Physician Appeal Specialist

Job Summary

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