Clinical Appeals Specialist

VirtualVocations
Portland, Oregon, United States
Full-time

A company is looking for a Clinical Appeals Specialist to support their product launch in the Appeal Writing space.Key ResponsibilitiesReview and refine technology-generated Clinical Denial Appeal lettersCollaborate with cross-functional teams to develop clinical denial strategies and standardized templatesOversee the quality control process for appeal documentation and provide insights for product developmentRequired QualificationsMedical degree (RN or MD)Strong background in clinical denial strategies and appeal letter creationExperience in leading teams and ensuring quality control in high-stakes environmentsInterest in advising or consulting for healthcare technology companiesAbility to contribute across multiple functions as the role evolves

7 days ago
Related jobs
Promoted
VirtualVocations
Portland, Oregon

A company is looking for a Clinical Appeals Specialist to support their product launch in the Appeal Writing space. ...

Promoted
VirtualVocations
Portland, Oregon

A company is looking for a Clinical Appeals Specialist RN (Remote). ...

Promoted
Vetted Health
Gresham, Oregon

Vetted Health is actively hiring Travel Registered Nurses (RNs) for 13-week assignments across the United States. Minimum 1 year of Registered Nursing experience required. ...

Promoted
CorVel Corporation
Portland, Oregon

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel...

Promoted
LocumJobsOnline
Portland, Oregon

LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology CRNA in Perry, Oregon, 97850!.Oregon - $270K+ for INDEPENDENT CRNA - $30K Bonus .We have a new, permanent CRNA position available in Northeastern Oregon.This CRNA will join a great team of anesthesia providers at a financi...

Promoted
TravelNurseSource
Portland, Oregon

TravelNurseSource is working with Next Move Healthcare to find a qualified Med/Surg RN in Gold Beach, Oregon, 97444!. We're headquartered in Kansas City, Missouri and specialize in travel nurse, allied, and specialty surgical staffing throughout the Midwest and beyond. The most common comment we get...

Promoted
D Aceto Services LLC
Portland, Oregon

D Aceto Services LLC is seeking a highly organized and detail-oriented Administrative Assistant to join our remote team. In this role, you will provide administrative support to ensure efficient operation of the office and assist team members in various tasks. ...

Promoted
Strategic Education Inc.
Portland, Oregon

The Billing Specialist is responsible for generating timely invoices, following up with third party employers on unpaid balances, and posting payments, special credits and billing charges while adhering to SOX compliance. Comprehensive understanding of billing functions and the internal and external...

Promoted
Fresenius Medical Care
Clackamas, Oregon

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Experience...

Promoted
VirtualVocations
Portland, Oregon

A company is looking for an Insurance Billing Specialist to manage insurance verification and billing processes. ...