Appeals & Grievance Specialist II | Onsite | Irving, TX | Contract

Overview

On Site
Depends on Experience
Contract - W2

Job Details

Appeals & Grievance Specialist II | 1+ Years of Experience | Onsite | Irving, TX | Contract

Walker Healthforce is seeking a Senior Patient Account Specialist with 3+ Years of Experience to support a healthcare client based out of Houston, TX. This is a 12-week contract opportunity.

START DATE: July 21, 2025
HOURS/SCHEDULE: 40 hours per week, 8a- 5p M-F
WORKER TYPE: Full-Time
 
JOB RESPONSIBILITIES:
  • Research and provide resolution to issues such as claim denials, member and provider complaints, and reconsideration and redetermination requests

  • Review and respond to complaints, grievances and appeals within the stated time frame for each request

  • Ensure 95% compliance with the Center for Medicare and Medicaid Services (CMS) guidelines is met by adhering to all state and federal regulations

  • Analyze and resolve customer inquiries by adhering to CMS guidelines and CHRISTUS Health internal policies and procedures

  • Actively communicate with other associates to guarantee accurate and timely responses to inquiries involving internal/external customer needs

  • Be proactive in educating members, providers and others about CHRISTUS Health plans appeal/grievance process, plan terminations, contract terminations and benefit summary

  • Certify that providers and members are reimbursed accordingly using Medicare reimbursement policies and procedures


WHAT WE OFFER:
  • Competitive compensation package
  • Weekly pay via Direct Deposit
  • Medical, Dental & Vision available
  • 401k options

WHY WORK WITH WALKER?
 
  • Access to our top ranked team of recruiting and placement specialists
  • Continuous, one-on-one support from a dedicated engagement manager
  • Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

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About Walker Healthforce