• RN Clinical Appeals Nurse…

    Molina Healthcare (San Antonio, TX)
    JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist … more
    Molina Healthcare (01/02/26)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …management or equivalent revenue cycle clinical role + Experience includes writing clinical appeals for medical necessity compliance or level of care for ... and billing processes, managed care contracts and coordination of benefits related to coverage, clinical appeals , and denials to include knowledge of CPT and ICD… more
    Houston Methodist (10/29/25)
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