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Oracle

Senior Claims Denial Prevention & Appeals Expert

Oracle, San Juan, San Juan, us, 00902

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Overview A leading technology company is seeking a Senior Claims Denial Prevention and Appeals Specialist in San Juan. This role involves providing clinical inputs for claims processing and leading initiatives to prevent claim denials.

Responsibilities

Prepare appeals and conduct in-depth reviews.

Collaborate with cross-functional teams to improve denial prevention.

Qualifications

Background in nursing with regulatory knowledge.

Experience in analyzing denials for improvement.

Benefits Compensation range from $75,000 to $178,100 annually, plus comprehensive benefits.

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