• Registered Nurse or Physical Therapist…

    CenterWell (Austin, TX)
    …responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials . Works with branch staff to gather required ... to develop appropriate and timely responses. + Responsible for constructing response to denials and appeals , utilizing any federal guidelines or local coverage… more
    CenterWell (07/30/25)
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  • Coding Charges & Denials Specialist…

    Houston Methodist (Houston, TX)
    …coding staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial… more
    Houston Methodist (07/18/25)
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  • Manager Billing Coding and Denials

    Texas Health Resources (Arlington, TX)
    …and providers related to issues identified with root cause analysis of the denials and appeals process Manage/Troubleshooting for high priority clinics as ... **Manager Billing Coding and Denials ** _Are you looking for a rewarding career...work hours: Monday-Friday 8:00a-5:00p **Summary** The Billing, Coding & Denials Manager will oversee all aspects of claim review… more
    Texas Health Resources (07/24/25)
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  • Specialist, Appeals & Grievances (Medicare…

    Molina Healthcare (Fort Worth, TX)
    …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing... appeals and denials . + Strong verbal and written communication skills +… more
    Molina Healthcare (06/26/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (TX)
    …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine Provider No Surprises Act… more
    Molina Healthcare (08/01/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …processes, managed care contracts and coordination of benefits related to coverage, clinical appeals , and denials to include knowledge of CPT and ICD codes ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing...review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team… more
    Houston Methodist (07/31/25)
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  • Revenue Cycle Specialist - Plastics (Medical…

    Houston Methodist (Houston, TX)
    …services. This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in ... payer work queues for complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits appeals when necessary. + Resolves… more
    Houston Methodist (06/13/25)
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  • Case Management Coordinator - Days

    Houston Methodist (The Woodlands, TX)
    …care benefits and post-acute care needs. + Streamlines concurrent insurance denials and/or appeals process, in collaboration with management and ... remove barriers to ensure effectiveness of post-acute care referrals or minimize denials or delays. + Participates in action plans for transition of care/discharge… more
    Houston Methodist (07/19/25)
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  • Director - Billing Operations - Appeals

    Caris Life Sciences (Irving, TX)
    …and genetic testing services. This role is responsible for overseeing appeals processes associated with denials from Caris-contracted and non-contracted ... Life Sciences is seeking an experienced and strategic Director of Billing Operations - Appeals to lead the appeals management function for an assigned payor… more
    Caris Life Sciences (08/08/25)
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  • Manager Revenue Cycle - Self-pay Collections

    Houston Methodist (Katy, TX)
    …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... but not limited to the following: accounts receivable days, cash collections, denials , avoidable write-offs, staff productivity and work quality and credit balances.… more
    Houston Methodist (07/31/25)
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