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Denials Specialist

Company: VirtualVocations
Location: Fort Lauderdale
Posted on: November 1, 2024

Job Description:

A company is looking for a Denials Specialist - Remote.



Key Responsibilities

Validate denial reasons and ensure accurate coding in the DCM system
Generate appeals based on dispute reasons and payer contract terms
Research contract terms and compile documentation for appeals


Required Qualifications

High School Diploma or equivalent; some college coursework preferred
3 - 5 years of experience in a hospital business environment performing billing and/or collections
Intermediate understanding of Explanation of Benefits (EOB) and Managed Care Contracts
Intermediate knowledge of hospital billing form requirements (UB-04)
Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology

Keywords: VirtualVocations, Port St. Lucie , Denials Specialist, Other , Fort Lauderdale, Florida

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