Clinical Denials & Appeals Specialist

A healthcare consulting firm in the Philippines is seeking an experienced professional for clinical appeals management. The role involves reviewing denied claims, writing detailed appeals, and monitoring denial trends in a hospital setting. Candidates should have 1 year of clinical appeals writing experience and 3–5 years of acute care clinical experience, as well as a BSN and an active nursing license. Strong knowledge of U.S. healthcare systems and excellent communication skills are essential.
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