Physician Appeal Specialist

A company is looking for a Physician Appeal Specialist to join their Denials department. Key Responsibilities Review medical records to assess the medical necessity of clinical denials and identify required documentation for payer submission Craft well-reasoned appeals and complete necessary payer forms, ensuring timely submission at both first and second levels Required Qualifications Certified MD (active or non-practicing) Proficiency in Microsoft Word, Adobe PDF, Excel, and Outlook

Jun 20, 2025 - 23:50

A company is looking for a Physician Appeal Specialist to join their Denials department. Key Responsibilities Review medical records to assess the medical necessity of clinical denials and identify required documentation for payer submission Craft well-reasoned appeals and complete necessary payer forms, ensuring timely submission at both first and second levels Required Qualifications Certified MD (active or non-practicing) Proficiency in Microsoft Word, Adobe PDF, Excel, and Outlook