Senior Clinical Denials Specialist: Appeals & Reimbursement
Mount Sinai Medical Center & Miami Heart Institute
Mount Sinai Medical Center in Miami Beach is seeking a Sr. Clinical Denials Coordinator to manage and appeal medical necessity denials using clinical judgment and payer policy knowledge. This role requires experience in critical care or similar fields. Responsibilities include constructing high-quality appeals and maintaining accurate data reporting. The position offers a comprehensive benefits package including health insurance, retirement plans, and paid time off. #J-18808-Ljbffr Mount Sinai Medical Center
- ...Florida, Inc. is seeking a qualified Sr. Clinical Denials Coordinator in Miami Beach. This role involves managing and appealing medical necessity denials using clinical judgment... ...insurance, retirement plans, and tuition reimbursement. Join a dedicated team committed to...Senior
- ...Sinai Medical Center of Florida, Inc. is seeking a Senior Clinical Denials Coordinator to manage appeals for level-of-care and medical necessity denials.... ...comprehensive benefits including health benefits and tuition reimbursement. #J-18808-Ljbffr Mount Sinai Medical Center of...SeniorRemote job
- ...delivering an unmatched level of clinical expertise, our medical... ...Description Summary:The Sr. Clinical Denials Coordinator serves as a... ...for managing and appealing level-of-care and medical necessity... ...quality appeals and optimize reimbursement outcomes. Conducts clinical...ReimbursementSeniorContract workWork at office
- ...Accounting Job Description Summary The Sr. Clinical Denials Coordinator serves as a Clinical... ...Reviewer responsible for managing and appealing level‑of‑care and medical necessity denials... ...high‑quality appeals and optimize reimbursement outcomes. Conducts clinical appeals...ReimbursementSeniorContract workWork at office
$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and... ...to ensure appropriate reimbursement to providers. Job Duties... ...concurrent review of appeals for denied prior authorizations... ...medical directors on denial decisions. •... ...Certified Medical Audit Specialist (CMAS), Certified Case...ReimbursementHourly payWork experience placementWork at office- ...Health Information Management Clinical Coding Audit Specialist, HIM Jackson Memorial... ...oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical... ...teams to promote appropriate reimbursement and maintain compliance with regulatory...ReimbursementFull time
$90k - $145k
...as a subject matter resource on revenue cycle management, reimbursement analytics, denial management, and payer contract performance across a... ...denial categorization, root cause analysis, trending, and appeals — with the ability to design denial prevention strategies...ReimbursementSeniorFull timeContract work- ...Florida, Inc. is looking for a Certified Risk Adjustment Coder Senior in Miami Beach, FL. This full-time role involves ensuring... ...records, and collaborating with health professionals to optimize reimbursement accuracy. Applicants should have a high school diploma, at least...ReimbursementSeniorRemote jobFull time
- ...looking for a full-time Medical Insurance Collection Specialist in Miami, Florida. The ideal candidate will have proven... ...in Microsoft Excel. Responsibilities include analyzing reimbursement procedures, managing denials, and identifying trends to improve collection...ReimbursementSeniorRemote jobFull timeFlexible hours
$68k - $136k
...savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education... ...devices. We currently have an opportunity for a Senior Clinical Specialist, Coronary, in Miami, FL . The Clinical Specialist will primarily...SeniorWork experience placementWork at officeRemote workShift work$86.7k - $173.3k
Abbott Laboratories is seeking a Clinical Specialist in Electrophysiology to provide advanced technical and educational support in Miami, Florida... ...years of clinical experience, with at least two years in a senior EP CS role. You will be responsible for conducting complex...Senior- A global healthcare leader is seeking a Senior Clinical Specialist in Miami, FL to support the Vascular division. The role involves case planning, customer education, and sales support within hospitals. Ideal candidates should possess a Bachelor’s degree and have over...Senior
$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience... ...to ensure appropriate reimbursement to providers. Job... ...concurrent review of appeals for denied prior authorizations... ...medical directors on denial decisions. Supplies... ...Medical Audit Specialist (CMAS), Certified Case...ReimbursementHourly payWork experience placementWork at office- ...to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and... ..., accurate database information, and the ability to optimize reimbursement.* Maintains effective interpersonal skills and positive working...ReimbursementSenior
- ...Ingelheim is seeking a Market Access professional based in Miami, FL. In this role, you will develop and implement Specialty Access and Reimbursement strategies, maintaining relationships with healthcare providers and pharmacies. The position requires at least seven years in...ReimbursementSenior
- Boehringer Ingelheim GmbH in Miami, Florida is seeking a professional to implement Specialty Access & Reimbursement Strategies. Responsibilities include optimizing access to specialty products, building relationships with healthcare providers, and monitoring reimbursement...ReimbursementSenior
$115k - $120k
...Your World Secured" We are currently looking to hire a Senior Executive IT Support Specialist to join our client's team in South Beach, Florida!... ...Plan Supplemental coverage options through Aflac Gym reimbursement — get paid to work out 24/7 Employee Assistance Program...ReimbursementSeniorPermanent employmentCurrently hiringWork at officeRemote workVisa sponsorshipShift work- ...to work in Miami, FL. The Senior Patient Accounts Representative... ...Business Expense Reimbursement Forms and Vacation/Scientific... ...demographic, financial, and clinical information necessary for financial... ...Assistant to appeal any denial or Peer to Peer review to ensure...ReimbursementSeniorFull timeTemporary workWork at officeWorldwide
- ...staff position, please review this tip sheet . Clinical Business Operations Specialist The University of Miami/UHealth department of... ...including hotel and flight bookings, and process travel reimbursements including the research team. Support CME...ReimbursementFull timeTemporary workWork experience placementWork at officeWorldwideNight shiftWeekend workAfternoon shift
- ...Position Description: Senior Clinical Veterinarian for Non-Human Primates Location: Temperate Coastal South Miami About the Role... ...health and welfare. Benefits: - DEA registration reimbursement. - Continuing education reimbursement. - Paid time off and...ReimbursementSeniorRelocation packageFlexible hours
- ## Senior Financial AnalystApplylocations: Miami, FL, USAtime type: Full timeposted on:... ...01(k) program with company match, stock reimbursement program**FAMILY**: New parent programs including... ...), family and medical care leave or the denial of family and medical care leave, mental...ReimbursementSeniorLocal areaWorldwideFlexible hours
$168k - $240k
...impactful work and the evolution of Slalom. The Role: M&A Principal/Senior Principal The Role: M&A Principal/Senior Principal What You’... ..., and short/long-term disability. We also offer yearly $350 reimbursement account for any well-being-related expenses, as well as...ReimbursementSeniorTemporary workWork at officeLocal area- ...Senior Business Analyst We are seeking a Senior Business Analyst to join our team at... ...pivotal role in bridging the gap between clinical operations and technology solutions to... ...process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS,...ReimbursementSeniorDaily paidContract work
$130k - $180k
...excellence. About the Position The compnay is seeking a Senior Preconstruction Manager to lead and manage multiple complex projects... ..., and vision insurance Employer-matched 401(k) Wellness reimbursement program Paid holidays and paid time off Additional...ReimbursementSeniorFor contractorsFor subcontractor- ...Senior Health Educator - 64085183 This is a professional position responsible for planning, implementing, evaluating, and delivering health promotion and STD/HIV health education and performing outreach activities to community members with a high likelihood of contracting...SeniorWork at officeLocal area
- ...Job Title Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes...ReimbursementSeniorWork at officeRemote work
- ...Position Summary The Senior Director of Florida Imaging is a senior leadership role... ...implementation of new technologies and clinical capabilities Drive innovation in patient... ...modalities, outpatient operations, and reimbursement dynamics ~ Demonstrated success in strategic...ReimbursementSenior
$46k - $49k
...Requisition No: 875973 Agency: Department of Health Working Title: SENIOR HEALTH EDUCATOR - 64085183 Pay Plan: Career Service Position Number: 64085183 Salary: $46,000.00-$49,000.00 Posting Closing Date: 06/04/2026 Total Compensation...SeniorWork at officeLocal areaFlexible hours- ...professionalism. Position Overview Dade Electric Service is seeking a Senior Accountant to support the financial operations of our growing... ...and vision coverage * 401(k) retirement plan * Gas and travel reimbursement * Professional and stable work environment * Long-term career...ReimbursementSeniorFor contractors
- ...Asthma Care Health Education Specialist Provides senior level support for health education activities. Responsible for developing, implementing, and maintaining health plan health education programs. Assists in identifying health education program needs, researching...SeniorContract workWork at officeLocal areaRemote workNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Clinical Denials Specialist: Appeals & Reimbursement. Be the first to apply!
- senior performance engineer Miami Beach, FL
- senior leadership Miami Beach, FL
- international tax senior Miami Beach, FL
- senior financial analyst remote Miami Beach, FL
- senior sales Miami Beach, FL
- senior vice president of operations Miami Beach, FL
- senior software engineer remote Miami Beach, FL
- senior manager creative operations Miami Beach, FL
- senior director community engagement Miami Beach, FL
- senior manager diversity & inclusion Miami Beach, FL


