Licensed Appeal Writer (Medtech)

TL;DR

Licensed Appeal Writer (Medtech): Reviewing denied insurance claims and medical files to develop strategies for reversal with an accent on clinical documentation analysis and regulatory compliance. Focus on creating persuasive appeal letters and managing complex workflows under strict insurance-driven deadlines.

Location: Must be based in the USA

Salary: $75,000–$85,000

Company

hirify.global provides revenue cycle management and clinical support services for hospitals and healthcare providers.

What you will do

• Review denied insurance claims and patient medical files to identify reversal opportunities.
• Develop and draft professional appeal letters to support claim reversals.
• Manage and organize appeal workflows to meet internal and insurance-driven deadlines.
• Collaborate with nurses and other team members to gather necessary clinical information.
• Ensure all activities comply with HIPAA standards and information security policies.
• Maintain strict confidentiality and minimize viewing of protected health information (PHI).

Requirements

• Must hold an active professional license (PA, RN, NP, LPN, PT, or OT).
• 4-year degree or equivalent work experience.
• Strong reading comprehension and ability to analyze complex medical terminology.
• Proficiency in Microsoft Office Suite.
• Ability to prioritize workload and manage strict deadlines.
• Must be based in the USA and possess a device for multifactor authentication.

Culture & Benefits

• Remote work environment with minimal noise levels.
• Opportunity to work in a collaborative, results-oriented team.
• Focus on professional integrity and sound clinical judgment.
• Standard employment benefits and professional development in healthcare revenue cycle.