Complex Denials Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025
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Job Description:
A company is looking for a Complex Denials Specialist, Accounts
Receivable.
Key Responsibilities
Verify and obtain eligibility and authorization from insurance
providers
Research and monitor unpaid or denied claims and contact payers for
payment resolution
Maintain patient confidentiality and perform related duties as
required
Required Qualifications
2-3 years of experience in medical collections, denials, and
appeals
Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI
Familiarity with billing claim forms (UB04/1500) and third-party
billing guidelines
Experience with health information systems and Microsoft Word and
Excel
Understanding of payor contracts, both commercial and
government
Keywords: VirtualVocations, Hemet , Complex Denials Specialist, Other , Vista, California
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