Denials Management Specialist
Virtual Vocations Inc, New York, NY, United States
A company is looking for a Denials Specialist.
Key Responsibilities
Analyze denied claims to identify reasons for denial and execute follow-up actions Communicate with payors to resolve account denials and ensure timely recovery of outstanding claims Maintain accurate records of claim activities and ensure compliance with regulations governing claims processing
Required Qualifications
Minimum of 6 months experience in a hospital, payer, or relevant revenue cycle area Preferred experience in healthcare insurance billing, medical coding, and claim adjudication Experience with denials management and writing appeal letters Expertise in medical terminology and coding (ICD, CPT, HCPCS) Experience with healthcare billing systems (EPIC or similar)
Analyze denied claims to identify reasons for denial and execute follow-up actions Communicate with payors to resolve account denials and ensure timely recovery of outstanding claims Maintain accurate records of claim activities and ensure compliance with regulations governing claims processing
Required Qualifications
Minimum of 6 months experience in a hospital, payer, or relevant revenue cycle area Preferred experience in healthcare insurance billing, medical coding, and claim adjudication Experience with denials management and writing appeal letters Expertise in medical terminology and coding (ICD, CPT, HCPCS) Experience with healthcare billing systems (EPIC or similar)