7 results for Remote Medical Scheduler in Murray, UT

Inpatient Medical Coder

Minneapolis, MN
remote
Temporary
29 - 33 USD / Hourly
The Acute Coding Appeals Specialist reviews and writes appeals for inpatient DRG denials to support accurate code assignment and reimbursement. This role applies advanced ICD-10, DRG, CMS, and payer-specific knowledge to defend coding decisions, ensure compliance, and address billing and documentation concerns. Key Responsibilities<ul><li>Review inpatient DRG denials and draft well-supported appeal letters using ICD-10-CM/PCS, HCPCS, NCCI, CMS, and CMG guidelines.</li><li>Analyze clinical documentation to validate the originally assigned DRG and ensure compliance with regulatory standards.</li><li>Research payer policies, government regulations, and industry guidelines to strengthen appeal arguments.</li><li>Maintain detailed documentation, tracking spreadsheets, and root cause analyses for denial trends.</li><li>Collaborate with client coding and CDI teams to provide education based on appeal outcomes.</li><li>Meet established productivity and quality standards while maintaining coding certification requirements.</li><li>Stay current on coding updates, regulatory changes, and reimbursement rules.</li><li>Deliver professional, organized, and customer-focused communication with clients.</li></ul>
2026-03-18T00:00:00Z

Medical Collections Specialist

Minneapolis, MN
remote
Temporary
12 - 13 USD / Hourly
We are seeking a Collections Specialist with hospital experience to manage patient account collections and ensure timely payment while maintaining compliance with hospital financial policies. This fully remote role is responsible for contacting patients, insurance companies, and internal departments to resolve outstanding balances and support revenue cycle objectives.Key Responsibilities<ul><li>Contact patients via phone, email, and mail regarding past-due balances.</li><li>Follow up with insurance companies and third-party payers to resolve unpaid claims.</li><li>Review patient accounts for accuracy, applying payments, adjustments, and necessary corrections.</li><li>Set up payment arrangements for patients in accordance with hospital policies.</li><li>Document all interactions and account updates in the hospital financial system.</li><li>Collaborate with hospital departments to resolve account disputes and clarify billing questions.</li><li>Escalate complex issues to management as needed.</li><li>Support month-end reporting and collection metrics tracking.</li></ul>
2026-03-13T00:00:00Z

Medical Billing/Claims/Collections

Austin, TX
remote
Temporary
20 - 24 USD / Hourly
We are looking for experienced professionals to assist with medical billing, claims, and collections in a high-volume environment. This contract position involves working on various aspects of accounts receivable and claims management, including patient collections, invoicing, and reviewing aged accounts. Based in Austin, Texas, this role offers an opportunity to contribute to an ongoing project while leveraging your expertise in claims adjudication and insurance follow-up. Responsibilities: • Conduct follow-ups on aged accounts receivable to ensure timely resolution and recovery. • Review and analyze claims to determine appropriate actions, including resubmissions, appeals, write-offs, or patient collections. • Manage patient collections by initiating contact, negotiating payment plans, and addressing financial concerns with sensitivity. • Handle invoicing tasks, ensuring accuracy and compliance with organizational protocols. • Evaluate insurance denials and claims statuses to identify resubmission opportunities and payer-specific requirements. • Process appeals and resubmissions, adhering to industry standards and documentation guidelines. • Interpret explanation of benefits (EOBs) and electronic remittance advices (ERAs) to determine financial responsibility between payers and patients. • Collaborate with team members to ensure efficient handling of accounts and claims. • Maintain detailed records of all actions taken for claims and collections. • Utilize knowledge of commercial and government insurance processes, including Medicare and Medicaid, to guide decision-making.
2026-03-27T00:00:00Z

Medical Insurance Claims Specialist

Boise, ID
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for Idaho Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-25T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-26T00:00:00Z

Medical Collections II

Malvern, PA
remote
Temporary
16.625 - 20 USD / Hourly
We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment. Responsibilities:• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.• Document all claim activity, correspondence, and status updates thoroughly in the billing system.• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.
2026-03-25T00:00:00Z

Inpatient Coding Auditor

Sharonville, OH
remote
Temporary
33 - 41 USD / Hourly
The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute inpatient medical records to ensure accurate coding, compliant documentation, and appropriate DRG assignment. The role focuses on identifying coding errors, ensuring regulatory compliance, optimizing reimbursement, and providing education and feedback to coders and CDI teams. Key Responsibilities<ul><li>Perform detailed audits of inpatient records to validate ICD-10-CM/PCS coding, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy.</li><li>Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization.</li><li>Identify overpayments and underpayments through claim analysis (including 30-day lookbacks).</li><li>Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics.</li><li>Partner with CDI specialists to identify documentation improvement and query opportunities.</li><li>Maintain productivity, quality standards, and client turnaround expectations.</li><li>Stay current on regulatory changes, reimbursement policies, and coding updates.</li><li>Contribute to process improvement initiatives and compliance risk identification.</li></ul>
2026-03-18T00:00:00Z