Clinical Appeals Writer

Viventis Search Asia is working with a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. They are currently looking for talented Clinical Appeals Writer professionals to join their team in January 2025.

Location: Philippines

Shift: WFH; Dayshift; Mondays - Fridays

Training: WFH; Nightshift; 4 months

Job Description

• Letter Composition: Draft clear, concise, and compelling appeal letters for different levels of appeals, including initial appeals, medical necessity appeals, and administrative reviews.
• Clinical Review: Conduct in-depth clinical reviews of patient records, medical guidelines, and insurance policies to gather necessary information for appeal letters.
• Collaboration: Collaborate with healthcare providers, legal teams, and patients to obtain relevant medical inform...