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Clinical Denials & Appeals Lead
Job in
Longview, Gregg County, Texas, 75606, USA
Listed on 2026-07-27
Listing for:
University Medical Center, Inc.
Full Time
position Listed on 2026-07-27
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
UofL Health in Louisville, KY seeks a senior manager to lead a 10-12 person clinical reviewers team, overseeing facility clinical claim denials and overturning payor processing. You will drive root-cause analysis, implement pre-bill edits and audits with payors, and collaborate with Revenue Cycle Leadership and Case Management.
The role requires a nursing degree and active RN license with 5+ years clinical experience; CCM/CPUM certifications are preferred.
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