Underpayment Specialist

Company: VirtualVocations
Location: Bakersfield
Posted on: November 7, 2024

Job Description:

A company is looking for an Underpayment Specialist responsible for resolving underpayment issues on adjudicated insurance claims.

Key Responsibilities:

Analyze claim variances using proprietary software
Generate and submit appeals to payers while following specific guidelines
Conduct follow-up calls to payers and monitor accounts through payment/resolution

Qualifications:

HS Diploma or GED
Strong technical skills, particularly in MS Windows-based applications
Ability to work well both independently and in a team environment
Bachelor's degree or 1-2 years of experience in hospital/physician claims variance analysis preferred

Keywords: VirtualVocations, Hanford , Underpayment Specialist, Other , Bakersfield, California

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