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Sr. Clinical Denials Appeal Specialist (Remote)
Stanford Health Care
Opportunity Description
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Day - 08 Hour (United States of America)
**This is a Stanford Health Care job.**
**A Brief Overview**
The Senior Clinical Denials Appeal Specialist serves as a clinical subject matter expert focused on resolving and appealing clinically related, documentation-related, and clinical operations-related denials. This role performs detailed account and medical record reviews to assess and determine appropriate resolution activity, takes necessary actions to resolve clinical denials and prepares compliant, evidence-based appeal submissions when needed. The Senior Clinical Denials Appeal Specialist operates under established guidelines and supervision, ensuring accurate, timely, and consistent appeal decisions aligned with clinical criteria, regulatory requirements, and organizational...
Day - 08 Hour (United States of America)
**This is a Stanford Health Care job.**
**A Brief Overview**
The Senior Clinical Denials Appeal Specialist serves as a clinical subject matter expert focused on resolving and appealing clinically related, documentation-related, and clinical operations-related denials. This role performs detailed account and medical record reviews to assess and determine appropriate resolution activity, takes necessary actions to resolve clinical denials and prepares compliant, evidence-based appeal submissions when needed. The Senior Clinical Denials Appeal Specialist operates under established guidelines and supervision, ensuring accurate, timely, and consistent appeal decisions aligned with clinical criteria, regulatory requirements, and organizational...
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