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Disability Determination Remote Jobs in Texas (NOW HIRING)

Ascension

Physician Advisor

Austin, TX · On-site +1

PRN | Remote This job location is not currently located in a Health Professional Shortage Areas ... Review medical records of identified patients to assist with the level of care determination ...

Just Energy

Business Development Manager

Houston, TX · Remote

Houston/Dallas based - Remote Job Summary: This role is part of the Affinity Commercial team (Tara ... Hunter mentality with confidence and determination to crush sales goals and expectations

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Disability Determination Remote information

What are the key skills and qualifications needed to thrive as a Disability Determination Specialist (Remote), and why are they important?

To thrive as a Disability Determination Specialist (Remote), you need a background in healthcare, social work, or related fields, often with a relevant degree or prior case management experience. Familiarity with case management software, medical records systems, and government databases is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are crucial soft skills for evaluating complex cases and collaborating remotely. These abilities ensure accurate, timely disability determinations and support fair access to benefits for eligible individuals.

What is the difference between Disability Determination Remote vs Disability Examiner?

AspectDisability Determination RemoteDisability Examiner
CredentialsMedical or psychological background, relevant certificationsMedical or psychological background, relevant certifications
Work EnvironmentRemote, home-basedTypically office or remote-based, depending on employer
Industry UsageUsed by government agencies for disability claims processingUsed by insurance companies or government agencies to assess disability claims
Job FocusReviewing medical records to determine disability eligibilityEvaluating medical evidence to make disability determinations

Disability Determination Remote and Disability Examiner roles share similar credentials and industry usage, focusing on evaluating medical evidence for disability claims. The main difference lies in the work setting, with Disability Determination Remote being exclusively remote, while Disability Examiners may work in offices or remotely depending on the employer.

What are Disability Determination Remote jobs?

Disability Determination Remote jobs involve evaluating medical and vocational information to determine whether individuals qualify for disability benefits, typically on behalf of government agencies like the Social Security Administration. These positions are performed remotely, meaning employees can work from home or another location outside of a traditional office. Workers in these roles review documentation, communicate with applicants and healthcare providers, and make recommendations or decisions regarding disability claims. A background in healthcare, social work, or case management is often preferred, and strong analytical and communication skills are essential. Remote roles offer flexibility and the ability to serve a wide range of clients across different regions.

What are the typical challenges faced in a remote Disability Determination role, and how can I prepare for them?

One of the main challenges in a remote Disability Determination role is effectively reviewing complex medical records and documentation without in-person collaboration. Strong attention to detail, excellent organizational skills, and proficiency with secure digital communication tools are essential. Additionally, it’s important to proactively seek clarification from medical consultants and team members through virtual meetings or messaging platforms to ensure accurate case evaluations. Familiarity with privacy regulations and secure data handling is also crucial when working remotely.
What are the most commonly searched types of Disability Determination jobs in Texas? The most popular types of Disability Determination jobs in Texas are:
What are popular job titles related to Disability Determination Remote jobs in Texas? For Disability Determination Remote jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Disability Determination Remote jobs in Texas look for? The top searched job categories for Disability Determination Remote jobs in Texas are:
What cities in Texas are hiring for Disability Determination Remote jobs? Cities in Texas with the most Disability Determination Remote job openings:
Disability Determination Remote jobs near you
Infographic showing various Disability Determination Remote job openings in Texas as of July 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 2% In-person, and 98% Remote job distribution.
Dispute Resolution Reviewer I

Dispute Resolution Reviewer I

TMF Health Quality Institute

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**
*This position is located Remote United States*
Position Purpose:
Provides dissatisfied beneficiaries and/or providers the opportunity to present documentation or evidence to demonstrate why an appeal or rebuttal for an enrollment denial, revocation, or suspension should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines.
Essential Responsibilities:
  • Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review.
  • Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy.
  • Responds to and ensures that all issues raised by the beneficiary, representative, supplier, and provider have been addressed.
  • Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures.
  • Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision.

Minimum Qualifications
Education
  • Associate's degree or 60 or more credit hours towards a Bachelor's degree from an accredited college or university in healthcare or related discipline
    • Additional experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for Associate's degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)

Experience
  • One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance or related experience in a healthcare setting
  • Independent Dispute Resolution Experience, preferred
  • Resided in the United States for a minimum of three (3) years out of the last five (5) years (Per Contract Requirement)

Benefits
C2C offers an excellent benefits package, including:
  • Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
  • Section 125 plan
  • 401K
  • Competitive salary
  • License/credentials reimbursement
  • Tuition Reimbursement

EOE Vet/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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