Claims Denial Analyst
Company: VirtualVocations
Location: Boulder
Posted on: March 29, 2025
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Job Description:
A company is looking for a Claims Denial Analyst- Remote.
Key Responsibilities
Validate denial reasons and ensure accurate coding in DCM,
coordinating with the Clinical Resource Center as needed
Generate appeals based on dispute reasons and payer guidelines, and
escalate exhausted appeal efforts for resolution
Research contract terms and compile documentation for appeals,
while escalating denial or payment variance trends to
leadership
Required Qualifications
High School Diploma or equivalent; some college coursework
preferred
3 - 5 years of experience in a hospital business environment
performing billing and/or collections
Intermediate understanding of Explanation of Benefits forms,
Managed Care Contracts, and hospital billing form requirements
Intermediate knowledge of ICD-9, HCPCS/CPT coding, and medical
terminology
Intermediate Microsoft Office skills
Keywords: VirtualVocations, Boulder , Claims Denial Analyst, Professions , Boulder, Colorado
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