Remote And Denial Jobs

🚧 What You’ll Do Own rejections, denials, and denied claims workflows from identification through resolution

Lead initiatives to improve claim accuracy, reduce denials, accelerate cash collections, and improve reimbursement rates.

Align care with payer expectations and evidence-based standards Ensure clinical delivery meets payer requirements and reduces audit risk, denials

Your job is to find the practices quietly losing money to denials, unverified benefits, and prior auth backlogs, and to get one of them to give us thirty

, credentialing, and coding Investigate insurance claim denials and, when required, make Payer calls or message patients to resolve denials

workflows, with a strong understanding of how revenue cycle challenges manifest across both — from patient statements and payment plans to claim submission, denials

amp; EOP Logic: Own the logic that generates member EOBs and provider EOPs, ensuring they accurately reflect adjudication outcomes, member cost share, and denial

Deep, current command of the revenue cycle end to end: patient access, coding, charge capture, CDI, billing, claims adjudication, denials, and payer

Your work directly protects cash flow and prevents denials as MyOme expands its payer network.

Proof of network participation on file, because a note in someone's inbox cannot be used with a payer to push back on a denial.

workflows may include: Eligibility, enrollment, benefits, and member administration Claims, billing, payment, revenue cycle, and denial

This role focuses on resolving coding issues, identifying EHR and demographic inaccuracies, and preventing downstream denials and rework.

You can explain a denial risk in two sentences to someone who has never billed a claim Nice to have A CPC, CPB, CRCS

💻 Your responsibilities will include: Being the warm, persistent point of contact a member can hand a confusing bill, denial, or complex

multiple tasks and prioritize effectively Experience working with all commercial and government payor portals Knowledge of the denials