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1 result for Communications Specialist in Conroe, TX
- Houston, TX
- remote
- Temporary to Hire
- 22.8 - 26.4 USD / Hourly
- <p>We are working with a Houston-based healthcare services organization seeking an experienced <strong>RCM Reimbursement Specialist – Appeals & Denials</strong> to join their revenue cycle team on a contract‑to‑hire basis. This role plays a critical part in maximizing reimbursement by resolving complex appeals and denied claims across commercial and government payers.</p><p>This is a fast‑paced, detail‑driven role ideal for someone who thrives in follow‑up‑heavy work and enjoys problem‑solving denial trends.</p><p><strong>Key Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer response via payer portals and outbound calls</li><li>Identify claims requiring first, second, or third‑level appeals and manage accordingly</li><li>Prioritize assigned work queues to focus on timely resolution and high‑value recoveries</li><li>Collaborate with teammates on denial workflows, projects, and queue management</li><li>Identify non‑payment and denial trends; escalate groups of claims to leadership and Market Access partners</li><li>Investigate denial trends identified through analytics and propose corrective solutions</li><li>Share upstream improvement opportunities to prevent future denials</li><li>Coordinate with patients when their participation is required for appeal resolution</li><li>Maintain professionalism and responsiveness in collaboration with Revenue Cycle peers</li><li><br></li></ul>
- 2026-05-06T00:00:00Z