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Medical Appeal Specialist
1 month ago
We are seeking a part-time Physician Appeal Specialist to join our Denials department at Revco Solutions, Inc.
This role is crucial in ensuring that our appeals are submitted in compliance with payer requirements.
Key Responsibilities:
- Review medical records to determine the medical necessity of clinical denials.
- Craft well-reasoned appeals and complete necessary payer forms.
Requirements:
- Certified MD (active or non-practicing)
- Proficiency in Microsoft Word, Adobe PDF, Excel, Outlook, to efficiently handle daily job duties.
Benefits:
- Medical, dental, and vision coverage
- Generous paid time off (PTO)
- Paid holidays
- 401(k) retirement savings plan
This role offers a unique opportunity to leverage your medical expertise and contribute to our mission of ensuring accurate healthcare services delivery and reimbursement.
