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Revenue Specialist, Denials

Company: VirtualVocations
Location: Burlington
Posted on: May 2, 2025

Job Description:

A company is looking for a Revenue Specialist, Denials to manage the denials appeal process and resolve outstanding claims.
Key Responsibilities

Review and evaluate denied claims using proprietary software and payment documentation to determine correct reimbursement
Research and acquire necessary medical records and submit them with claims to ensure prompt reimbursement
Conduct timely follow-up with payers to confirm receipt of claims and facilitate reimbursement

Requirements and Qualifications

High School Diploma or GED required; Associates or Bachelor's Degree preferred
5+ years of experience in healthcare billing or collections
1+ years of client-facing/customer service experience
Intermediate understanding of insurance payer/provider claims processing and medical terminology
Strong computer proficiency, including MS Office applications

Keywords: VirtualVocations, Billerica , Revenue Specialist, Denials, Other , Burlington, Massachusetts

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