Appeals Specialist: Denials & Documentation Expert
Academy of Managed Care Pharmacy
Academy of Managed Care Pharmacy is seeking a Denial Resource Center Appeal Support Specialist based in Dallas, Texas. This role involves ensuring the timely submission of accurate claims appeals, processing reconsiderations, redeterminations, and handling various legal submissions. The ideal candidate should have at least 2 years of relevant experience, a H.S. Diploma or equivalent, and strong document management and communication skills. Advanced computer skills are required for this position. #J-18808-Ljbffr Academy of Managed Care Pharmacy
$55k - $65k
...an accommodation or an alternative application process. Denials & Appeals Specialist Full Time Dallas, TX, US 6 days ago Requisition ID: 125... ...denial analysis to determine root cause (coding, documentation, eligibility, authorization, billing errors, payer issues...SuggestedFull timeTemporary workLocal areaMonday to Friday- ...Texas Southwestern Medical Center is looking for a Technical Denials Management Specialist II within its Revenue Cycle Department. This role focuses... ...reviewing, researching, and resolving claim denials and appeals across various insurance companies. A successful candidate...SuggestedRemote job
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- ...provider in Dallas is seeking an experienced Accounts Receivable II Specialist to manage professional billing tasks. The role requires... ...preferred. Responsibilities include analyzing claims, addressing denials, and collaborating with internal departments to optimize...Suggested
- ...established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Enters denials and requests for appeals into information system and prepares documentation for further review. Researches claims issues utilizing systems and other available...SuggestedRemote jobWork at office
- Oms Medical Billing in Addison, TX is hiring an Appeals Specialist. This full-time position requires on-site presence during regular business hours at our corporate office. The ideal candidate will review denied claims, prepare and submit appeal letters, and communicate...Full timeWork at office
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- ...Anesthesia, located in Addison, TX, is seeking a detail-oriented Appeals Specialist. The role is full-time and requires on-site presence during... .... Prepare and submit appeal letters with supporting documentation. Follow up on pending appeals and track their progress. Communicate...Full timeWork at office
- ...leading medical and research center in Dallas is seeking a Coding Specialist III to perform complex coding tasks for the Revenue Cycle... ...to accuracy, compliance, and high-quality healthcare documentation. #J-18808-Ljbffr The University of Texas Southwestern Medical...Remote job
- ...collaborating with stakeholders on functional requirements. Ideal candidates will possess strong analytical, communication, and documentation skills. This position is a 6+ month contract with no vendors or C2C candidates requiring sponsorship. #J-18808-Ljbffr PlanIT Group...Contract work
- Integrative Emergency Services, LLC seeks a Coding Specialist for surgical services in Dallas, TX. This role involves managing accurate... ...training, supporting a balanced work environment and emphasizing document integrity and compliance. #J-18808-Ljbffr Integrative...
- ...perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning. Candidates should possess a Bachelor's in Nursing and an active Texas RN license along with...Full time
- ...Job Title: SUD Coding Expert Location: Dallas... ...encounter coding-related denials within the SUD... ...maintenance of internal documentation and coding resources.... ...coding denials and appeals , with a focus on SUD... ...CPC), Certified Coding Specialist (CCS), or equivalent....Part timeRemote work
- ...Job Summary: The CDI Specialist reviews inpatient medical... ...to ensure clinical documentation accurately reflects the... ...Serve as a technical expert in health record content... ...updates. Support denial management by providing... ...justifications for appealed claims. Perform other...Work at office
$17 per hour
Iron Mountain is seeking an Imaging Specialist in Dallas, Texas. In this role, you will prepare and scan physical documents into digital formats, playing a vital part in our information conversion objectives. The ideal candidate will have a high school diploma and a keen...Permanent employmentTemporary workMonday to FridayShift work- ...Accounts Receivable II (AR II) Specialist specializing in Professional... ...in claim analysis, documentation, and reporting.* Ability to... ...on those with no response or denials. Identify and rectify errors... ...and billing regulations to appeal denials and secure rightful...Work at officeWork from homeMonday to FridayShift work
- UT Southwestern Medical Center in Dallas is hiring a Technical Denials Management Specialist II within the Revenue Cycle Department. This role involves reviewing, researching, and resolving insurance claim denials to maximize collections. The ideal candidate should have...Remote job
- AR Specialist 3 page is loaded## AR Specialist 3locations: Dallas... ...program with an emphasis on appeals and denials. A candidate with in-depth... ...Responsibilities:*** Subject matter expert with a complete... ...update training resources and documentation. Collaborate with team leads...Monday to FridayShift work
- ...collaboratively with internal AR, denial management, legal/compliance... ...IDR cases, disputes, and documentation requirements. Coordinate... ...commercial insurance payers, appeals, denials, and escalation... ...leaders, denial management specialists, AR teams, and client-facing...
- ...role by reviewing coding and documentation for accuracy, compliance,... ...optimization. The Revenue Cycle Specialist also serves as a key... ...reports related to collections, denials, and revenue cycle performance... ...with claim follow-up, denials, appeals, and payer communications....Daily paid
- ...based in Dallas seeks a qualified individual to work in the Wayfinding discipline, involving responsibilities such as 3D modeling, documentation preparation, and maintaining project information. Candidates should be familiar with 3D design software and possess excellent...Full time
- United Cerebral Palsy of Georgia is seeking an Aesthetic Practitioner in Dallas specializing in non-surgical cosmetic procedures. This role involves conducting client consultations, performing aesthetic treatments, and maintaining records. The ideal candidate will have ...
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- A leading healthcare provider in Dallas is seeking a skilled Cardiac Sonographer 1 to perform cardiac ultrasound services including transthoracic, transesophageal, and stress tests. The ideal candidate will have at least 2 years of experience, along with certifications ...Full time
- Methodist Health System, Inc. in Dallas seeks a skilled Accounts Receivable analyst to work on billing, claim corrections, and payment posting. Candidates should have at least 4 years of experience in a hospital setting, coupled with proficiency in Microsoft Excel. The ...
- Maineafp is looking for a Transplant Nutrition Specialist to provide advanced nutrition therapy for patients facing organ failure and transplant recipients. This full-time position is based in Dallas, Texas, and comes with a sign-on bonus of $7,500. The specialist will...Full timeRelocation package
- A leading healthcare company is seeking an Arbitration Specialist to analyze claims for arbitration eligibility. Responsibilities include reviewing claims, preparing submissions, and providing updates. Candidates should possess strong analytical and problem-solving skills...Remote jobWork at office
- Stryker Corporation is looking for an Inpatient Coding Specialist based in Dallas, Texas. This role involves coding inpatient medical records accurately using ICD-10-CM/PCS and ensuring compliance with coding guidelines. Additionally, the specialist will abstract necessary...
- STV Inc. is seeking a BIM Specialist in Dallas, Texas, with 2-3 years of experience in BIM and 4D modeling to support complex building projects. You will develop and update BIM models in Revit, manage 4D simulations linked to project schedules, and collaborate with various...
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