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Telecommute clinical denials specialist


This is a Full-time position in Long Beach, CA posted August 12, 2019.

A healthcare consulting company is seeking a Telecommute Clinical Denials Specialist.

Individual must be able to fulfill the following responsibilities: Review denied claims and prepare responses to denials Conduct follow-up with claims that have been appealed or resolved Communicate with third party payers to facilitate reimbursements Required Skills: Knowledge of Federal, State and commercial insurance regulations, etc.

Case management and chart review/audit experience Knowledge of clinical operations, charge creation, processing and reconciliation Knowledge of industry standard coding and billing methodologies Knowledge and understanding of CPT/HCPCS and ICD-10 codes, UB04 and CMS 1500 Exceptional written, verbal and interpersonal communication skills