The Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. This role collaborates closely with healthcare providers to gather the documentation and clinical evidence needed to build strong appeals, analyzes denial trends across the organization, and provides feedback to revenue cycle teams to help prevent future denials.
The ideal candidate must have a USRN or PHRN background, bedside clinical experience, and direct experience in medical billing denials or denial management. Success requires a blend of clinical knowledge, coding and reimbursement expertise, and strong analytical and writing skills. This is a work-from-office opportunity for a clinically credentialed professional who wants to make a direct, measurable impact on revenue recovery and denial prevention.
Clinical Denials Specialist w/ 100k PHP JOINING BONUS • Taguig, Metro Manila, Philippines
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