Clinical Appeal Specialist (Fully Remote)

Partner Company; United States; Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Fully remote-eligible

Job summary

Partner Company is a remote-focused organization dedicated to improving patient outcomes within cancer care. This role supports revenue cycle optimization by evaluating denied claims and developing appeal strategies.

The candidate brings an active RN license, reimbursement knowledge, and experience with medical coding and payer policies, along with strong Excel, analytical, and communication skills, to drive improvements across the revenue cycle in a fully remote setup.

Qualifications

• RN license required and reimbursement knowledge.
• Experience with medical coding and payer policies.
• Strong Excel skills and analytical/communication abilities.

Responsibilities

• Investigate denied claims and appeal strategies.
• Analyze payer policies and trends.
• Recommend revenue cycle improvements.

Skills

RN license

Reimbursement knowledge

Medical coding experience

Payer policy experience

Excel

Analytical skills

Communication skills

Job description

• Investigate denied claims and appeal strategies.
• Analyze payer policies and trends.
• Recommend revenue cycle improvements.

Requirements:

• Active RN license and reimbursement knowledge.
• Medical coding and payer policy experience.
• Excel, analytical, communication skills.
• Fully remote-eligible.

Partner Company

Our partner organization focuses on improving patient outcomes and supporting cancer care. They are a collaborative remote team blending clinical, financial, and administrative expertise.