Texas Licensed Clinical Denial Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025
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Job Description:
A company is looking for a Clinical Denial Management Specialist
III.
Key Responsibilities
Resolve denials and reconcile expected payments on fee schedules
versus actual payments
Review documentation and call insurance to resolve complex denials
and obtain status
Create and submit appeals while providing feedback for Front End
Operations
Required Qualifications
High School Diploma or equivalent
3 years of medical billing or collections experience
Ability to work with clinical denials for complex E&M services
and minor surgical procedures
Strong knowledge of medical claims recovery and collections rules
and regulations
Coding certifications (CPC, CPMA, CMC, etc.) and/or relevant
degrees are preferred
Keywords: VirtualVocations, Chino Hills , Texas Licensed Clinical Denial Specialist, Healthcare , Vista, California
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here to apply!
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