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Denials Underpayment Rep

Description:

RESPONSIBLE FOR:
Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager of Denials Management.

Qualifications:

MINIMUM EDUCATION REQUIRED:
High School diploma or GED equivalent.

MINIMUM EXPERIENCE REQUIRED:
At least two (2) years prior related healthcare Revenue Cycle experience, preferably within denials/underpayments.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None

ADDITIONAL QUALIFICATIONS:
Three (3) years of prior related healthcare Revenue Cycle experience with a focus in denials/underpayments preferred. Prior experience using Epic preferred.

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