Role: Clinical Denial Specialist Schedule:M - F 8 AM - 4:30 PM EST GENERAL SUMMARY: • The goal of the Clinical Denial Specialist is to successfully manage claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and other clinically related denials, as assigned.

Data Entry-Open EnrollmentJob Title: Data EntryLocation: Remote work from home Start Date: 7/17/2026 Job Type:Full Time Schedule: Monday through Friday 8:00am-4:30pm CST FLSA Status: Non-Exempt/Hourly Grade: H Function/Department: Health Plan and Healthcare Services Reporting to: Team Lead - Operations Pay Range: $14.

Job Description – Auditor (HB & PB)RoleAuditor – Hospital Billing (HB) & Professional Billing (PB) Role SummaryResponsible for auditing Hospital Billing (HB) and Professional Billing (PB) accounts with focus on technical and clinical denials, insurance follow-up workflows, Workers’ Compensation (WC), and Third-Party Liability (TPL) processes to ensure accuracy, compliance, and optimal reimbursemen...