Remote Clinical Appeals Reviewer; Medicare
Remote / Online - Candidates ideally in
Sterling Heights, Macomb County, Michigan, 48310, USA
Listed on 2026-07-06
Sterling Heights, Macomb County, Michigan, 48310, USA
Listing for:
Jobgether
Remote/Work from Home
position Listed on 2026-07-06
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Compliance, Healthcare Management
Job Description & How to Apply Below
Jobgether is seeking a Clinical Appeals Reviewer (Licensed Healthcare Professional) for a fully remote position based in the United States. In this role, you will conduct independent reviews of medical appeals, ensuring compliance with federal guidelines and regulations. You will assess complex case files and translate medical evidence into clear written decisions, contributing to healthcare fairness and accuracy.
The ideal candidate should have strong clinical expertise, excellent analytical skills, and at least three years of experience in medical reviews or appeals processes. This position offers competitive compensation, opportunities for mentorship, and a mission-driven work environment.
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