Remote Clinical Appeals Specialist
Biloxi, Harrison County, Mississippi, 39530, USA
Listed on 2026-11-01
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Healthcare
Healthcare Compliance
Healthfirst is seeking an Appeals & Grievances Clinical Specialist to lead clinical case development and resolution while ensuring compliance with federal and state regulations. You will manage your own caseload, prepare cases for Medical Director Review and external appeals, and handle DOH complaints as needed.
The role supports both remote and on-site work at designated locations, with travel as required for divisional meetings. Bachelor's degree and clinical licensing are preferred.
We are seeking a motivated Remote Clinical Appeals Specialist to join Health First in Fulton, MS, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 73..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Clinical Appeals Specialist role in the description above.
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