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Centra Health · 1 day ago

Revenue Cycle Denial & Underpayment Specialist (FT/Days)

Lynchburg, VA

Full-time

Onsite

Mid Level

3+ years exp

Centra Health is focused on optimizing revenue collection, and they are seeking a Revenue Cycle Denial and Underpayment Specialist to contribute to this effort. The role involves analyzing claims to correct payment errors and reduce revenue losses due to denials and underpayments.

Health CareHospitalMedicalOncology

Responsibilities

Comparison of contracted rates versus claim payment to identify underpayments for assigned payers

Identify and resolve denials and underpayments

Review contract management system to explain and resolve denials and arrange for payment or adjustment

Collaborates with other departments to obtain clinical data to resolve denials or underpayments

Performs special projects as needed and assigned

Performs other duties as assigned

Qualification

DenialUnderpayment processesHealthcare accounts receivableData analysisClaim reconciliationCertified Coding SpecialistCertified Professional CoderCertified Inpatient Coder