claims. Adherence to Standard Operating Procedure (SOP) guidelines...