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Sanford Bemidji

Lead Appeals & Denials Strategist (Remote)

Sanford Bemidji, Sioux Falls, South Dakota, United States

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A leading healthcare provider is seeking a Lead Appeal and Denial Specialist to review clinical documentation and manage appeals processes. This role requires strong leadership skills and expertise in quality assurance, along with a Bachelor's degree. The position allows for a hybrid or remote work model and necessitates 5 years of experience in appeals or medical necessity. Responsibilities include reviewing denials, mentoring others, and ensuring compliance with regulatory standards. #J-18808-Ljbffr