Remote Clinical Appeal Specialist—Denials & Reimbursement

Jobgether; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Jobgether is seeking a Clinical Appeal Specialist based in the United States to manage healthcare denials, appeals, and reimbursement recovery in a fully remote role. You will review medical claims, build persuasive appeals, align with payer requirements, and collaborate with clinical and finance teams to strengthen revenue cycle performance.

The role emphasizes analytical thinking, attention to detail, and knowledge of coding, payer policies, and regulatory guidelines.

Qualifications

• Experience handling healthcare denials and appeals.
• Knowledge of reimbursement processes and payer requirements.
• Analytical mindset with attention to detail.

Responsibilities

• Review denied claims and prepare appeals.
• Develop effective strategies to maximize reimbursement.
• Analyze denial trends and suggest process improvements.

Skills

Denials management

Medical coding

Payer policies

Analytics

Job description

Jobgether is seeking a Clinical Appeal Specialist based in the United States to manage healthcare denials, appeals, and reimbursement recovery in a fully remote role. You will review medical claims, build persuasive appeals, align with payer requirements, and collaborate with clinical and finance teams to strengthen revenue cycle performance.

The role emphasizes analytical thinking, attention to detail, and knowledge of coding, payer policies, and regulatory guidelines.