> Markdown version of [/jobs/ext/544601-technical-denials-management-specialist-iii](https://www.wearedevelopers.com/jobs/ext/544601-technical-denials-management-specialist-iii). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Technical Denials Management Specialist III - **Company:** The University of Texas Southwestern Medical Center - **Location:** Dallas, TX, United States (Remote available) - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Microsoft Excel, Microsoft Outlook - **Published:** June 4, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=aed4e50d0b339ef1 ## About the Role Do you have experience in Team training?, Do you have a High school diploma or GED?, Job Expectations: Work both independently and collaboratively within a team to achieve production goals and deadlines. Demonstrate a strong commitment to productivity by staying focused and on task without constant supervision. Effectively communicate with colleagues, supervisors, and manager to ensure clarity, alignment, and successful outcomes. Take ownership of assigned tasks and projects, demonstrating accountability and reliability in meeting expectations. Adapt to changing priorities and work demands while maintaining a high level of quality and efficiency. Proactively identify opportunities for process improvement and contribute innovative solutions to enhance overall productivity and teamwork Ability to contact medical insurance payer and resolve outstanding claims Ability to appeal denied claim and overturn the denial. Hard Skills Experience with Reconsideration, Redetermination, and Appeal with health insurance carriers. Knowledge and experience with handling and resolving NCCI edits, LCD/NCD, and bundling denials. Knowledge and experience with denial codes from the remittance/EOB Knowledge and experience with contacting health insurance carriers Ability to read and understand Explanation of Benefits Ability to multitask Contacting insurance companies and patients Knowledge and experience with online payer portals Epic experience with reviewing medical records Soft Skills Outlook experience Outlook Teams App experience Excel experience Medical Terminology Payer Portal experience, High School Diploma or Associate's Degree Experience 4 years experience in medical claims recovery and/or collections with High School Diploma. or 2 years experience in medical claims recovery and/or collections within a healthcare or insurance environment is preferred with Associates Degree. ## Description UT Southwestern Medical Center has a new opportunity available in the Revenue Cycle Department for the role of Technical Denials management Specialist II. You will review, research and resolve claim denials and appeals for various insurance companies while identifying payment trends to maximize collections. The ideal candidate is well versed in working with EPIC Resolute. Shift: Flex start 0600-0900, 8-hour shift Work From Home (WFH): This is a WFH position. Applicants must live within the Greater DFW area. Our Culture: The team culture is Love Based, which thrives on mutual respect, empathy, and support, fostering an environment where every member feels valued and empowered. It prioritizes open communication, collaboration, and understanding, creating a cohesive and inclusive community where individuals can flourish personally and professionally. Love Based cultivates a culture where kindness, compassion, and appreciation are foundational principles, leading to greater creativity, productivity, and fulfillment for all team members., Contact payers, via website, phone and/or correspondence, regarding reimbursement of unpaid accounts over thirty (30) days or more, also researching and following up on denials and request for additional information. Interpret Manage Care contracts and/or Medicare and Medicaid rules and regulations to ensure proper reimbursement/collection. Make necessary adjustments as required by plan reimbursement. Perform payment validation by utilizing internal and/or external resources to ensure proper reimbursement. Review, research and appeal partially denied claims for reconsideration. Responsible for contacting patients to gain additional information required to resolve outstanding insurance balances. Function as resource person for departmental personnel to answer questions and assist with problem resolution. Review and resolve provider NPI/TPI claim edits rejections. Review and resolve provider NPI/TPI claim denial. Assist with working Claim Edit Work queues. Assist with working Team Lead Work queues. Assist with New Hire Training. Performs other duties as assigned. 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