ZipRecruiter

Log In

2

Remote Denials Management Jobs in Texas (NOW HIRING)

MD Anderson

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 ...

MD Anderson

Clinical Coding Supervisor

Houston, TX · Remote

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 ...

MD Anderson

Clinical Coding Supervisor

Houston, TX · Remote

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 ...

CorroHealth

Hospitalist Physician

Plano, TX · Remote

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 ...

CorroHealth

Emergency Medicine Physician

Dallas, TX · Remote

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 ...

CSAA

Your Work: * Manage homeowners property claims from first notice of loss through resolution ... Prepare clear, timely claim correspondence, including settlement letters, partial denials, and ...

New

PFS Group

Remote Insurance Rep

Houston, TX · On-site +1

$53K - $67K/yr

... manages insurance claims to ensure timely and accurate reimbursement. The role involves researching ... Successfully identifies root causes for denials or non-payment, prioritizing collection metrics in ...

Oshi Health

Accounts Receivable Specialist

Houston, TX · Remote

$19.25 - $25.50/hr

Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations ... Experience working successfully in a remote work environment with the ability to manage priorities ...

Oshi Health

Accounts Receivable Specialist

Austin, TX · Remote

$20 - $26.50/hr

Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations ... Experience working successfully in a remote work environment with the ability to manage priorities ...

previous pagenext page

Showing results 21-40

All JobsDenials Management JobsRemote Denials Management JobsRemote Denials Management Jobs in Texas

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 is the difference between Remote Denials Management vs Remote Claims Processing?

AspectRemote Denials ManagementRemote Claims Processing
Primary FocusHandling and appealing denied insurance claimsSubmitting and processing insurance claims for reimbursement
Skills RequiredKnowledge of insurance policies, denial codes, appeals processData entry, claim submission, basic insurance knowledge
Work EnvironmentHealthcare providers, insurance companies, remoteHealthcare providers, insurance companies, remote
CertificationsMedical billing/coding certifications often preferredMedical 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 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 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:
Remote Denials Management jobs near you
Infographic showing various Remote Denials Management job openings in Texas as of August 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution.

Appeals Representative II

CERiS

Fort Worth, TX • Remote

$18.80 - $30.34/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines as well as client instructions.

This is a remote role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Reviews, analyzes, and completes appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication
  • Ability to appropriately interpret provider appeals and apply analytical thinking skills
  • Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as itemized bill
  • Utilize applicable tools and resources to complete appeals
  • Timely completion of appeals
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Prior knowledge of inpatient and outpatient hospital revenue cycle required
  • Excellent written and verbal communication skills
  • Contract interpretation, medical terminology and coding knowledge
  • Proficiency with Microsoft applications

EDUCATION & EXPERIENCE:

  • High school diploma or equivalent
  • 3+ years of healthcare revenue cycle experience (collections, appeals, denials management, etc)
  • 2+ years working with customers in a fastpaced, deadlineoriented environment
  • 2+ years experience as an Appeals Representative
  • Strong attention to detail, organizational and time management skills with the ability to
  • interpret, research and identify core issues
  • Strong customer focus, analytical and decision making skills
  • Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $18.80 - $30.34 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CERiS:

CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote

CERIS logo

About CERIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1990

View All CERIS Jobs

Apply