Job Description. Curitec, a medical insurance company specializing in DME/Supplies, is searching for a highly detail-oriented and self-starting Clinical Appeals Specialist to join our Appeals team in The Woodlands. This role focuses on the clinical review and appeal of denied claims for durable medical equipment, wound care, and specialty supplies, ensuring compliance with Medicare Part B regulations. The ideal candidate has significant clinical ...
Additional Information About The Role. BJC HealthCare is seeking a Clinical Appeals Specialist to assist with infusion appeals for both government and commercial plans. This individual will be handling clinical denials and sending them to a nurse to review and appeal and then they will follow up on the appeal. Ideal candidates will have a background in denial follow up and/or prior authorization. Overview. BJC HealthCare. is one of the largest no...
Additional Information About the Role. BJC HealthCare is seeking a Clinical Appeals Specialist for infusions. Ideal applicants will have a patient accounts follow up or appeals background. Overview. BJC HealthCare. is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion an...
