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Healthcare Denials & Appeals Specialist

Job in Springfield, Greene County, Missouri, 65897, USA
Listing for: BJC HealthCare
Full Time position
Listed on 2026-08-21
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 55000 - 75000 USD Yearly USD 55000.00 75000.00 YEAR
Job Description & How to Apply Below

BJC Health Care in Missouri is seeking a Clinical Appeals Specialist to manage hospital billings for government and commercial plans, focusing on clinical denials and appeals.

The role requires collaboration with nurses for review and appeal, experience with denial follow up and/or prior authorization, and proficiency with payor portals such as Allscripts and Vital Ware; you will help educate partners and identify trends to improve denial management.

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