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Senior Clinical Appeals & Denials Specialist — Remote

Remote / Online - Candidates ideally in
Sioux Falls, Minnehaha County, South Dakota, 57102, USA
Listing for: Sanford Bemidji
Remote/Work from Home position
Listed on 2026-02-09
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 21.5 - 34.5 USD Hourly USD 21.50 34.50 HOUR
Job Description & How to Apply Below
A leading healthcare organization is seeking a Senior Appeal and Denial Specialist to facilitate denial and appeal processes through clinical reviews and expertise. Candidates must have a Bachelor's degree and at least three years of experience related to appeals or medical necessity. This remote position involves significant communication and problem-solving. Strong understanding of regulatory requirements and the ability to coach patients in managing their care are essential.
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Position Requirements
10+ Years work experience
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