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Denials Manager Jobs in Texas (NOW HIRING)

Deloitte

Epic Denials Management Operator

San Antonio, TX · Remote

$16.25 - $21.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Austin, TX · Remote

$17.75 - $23.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Westlake, TX · Remote

$17.25 - $23/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Dallas, TX · Remote

$17.75 - $23.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Houston, TX · Remote

$17.25 - $23/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Fort Worth, TX · Remote

$17.25 - $23/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Denials Specialist Location ... Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26-$28/hourly Job Type:

Texas Health Resources

Coder II (Denials) - FT - Days

Arlington, TX · On-site

$16.75 - $22.50/hr

  • Medical

  • Dental

  • Retirement

  • PTO

... Denials management of Profee charges) Additional perks of being a Texas Health Coder • Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement ...

Texas Health Resources

Coder II (Denials) - FT - Days

Arlington, TX · Remote

$16.75 - $22.50/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Participates in special projects and completes other duties as assigned (e.g., Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges ...

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Denials Manager information

What is the difference between Denials Manager vs Claims Supervisor?

AspectDenials ManagerClaims Supervisor
CredentialsTypically requires healthcare administration, billing, or coding certificationsOften requires similar certifications, with additional supervisory or management training
Work EnvironmentManages denial appeals, reviews claim rejections, collaborates with billing and coding teamsOversees claims processing, supervises claims staff, ensures compliance with policies
Industry UsageCommon in healthcare, insurance, and hospital settingsCommon in healthcare organizations, insurance companies, and billing departments

While both roles focus on claims processing, the Denials Manager specializes in managing claim denials and appeals, whereas the Claims Supervisor oversees the entire claims process and staff. Both positions require healthcare billing knowledge and certification, but their primary responsibilities differ in scope and focus.

What are some common challenges faced by denials managers, and how can they effectively address them?

Denials Managers often encounter challenges such as identifying root causes of claim denials, staying updated with changing payer policies, and coordinating between billing, coding, and clinical teams. To address these challenges, Denials Managers typically implement robust tracking systems, conduct regular staff training, and foster open communication across departments. Proactively analyzing denial trends and collaborating on process improvements are key strategies to reduce future denials and enhance overall revenue cycle performance.

What is a denials manager?

A Denials Manager is a healthcare professional responsible for overseeing and managing the process of claim denials from insurance companies. Their primary role is to identify the causes of denied claims, implement strategies to reduce future denials, and ensure timely resolution and appeal of denied claims to maximize revenue for healthcare organizations. Denials Managers often collaborate with billing, coding, and clinical staff to ensure compliance with payer requirements and improve the overall reimbursement process. They play a crucial role in maintaining the financial health of medical practices or hospitals by minimizing lost revenue due to claim denials.

What are the key skills and qualifications needed to thrive as a denials manager?

To thrive as a Denials Manager, you need a deep understanding of medical billing, coding, insurance processes, and healthcare regulations, usually supported by a degree in healthcare administration or a related field. Familiarity with revenue cycle management systems, electronic health records (EHRs), and data analytics tools is essential, and certification like Certified Revenue Cycle Representative (CRCR) can be advantageous. Strong analytical thinking, problem-solving, and communication skills help in effectively leading teams and negotiating appeals with payers. These skills are critical for minimizing revenue loss, ensuring compliance, and optimizing reimbursement processes within healthcare organizations.
What are the most commonly searched types of Denials jobs in Texas? The most popular types of Denials jobs in Texas are:
What cities in Texas are hiring for Denials Manager jobs? Cities in Texas with the most Denials Manager job openings:
Denials Manager jobs near you

Mgr, Ins Follow Up&Denials Gov

Cook Children's

Fort Worth, TX

$17.25 - $23/hr

Full-time

Re-posted 3 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

CBO/Patient Financial Services

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Under the direction of the Director of Revenue Cycle, the Insurance Follow-Up & Denials Manager is responsible for managing hospital accounts receivable for Government (Medicaid, Medicare and Government Managed Care) payors through claim follow up, cash collection, and denial prevention. The Manager is to organize and coordinate the reimbursement and accounting of patient accounts in accordance with departmental and organization objectives, policies and procedures. This position operates independently and directly supervises all follow-up/collection staff. The Insurance Follow-Up & Denials Manager requires complex data analysis and makes independent decisions within the scope of responsibility. Major decisions are subject to approval of the Director. Internal contacts consist of all levels of staff and management throughout Cook Children's Health Care System (CCHCS). External contacts consist of patients and their families, insurance companies, physicians and their staff, state and federal agencies, auditors, and vendors. Contacts are for the purpose of resolving issues and discussing sensitive and confidential information with all contact levels.
Qualifications:

  • High School Diploma or equivalent required.

  • Bachelor's degree in business, Accounting, Finance or related field preferred

  • Minimum five years' experience in hospital accounts receivable experience

  • Three plus years of progressive supervisory / management experience

Knowledge / Skills / Abilities:

  • Apply appropriate management and leadership techniques in an operational setting

  • Work independently and take initiative

  • Ability to deal effectively with constant changes and be a change agent

  • Interact and communicate both verbally and in writing with all levels of associates, management and customers in Healthcare / Business

  • Extensive knowledge of state, federal and compliance regulations as they pertain to insurance claim processing and third-party reimbursement

  • Detailed knowledge of diversified insurance plans including Medicare, Medicaid and commercial payors, and claim processing and reimbursement methodologies

  • Prior experience with Epic Systems Revenue Cycle Solutions preferred.

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

What Cook Children's Health Care System employees say

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Benefits

Hours and flexibility

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Cook Children's Health Care System logo

About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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