Senior Claims Resolution Specialist
5 days ago
We are seeking a highly skilled Denials and Appeals Manager to join our team at VeeAR Projects. This role involves analyzing denied, underpaid, and unpaid claims, appealing underpaid and denied claims within timely filing periods, and identifying trends resulting in denials.
About the RoleThis is an exciting opportunity for a detail-oriented and analytical individual with experience in managed care denial follow-up and appeals processing. The successful candidate will be responsible for maintaining an appeals database to identify and report outcomes and opportunities. Additionally, they will work closely with the Coding manager to identify any billing and/or coding trends resulting in denials.
Responsibilities- Analyze denied, underpaid, and unpaid claims
- Appeal underpaid and denied claims within timely filing periods
- Identify, track, and report on denial trends
- Maintain an appeals database to identify and report outcomes and opportunities
- Work closely with the Coding manager to identify any billing and/or coding trends resulting in denials
- Attend coding and appeals-related seminars as available
- A minimum of two years of professional billing experience with an emphasis on managed care denial follow-up and appeals processing
- Strong analytical skills and proficiency in Microsoft Windows with an emphasis on Excel
- Ability to prioritize and coordinate workflow and attention to detail
- Knowledge of CPT, HCPCS, and ICD-10 coding requirements with emphasis on modifiers and diagnosis association
- Working knowledge of LCDs, NCCI, and MUE edits as well as a general knowledge of commercial, HMO, and Medicare Advantage claims, authorization, and documentation requirements
VeeAR Projects offers a competitive salary range of $75,000 - $95,000 per year, depending on experience, as well as a comprehensive benefits package. If you are a motivated and detail-oriented individual looking for a challenging role, please apply today.
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Claims Resolution Specialist
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Hope, Canada VeeAR Projects Full timeJob SummarySeeking a highly analytical Claims Resolution Specialist to join our team at VeeAR Projects. In this role, you will be responsible for researching and resolving claim denials, analyzing trends, and providing monthly reports to management. Your strong analytical skills and proficiency in Microsoft Windows with emphasis on Excel will be valuable...
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Senior Denials Resolution Specialist
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Hope, Canada VeeAR Projects Full timeAbout the RoleVeeAR Projects is seeking a highly skilled and detail-oriented Senior Denials Resolution Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for resolving denied claims and appeals in a timely manner.Estimated Salary:$60,000 - $80,000 per year, depending on experience.Job DescriptionThe Senior...
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Denials Resolution Specialist
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Hope, Canada VeeAR Projects Full timeAt VeeAR Projects, we are seeking an experienced Denials Resolution Specialist to join our team. This role is responsible for analyzing and resolving claim denials, as well as identifying trends and providing monthly reports.Job SummaryWe estimate the salary for this position to be around $65,000 - $85,000 per year, based on industry standards and...
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