Physician Appeal Specialist

21 hours ago


Durham, North Carolina, United States REVCO SOLUTIONS INC Full time
Job Title: Physician Appeal Specialist

We are seeking a part-time Physician Appeal Specialist to join our Denials department at Revco Solutions Inc.

This role is pivotal in ensuring that our appeals are submitted in compliance with payer requirements.

Key Responsibilities:
  • Review medical records to determine medical necessity and identify required documentation for submission to payers.
  • Craft well-reasoned appeals and complete necessary payer forms in a timely manner.
Requirements:
  • Certified MD (active or non-practicing)
  • Proficiency in Microsoft Word, Adobe PDF, Excel, Outlook, to efficiently handle daily job duties.
What We Offer:
  • Medical, dental, and vision coverage to keep you and your family healthy.
  • Generous paid time off (PTO) to maintain a healthy work-life balance.
  • Paid holidays to celebrate with loved ones.
  • A 401(k) retirement savings plan to secure your financial future.

This role allows you to leverage your medical expertise and contribute to our mission of ensuring accurate healthcare services delivery and reimbursement.



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