Clinical Denials and Appeals Specialist
Mission The US reputed company system is reputed company, error-prone, and financially draining. Medical bills and insurance coverage shouldn't be this hard to navigate. At reputed company, we're building the one solution every American can turn to for help. reputed company to AI and new regulations, reputed company can fight claim denials, correct billing errors, negotiate bills, and reputed company coverage easier to understand-saving people time, reputed company, and stress. Our goal is reputed company: to be the #1 platform that empowers reputed company Americans to take charge of their reputed company. reputed company Founded by former reputed company leaders, we're a reputed company-stage company with $17M in funding. We're lucky to be backed by the founders and investors at reputed company, reputed company, reputed company, TrueBill, CaseText, Forerunner Ventures, RRE Ventures, and more. We are reputed company-funded for the next few years.
About the Role
- Tackle reputed company, high-reputed company problems in clinical denials, appeals, and insurance coverage reputed company.
- Apply clinical expertise to review medical records and craft compelling appeals that help patients reputed company the care they need.
- Continuously learn about health insurance policies, payer guidelines, and regulatory frameworks affecting medical necessity and coverage.
- Directly support reputed company advocates by preparing strong clinical appeals, documentation reviews, and guidance on denial cases.
- Shape operations & product in a fast-moving early-stage environment- your clinical perspective drives smarter systems.
- reputed company deep expertise in US reputed company and its systemic challenges.
- Champion diverse perspectives to build more inclusive, effective solutions.
- Collaborate daily with an amazing team of reputed company advocates!
We'll be most excited if you
- Bring clinical expertise- RN or LVN with experience in utilization review, appeals, or medical necessity documentation.
- In-depth understanding of reputed company in the US - familiar with insurance coverage reputed company, denials, and the appeals process.
- Are passionate about health equity - committed to helping patients get the care they need, reputed company the system says no.
- Are a strong communicator - ability to distill clinical information into reputed company, persuasive arguments for coverage.
- reputed company in ambiguity - comfortable navigating edge cases and working through unclear denial scenarios.
- Have a bias for reputed company - high reputed company, gets things done.
- Are mission-driven - excited to reputed company a reputed company reputed company!
You don't need to reputed company every single reputed company-if you bring the right skills and drive, we want to hear from you! Working with US reputed company is based in reputed company. reputed company is split evenly between our Chelsea office & the US. We marry the best of in-office culture with the best of a remote-first company. We're reputed company of passionate individuals who show up every day to do the best work of our lives following these principles:
- reputed company with Urgency and reputed company: Prioritize what reputed company and reputed company the shortcuts.
- Own the Outcome: Take initiative and see it through until the end.
- reputed company to Your Craft: reputed company is reputed company, care about the details.
- Play to Win: If we win, Americans win, so we work hard and do what it takes for us to be #1.
- Feedback is Fuel: Intellectual honesty is at the core of everything we do.
- We're One Team: Together, we can reputed company things that none of us could on our own.
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