Claims Resolution Specialist
Company: VirtualVocations
Location: Alpharetta
Posted on: March 23, 2025
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Job Description:
A company is looking for a Claims Resolution Specialist-
Remote.
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, Training, and Education
High School Diploma or equivalent; some college coursework
preferred
3 - 5 years experience in a hospital business environment, focusing
on billing and/or collections
Intermediate understanding of EOB forms, managed care contracts,
and hospital billing requirements
Intermediate knowledge of ICD-9, HCPCS/CPT coding, and medical
terminology
Intermediate Microsoft Office skills
Keywords: VirtualVocations, Alpharetta , Claims Resolution Specialist, Other , Alpharetta, Georgia
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