Medicaid Denials Analyst - Claims Recovery & Appeals
1000 Accenture LLP Company
Accenture is seeking a TPL Denials Management Specialist to review denials from insurance carriers and identify recovery opportunities. You will analyze EOBs, verify coverage, and re-submit claims, collaborating with Medicaid providers and other departments to resolve complex denials. The ideal candidate has at least 2 years of medical claims experience, knowledge of Medicaid rules, and familiarity with medical billing. This full-time role is based in Austin, Texas, with standard daytime hours. #J-18808-Ljbffr 1000 Accenture LLP Company
$23.13 - $48.13 per hour
The TPL Denials Management Specialist reviews denials from insurance carriers... ...if denial is valid. Identifies recovery opportunities and communicates with... ...to verify coverage, inquire about claim status and educate carriers about Medicaid rules. Key Responsibilities Reviews...ClaimsHourly payWork at officeLocal areaMonday to FridayShift work$23.13 - $48.13 per hour
The TPL Denials Management Specialist reviews denials from insurance carriers... ...if denial is valid. Identifies recovery opportunities and communicates with... ...to verify coverage, inquire about claim status and educate carriers about Medicaid rules. Key Responsibilities Reviews...ClaimsHourly payLive inWork at officeLocal areaMonday to FridayShift work- Accenture in Austin, TX is hiring a TPL Denials Management Specialist to review denials... ...evaluate whether denial is valid, and identify recovery opportunities. You will contact carriers to verify coverage and claim status, reach Medicaid providers for information, resubmit...Claims
$5,098.66 - $6,701.75 per month
Select how often (in days) to receive an alert: Business Analyst II (Medicaid Managed Care Encounter Analyst) Date: Oct 8, 2026 Location: AUSTIN... ...as related to provider enrollment, client eligibility, and claims payment, including the multiple technologies supporting...ClaimsFull timeContract workTemporary workPart timeWork at officeRemote workShift workNight shift$57k - $81.6k
...PST (or based on business needs) The Analyst Team Lead serves as the senior operational... ...matter expert (SME) for billing, claims resolution, payer requirements, and departmental... ...complex insurance claims, including denials, appeals, underpayments, and reimbursement...ClaimsFull timeTemporary workLocal areaRemote workMonday to FridayFlexible hours- Description Job purpose The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount and/or non-payment. Duties and responsibilities...ClaimsWork experience placementWork at officeLocal area
- Selene Holdings in the US seeks a Claims Specialist II to manage mortgage-related insurance and investor claims from initiation through... ..., and vendors to ensure accurate submissions and timely recoveries. The ideal candidate is analytical, highly detail-oriented, and...Claims
- EY’s Forensics Insurance and Federal Claims Services team seeks a senior leader to guide engagement teams on disaster recovery funding projects for government clients. You will drive complex compliance work, build client relationships, and oversee project delivery while...Claims
- ...ll lead insurance verification, claims, and credentialing across all of... ...submission, payment posting, AR and denial management, and patient... ...medical insurance: PPO, HMO, and Medicaid verification and claims; coding; denials and appeals. ~ Process builder: you’ve documented...ClaimsRemote work
$27.07 - $41.23 per hour
...Job Description: The Revenue Cycle Analyst is responsible for tracking revenue performance... ...optimal performance in all areas of denial prevention in compliance with policy and... ...Years of work-related experience in medical claims and follow-up Preferred HFMA Certification...ClaimsHourly payFull timeWork at officeRemote workFlexible hours- ...South Austin Medical Center is seeking a Transplant Revenue Analyst to review pre-evaluation and global service agreements, analyze... ...and insurance payor relations. The analyst will monitor claims, denials, and accruals, ensuring accurate reimbursement across Medicare...Claims
$4,523.16 - $7,253.83 per month
...Title: Certified Clinical Coder - Texas Medicaid - Medical Billing/Coding Job Title:... ...state regulations, client information, and claims processing information for medical... ...changes through the analysis of claims appeals and denials, provider complaints, billing and coding...ClaimsFull timeTemporary workPart timeWork at officeRemote workShift work$90k - $120k
...Join to apply for the Business Analyst – Healthcare role at Lumenalta . As a Business... ..., payer and provider workflows, and Medicaid/Medicare program requirements into actionable... ...: Analyze current-state workflows (e.g., claims processing, eligibility and enrollment,...ClaimsFull timeRemote workMonday to FridayFlexible hours- ...: The Worker will serve as a senior Business Analyst/Product Owner for the modernization projects. The... ...Owner. 8 years Required Experience with Medicaid systems and processes. 8 years Required Experience in claims processing. 4 years Preferred Knowledge of Texas...ClaimsContract workWork at officeLocal area
- ...will review and bill durable medical equipment claims, ensuring accuracy and compliance with Medicare Part B and Medicaid, and interpreting payer guidelines to maximize... ...nationwide network, verify HCPCS codes, adjudicate denials, and #J-18808-Ljbffr Tarrytown ExpocareClaimsRemote job
- ...Data Solutions LLC , We are looking for a Business Analyst with one of our direct clients. Please checkout the... ...feedback and subject matter expertise. Experience with Medicaid systems and processes. Experience in claims processing. Seniority Level: Mid-Senior level...ClaimsContract workWork at office
- ...career opportunities as a Transplant Revenue Analyst you want with your current employer? We... ...significant charges are captured before claims are released for the final bill. Must be... ...claims. Keeps accurate records of claims denials, processed claims, and accruals for accounting...ClaimsContract workTemporary workFlexible hours
$63.33k
Job Posting Title: Managed Care Analyst Hiring Department: Dell Medical School Position Open To: All Applicants Weekly Scheduled... ...Cycle KPIs Monitors key performance indicators related to claims, denials, and payments. Identifies trends in overpayments, underpayments...ClaimsContract workFor contractorsWork at officeImmediate start$3,000 - $4,999 per month
...webpage . Functional Title: Reimbursement Analyst I Job Title: Reimbursement Analyst I... ...Supports the analysis of payment rates, claims data, and financial information. Reviews... ...of funding, program rules, Medicare, and Medicaid. Business administrative processes. Database...ClaimsFull timeTemporary workPart timeFor contractorsWork at officeRemote workRelocationShift work2 days per week- ...obsession. Role Overview We’re hiring a Healthcare Discovery Analyst to translate complex healthcare workflows into clear... ...(including areas such as UM, Prior Authorization, Appeals & Grievances, Care Management, claims, and clinical workflows) into clear, automatable steps...Claims
$68 - $73 per hour
...Position Number: 485773 Job Title: Business Analyst Job Location: Austin, TX, USA, 78751 Work... ...(2+ yrs); Experience with Texas HHSC and Medicaid/CHIP systems is a plus (2+ yrs);... ...Solution Delivery Business Analyst, Logistics Claims Management and Operations We’re unlocking...ClaimsHourly payFull timeTemporary workLocal areaRemote workShift work$22 - $24 per hour
...healthcare recruiting firm in Austin is seeking an experienced Claims Analyst/Examiner. This position involves investigating rejected... ...Bachelor's degree and have claims experience, with knowledge of Medicaid and Medicare requirements being a strong plus. Benefits include...ClaimsHourly pay$5,000 - $6,999 per month
Career Opportunities: Reimbursement Analyst III (Non-Medicaid and DFPS Rates) (20662) Posting ID 20662 -Posted 08/26/2026 - Health & Human Services Comm - SP26 DFPS Rate Setting - Business and Financial Operations - Eligible for Telework - c. $5000 - $6999 per month Join...Full timeTemporary workPart timeWork at officeRemote workShift work2 days per week- Texas Health and Human Services Commission (HHSC) in Austin, TX is seeking a Reimbursement Analyst III to advance non-Medicaid rate setting and policy analysis. You will develop and implement rate methodologies, prepare analyses, and present findings to senior leadership...Remote work
- Health & Human Services Commission (HHSC) in Austin, TX seeks a Reimbursement Analyst III to lead advanced rate analyses for non-Medicaid programs. You will develop methodologies, prepare supporting materials, and present recommendations with minimal supervision. The role...Work at officeRemote work
- HMS, a Gainwell Company, is seeking a Senior Business Operations Analyst to support CEV/Medicaid/SNAP programs within Gainwell Technologies. You will drive operational performance, data analysis, and process improvements across multiple stakeholders. The role requires 5...Remote job
$3,000 - $4,999 per month
Career Opportunities: Reimbursement Analyst I (Non-Medicaid and DFPS Rates) (20554) Posting ID 20554 -Posted - Health & Human Services Comm - SP26 DFPS Rate Setting - Business and Financial Operations - Eligible for Telework - b. $3000 - $4999 per month Join the Texas Health...Full timeTemporary workPart timeWork at officeRemote workShift work2 days per week$69.4k - $99.2k
...Select how often (in days) to receive an alert: Senior Business Operations Analyst - CEV/Medicaid/SNAP Date: Oct 5, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) Be part of a team that unleashes the power of leading-edge technologies...Full timeWork experience placementRemote workFlexible hours$23 - $31 per hour
...and addressing complex outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims,... ...follow up with insurance carriers on denials, file reconsideration requests,... ...Experience working with Medicare and Medicaid. Basic math skills to accurately...ClaimsRemote workWork from home- Eliassen Group is seeking a Senior Business Analyst to bridge business units and IT, translating requirements into actionable designs for technology solutions. The role emphasizes claims insurance with Guidewire Claims Center expertise and operates in a remote, contract...ClaimsRemote jobContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Denials Analyst - Claims Recovery & Appeals. Be the first to apply!


