As a Medical Director, Denials Management you will have the unique opportunity to evaluate ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...
As a Medical Director, Denials Management you will have the unique opportunity to evaluate ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...
Account Representative - Bellaire, TX
Bellaire, TX · On-site +1
$23/hr
The ideal candidate will have strong knowledge of medical collections, denials management, payer reimbursement, and revenue cycle operations , with the ability to work independently in a remote ...
Quick apply
Account Representative - Bellaire, TX
Bellaire, TX · On-site +1
$23/hr
The ideal candidate will have strong knowledge of medical collections, denials management, payer reimbursement, and revenue cycle operations , with the ability to work independently in a remote ...
Senior Director of Product | Mid-Cycle and Backend RCM Platform
Austin, TX · On-site +1
$153K - $188K/yr
Remote Summary Description We are seeking an accomplished and visionary Senior Director or Vice ... denials management, and revenue cycle analytics, with a focus on automation, scalability, and ...
Senior Director of Product | Mid-Cycle and Backend RCM Platform
Austin, TX · On-site +1
$153K - $188K/yr
Remote Summary Description We are seeking an accomplished and visionary Senior Director or Vice ... denials management, and revenue cycle analytics, with a focus on automation, scalability, and ...
Director, Revenue Cycle
Mckinney, TX · Remote
All Central Region Service Lines Remote The Director, Revenue Cycle - Central Region is a senior ... Denials and Appeals * Lead a proactive denial prevention and management program for the Central ...
Director, Revenue Cycle
Mckinney, TX · Remote
All Central Region Service Lines Remote The Director, Revenue Cycle - Central Region is a senior ... Denials and Appeals * Lead a proactive denial prevention and management program for the Central ...
CODING/CDI DENIALS ANALYST
Dallas, TX · Remote
... remote environment * Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD ... local and national medical management standards and protocols. * Identify coding and/or ...
New
CODING/CDI DENIALS ANALYST
Dallas, TX · Remote
... remote environment * Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD ... local and national medical management standards and protocols. * Identify coding and/or ...
New
This is a fully remote position reporting up to the VP of Finance and BizOps. What You'll Do * Own ... denials, and collections. * Lead RCM strategy: team building, hiring/managing RCM staff, KPI ...
Quick apply
This is a fully remote position reporting up to the VP of Finance and BizOps. What You'll Do * Own ... denials, and collections. * Lead RCM strategy: team building, hiring/managing RCM staff, KPI ...
CODING/CDI DENIALS ANALYST
Dallas, TX · Remote
... remote environment * Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD ... local and national medical management standards and protocols. * Identify coding and/or ...
New
CODING/CDI DENIALS ANALYST
Dallas, TX · Remote
... remote environment * Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD ... local and national medical management standards and protocols. * Identify coding and/or ...
New
CODING/CDI DENIALS ANALYST
Dallas, TX · Remote
... remote environment * Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD ... local and national medical management standards and protocols. * Identify coding and/or ...
New
CODING/CDI DENIALS ANALYST
Dallas, TX · Remote
... remote environment * Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD ... local and national medical management standards and protocols. * Identify coding and/or ...
New
Appeals Representative II
Fort Worth, TX · On-site +1
$18.80 - $30.34/hr
... denials management, etc) * 2+ years working with customers in a fast-paced, deadline-oriented ... work remote out of your home PAY RANGE: CorVel uses a market based approach to pay and our salary ...
Appeals Representative II
Fort Worth, TX · On-site +1
$18.80 - $30.34/hr
... denials management, etc) * 2+ years working with customers in a fast-paced, deadline-oriented ... work remote out of your home PAY RANGE: CorVel uses a market based approach to pay and our salary ...
Appeals Representative II
Fort Worth, TX · Remote
$18.80 - $30.34/hr
... appeals, denials management, etc) * 2+ years working with customers in a fast‐paced ... Remote
Quick apply
Appeals Representative II
Fort Worth, TX · Remote
$18.80 - $30.34/hr
... appeals, denials management, etc) * 2+ years working with customers in a fast‐paced ... Remote
Appeals Representative II
Fort Worth, TX · Remote
$18.80 - $30.34/hr
... appeals, denials management, etc) * 2+ years working with customers in a fastpaced ... Remote
Appeals Representative II
Fort Worth, TX · Remote
$18.80 - $30.34/hr
... appeals, denials management, etc) * 2+ years working with customers in a fastpaced ... Remote
Appeals Representative II
Fort Worth, TX · Remote
$18.80 - $30.34/hr
... appeals, denials management, etc) * 2+ years working with customers in a fastpaced ... Remote
Appeals Representative II
Fort Worth, TX · Remote
$18.80 - $30.34/hr
... appeals, denials management, etc) * 2+ years working with customers in a fastpaced ... Remote
Appeals Representative II
Fort Worth, TX · On-site +1
$18.80 - $30.34/hr
... denials management, etc) * 2+ years working with customers in a fast-paced, deadline-oriented ... work remote out of your home PAY RANGE: CorVel uses a market based approach to pay and our salary ...
Appeals Representative II
Fort Worth, TX · On-site +1
$18.80 - $30.34/hr
... denials management, etc) * 2+ years working with customers in a fast-paced, deadline-oriented ... work remote out of your home PAY RANGE: CorVel uses a market based approach to pay and our salary ...
As a Medical Director, Denials Management you will have the unique opportunity to evaluate ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...
As a Medical Director, Denials Management you will have the unique opportunity to evaluate ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...
Remote. Must be able to attend meetings as needed onsite. Why Us. The Clinical Coding Supervisor ... denials management changes and communicate prevention strategies Technology & Innovation Utilize ...
Remote. Must be able to attend meetings as needed onsite. Why Us. The Clinical Coding Supervisor ... denials management changes and communicate prevention strategies Technology & Innovation Utilize ...
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... • Monitor denials management changes and communicate prevention strategies Technology ...
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... • Monitor denials management changes and communicate prevention strategies Technology ...
Clinical Coding Supervisor
Houston, TX · Remote
$89K/mo
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... • Monitor denials management changes and communicate prevention strategies Technology ...
Clinical Coding Supervisor
Houston, TX · Remote
$89K/mo
Remote. Must be able to attend meetings as needed onsite. Why Us? The Clinical Coding Supervisor ... • Monitor denials management changes and communicate prevention strategies Technology ...
As a Medical Director, Denials Management you will have the unique opportunity to evaluate ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...
As a Medical Director, Denials Management you will have the unique opportunity to evaluate ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...
Solution Architect AI & ML for Healthcare solutions
Plano, TX · Remote
$60.25 - $79.50/hr
Location: Remote in the United States What You'll Do * Design end-to-end AI and generative AI ... billing, denials management, care coordination, population health, quality reporting, command ...
Solution Architect AI & ML for Healthcare solutions
Plano, TX · Remote
$60.25 - $79.50/hr
Location: Remote in the United States What You'll Do * Design end-to-end AI and generative AI ... billing, denials management, care coordination, population health, quality reporting, command ...
Solution Architect AI & ML for Healthcare solutions
Plano, TX · Remote
$60.25 - $79.50/hr
Location: Remote in the United States What You'll Do * Design end-to-end AI and generative AI ... billing, denials management, care coordination, population health, quality reporting, command ...
Solution Architect AI & ML for Healthcare solutions
Plano, TX · Remote
$60.25 - $79.50/hr
Location: Remote in the United States What You'll Do * Design end-to-end AI and generative AI ... billing, denials management, care coordination, population health, quality reporting, command ...
Remote Denials Management information
What is remote denials management?
Remote denials management refers to the process of handling and resolving denied insurance claims for healthcare providers from a remote location. Professionals in this role review denied claims, identify the reasons for denials, and work to correct errors or provide additional documentation to secure payment. This job can be performed from home or offsite, requiring strong analytical skills and knowledge of insurance policies and billing procedures. Effective remote denials management helps healthcare organizations maximize their revenue and reduce lost income due to claim denials.
What are the typical challenges faced in a remote denials management role and how can they be effectively addressed?
In a Remote Denials Management role, professionals often encounter challenges such as navigating varying payer requirements, timely follow-up on denied claims, and ensuring accurate documentation. Communication barriers can also arise when collaborating with team members virtually. To address these issues, it is helpful to stay updated on payer policies, use robust tracking systems for appeals, and maintain clear, proactive communication with both internal teams and external stakeholders. Adopting these practices can enhance efficiency and improve denial overturn rates.
What are the key skills and qualifications needed to thrive as a remote denials management specialist, and why are they important?
To thrive as a Remote Denials Management Specialist, you need expertise in medical billing, coding, insurance guidelines, and a background in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHR) systems, and certifications like Certified Professional Biller (CPB) or Certified Professional Coder (CPC) are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication distinguish top performers in this role. These skills are crucial for efficiently resolving claim denials, ensuring timely reimbursement, and maintaining compliance with healthcare regulations.
What is the difference between Remote Denials Management vs Remote Claims Processing?
| Aspect | Remote Denials Management | Remote Claims Processing |
|---|---|---|
| Primary Focus | Handling and appealing denied insurance claims | Submitting and processing insurance claims for reimbursement |
| Skills Required | Knowledge of insurance policies, denial codes, appeals process | Data entry, claim submission, basic insurance knowledge |
| Work Environment | Healthcare providers, insurance companies, remote | Healthcare providers, insurance companies, remote |
| Certifications | Medical billing/coding certifications often preferred | Medical billing/coding certifications often preferred |
Remote Denials Management focuses on addressing and appealing denied insurance claims, requiring specialized knowledge of denial reasons and appeals. Remote Claims Processing involves submitting and managing claims for reimbursement, emphasizing accuracy and data entry skills. While both roles operate remotely within healthcare and insurance industries, they serve different stages of the claims lifecycle.
What are the most commonly searched types of Denials Management jobs in Texas?
The most popular types of Denials Management jobs in Texas are:
What are popular job titles related to Remote Denials Management jobs in Texas?
For Remote Denials Management jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Denials Management jobs in Texas look for?
The top searched job categories for Remote Denials Management jobs in Texas are:
What cities in Texas are hiring for Remote Denials Management jobs?
Cities in Texas with the most Remote Denials Management job openings:
Medical Director, Denials Management (Hospital Advocacy - EM) (FT/REMOTE)
Dallas, TX • Remote
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 2 days ago
CorroHealth rating
8.1
Based on 27 frontline employees who took The Breakroom Quiz
110th of 500 rated business services
Job description
***For the quickest response, please apply directly via CorroHealth's website. Click Company>Careers>USA>search Medical Director >Apply. Thank you. ***
About CorroHealth:
At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
As a Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. CorroHealth offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.
The Impact You Will Have:
CorroHealth is led by like-minded clinicians who share the same innate calling to help. Hospitals nationwide have recently struggled with managing complex and unforeseen challenges such as global pandemics, complex regulatory updates, and downstream policy changes set forth by Medicare and private payer organizations – resulting in financial difficulty. CorroHealth physicians lead challenging and rewarding careers by providing our hospital clients with guidance to improve compliance and ensure appropriate payment for the care delivered. The impact of your role will allow attending physicians to focus on what is most important, providing dedicated care to the patients they serve.
Annual Compensation Range:
Around 225k or greater (includes salary + uncapped bonus) (40-hour workweek)
Your Schedule:
Training (The first 3-4 weeks):
- Training will occur Monday-Friday 9A-5P ET
After Completion of Training:
- Schedule will be Monday-Friday, anywhere between 8a-5p ET to 10a-7p ET.
- Each of your shifts will be 9 hours in length, which includes one hour of dedicated break time.
Working at CorroHealth:
- All necessary hardware and software is provisioned to each of our Medical Directors
- You have the ability to work remotely in a comfortable environment
In This Role You Will:
- Perform Peer-to-Peer case discussions with payer medical directors
- Utilize clinical expertise to identify the salient points within a case review
- Perform focused real-time and post-discharge hospital case reviews in hospital’s EMR
- Identify areas of process improvements and inefficiencies
- Perform related duties and projects as assigned
Do You Have What It Takes?
- MD or DO degree with strong clinical knowledge
- Active unrestricted medical license in at least one state within the United States
- Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred)
- At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience
- Working knowledge of hospitals’ EMR
- Computer proficient
- Excellent verbal and written communication skills
- Team Player
We Offer:
- Quality of life with a remote predictable, full-time schedule
- Comprehensive training and education program
- Opportunities for career growth within the organization
- Salary plus bonus opportunities
- Medical, Dental, Vision coverage, 401K
- Holidays, paid time off, long-term disability insurance, and life insurance
- Allowance for CME and/or license renewals
What CorroHealth employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CorroHealth
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Plano, TX, US
Year founded
2020