Centra Health · 8 hours ago
Revenue Cycle Denial & Underpayment Specialist
Lynchburg, VA
Full-time
Onsite
Mid Level
3+ years expCentra Health is a healthcare organization focused on optimizing revenue collection. The Revenue Cycle Denial and Underpayment Specialist contributes to the collection of revenue through denial and underpayment appeals, aiming to reduce denial dollars and enhance collections.
Health CareHospitalMedicalOncology
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
Performs special projects as needed and assigned
Performs other duties as assigned
Qualification
Required
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
Certified Coding Specialist
Certified Professional Coder
Certified Inpatient Coder
Company
Centra Health
Centra Health renders cancer care, health care, surgeons and hospital services.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Diane Ludwig Baker
Senior Vice President Chief Marketing & Communications Officer
Joan Deal
Interim SVP / Chief Nursing Officer
Recent News
2025-04-03
Company data provided by crunchbase