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Centra Health

Revenue Cycle Denial & Underpayment Specialist (FT/Days)

Centra Health, Lynchburg, Virginia, us, 24513

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Revenue Cycle Denial & Underpayment Specialist (FT/Days)

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Revenue Cycle Denial & Underpayment Specialist (FT/Days)

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The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. The analyst works assigned claims to correct errors in payment and submitted claim information to optimize the collected revenue for Centra. The goal of the analyst work is to reduce denial dollars and underpayments to increase the bottom line collections for Centra. Job Description

The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. The analyst works assigned claims to correct errors in payment and submitted claim information to optimize the collected revenue for Centra. The goal of the analyst work is to reduce denial dollars and underpayments to increase the bottom line collections for Centra.

Responsibilities

Essential Duties and 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.

Other Functions

Performs special projects as needed and assigned.

Performs other duties as assigned.

Qualifications

Required Qualifications:

High School Diploma

Minimum three (3) years’ experience in denials, underpayments, or healthcare accounts receivable.

Ability to analyze and reconcile multiple accounts and large volumes of claim data.

Working knowledge of denial and underpayment processes.

Preferred Qualifications

Certified Coding Specialist

Certified Professional Coder

Certified Inpatient Coder Seniority level

Seniority level Mid-Senior level Employment type

Employment type Full-time Job function

Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Centra Health by 2x Sign in to set job alerts for “Revenue Specialist” roles.

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Revenue Cycle Denial and Underpayment Analyst Senior (FT/Days)

Revenue Cycle Denial And Underpayment Analyst Senior

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