About the Role

Astrana Health is looking for a Denial Coordinator. This role will report to a Manager-Denial and enable us to continue to scale in the healthcare industry.

This is a hybrid role where the expectation is to work both in the office and at home on a weekly basis.

What You'll Do :

• Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials
• Review and process daily assigned deferrals or denials (denial, modify, carve out, with a minimum of 30-40 letters per day with accuracy and quality
• Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter / notification refaxed and documented in the referral
• Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter, respond to the provider or interdepartmental emails, and document in the referral notes as needed
• Maintain a high level of integrity and confidentiality / patient privacy (HIPAA) of all information (written, verbal, electronic, that an employee encounters
• Perform other duties, projects, and actions as assigned

Qualifications :

• High School Diploma or GED
• 1 years of experience working in the healthcare industry
• Ability to communicate with multiple clients at a time

Last updated : 2024-05-03