Denial Specialist
Company: VirtualVocations
Location: Eugene
Posted on: March 19, 2025
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Job Description:
A company is looking for a Denial Specialist - Remote.
Key Responsibilities
Validate denial reasons and ensure accurate coding in the system,
coordinating with the Clinical Resource Center as needed
Generate appeals based on dispute reasons and payer guidelines,
escalating exhausted efforts for resolution
Research contract terms and compile documentation for appeals and
payment variance trends
Required Qualifications, Training, and Education
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, Managed Care
Contracts, and hospital billing form requirements
Intermediate knowledge of ICD-9, HCPCS/CPT coding, and medical
terminology
Intermediate Microsoft Office skills
Keywords: VirtualVocations, Eugene , Denial Specialist, Other , Eugene, Oregon
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