Revenue Recovery
Dedicated Denial Management VAs
Turn rejected claims into recovered revenue. Our dedicated Denial Management VAs investigate CARC/RARC denial codes, draft evidence-backed appeal packets, and submit corrected claims within timely filing deadlines.
Core Responsibilities & Daily Workflows
- ✓ Daily denial queue analysis categorizing clinical vs technical rejections (CO-16, CO-18, CO-45, PR-204)
- ✓ Drafting customized redetermination and reconsideration appeal letters with clinical documentation
- ✓ Direct payer escalation via commercial portal dispute resolution and telephonic representative calls
- ✓ Corrected claim scrubbing, modifier adjustments (-25, -59, -76), and resubmission via clearinghouses
- ✓ Root-cause pattern tracking to provide preventative feedback to front-office and coding teams
Supported Software & Portals:
Availity Essentials, Change Healthcare, Waystar, Trizetto, Epic, athenahealth, eCW
The "We Employ. You Direct." Operating Standard: ClariSureVA manages recruitment, employment contracts, payroll taxes, hardware infrastructure, and attendance compliance. You supervise daily work queues, prioritize tasks, and establish standard operating procedures inside your authenticated systems.
Hire a Dedicated Denial Management VA for Medical Billing
Connect with our staffing specialists for a 30-minute discovery consultation. Review matched candidate resumes in 3 to 5 business days.
Schedule Discovery Call →