Denials Specialist
Company: VirtualVocations
Location: Lowell
Posted on: April 5, 2025
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Job Description:
A company is looking for a Denials Specialist.
Key Responsibilities
Validate denial reasons and ensure accurate coding in the DCM
system
Generate appeals based on dispute reasons and payer guidelines
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
related to 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, Pittsfield , Denials Specialist, Other , Lowell, Massachusetts
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